Risk of colorectal cancer for carriers of mutations in MUTYH, with and without a family history of cancer.

Risk of colorectal cancer for carriers of mutations in MUTYH, with and without a family history of cancer.
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DOI:
10.1053/j.gastro.2014.01.022
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发表时间:
2014-05
期刊:
影响因子:
29.4
通讯作者:
Jenkins MA
Jenkins MA
中科院分区:
医学1区
文献类型:
--
作者:
Win AK;Dowty JG;Cleary SP;Kim H;Buchanan DD;Young JP;Clendenning M;Rosty C;MacInnis RJ;Giles GG;Boussioutas A;Macrae FA;Parry S;Goldblatt J;Baron JA;Burnett T;Le Marchand L;Newcomb PA;Haile RW;Hopper JL;Cotterchio M;Gallinger S;Lindor NM;Tucker KM;Winship IM;Jenkins MA

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我们研究了2332名MUTYH单等位基因突变的个体,其中包括264名MUTYH突变的结直肠癌(CRC)患者的9504名亲属。我们估计,无论家族史如何,单等位基因突变男性携带者70岁时的CRC风险为7.2%(95%置信区间[CI],4.6%-11.3%),单等位基因突变女性携带者为5.6%(95% CI,3.6%-8.8%)。对于具有CRC一级亲属的单等位基因MUTYH突变携带者,在50岁时诊断为没有MUTYH突变,CRC的风险男性为12.5%(95%CI,8.6%-17.7%),女性为10%(95%CI,6.7%-14.4%)。MUTYH单等位基因突变携带者与CRC一级亲属的CRC风险足够高,需要比一般人群更密集的筛查。
We studied 2332 individuals with monoallelic mutations in MUTYH among 9504 relatives of 264 colorectal cancer (CRC) cases with a MUTYH mutation. We estimated CRC risks, through 70 y of age, of 7.2% for male carriers of monoallelic mutations (95% confidence interval [CI], 4.6%–11.3%) and 5.6% for female carriers of monoallelic mutations (95% CI, 3.6%–8.8%), irrespective of family history. For monoallelic MUTYH mutation carriers with a first-degree relative with CRC, diagnosed by 50 y of age who does not have the MUTYH mutation, risks of CRC were 12.5% for men and (95% CI, 8.6%–17.7%) and 10% for women (95% CI, 6.7%–14.4%). Risks of CRC for carriers of monoallelic mutations in MUTYH with a first-degree relative with CRC are sufficiently high to warrant more intensive screening than for the general population.
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