作者: Hugh Colvin , Ken Yamamoto , Noriko Wada , Masaki Mori
DOI: 10.1016/J.SOC.2015.06.002
关键词: Oncology 、 Internal medicine 、 Underlying disease 、 Hereditary diffuse gastric cancer 、 CDH1 、 Gastrectomy 、 Genetic counseling 、 Cancer 、 Medicine
摘要: Hereditary gastric cancer syndromes are a rare but distinct cause of cancers. The genetic mutations underlying most affected families unknown. Mutations CDH1 occur in some patients by hereditary diffuse cancer, and is the only practical marker for guiding management. Carriers at risk highly penetrant, aggressive early-onset diffuse-type these individuals usually offered prophylactic total gastrectomy. Further research required to identify other responsible improve our understanding disease mechanisms optimize clinical management individuals.