BRCA Gene Mutations And Hereditary Breast And Ovarian Cancer Syndrome From The Perspective Of Ovarian Cancer
Yıl 2018,
Cilt: 15 Sayı: 3, 135 - 144, 01.07.2018
İlker Selçuk
Şule Özel
Tayfun Güngör
Yaprak Engin-üstün
Öz
Since ovarian cancer has the highest mortality rates among all the gynecological cancers, there is a tremendous effort to decrease this occasion by surveillance and prophylactic interventions. Ovarian cancer is mostly sporadic, however some people have an increased risk than the overall population due to hereditary and genetic predispositions. BRCA gene mutations are most commonly detected pathology in whom have a hereditary ovarian cancer risk. Genetic counseling, surveillance and prophylactic surgeries with regard to BRCA gene mutations should be applied by an experienced team in a multi-disciplinary approach.
Kaynakça
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Over Kanseri Perspektifinde BRCA Gen Mutasyonları Ve Herediter Meme ve Over Kanser Sendromu
Yıl 2018,
Cilt: 15 Sayı: 3, 135 - 144, 01.07.2018
İlker Selçuk
Şule Özel
Tayfun Güngör
Yaprak Engin-üstün
Öz
Over kanseri en çok ölümle sonuçlanan jinekolojik kanser olup, tarama çalışmalarıyla beraber önleyici girişimler ile ölüm oranlarının azaltılması için çok fazla çalışma vardır. Hastalık çoğunlukla sporadik gelişse de, ailesel faktörler ve genetik kökenli yatkınlık bazı bireyleri toplumsal oranlara göre artmış bir risk kuşağına sokmaktadır. Ailesel over kanseri yatkınlığı olan kişilerde en sık BRCA gen mutasyonları tespit edilmiş olup, BRCA gen mutasyonu taşıyan kişilere verilecek olan hizmetler; genetik danışmanlık, tarama ve koruyucu girişimler belli bir perspektif içerisinde tecrübeli bir ekip tarafından multi-disipliner bir yapıda yapılmalıdır.
Kaynakça
- Committee on Gynecologic Practice SoGO. Committee Opinion No. 716: The Role of the Obstetrician-Gynecologist in the Early Detection of Epithelial Ovarian Cancer in Women at Average Risk. Obstet Gynecol. 2017;130(3):e146-e9.
- Kurman RJ, Shih Ie M. The origin and pathogenesis of epithelial ovarian cancer: a proposed unifying theory. Am J Surg Pathol. 2010;34(3):433-43.
- Lancaster JM, Powell CB, Chen LM, Richardson DL, Committee SGO- CP. Society of Gynecologic Oncology statement on risk assessment for inherited gynecologic cancer predispositions. Gynecol Oncol. 2015;136(1):3-7.
- Ledermann J, Harter P, Gourley C, Friedlander M, Vergote I, Rustin G, et al. Olaparib maintenance therapy in patients with platinum-sensitive relapsed serous ovarian cancer: a preplanned retrospective analysis of outcomes by BRCA status in a randomised phase 2 trial. Lancet Oncol. 2014;15(8):852-61.
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