Keywords PAB2 Á Familial breast cancer Á Breast cancer risk Á Pancreatic cancer risk Á Truncating mutation Á CRC To the Editor PALB2 (partner and localizer of BRCA2) has been recently described as a breast cancer predisposing gene [1,2]. In the first report, PALB2 truncating mutations were identified in 10/923 (1.1%) English familial breast cancer cases [1]. Subsequent studies in Spanish, Chinese and Italian familial breast cancer found truncating mutations with frequencies ranging between 0.8 and 1.1% [3][4][5][6]. Also, PALB2 founder mutations were observed in 2.7% Finnish [7] and 0.6% Polish [8] familial breast cancer cases, and in 0.7% French-Canadian breast cancer cases with early onset disease [9].Recently, exomic sequencing revealed a germline truncating mutation of PALB2 in a familial pancreatic cancer case [10]. In the same study, the sequencing of PALB2 in 96 additional familial pancreatic cancer patients, ascertained in the US, identified truncating mutations in three cases. A subsequent larger survey analyzed 254 sporadic and familial pancreatic cancer cases ascertained in Toronto and Montreal, including nine individuals who were also diagnosed with breast cancer, one of which was found to carry a 6.7-kb deletion involving exons 12 and 13 [11]. Interestingly, of the five PALB2 mutated pancreatic cancer cases reported in the above studies, two also developed breast cancer, including one patient with three additional breast cancer cases in the family. Moreover, two of the three remaining cases had C 2 relatives affected with breast cancer. The last case belonged to a family negative for breast cancer, but the reported pedigree was small and included only one female individual [10] Paolo Peterlongo, Irene Catucci are contributed equally to this work.