Population prevalence of hereditary breast cancer phenotypes and implementation of a genetic cancer risk assessment program in southern Brazil

Autor: Bernadete Weber, Patricia Ashton-Prolla, Lavinia Schuler-Faccini, Cristina Brinkmann Oliveira Netto, Juliana Giacomazzi, Fernanda Lenara Roth, Suzi Alves Camey, Maira Caleffi, Roberto Giugliani, Luciane Kalakun, Edenir Inêz Palmero, Giovana Skonieski
Jazyk: angličtina
Rok vydání: 2009
Předmět:
Zdroj: Genetics and Molecular Biology, Vol 32, Iss 3, Pp 447-455 (2009)
Repositório Institucional da UFRGS
Universidade Federal do Rio Grande do Sul (UFRGS)
instacron:UFRGS
Scopus-Elsevier
Genetics and Molecular Biology
Genetics and Molecular Biology, Volume: 32, Issue: 3, Pages: 447-455, Published: 10 JUL 2009
Genetics and Molecular Biology v.32 n.3 2009
Sociedade Brasileira de Genética (SBG)
instacron:SBG
ISSN: 1678-4685
1415-4757
Popis: In 2004, a population-based cohort (the Núcleo Mama Porto Alegre - NMPOA Cohort) was started in Porto Alegre, southern Brazil and within that cohort, a hereditary breast cancer study was initiated, aiming to determine the prevalence of hereditary breast cancer phenotypes and evaluate acceptance of a genetic cancer risk assessment (GCRA) program. Women from that cohort who reported a positive family history of cancer were referred to GCRA. Of the 9218 women enrolled, 1286 (13.9%) reported a family history of cancer. Of the 902 women who attended GCRA, 55 (8%) had an estimated lifetime risk of breast cancer ³ 20% and 214 (23.7%) had pedigrees suggestive of a breast cancer predisposition syndrome; an unexpectedly high number of these fulfilled criteria for Li-Fraumeni-like syndrome (122 families, 66.7%). The overall prevalence of a hereditary breast cancer phenotype was 6.2% (95%CI: 5.67-6.65). These findings identified a problem of significant magnitude in the region and indicate that genetic cancer risk evaluation should be undertaken in a considerable proportion of the women from this community. The large proportion of women who attended GCRA (72.3%) indicates that the program was well-accepted by the community, regardless of the potential cultural, economic and social barriers.
Databáze: OpenAIRE