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Background
Two key considerations in evaluating survival prediction models are predictability (the ability to accurately predict survival risks) and reproducibility (the ability to generalize predictions across studies or centers). This study explores approaches to assessing the reproducibility of survival risk predictions across medical...
6 months ago
Seema A. Khan
Seema A. Khan
Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicaqgo, Illinois
This article addresses the role of progesterone exposure in breast cancer risk, focusing on both biological and technical barriers in studying progesterone’s impact. Research indicates that higher progesterone levels in postmenopausal women may modestly increase breast cancer risk, with a stronger association for invasive breast cancers. The study also highlights the complex relationship between...
7 months ago
Vasily Giannakeas
Vasily Giannakeas
Women’s College Research Institute, Toronto, Ontario, Canada
Canonical predictors for the prognosis of breast cancer include estrogen receptor (ER), progesterone receptor (PR), and ERBB2 (formerly HER2) receptor. In most cases, positive ER status is auspicious, but there are exceptions (young women, black women, and BRCA2 mutation carriers). The simplest designation, hormone receptor–positive cancers, includes tumors that express ER and/or PR (hormone rec...
7 months ago
Cancer is a consequence of stochastic (mutations, genetic, and epigenetic instabilities) and deterministic (evolutionary bottlenecks) events. Stochastic events are less amenable to prediction, whereas deterministic events yield more predictable results. The relative contribution of these opposing forces determines cancer predictability, which affects the accuracy of our prognostic predictions and ...
7 months ago
Background
Family health history (FHx) is an effective tool for identifying patients at risk of hereditary cancer. Hereditary cancer clinical practice guidelines (CPG) contain criteria used to evaluate FHx and to make recommendations for genetic consultation. Comparing different CPGs used to evaluate a common set of FHx provides insight into how well the CPGs perform, the extent of agreement acro...
8 months ago
Introduction: Active surveillance has become a standard of care for the management of small renal masses. Decision to transition from surveillance to intervention relies on several factors including growth kinetics, histologic grade on biopsy and patient comorbidities. Management of renal masses in pregnancy presents a unique change when clinical triggers must be weighed with risk to fetus. We pre...
8 months ago
Summary
Hereditary cancer syndromes are inherited conditions that increase the risk of cancer, affecting 5-10% of cases. Key factors for identifying high-risk patients include personal/family cancer history and genetic mutations. Management strategies involve surveillance (screening), risk reduction (lifestyle changes, surgery), and chemoprevent...
8 months ago
Background
It is estimated that about 10% of pancreatic cancer cases have a genetic background. People with a familial predisposition to pancreatic cancer can be divided into 2 groups. The first is termed hereditary pancreatic cancer, which occurs in individuals with a known hereditary cancer syndrome caused by germline single gene mutations (e.g.,BRCA1/2,CDKN2A). The second is considered as fami...
8 months ago
Background: 16–25% of colorectal cancers (CRCs) diagnosed under age 50 are associated with hereditary cancer syndromes. Advanced adenomas are considered precursors to CRC. Although polyp removal prevents cancer, polypectomy does not change underlying genetic risk. Patients with isolated advanced polyps do not currently qualify for genetic testing unless they have a personal or family history of ...
8 months ago
A. K. Prabodhana Ranaweera,
A. K. Prabodhana Ranaweera
NULL
V. H. W. Dissanayake
V. H. W. Dissanayake
NULL
Introduction: Hereditary leiomyomatosis and renal cell cancer syndrome (HLRCC) is a rare autosomal dominantly inherited cancer predisposing syndrome giving rise to cutaneous and uterine leiomyomatosis, leiomyosarcoma and renal cell cancer. Patients with this syndrome harbours germline pathogenic variants in the fumarate hydratase (FH) gene. Case presentation: A 28-year-old Sri Lankan female, a pro...
8 months ago