Universität zu Köln

Ataseven, Beyhan, Tripon, Denise, Rhiem, Kerstin, Harter, Philipp, Schneider, Stephanie, Heitz, Florian, Baert, Thais, Traut, Alexander, Pauly, Nina, Ehmann, Sarah, Plett, Helmut, Schmutzler, Rita K. and du Bois, Andreas (2020). Prevalence of BRCA1 and BRCA2 Mutations in Patients with Primary Ovarian Cancer - Does the German Checklist for Detecting the Risk of Hereditary Breast and Ovarian Cancer Adequately Depict the Need for Consultation? Geburtshilfe Frauenheilkd., 80 (9). S. 932 - 941. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1438-8804

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Abstract

Background BRCA1/2 mutations are the leading cause of hereditary epithelial ovarian cancer (EOC). The German Consortium for Hereditary Breast and Ovarian Cancer has defined inclusion criteria, which are retrievable as a checklist and facilitate genetic counselling/testing for affected persons with a mutation probability of >= 10%. Our objective was to evaluate the prevalence of the BRCA1/2 mutation(s) based on the checklist score (CLS). Methods A retrospective data analysis was performed on EOC patients with a primary diagnosis treated between 1/2011-5/2019 at the Central Essen Clinics, where a BRCA1/2 genetic analysis result and a CLS was available. Out of 545 cases with a BRCA1/2 result (cohort A), 453 cases additionally had an extended gene panel result (cohort B). Results A BRCA1/2 mutation was identified in 23.3% (127/545) in cohort A, pathogenic mutations in non-BRCA1/2 genes were revealed in a further 6.2% in cohort B. In cohort A, 23.3% (127/545) of patients had a BRCA1 (n = 92) or BRCA2 (n = 35) mutation. Singular EOC (CLS 2) was present in 40.9%. The prevalence for a BRCA1/2 mutation in cohort A was 10.8%, 17.2%, 25.0%, 35.1%, 51.4% and 66.7% for patients with CLS 2, 3, 4, 5, 6 and >= 7 respectively. The mutation prevalence in cohort B was 15.9%, 16.4%, 28.2%, 40.4%, 44.8% and 62.5% for patients with CLS 2, 3, 4, 5, 6 and >= 7 respectively. Conclusions The BRCA1/2 mutation prevalence in EOC patients positively correlates with a rising checklist score. Already with singular EOC, the prevalence of a BRCA1/2 mutation exceeds the required 10% threshold. Our data support the recommendation of the S3 guidelines Ovarian Cancer of offering genetic testing to all patients with EOC. Optimisation of the checklist with clear identification of the testing indication in this population should therefore be aimed for.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Ataseven, Beyhan UNSPECIFIED UNSPECIFIED UNSPECIFIED Tripon, Denise UNSPECIFIED UNSPECIFIED UNSPECIFIED Rhiem, Kerstin UNSPECIFIED UNSPECIFIED UNSPECIFIED Harter, Philipp UNSPECIFIED UNSPECIFIED UNSPECIFIED Schneider, Stephanie UNSPECIFIED UNSPECIFIED UNSPECIFIED Heitz, Florian UNSPECIFIED UNSPECIFIED UNSPECIFIED Baert, Thais UNSPECIFIED UNSPECIFIED UNSPECIFIED Traut, Alexander UNSPECIFIED UNSPECIFIED UNSPECIFIED Pauly, Nina UNSPECIFIED UNSPECIFIED UNSPECIFIED Ehmann, Sarah UNSPECIFIED UNSPECIFIED UNSPECIFIED Plett, Helmut UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmutzler, Rita K. UNSPECIFIED UNSPECIFIED UNSPECIFIED du Bois, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-321673
DOI:	10.1055/a-1222-0042
Journal or Publication Title:	Geburtshilfe Frauenheilkd.
Volume:	80
Number:	9
Page Range:	S. 932 - 941
Date:	2020
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1438-8804
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CARRIER PROBABILITIES; MAINTENANCE THERAPY; SCORING SYSTEM; GERMLINE BRCA1; WOMEN; MODELS; BOADICEA; SERIES; ASSOCIATION; PENETRANCE Multiple languages Obstetrics & Gynecology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/32167