Tumor and germline next generation sequencing in high grade serous cancer: experience from a large population-based testing program

被引:16
作者
Care, Melanie [1 ,2 ]
McCuaig, Jeanna [2 ,3 ,4 ]
Clarke, Blaise [5 ]
Grenier, Sylvie [1 ,5 ]
Kim, Raymond H. [3 ,6 ]
Rouzbahman, Marjan [5 ]
Stickle, Natalie [5 ]
Bernardini, Marcus [7 ]
Stockley, Tracy L. [1 ,5 ]
机构
[1] Univ Hlth Network, Div Clin Lab Genet, Lab Med Program, Toronto, ON, Canada
[2] Univ Toronto, Dept Mol Genet, Toronto, ON, Canada
[3] Univ Hlth Network, Princess Margaret Hosp, Canc Ctr, Familial Canc Clin, Toronto, ON, Canada
[4] Univ Toronto, Lawrence S Bloomberg Fac Nursing, Toronto, ON, Canada
[5] Univ Toronto, Dept Lab Med & Pathobiol, Toronto, ON, Canada
[6] Univ Toronto, Div Med Oncol, Dept Med, Toronto, ON, Canada
[7] Princess Margaret Hosp, Dept Gynecol Oncol, Canc Ctr, Toronto, ON, Canada
关键词
BRCA1; BRCA2; germline variant; high-grade serous cancer; next-generation sequencing; somatic variant; tumor testing; EPITHELIAL OVARIAN-CANCER; SOMATIC MUTATIONS; MAINTENANCE THERAPY; DOUBLE-BLIND; BRCA1; WOMEN; CARCINOMA; REARRANGEMENTS; GENETICS; SURVIVAL;
D O I
10.1002/1878-0261.12817
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The aim of this study was to determine the prevalence of somatic and germline pathogenic variants (PVs) in high-grade serous cancer (HGSC) and to demonstrate the technical feasibility and effectiveness of a large-scale, population-based tumor testing program. It involved a retrospective review of genetic test results in 600 consecutive HGSC tumor samples and a subsequent comparison of germline and tumor results in a subset of 200 individuals. Tumor testing was successful in 95% of samples (570/600) with at least oneBRCA1/2PV identified in 16% (93/570) of cases. Among the 200 paired cases,BRCA1/2PVs were detected in 38 tumors (19%); 58% were somatic (22/38); and 42% were germline (16/38). There was 100% concordance between germline and tumor test results. This is the largest series ofBRCA1/2testing in HGSC (tumor-only and paired cohorts), reported to date, and our data show that an effectively designed and validated population-based tumor testing program can be used to determine both treatment eligibility and hereditary cancer risk.
引用
收藏
页码:80 / 90
页数:11
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