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Editorial| Volume 45, ISSUE 10, P1760-1761, October 2019

Familial lobular breast cancer: Is testing for germline CDH1 mutations necessary?

  • Giovanni Corso
    Correspondence
    Corresponding author. Breast Surgery Division, European Institute of Oncology, IRCCS, Milan, Italy.
    Affiliations
    Division of Breast Surgery, European Institute of Oncology IRCCS, Milan, Italy
    Department of Oncology and Hemato-Oncology, Faculty of Medicine, University of Milan, Italy
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  • Virgilio Sacchini
    Affiliations
    Department of Oncology and Hemato-Oncology, Faculty of Medicine, University of Milan, Italy
    Breast Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, USA
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  • Gabriella Pravettoni
    Affiliations
    Department of Oncology and Hemato-Oncology, Faculty of Medicine, University of Milan, Italy
    Applied Research Division for Cognitive and Psychological Science, European Institute of Oncology IRCCS, Milan, Italy
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  • Paolo Veronesi
    Affiliations
    Division of Breast Surgery, European Institute of Oncology IRCCS, Milan, Italy
    Department of Oncology and Hemato-Oncology, Faculty of Medicine, University of Milan, Italy
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  • Bernardo Bonanni
    Affiliations
    Division of Cancer Prevention and Genetics, European Institute of Oncology IRCCS, Milan, Italy
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      Germline mutations in the E-cadherin gene (CDH1) confer a high lifetime risk of developing hereditary diffuse gastric cancer (HDGC) syndrome [
      • Caldas C.
      • Carneiro F.
      • Lynch H.T.
      • Yokota J.
      • Wiesner G.L.
      • Powell S.M.
      • et al.
      Familial gastric cancer: overview and guidelines for management.
      ]. Classically, lobular breast cancer (LBC) has been described as a secondary “component” of this syndrome [
      • Keller G.
      • Vogelsang H.
      • Becker I.
      • Hutter J.
      • Ott K.
      • Candidus S.
      • et al.
      Diffuse type gastric and lobular breast carcinoma in a familial gastric cancer patient with an E-cadherin germline mutation.
      ]. However, recent studies have demonstrated that LBC is associated with germline CDH1 mutations also in the absence of a family history of gastric cancer (GC). Some of these germline mutations have been identified for the first time in LBC cases, others were previously reported in individuals diagnosed with GC [
      • Benusiglio P.R.
      • Malka D.
      • Rouleau E.
      • De Pauw A.
      • Buecher B.
      • Noguès C.
      • et al.
      CDH1 germline mutations and the hereditary diffuse gastric and lobular breast cancer syndrome: a multicentre study.
      ,
      • Petridis C.
      • Shinomiya I.
      • Kohut K.
      • Gorman P.
      • Caneppele M.
      • Shah V.
      • et al.
      Germline CDH1 mutations in bilateral lobular carcinoma in situ.
      ].

      Keywords

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