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- Title
Review on the Role of BRCA Mutations in Genomic Screening and Risk Stratification of Prostate Cancer.
- Authors
Kalampokis, Nikolaos; Zabaftis, Christos; Spinos, Theodoros; Karavitakis, Markos; Leotsakos, Ioannis; Katafigiotis, Ioannis; van der Poel, Henk; Grivas, Nikolaos; Mitropoulos, Dionysios
- Abstract
(1) Background: Somatic and germline alterations can be commonly found in prostate cancer (PCa) patients. The aim of our present study was to perform a comprehensive review of the current literature in order to examine the impact of BRCA mutations in the context of PCa as well as their significance as genetic biomarkers. (2) Methods: A narrative review of all the available literature was performed. Only "landmark" publications were included. (3) Results: Overall, the number of PCa patients who harbor a BRCA2 mutation range between 1.2% and 3.2%. However, BRCA2 and BRCA1 mutations are responsible for most cases of hereditary PCa, increasing the risk by 3–8.6 times and up to 4 times, respectively. These mutations are correlated with aggressive disease and poor prognosis. Gene testing should be offered to patients with metastatic PCa, those with 2–3 first-degree relatives with PCa, or those aged < 55 and with one close relative with breast (age ≤ 50 years) or invasive ovarian cancer. (4) Conclusions: The individualized assessment of BRCA mutations is an important tool for the risk stratification of PCa patients. It is also a population screening tool which can guide our risk assessment strategies and achieve better results for our patients and their families.
- Subjects
PROSTATE cancer; BRCA genes; MEDICAL screening; GENETIC mutation; PATIENTS' families; CANCER invasiveness; METASTATIC breast cancer; VASCULOGENIC mimicry
- Publication
Current Oncology, 2024, Vol 31, Issue 3, p1162
- ISSN
1198-0052
- Publication type
Article
- DOI
10.3390/curroncol31030086