Cancer incidence in relatives of British Fanconi Anaemia patients

<p>Abstract</p> <p>Background</p> <p>Fanconi anemia (FA) is an autosomal recessive DNA repair disorder with affected individuals having a high risk of developing acute myeloid leukaemia and certain solid tumours. Thirteen complementation groups have been identified and...

Full description

Bibliographic Details
Main Authors: Hodgson Shirley V, Ball Jan, Easton Douglas F, Tischkowitz Marc, Mathew Christopher G
Format: Article
Language:English
Published: BMC 2008-09-01
Series:BMC Cancer
Online Access:http://www.biomedcentral.com/1471-2407/8/257
_version_ 1818139731300450304
author Hodgson Shirley V
Ball Jan
Easton Douglas F
Tischkowitz Marc
Mathew Christopher G
author_facet Hodgson Shirley V
Ball Jan
Easton Douglas F
Tischkowitz Marc
Mathew Christopher G
author_sort Hodgson Shirley V
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Fanconi anemia (FA) is an autosomal recessive DNA repair disorder with affected individuals having a high risk of developing acute myeloid leukaemia and certain solid tumours. Thirteen complementation groups have been identified and the genes for all of these are known (<it>FANCA, B, C, D1/BRCA2, D2, E, F, G, I, J/BRIP1, L, M </it>and <it>N/PALB2</it>). Previous studies of cancer incidence in relatives of Fanconi anemia cases have produced conflicting results. A study of British FA families was therefore carried out to investigate this question, since increases in cancer risk in FA heterozygotes would have implications for counselling FA family members, and possibly also for the implementation of preventative screening measures in FA heterozygotes.</p> <p>Methods</p> <p>Thirty-six families took part and data was collected on 575 individuals (276 males, 299 females), representing 18,136 person years. In this cohort, 25 males and 30 females were reported with cancer under the age of 85 years, and 36 cancers (65%) could be confirmed from death certificates, cancer registries or clinical records.</p> <p>Results</p> <p>A total of 55 cancers were reported in the FA families compared to an estimated incidence of 56.95 in a comparable general population cohort, and the relative risk of cancer was 0.97 (95% C.I. = 0.71–1.23, p = 0.62) for FA family members. Analysis of relative risk for individual cancer types in each carrier probability group did not reveal any significant differences with the possible exception of prostate cancer (RR = 3.089 (95% C.I. = 1.09 – 8.78; Χ<sup>2 </sup>= 4.767, p = 0.029).</p> <p>Conclusion</p> <p>This study has not shown a significant difference in overall cancer risk in FA families.</p>
first_indexed 2024-12-11T10:32:45Z
format Article
id doaj.art-c6788c3c918a404a8309ccced35df95c
institution Directory Open Access Journal
issn 1471-2407
language English
last_indexed 2024-12-11T10:32:45Z
publishDate 2008-09-01
publisher BMC
record_format Article
series BMC Cancer
spelling doaj.art-c6788c3c918a404a8309ccced35df95c2022-12-22T01:10:52ZengBMCBMC Cancer1471-24072008-09-018125710.1186/1471-2407-8-257Cancer incidence in relatives of British Fanconi Anaemia patientsHodgson Shirley VBall JanEaston Douglas FTischkowitz MarcMathew Christopher G<p>Abstract</p> <p>Background</p> <p>Fanconi anemia (FA) is an autosomal recessive DNA repair disorder with affected individuals having a high risk of developing acute myeloid leukaemia and certain solid tumours. Thirteen complementation groups have been identified and the genes for all of these are known (<it>FANCA, B, C, D1/BRCA2, D2, E, F, G, I, J/BRIP1, L, M </it>and <it>N/PALB2</it>). Previous studies of cancer incidence in relatives of Fanconi anemia cases have produced conflicting results. A study of British FA families was therefore carried out to investigate this question, since increases in cancer risk in FA heterozygotes would have implications for counselling FA family members, and possibly also for the implementation of preventative screening measures in FA heterozygotes.</p> <p>Methods</p> <p>Thirty-six families took part and data was collected on 575 individuals (276 males, 299 females), representing 18,136 person years. In this cohort, 25 males and 30 females were reported with cancer under the age of 85 years, and 36 cancers (65%) could be confirmed from death certificates, cancer registries or clinical records.</p> <p>Results</p> <p>A total of 55 cancers were reported in the FA families compared to an estimated incidence of 56.95 in a comparable general population cohort, and the relative risk of cancer was 0.97 (95% C.I. = 0.71–1.23, p = 0.62) for FA family members. Analysis of relative risk for individual cancer types in each carrier probability group did not reveal any significant differences with the possible exception of prostate cancer (RR = 3.089 (95% C.I. = 1.09 – 8.78; Χ<sup>2 </sup>= 4.767, p = 0.029).</p> <p>Conclusion</p> <p>This study has not shown a significant difference in overall cancer risk in FA families.</p>http://www.biomedcentral.com/1471-2407/8/257
spellingShingle Hodgson Shirley V
Ball Jan
Easton Douglas F
Tischkowitz Marc
Mathew Christopher G
Cancer incidence in relatives of British Fanconi Anaemia patients
BMC Cancer
title Cancer incidence in relatives of British Fanconi Anaemia patients
title_full Cancer incidence in relatives of British Fanconi Anaemia patients
title_fullStr Cancer incidence in relatives of British Fanconi Anaemia patients
title_full_unstemmed Cancer incidence in relatives of British Fanconi Anaemia patients
title_short Cancer incidence in relatives of British Fanconi Anaemia patients
title_sort cancer incidence in relatives of british fanconi anaemia patients
url http://www.biomedcentral.com/1471-2407/8/257
work_keys_str_mv AT hodgsonshirleyv cancerincidenceinrelativesofbritishfanconianaemiapatients
AT balljan cancerincidenceinrelativesofbritishfanconianaemiapatients
AT eastondouglasf cancerincidenceinrelativesofbritishfanconianaemiapatients
AT tischkowitzmarc cancerincidenceinrelativesofbritishfanconianaemiapatients
AT mathewchristopherg cancerincidenceinrelativesofbritishfanconianaemiapatients