Managing <scp><i>CDH1</i></scp> Cancer Risks in a Child: Complex Decision Making in a Family With Hereditary Diffuse Gastric Cancer
Germline pathogenic variants (PVs) in CDH1 cause hereditary diffuse gastric cancer. The management of CDH1 cases with a positive family history includes total prophylactic gastrectomy or intensive surveillance. In this study, we report a 16-year-old boy with intramucosal gastric signet ring cells in the setting of a germline CDH1 PV and a family history of early-onset gastric cancer. The approach to managing both the proband and their 9-year-old sister, who also had the CDH1 PV, presented a challenge to both clinicians and the family. Herein, we present the complexities of managing gastric cancer risk when a CDH1 PV is identified in childhood in the setting of a family history of early-onset gastric cancer.
Authors
- Junne Kamihara (ORCID: https://orcid.org/0000-0002-2852-7387)
- Nelgin Gerenlı (ORCID: https://orcid.org/0000-0002-2395-163X)
- Hülya Yazıcı (ORCID: https://orcid.org/0000-0002-8919-0482)
- İlkay Tosun
- Busra Unal (ORCID: https://orcid.org/0000-0002-2056-2604)
- Uğur Özbek (ORCID: https://orcid.org/0000-0001-5319-0547)
- Nihat Buğra Ağaoğlu (ORCID: https://orcid.org/0000-0002-9336-0552)
- Özden Hatırnaz Ng (ORCID: https://orcid.org/0000-0001-7728-6527)
- Ebru Zemheri (ORCID: https://orcid.org/0000-0003-0247-0332)
- Huma Q. Rana (ORCID: https://orcid.org/0000-0002-1598-6752)
Institutions
- Boston Children's Hospital (US)
- Izmir University (TR)
- Harvard University (US)
- Acıbadem University (TR)
- Ümraniye Eğitim ve Araştırma Hastanesi (TR)
- Dana-Farber Cancer Institute (US)
- Institute of Clinical Cancer Research (DE)
- Kent Hastanesi (TR)
- Cancer Genetics (United States) (US)
- Acıbadem Adana Hospital (TR)
- Istanbul Health and Technology University
- Istanbul University (TR)
Publication Details
- Journal
- American Journal of Medical Genetics Part A
- Published
- 2024-10-11
- DOI
- https://doi.org/10.1002/ajmg.a.63897
- Citations
- 1
- Primary Topic
- Genetic factors in colorectal cancer
- Type
- article
- Field-Weighted Citation Impact
- 0.42