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11 Cards in this Set

  • Front
  • Back
MC diagnosed CA (excluding skin) in American women?
Breast
Common mutations and associated Syndromes....
a. BRCA1 and BRCA2
b. p53
c. PTEN
d. MSH6, MSH2, MLS1, PMS2
a. hereditary breast cancer (BRCA2 see in male breast cancer)
b. Li-Fraumeni (increased rx for multiple cancers)
c. Cowden syndrome-
d. HNPCC
MC rx factor for breast CA?
increased age
Type of gene that is BRCA1 and BRCA 2?
Chromosome of each
BRCA2 increases rx for which other cancer?
tumor suppresors
BRCA1- ch17
BRCA2- ch13- increased rx for male breast cancer and prostate, laryngeal, and pancreatic... also usually older population
If BRCA1 and BRCA2 are susceptible with 1 or more of what conditions?
1. hx- early onset BC (<50y/o), early onset BC and Ovarian cancer, bilateral BC
2. FHx of breast or ovarian consistent with AD inheritance
3. Male breast cancer
Whats all about the "founder effect" and breast cancer?
3 mutations were found to be associated with 90% of breast cancers in Ashkenazic Jews
Cowden syndrome is?
Increased rx for which tumors?
Chracteristics?
Mutation causes what?
Multiple hamartoma syndrome with high risk of benign and malignant tumors of the breast, thyroid and endometrium
characteristics- MAcrocephaly, Trichilemmomas, Papillomatous papules by late 20's PAPILLOMAS IN LIPS AND MUCOUS MEMBRANES
- d/t PTEN on ch. 10- doesnt allow normal cell growth because PTEN dephosphorylates PIP3 to PIP2
TWO MC bancers seen with Cowden syndrome?
Breast and Follicular thyroid..
Lynch syndrome is?
Two types?
d/t?
Seen with HNPCC
1. R- sided predominance, multiple primary tumors
2. lynch 1 plus extracolonic CA... particularly endometrial
D/t microsatellite instability
What is the importance of the BAX gene and what cancers does it deal with?
BAX- last resort after p21/GADD45 stops working... depending on the BAX/BCL2 ratio cells will die or live
- In mutation of BAX seen in HNPCC cells will survice d/t dimeric effect
What are normal repeated amino acid in TGFBR2 gene?
A10 repeat
- mutation in HNPCC d/t microsatellite instability causes disruption in the function of TGF-B