Risk-reducing hysterectomy and bilateral salpingo-oophorectomy in female heterozygotes of pathogenic mismatch repair variants: a Prospective Lynch Syndrome Database report.

Purpose: To determine impact of risk-reducing hysterectomy and bilateral salpingo-oophorectomy (BSO) on gynecological cancer incidence and death in heterozygotes of pathogenic MMR (path_MMR) variants. Methods: The Prospective Lynch Syndrome Database was used to investigate the effects of gynecologic...

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Autores: Dominguez Valentin, Mev, Crosbie, Emma J., Engel, Christoph, Aretz, Stefan, Macrae, Finlay, Winship, Ingrid, Capellá, G. (Gabriel), Thomas, Huw, Nakken, Sigve, Hovig, Eivind, Nielsen, Maartje, Sijmons, Rolf H., Bertario, Lucio, Bonanni, Bernardo, Tibiletti, Maria Grazia, Cavestro, Giulia Martina, Mints, Miriam, Gluck, Nathan, Katz, Lior, Heinimann, Karl, Vaccaro, Carlos A., Green, Kate, Lalloo, Fiona, Hill, James, Schmiegel, Wolff, Vangala, Deepak, Perne, Claudia, Strauß, Hans Georg, Tecklenburg, Johanna, Holinski-Feder, Elke, Steinke-Lange, Verena, Mecklin, Jukka-Pekka, Plazzer, John-Paul, Pineda Riu, Marta, Navarro, Matilde, Brunet, Joan, Kariv, Revital, Rosner, Guy, Piñero, Tamara Alejandra, González, María Laura, Kalfayan, Pablo, Ryan, Neil A. J., Ten Broeke, Sanne W., Jenkins, Mark A., Sunde, Lone, Bernstein, Inge, Burn, John, Greenblatt, Marc, de Vos Tot Nederveen Cappel, Wouter H., Della Valle, Adriana, Lopez Kostner, Francisco, Alvarez Valenzuela, Karin, Büttner, Reinhard, Görgens, Heike, Morak, Monika, Holzapfel, Stefanie, Hüneburg, Robert, von Knebel Doeberitz, Magnus, Loeffler, Markus, Rahner, Nils, Weitz, Jürgen, Pylvänäinen, Kirsi, Renkonen Sinisalo, Laura, Lepistö, Anna, Auranen, Annika, Hopper, John L., Ko Win, Aung, Haile, Robert W., Lindor, Noralane M., Gallinger, Steven, Le Marchand, Loïc, Newcomb, Polly A., Figueiredo, Jane C., Thibodeau, Stephen N., Therkildsen, Christina, Okkels, Henrik, Ketabi, Zohreh, Denton, Oliver G., Rødland, Einar Andreas, Vasen, Hans, Neffa, Florencia, Esperon, Patricia, Tjandra, Douglas, Möslein, Gabriela, Sampson, Julian R., Evans, D. Gareth, Seppälä, Toni T., Møller, Pål
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/195173
Acceso en línea:https://hdl.handle.net/2445/195173
Access Level:acceso abierto
Palabra clave:Càncer colorectal
Malalties hereditàries
Cirurgia ginecològica
Colorectal cancer
Genetic diseases
Gynecologic surgery
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spelling Risk-reducing hysterectomy and bilateral salpingo-oophorectomy in female heterozygotes of pathogenic mismatch repair variants: a Prospective Lynch Syndrome Database report.Dominguez Valentin, MevCrosbie, Emma J.Engel, ChristophAretz, StefanMacrae, FinlayWinship, IngridCapellá, G. (Gabriel)Thomas, HuwNakken, SigveHovig, EivindNielsen, MaartjeSijmons, Rolf H.Bertario, LucioBonanni, BernardoTibiletti, Maria GraziaCavestro, Giulia MartinaMints, MiriamGluck, NathanKatz, LiorHeinimann, KarlVaccaro, Carlos A.Green, KateLalloo, FionaHill, JamesSchmiegel, WolffVangala, DeepakPerne, ClaudiaStrauß, Hans GeorgTecklenburg, JohannaHolinski-Feder, ElkeSteinke-Lange, VerenaMecklin, Jukka-PekkaPlazzer, John-PaulPineda Riu, MartaNavarro, MatildeBrunet, JoanKariv, RevitalRosner, GuyPiñero, Tamara AlejandraGonzález, María LauraKalfayan, PabloRyan, Neil A. J.Ten Broeke, Sanne W.Jenkins, Mark A.Sunde, LoneBernstein, IngeBurn, JohnGreenblatt, Marcde Vos Tot Nederveen Cappel, Wouter H.Della Valle, AdrianaLopez Kostner, FranciscoAlvarez Valenzuela, KarinBüttner, ReinhardGörgens, HeikeMorak, MonikaHolzapfel, StefanieHüneburg, Robertvon Knebel Doeberitz, MagnusLoeffler, MarkusRahner, NilsWeitz, JürgenPylvänäinen, KirsiRenkonen Sinisalo, LauraLepistö, AnnaAuranen, AnnikaHopper, John L.Ko Win, AungHaile, Robert W.Lindor, Noralane M.Gallinger, StevenLe Marchand, LoïcNewcomb, Polly A.Figueiredo, Jane C.Thibodeau, Stephen N.Therkildsen, ChristinaOkkels, HenrikKetabi, ZohrehDenton, Oliver G.Rødland, Einar AndreasVasen, HansNeffa, FlorenciaEsperon, PatriciaTjandra, DouglasMöslein, GabrielaSampson, Julian R.Evans, D. GarethSeppälä, Toni T.Møller, PålCàncer colorectalMalalties hereditàriesCirurgia ginecològicaColorectal cancerGenetic diseasesGynecologic surgeryPurpose: To determine impact of risk-reducing hysterectomy and bilateral salpingo-oophorectomy (BSO) on gynecological cancer incidence and death in heterozygotes of pathogenic MMR (path_MMR) variants. Methods: The Prospective Lynch Syndrome Database was used to investigate the effects of gynecological risk-reducing surgery (RRS) at different ages. Results: Risk-reducing hysterectomy at 25 years of age prevents endometrial cancer before 50 years in 15%, 18%, 13%, and 0% of path_MLH1, path_MSH2, path_MSH6, and path_PMS2 heterozygotes and death in 2%, 2%, 1%, and 0%, respectively. Risk-reducing BSO at 25 years of age prevents ovarian cancer before 50 years in 6%, 11%, 2%, and 0% and death in 1%, 2%, 0%, and 0%, respectively. Risk-reducing hysterectomy at 40 years prevents endometrial cancer by 50 years in 13%, 16%, 11%, and 0% and death in 1%, 2%, 1%, and 0%, respectively. BSO at 40 years prevents ovarian cancer before 50 years in 4%, 8%, 0%, and 0%, and death in 1%, 1%, 0%, and 0%, respectively. Conclusion: Little benefit is gained by performing RRS before 40 years of age and premenopausal BSO in path_MSH6 and path_PMS2 heterozygotes has no measurable benefit for mortality. These findings may aid decision making for women with LS who are considering RRS.American College of Medical Genetics and Genomics2023202320202023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion8 p.application/pdfapplication/pdfhttps://hdl.handle.net/2445/195173Articles publicats en revistes (Ciències Clíniques)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1038/s41436-020-01029-1Genetics in Medicine, 2020, vol. 27, num. 4, p. 705-712https://doi.org/10.1038/s41436-020-01029-1cc by (c) Dominguez Valentin, Mev et al., 2020https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1951732026-05-29T05:05:01Z
dc.title.none.fl_str_mv Risk-reducing hysterectomy and bilateral salpingo-oophorectomy in female heterozygotes of pathogenic mismatch repair variants: a Prospective Lynch Syndrome Database report.
title Risk-reducing hysterectomy and bilateral salpingo-oophorectomy in female heterozygotes of pathogenic mismatch repair variants: a Prospective Lynch Syndrome Database report.
spellingShingle Risk-reducing hysterectomy and bilateral salpingo-oophorectomy in female heterozygotes of pathogenic mismatch repair variants: a Prospective Lynch Syndrome Database report.
Dominguez Valentin, Mev
Càncer colorectal
Malalties hereditàries
Cirurgia ginecològica
Colorectal cancer
Genetic diseases
Gynecologic surgery
title_short Risk-reducing hysterectomy and bilateral salpingo-oophorectomy in female heterozygotes of pathogenic mismatch repair variants: a Prospective Lynch Syndrome Database report.
title_full Risk-reducing hysterectomy and bilateral salpingo-oophorectomy in female heterozygotes of pathogenic mismatch repair variants: a Prospective Lynch Syndrome Database report.
title_fullStr Risk-reducing hysterectomy and bilateral salpingo-oophorectomy in female heterozygotes of pathogenic mismatch repair variants: a Prospective Lynch Syndrome Database report.
title_full_unstemmed Risk-reducing hysterectomy and bilateral salpingo-oophorectomy in female heterozygotes of pathogenic mismatch repair variants: a Prospective Lynch Syndrome Database report.
title_sort Risk-reducing hysterectomy and bilateral salpingo-oophorectomy in female heterozygotes of pathogenic mismatch repair variants: a Prospective Lynch Syndrome Database report.
dc.creator.none.fl_str_mv Dominguez Valentin, Mev
Crosbie, Emma J.
Engel, Christoph
Aretz, Stefan
Macrae, Finlay
Winship, Ingrid
Capellá, G. (Gabriel)
Thomas, Huw
Nakken, Sigve
Hovig, Eivind
Nielsen, Maartje
Sijmons, Rolf H.
Bertario, Lucio
Bonanni, Bernardo
Tibiletti, Maria Grazia
Cavestro, Giulia Martina
Mints, Miriam
Gluck, Nathan
Katz, Lior
Heinimann, Karl
Vaccaro, Carlos A.
Green, Kate
Lalloo, Fiona
Hill, James
Schmiegel, Wolff
Vangala, Deepak
Perne, Claudia
Strauß, Hans Georg
Tecklenburg, Johanna
Holinski-Feder, Elke
Steinke-Lange, Verena
Mecklin, Jukka-Pekka
Plazzer, John-Paul
Pineda Riu, Marta
Navarro, Matilde
Brunet, Joan
Kariv, Revital
Rosner, Guy
Piñero, Tamara Alejandra
González, María Laura
Kalfayan, Pablo
Ryan, Neil A. J.
Ten Broeke, Sanne W.
Jenkins, Mark A.
Sunde, Lone
Bernstein, Inge
Burn, John
Greenblatt, Marc
de Vos Tot Nederveen Cappel, Wouter H.
Della Valle, Adriana
Lopez Kostner, Francisco
Alvarez Valenzuela, Karin
Büttner, Reinhard
Görgens, Heike
Morak, Monika
Holzapfel, Stefanie
Hüneburg, Robert
von Knebel Doeberitz, Magnus
Loeffler, Markus
Rahner, Nils
Weitz, Jürgen
Pylvänäinen, Kirsi
Renkonen Sinisalo, Laura
Lepistö, Anna
Auranen, Annika
Hopper, John L.
Ko Win, Aung
Haile, Robert W.
Lindor, Noralane M.
Gallinger, Steven
Le Marchand, Loïc
Newcomb, Polly A.
Figueiredo, Jane C.
Thibodeau, Stephen N.
Therkildsen, Christina
Okkels, Henrik
Ketabi, Zohreh
Denton, Oliver G.
Rødland, Einar Andreas
Vasen, Hans
Neffa, Florencia
Esperon, Patricia
Tjandra, Douglas
Möslein, Gabriela
Sampson, Julian R.
Evans, D. Gareth
Seppälä, Toni T.
Møller, Pål
author Dominguez Valentin, Mev
author_facet Dominguez Valentin, Mev
Crosbie, Emma J.
Engel, Christoph
Aretz, Stefan
Macrae, Finlay
Winship, Ingrid
Capellá, G. (Gabriel)
Thomas, Huw
Nakken, Sigve
Hovig, Eivind
Nielsen, Maartje
Sijmons, Rolf H.
Bertario, Lucio
Bonanni, Bernardo
Tibiletti, Maria Grazia
Cavestro, Giulia Martina
Mints, Miriam
Gluck, Nathan
Katz, Lior
Heinimann, Karl
Vaccaro, Carlos A.
Green, Kate
Lalloo, Fiona
Hill, James
Schmiegel, Wolff
Vangala, Deepak
Perne, Claudia
Strauß, Hans Georg
Tecklenburg, Johanna
Holinski-Feder, Elke
Steinke-Lange, Verena
Mecklin, Jukka-Pekka
Plazzer, John-Paul
Pineda Riu, Marta
Navarro, Matilde
Brunet, Joan
Kariv, Revital
Rosner, Guy
Piñero, Tamara Alejandra
González, María Laura
Kalfayan, Pablo
Ryan, Neil A. J.
Ten Broeke, Sanne W.
Jenkins, Mark A.
Sunde, Lone
Bernstein, Inge
Burn, John
Greenblatt, Marc
de Vos Tot Nederveen Cappel, Wouter H.
Della Valle, Adriana
Lopez Kostner, Francisco
Alvarez Valenzuela, Karin
Büttner, Reinhard
Görgens, Heike
Morak, Monika
Holzapfel, Stefanie
Hüneburg, Robert
von Knebel Doeberitz, Magnus
Loeffler, Markus
Rahner, Nils
Weitz, Jürgen
Pylvänäinen, Kirsi
Renkonen Sinisalo, Laura
Lepistö, Anna
Auranen, Annika
Hopper, John L.
Ko Win, Aung
Haile, Robert W.
Lindor, Noralane M.
Gallinger, Steven
Le Marchand, Loïc
Newcomb, Polly A.
Figueiredo, Jane C.
Thibodeau, Stephen N.
Therkildsen, Christina
Okkels, Henrik
Ketabi, Zohreh
Denton, Oliver G.
Rødland, Einar Andreas
Vasen, Hans
Neffa, Florencia
Esperon, Patricia
Tjandra, Douglas
Möslein, Gabriela
Sampson, Julian R.
Evans, D. Gareth
Seppälä, Toni T.
Møller, Pål
author_role author
author2 Crosbie, Emma J.
Engel, Christoph
Aretz, Stefan
Macrae, Finlay
Winship, Ingrid
Capellá, G. (Gabriel)
Thomas, Huw
Nakken, Sigve
Hovig, Eivind
Nielsen, Maartje
Sijmons, Rolf H.
Bertario, Lucio
Bonanni, Bernardo
Tibiletti, Maria Grazia
Cavestro, Giulia Martina
Mints, Miriam
Gluck, Nathan
Katz, Lior
Heinimann, Karl
Vaccaro, Carlos A.
Green, Kate
Lalloo, Fiona
Hill, James
Schmiegel, Wolff
Vangala, Deepak
Perne, Claudia
Strauß, Hans Georg
Tecklenburg, Johanna
Holinski-Feder, Elke
Steinke-Lange, Verena
Mecklin, Jukka-Pekka
Plazzer, John-Paul
Pineda Riu, Marta
Navarro, Matilde
Brunet, Joan
Kariv, Revital
Rosner, Guy
Piñero, Tamara Alejandra
González, María Laura
Kalfayan, Pablo
Ryan, Neil A. J.
Ten Broeke, Sanne W.
Jenkins, Mark A.
Sunde, Lone
Bernstein, Inge
Burn, John
Greenblatt, Marc
de Vos Tot Nederveen Cappel, Wouter H.
Della Valle, Adriana
Lopez Kostner, Francisco
Alvarez Valenzuela, Karin
Büttner, Reinhard
Görgens, Heike
Morak, Monika
Holzapfel, Stefanie
Hüneburg, Robert
von Knebel Doeberitz, Magnus
Loeffler, Markus
Rahner, Nils
Weitz, Jürgen
Pylvänäinen, Kirsi
Renkonen Sinisalo, Laura
Lepistö, Anna
Auranen, Annika
Hopper, John L.
Ko Win, Aung
Haile, Robert W.
Lindor, Noralane M.
Gallinger, Steven
Le Marchand, Loïc
Newcomb, Polly A.
Figueiredo, Jane C.
Thibodeau, Stephen N.
Therkildsen, Christina
Okkels, Henrik
Ketabi, Zohreh
Denton, Oliver G.
Rødland, Einar Andreas
Vasen, Hans
Neffa, Florencia
Esperon, Patricia
Tjandra, Douglas
Möslein, Gabriela
Sampson, Julian R.
Evans, D. Gareth
Seppälä, Toni T.
Møller, Pål
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dc.subject.none.fl_str_mv Càncer colorectal
Malalties hereditàries
Cirurgia ginecològica
Colorectal cancer
Genetic diseases
Gynecologic surgery
topic Càncer colorectal
Malalties hereditàries
Cirurgia ginecològica
Colorectal cancer
Genetic diseases
Gynecologic surgery
description Purpose: To determine impact of risk-reducing hysterectomy and bilateral salpingo-oophorectomy (BSO) on gynecological cancer incidence and death in heterozygotes of pathogenic MMR (path_MMR) variants. Methods: The Prospective Lynch Syndrome Database was used to investigate the effects of gynecological risk-reducing surgery (RRS) at different ages. Results: Risk-reducing hysterectomy at 25 years of age prevents endometrial cancer before 50 years in 15%, 18%, 13%, and 0% of path_MLH1, path_MSH2, path_MSH6, and path_PMS2 heterozygotes and death in 2%, 2%, 1%, and 0%, respectively. Risk-reducing BSO at 25 years of age prevents ovarian cancer before 50 years in 6%, 11%, 2%, and 0% and death in 1%, 2%, 0%, and 0%, respectively. Risk-reducing hysterectomy at 40 years prevents endometrial cancer by 50 years in 13%, 16%, 11%, and 0% and death in 1%, 2%, 1%, and 0%, respectively. BSO at 40 years prevents ovarian cancer before 50 years in 4%, 8%, 0%, and 0%, and death in 1%, 1%, 0%, and 0%, respectively. Conclusion: Little benefit is gained by performing RRS before 40 years of age and premenopausal BSO in path_MSH6 and path_PMS2 heterozygotes has no measurable benefit for mortality. These findings may aid decision making for women with LS who are considering RRS.
publishDate 2020
dc.date.none.fl_str_mv 2020
2023
2023
2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/195173
url https://hdl.handle.net/2445/195173
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1038/s41436-020-01029-1
Genetics in Medicine, 2020, vol. 27, num. 4, p. 705-712
https://doi.org/10.1038/s41436-020-01029-1
dc.rights.none.fl_str_mv cc by (c) Dominguez Valentin, Mev et al., 2020
https://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by (c) Dominguez Valentin, Mev et al., 2020
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 8 p.
application/pdf
application/pdf
dc.publisher.none.fl_str_mv American College of Medical Genetics and Genomics
publisher.none.fl_str_mv American College of Medical Genetics and Genomics
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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