NCCN Guidelines® Insights: Genetic/Familial High-Risk Assessment: Breast, Ovarian, and Pancreatic, Version 2.2024

Author:

Daly Mary B.1,Pal Tuya2,Maxwell Kara N.3,Churpek Jane4,Kohlmann Wendy5,AlHilli Zahraa6,Arun Banu7,Buys Saundra S.5,Cheng Heather8,Domchek Susan M.3,Friedman Susan9,Giri Veda10,Goggins Michael11,Hagemann Andrea12,Hendrix Ashley13,Hutton Mollie L.14,Karlan Beth Y.15,Kassem Nawal16,Khan Seema17,Khoury Katia18,Kurian Allison W.19,Laronga Christine20,Mak Julie S.21,Mansour John22,McDonnell Kevin23,Menendez Carolyn S.24,Merajver Sofia D.25,Norquist Barbara S.8,Offit Kenneth26,Rash Dominique27,Reiser Gwen28,Senter-Jamieson Leigha29,Shannon Kristen Mahoney30,Visvanathan Kala11,Welborn Jeanna31,Wick Myra J.32,Wood Marie33,Yurgelun Matthew B.34,Dwyer Mary A.35,Darlow Susan D.35

Affiliation:

1. Fox Chase Cancer Center

2. Vanderbilt-Ingram Cancer Center

3. Abramson Cancer Center at the University of Pennsylvania

4. University of Wisconsin Carbone Cancer Center

5. Huntsman Cancer Institute at the University of Utah

6. Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute

7. The University of Texas MD Anderson Cancer Center

8. Fred Hutchinson Cancer Center

9. FORCE: Facing Our Risk of Cancer Empowered

10. Yale Cancer Center/Smilow Cancer Hospital

11. The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

12. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine

13. St. Jude Children’s Research Hospital/The University of Tennessee Health Science Center

14. Roswell Park Comprehensive Cancer Center

15. UCLA Jonsson Comprehensive Cancer Center

16. Indiana University Melvin and Bren Simon Comprehensive Cancer Center

17. Robert H. Lurie Comprehensive Cancer Center of Northwestern University

18. O’Neal Comprehensive Cancer Center at UAB

19. Stanford Cancer Institute

20. Moffitt Cancer Center

21. UCSF Helen Diller Family Comprehensive Cancer Center

22. UT Southwestern Simmons Comprehensive Cancer Center

23. City of Hope National Medical Center

24. Duke Cancer Institute

25. University of Michigan Rogel Cancer Center

26. Memorial Sloan Kettering Cancer Center

27. UC San Diego Moores Cancer Center

28. Fred & Pamela Buffett Cancer Center

29. The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute

30. Mass General Cancer Center

31. UC Davis Comprehensive Cancer Center

32. Mayo Clinic Comprehensive Cancer Center

33. University of Colorado Cancer Center

34. Dana-Farber/Brigham and Women’s Cancer Center

35. National Comprehensive Cancer Network

Abstract

The NCCN Guidelines for Genetic/Familial High-Risk Assessment: Breast, Ovarian, and Pancreatic focus primarily on assessment of pathogenic/likely pathogenic (P/LP) variants associated with increased risk of breast, ovarian, pancreatic, and prostate cancer, including BRCA1, BRCA2, CDH1, PALB2, PTEN, and TP53, and recommended approaches to genetic counseling/testing and care strategies in individuals with these P/LP variants. These NCCN Guidelines Insights summarize important updates regarding: (1) a new section for transgender, nonbinary and gender diverse people who have a hereditary predisposition to cancer focused on risk reduction strategies for ovarian cancer, uterine cancer, prostate cancer, and breast cancer; and (2) testing criteria and management associated with TP53 P/LP variants and Li-Fraumeni syndrome.

Publisher

Harborside Press, LLC

Subject

Oncology

Reference67 articles.

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2. About 5% of young adults in the U.S. say their gender is different from their sex assigned at birth;Brown A

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