2010
DOI: 10.1007/s10689-010-9410-1
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Familial gastric cancer: update for practice management

Abstract: About 90% of gastric carcinoma presents a sporadic setting and only 10% shows a familial cluster; among this group, 1-3% are considered as hereditary syndromes, with a clear genetic pathway. The most important genetic mechanisms are associated with CDH1 germline mutations, causing the hereditary diffuse gastric cancer syndrome. Other inherited predispositions with gastric carcinoma are the hereditary nonpolyposis colorectal cancer, Li-Fraumeni and Peutz-Jeghers syndromes. In this brief update, we described the… Show more

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Cited by 17 publications
(17 citation statements)
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“…The vast majority of gastric cancers are sporadic, although a small number, 3–5 % of them, is caused by an autosomal dominant inherited trait. The majority of families with autosomal dominant gastric carcinoma have the diffuse, poorly differentiated morphologic subtype ( linitis plastica ) which is referred to as hereditary diffuse gastric cancer (HDGC) [8, 9]. There is also emerging evidence for an increased risk of lobular breast cancer and colon cancer in HDGC families [8, 9].…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…The vast majority of gastric cancers are sporadic, although a small number, 3–5 % of them, is caused by an autosomal dominant inherited trait. The majority of families with autosomal dominant gastric carcinoma have the diffuse, poorly differentiated morphologic subtype ( linitis plastica ) which is referred to as hereditary diffuse gastric cancer (HDGC) [8, 9]. There is also emerging evidence for an increased risk of lobular breast cancer and colon cancer in HDGC families [8, 9].…”
Section: Introductionmentioning
confidence: 99%
“…The majority of families with autosomal dominant gastric carcinoma have the diffuse, poorly differentiated morphologic subtype ( linitis plastica ) which is referred to as hereditary diffuse gastric cancer (HDGC) [8, 9]. There is also emerging evidence for an increased risk of lobular breast cancer and colon cancer in HDGC families [8, 9]. Approximately 25–48 % of the individuals with HDGC have an autosomal dominant inherited germline CDH1 mutation or large deletion affecting the CDH1 locus.…”
Section: Introductionmentioning
confidence: 99%
“…There is also a high incidence of gastric cancer in HPNCC patients, suggesting a correlation between HPNCC and the development of gastric cancer (6,15). HNPCC is associated with heritable defects in DNA MMR.…”
Section: Discussionmentioning
confidence: 99%
“…Peutz-Jeghers syndrome and the familial adenomatous polyposis (FAP). Hereditary diffuse gastric cancer develops from germline mutations in the CDH-1 gene (about one third of cases) coding for E-cadherin, an important cell adhesion molecule on the lateral surface of the cellular membrane, whereas in two thirds of the cases the underlying mutation cannot be identified [9,10]. The inactivation of the CDH-1 gene may be triggered by epigenetic mechanisms (hypermethylation of the promoter region) as well as by a genetic mechanism (loss of heterocygosity plus CDH-1 mutation).…”
Section: Hereditary Gastric Cancermentioning
confidence: 99%