Double heterozygous mutation in RAD50 and ATM genes in a Peruvian family with five cancer types: a case report

Authors

DOI:

https://doi.org/10.31053/1853.0605.v79.n1.32795

Keywords:

breast neoplasms, medical genetics, genetic testing

Abstract

Introduction: Cancer is the second leading cause of death worldwide, with 70% of cancer deaths occurring in low- or middle- income countries. To mitigate the mortality of this disease, it is recommended the evaluation of multiple high-penetrance genes.

Methods: We used a multi-gene panel testing to identify germline variants in a unique case of a breast cancer patient with a family history of five different neoplasm types. The patient, at the age of 50 years, was diagnosed with a high-grade cribriform ductal carcinoma in situ in her left breast.

Results: We identified two heterozygous mutations, one classified as pathogenic/likely pathogenic in RAD50 and the other classified as a variant of uncertain significance (VUS) in ATM.

Conclusion: In conclusion, the use of the multi-gene panel leads to the identification of a double heterozygous mutation in RAD50 and ATM in a breast cancer patient from a Peruvian family with several cancer types. This data helps our physician team and the patient to choose a treatment following the post-test genetic counseling.

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Author Biographies

  • Enrique Eduardo Sánchez Castro, Laboratorio de Genética de Enfermedades Metabólicas, Universidad Nacional Mayor de San Marcos

    Biólogo genetista biotecnólogo por la Universidad Nacional Mayor de San Marcos (UNMSM). Maestrando en Políticas y Planificación en Salud por la UNMSM también. Con experiencia en proyectos de investigación sobre búsqueda de biomarcadores, diagnóstico molecular y células madre en Perú, Chile y España. Actualmente se desempeña como biólogo molecular en el diagnóstico de COVID-19.

  • Gonzalo Ziegler-Rodriguez, Clínica Ziegler

    Gonzalo Ziegler es médico, especialista en Cirugía Oncológica entrenado en el Instituto Nacional de Enfermedades Neoplásicas (INEN). Tiene entrenamiento especializado en cirugía oncoplástica y reconstructiva de la mama. Además ha recibido capacitaciones relacionadas a investigación clínica, Es autor y co-autor de diversos artículos científicos sobre cirugía oncoplástica en cáncer de mama, sarcomas de partes blandas y uso de plataformas genómicas para personalizar el tratamiento oncologica por cancer de mama y evitar sobretratamientos sistemicos. Tiene experiencia en la elaboración de protocolos de investigación observacionales, desde conceptualización hasta publicación y difusión de conocimientos. Tiene especial interés en la investigación clínica del melanoma maligno, tumores cutáneos, el linfoma anaplásico de células gigantes asociado a implantes mamarios y la patología mamaria en general.

  • María del Carmen Castro Mujica, Sequence Reference Lab

    Médico Genetista. Estudios de pregrado en la Universidad San Martín de Porres y de especialización médica en Genética por la Universidad Peruana Cayetano Heredia en el Instituto Nacional de Enfermedades Neoplásicas. Pasantía en el Departamento de Oncogenética del AC Camargo Cancer Center (Sao Paulo, Brasil). Maestría en Medicina con mención en Genética (UPCH). Miembro de la Sociedad Peruana de Cancerología y de la Sociedad Peruana de Oncología Ginecológica. Miembro del Grupo de Estudio de Tumores Hereditarios (GETH). Docente del Curso de Embriología y Genética (Universidad Ricardo Palma). Experiencia en genética humana, cáncer hereditario y asesoría genética, con publicaciones en revistas indexadas.

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Published

2022-03-07

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Case Report

How to Cite

1.
Sánchez Castro EE, Ziegler-Rodriguez G, Castro Mujica M del C. Double heterozygous mutation in RAD50 and ATM genes in a Peruvian family with five cancer types: a case report. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 2022 Mar. 7 [cited 2024 Nov. 24];79(1):53-6. Available from: https://revistas.psi.unc.edu.ar/index.php/med/article/view/32795

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