Hereditary Renal Cancer Syndromes: An Update of a Systematic Review |
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Authors: | Jérôme Verine Amélie Pluvinage Guilhem Bousquet Jacqueline Lehmann-Che Cédric de Bazelaire Nadem Soufir Pierre Mongiat-Artus |
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Institution: | 1. AP-HP, Hôpital Saint-Louis, Laboratoire de Pathologie, Paris, France;2. INSERM, U728, Paris, France;3. Université Paris Diderot – Paris 7, Paris, France;4. AP-HP, Hôpital Saint-Louis, Service de Radiologie, Paris, France;5. AP-HP, Hôpital Saint-Louis, Service d’Oncologie Médicale, Paris, France;6. AP-HP, Hôpital Saint-Louis, Laboratoire de Biochimie, Paris, France;g INSERM, U944, Paris, France;h APHP, Hôpital Bichat, Laboratoire de Biochimie hormonale et génétique, Paris, France;i INSERM, U409, Paris, France;j AP-HP, Hôpital Saint-Louis, Service d’Urologie, Paris, France |
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Abstract: | ContextHereditary renal cancers (HRCs) comprise approximately 3–5% of renal cell carcinomas (RCCs).ObjectiveOur aim was to provide an overview of the currently known HRC syndromes in adults.Evidence acquisitionData on HRC syndromes were analysed using PubMed and Online Mendelian Inheritance in Man with an emphasis on kidney cancer, clinical criteria, management, treatment, and genetic counselling and screening.Evidence synthesisTen HRC syndromes have been described that are inherited with an autosomal dominant trait. Eight genes have already been identified (VHL, MET, FH, FLCN, TSC1, TSC2, CDC73, and SDHB). These HRC syndromes involve one or more RCC histologic subtypes and are generally bilateral and multiple. Computed tomography and magnetic resonance imaging are the best imaging techniques for surveillance and assessment of renal lesions, but there are no established guidelines for follow-up after imaging. Except for hereditary leiomyomatosis RCC tumours, conservative treatments favour both an oncologically effective therapeutic procedure and a better preservation of renal function.ConclusionsHRC involves multiple clinical manifestations, histologic subtypes, genetic alterations, and molecular pathways. Urologists should know about HRC syndromes in the interest of their patients and families. |
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Keywords: | Birt-Hogg-Dubé syndrome Constitutional chromosome 3 translocations Genetic counselling Hereditary cancer Hereditary leiomyomatosis renal cell carcinoma Hereditary papillary renal cell carcinoma Kidney cancer Renal cell carcinoma Tuberous sclerosis complex von Hippel-Lindau disease |
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