Case Report: Expansion of the POLD1-related polymerase proofreading-associated polyposis spectrum: first report of duodenal adenocarcinomas and characterization of two likely pathogenic variants

Our report expands both the phenotypic and molecular spectrum of <i>POLD1</i>-associated PPAP by documenting the first duodenal adenocarcinomas in germline carriers and describing a novel variant. These findings emphasize the need for systematic upper gastrointestinal surveillance, support the systematic reporting of rare <i>POLD1</i> variants to refine genotype-phenotype correlations, and underline the potential therapeutic relevance of identifying carriers in the context of immunotherapy.

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Publication Details

Journal
Frontiers in Oncology
Published
2025-12-19
DOI
https://doi.org/10.3389/fonc.2025.1727289
Primary Topic
Genetic factors in colorectal cancer
Type
article
Field-Weighted Citation Impact
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article

Case Report: Expansion of the POLD1-related polymerase proofreading-associated polyposis spectrum: first report of duodenal adenocarcinomas and characterization of two likely pathogenic variants

Flora Ponelle‐Chachuat, Mathilde Gay‐Bellile, Yannick Bidet, Mathias Cavaillé et al.
Frontiers in Oncology
Genetic factors in colorectal cancer
article

Case Report: Expansion of the POLD1-related polymerase proofreading-associated polyposis spectrum: first report of duodenal adenocarcinomas and characterization of two likely pathogenic variants

Flora Ponelle‐Chachuat, Mathilde Gay‐Bellile, Yannick Bidet, Mathias Cavaillé, Nancy Uhrhammer, Mathis Lepage, Maud Privat, Morgane Helyon, Anais Folletet
article en

Abstract

Our report expands both the phenotypic and molecular spectrum of <i>POLD1</i>-associated PPAP by documenting the first duodenal adenocarcinomas in germline carriers and describing a novel variant. These findings emphasize the need for systematic upper gastrointestinal surveillance, support the systematic reporting of rare <i>POLD1</i> variants to refine genotype-phenotype correlations, and underline the potential therapeutic relevance of identifying carriers in the context of immunotherapy.

Frontiers in OncologyVol. 15
Inserm (FR), Université Clermont Auvergne (FR), University of Clermont Auvergne (FR), Centre Jean Perrin (FR), Centre Hospitalier Universitaire de Clermont-Ferrand (FR), Clermont Université (FR), Imagerie Moléculaire et Stratégies Théranostiques
Openalex Percentile: Top 43%
Genetic factors in colorectal cancer
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