BRCA mutation in ovarian cancer: testing, implications and treatment considerations

被引:96
作者
Neff, Robert T. [2 ]
Senter, Leigha [3 ]
Salani, Ritu [1 ]
机构
[1] Ohio State Univ, Wexner Med Ctr, James Comprehens Canc Ctr, 320 West 10th Ave,M210 Starling Loving Hall, Columbus, OH 43210 USA
[2] Ohio State Univ, Dept Obstet & Gynecol, Wexner Med Ctr, Div Gynecol Oncol, Columbus, OH 43210 USA
[3] Ohio State Univ, Wexner Med Ctr, Dept Internal Med, Div Human Genet, Columbus, OH 43210 USA
关键词
BRCA; mutations; ovarian cancer; PARP inhibitor; REDUCING SALPINGO-OOPHORECTOMY; OLAPARIB MAINTENANCE THERAPY; BREAST-CANCER; EPITHELIAL OVARIAN; ORAL-CONTRACEPTIVES; POLY(ADP-RIBOSE) POLYMERASE; FALLOPIAN-TUBE; OPEN-LABEL; INTRAPERITONEAL CISPLATIN; CYTOREDUCTIVE SURGERY;
D O I
10.1177/1758834017714993
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Ovarian cancer is a heterogeneous disease that encompasses a number of different cellular subtypes, the most common of which is high-grade serous ovarian cancer (HGSOC). Still today, ovarian cancer is primarily treated with chemotherapy and surgery. Recent advances in the hereditary understanding of this disease have shown a significant role for the BRCA gene. While only a minority of patients with HGSOC will have a germline BRCA mutation, many others may have tumor genetic aberrations within BRCA or other homologous recombination proteins. Genetic screening for these BRCA mutations has allowed improved preventative measures and therapeutic development. This review focuses on the understanding of BRCA mutations and their relationship with ovarian cancer development, as well as future therapeutic targets.
引用
收藏
页码:519 / 531
页数:13
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