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The role of targeted BRCA1/BRCA2 mutation analysis in hereditary breast/ovarian cancer families of Portuguese ancestry

Title
The role of targeted BRCA1/BRCA2 mutation analysis in hereditary breast/ovarian cancer families of Portuguese ancestry
Type
Article in International Scientific Journal
Year
2015
Authors
Peixoto, A
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Santos, C
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Pinto, P
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Pinheiro, M
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Rocha, P
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Pinto, C
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Bizarro, S
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Veiga, I
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Principe, AS
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Maia, S
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Castro, F
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Couto, R
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Gouveia, A
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Journal
Title: Clinical GeneticsImported from Authenticus Search for Journal Publications
Vol. 88
Pages: 41-48
ISSN: 0009-9163
Publisher: Wiley-Blackwell
Other information
Authenticus ID: P-00G-62P
Abstract (EN): We report the analysis of altogether 1050 suspected hereditary breast/ovarian cancer (HBOC) families, 524 fully screened for BRCA1/BRCA2 mutations and 526 tested only for the most common mutations. Of the 119 families with pathogenic mutations, 40 (33.6%) had the BRCA2 c.156_157insAlu rearrangement and 15 (12.6%) the BRCA1 c.3331_3334del mutation, the former being specific of Portuguese ancestry and the latter showing a founder effect in Portugal. Interestingly, the two most common mutations were found in a significant proportion of the HBOC families with an a prioriBRCAPRO mutation probability <10%. We recommend that all suspected HBOC families from Portugal or with Portuguese ancestry, even those fulfilling moderately stringent clinical-criteria for genetic testing, should be specifically analyzed for the two most common BRCA1/BRCA2 founder mutations, and we here present a simple method for this first tier test. Screening of the entire coding regions of BRCA1 and BRCA2 should subsequently be offered to those families with a mutation probability 10% if none of those founder mutations are found.
Language: English
Type (Professor's evaluation): Scientific
No. of pages: 8
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