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- W2030481522 abstract "Les cancers du sein, des ovaires et de l'endomètre sont héréditaires dans 5 à 10 % des cas. Ces prédispositions génétiques s'intègrent dans deux syndromes majeurs : les formes familiales de cancer du sein ou de l'ovaire (gènes BRCA1 , BRCA2 ), et les formes familiales de cancer du côlon, de l'endomètre et de l'ovaire (syndrome de Lynch ou HNPCC) (gènes hMLH1 , hMSH2 , hMLH6 ). L'estimation du risque familial et individuel peut être un apport déterminant à la prise en charge de ces patientes, par la pratique d'un dépistage ou d'une prévention adaptée. En effet, le risque de cancer d'un individu ayant un test positif pour un gène de prédisposition aux cancers du sein ( BRCA1 , BRCA2 ) ou du côlon ( hMLH1 , hMSH2 , hMLH6 ) est compris entre 50 à 70 % à l'âge de 70 ans. L'indication d'un test génétique doit être discutée dans le cadre d'une consultation d'oncogénétique. Une prise en charge médicale, individuelle et familiale, allant de la simple surveillance à la chirurgie prophylactique est proposée aux personnes prédisposées. The breast, ovary and endometrial cancers are hereditary in 5 to 10% of the cases. These genetic predisposition syndromes can be classified into two major classes: ovarian cancer and breast cancer predisposition family cases (genes BRCA1 and BRCA2 ) and family cases of colon cancer, endometrial cancer and ovarian cancer (Lynch syndrome or HNPCC) (genes hMLH1 , hMSH2 , hMLH6 ). The estimate of the family and individual risk can contribute in a determining manner to the management of these patients, by the practice of screening or an adapted prevention. Indeed, the risk of cancer of an individual having a positive test for a gene of predisposition to breast cancer ( BRCA1, BRCA2 ) or to the colon cancer ( hMLH1, hMSH2, hMLH6 ) lies between 50 and 70% at the age of 70 years. The indication of a genetic test must be discussed within the framework of an oncogenetic consultation. An individual and family medical management ranging from simple monitoring to prophylactic surgery is proposed to these predisposed people." @default.
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- W2030481522 date "2005-11-01" @default.
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- W2030481522 title "Prédispositions héréditaires aux cancers gynécologiques" @default.
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- W2030481522 doi "https://doi.org/10.1016/j.gyobfe.2005.09.017" @default.
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