Hereditary cancer syndromes
Hereditary cancers refer to those cancers that are passed down from one generation to the next through mutations in certain genes. These cancers are often the result of an inherited gene mutation and may account for about 5% to 10% of all cancers.
Overview
Cancers may be caused by environmental factors or spontaneous mutations in genes. However, some individuals inherit specific mutations from their parents that increase their risk of developing certain types of cancer. These inherited mutations account for the term "hereditary cancers."
Hereditary Cancer Syndromes
A variety of hereditary cancer syndromes have been identified, each associated with specific types of cancers:
- Attenuated familial adenomatous polyposis: A milder version of familial adenomatous polyposis, characterized by fewer polyps in the colon and rectum but with a significant risk of colorectal cancer.
- BRCA mutation: Genetic mutations that increase the risk of breast and ovarian cancers, among others.
- Breast and ovarian cancer: A higher risk of these cancers can result from mutations in several genes, including BRCA1 and BRCA2.
- Breast cancer: Can be caused by mutations in several genes, most commonly BRCA1 and BRCA2.
- Carney complex: A rare condition associated with benign tumors and dark skin spots.
- Cowden syndrome: Associated with benign skin tumors and an increased risk of breast, thyroid, and endometrial cancers.
- Familial adenomatous polyposis: Causes polyps in the colon and rectum and increases the risk of colorectal cancer.
- Gardner's syndrome: A variant of familial adenomatous polyposis that also involves benign tumors of the skin and bones.
- Hereditary breast–ovarian cancer syndrome: Resulting primarily from mutations in BRCA1 and BRCA2 genes, it significantly increases the risk of breast and ovarian cancers.
- Hereditary cancer syndrome: An umbrella term for genetic disorders that increase cancer risk.
- Hereditary nonpolyposis colorectal cancer: Also known as Lynch syndrome, it increases the risk of colorectal and other cancers.
- Juvenile polyposis syndrome: Causes polyps in the gastrointestinal tract and increases the risk of colorectal cancer.
- Kidney cancer: Certain inherited conditions can increase the risk of kidney cancer.
- Li–Fraumeni syndrome: Increases the risk of several types of cancer, especially in younger individuals.
- Male breast cancer: Though rare, mutations in certain genes can increase the risk of breast cancer in men.
- Mismatch repair cancer syndrome: An inherited condition that increases the risk of many types of cancer.
- Multiple endocrine neoplasia & Multiple endocrine neoplasia type 2B: Conditions that cause tumors in the endocrine glands.
- MUTYH-associated polyposis: Causes polyps in the colon and increases colorectal cancer risk.
- OSLAM syndrome: A rare syndrome that can increase the risk of breast and other cancers.
- Polymerase proofreading-associated polyposis: Associated with an increased risk of colorectal and endometrial cancers.
- Retinoblastoma: A rare eye cancer caused by mutations in the RB1 gene.
- Serrated polyposis syndrome: Associated with an increased risk of colorectal cancer.
- Von Hippel–Lindau disease: Causes tumors and cysts to grow in the body.
- Xeroderma pigmentosum: A rare condition that increases the risk of skin and eye cancers.
Prevention and Management
Early detection, regular screenings, and lifestyle adjustments are crucial for individuals with a high risk of hereditary cancers. Genetic counseling can provide insights into an individual's risk and suggest appropriate preventative measures.
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Contributors: Prab R. Tumpati, MD