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Prostate cancer risk, screening and management in patients with germline BRCA1/2 mutations
P. Rajwa, F. Quhal, B. Pradere, G. Gandaglia, G. Ploussard, MS. Leapman, JL. Gore, A. Paradysz, D. Tilki, AS. Merseburger, TM. Morgan, A. Briganti, GS. Palapattu, SF. Shariat
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články, přehledy, práce podpořená grantem
NLK
ProQuest Central
od 2009-04-01 do Před 1 rokem
Health & Medicine (ProQuest)
od 2009-04-01 do Před 1 rokem
- MeSH
- časná detekce nádoru metody MeSH
- genetická predispozice k nemoci MeSH
- geny BRCA1 MeSH
- kvalita života MeSH
- lidé MeSH
- mutace MeSH
- nádory prostaty * diagnóza genetika terapie MeSH
- prospektivní studie MeSH
- prostatický specifický antigen genetika MeSH
- protein BRCA1 genetika MeSH
- protein BRCA2 genetika MeSH
- zárodečné buňky patologie MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- přehledy MeSH
Mutations in the BRCA1 and BRCA2 tumour suppressor genes are associated with prostate cancer risk; however, optimal screening protocols for individuals with these mutations have been a subject of debate. Several prospective studies of prostate cancer incidence and screening among BRCA1/2 mutation carriers have indicated at least a twofold to fourfold increase in prostate cancer risk among carriers of BRCA2 mutations compared with the general population. Moreover, BRCA2 mutations are associated with more aggressive, high-grade disease characteristics at diagnosis, more aggressive clinical behaviour and greater prostate cancer-specific mortality. The risk for BRCA1 mutations seems to be attenuated compared with BRCA2. Prostate-specific antigen (PSA) measurement or prostate magnetic resonance imaging (MRI) alone is an imperfect indicator of clinically significant prostate cancer; therefore, BRCA1/2 mutation carriers might benefit from refined risk stratification strategies. However, the long-term impact of prostate cancer screening is unknown, and the optimal management of BRCA1/2 carriers with prostate cancer has not been defined. Whether timely localized therapy can improve overall survival in the screened population is uncertain. Long-term results of prospective studies are awaited to confirm the optimal screening strategies and benefits of prostate cancer screening among BRCA1/2 mutation carriers, and whether these approaches ultimately have a positive impact on survival and quality of life in these patients.
Department of Urology 2nd Faculty of Medicine Charles University Prague Czech Republic
Department of Urology King Fahad Specialist Hospital Dammam Saudi Arabia
Department of Urology Koc University Hospital Istanbul Turkey
Department of Urology La Croix du Sud Hospital Quint Fonsegrives France
Department of Urology Medical University of Silesia Zabrze Poland
Department of Urology Medical University of Vienna Vienna Austria
Department of Urology University Hospital Hamburg Eppendorf Hamburg Germany
Department of Urology University Hospital Schleswig Holstein Lübeck Germany
Department of Urology University of Michigan Medical School Ann Arbor MI USA
Department of Urology University of Texas Southwestern Dallas TX USA
Department of Urology University of Washington Seattle Cancer Care Alliance Seattle WA USA
Department of Urology Weill Cornell Medical College New York NY USA
Department of Urology Yale School of Medicine New Haven CT USA
Karl Landsteiner Institute of Urology and Andrology Vienna Austria
Martini Klinik Prostate Cancer Center University Hospital Hamburg Eppendorf Hamburg Germany
Citace poskytuje Crossref.org
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