{"id":539,"date":"2013-05-25T18:19:54","date_gmt":"2013-05-25T18:19:54","guid":{"rendered":"http:\/\/stg-blogs.bmj.com\/jmg\/?p=539"},"modified":"2013-05-25T18:19:54","modified_gmt":"2013-05-25T18:19:54","slug":"cdh1-germline-mutations-and-the-hereditary-diffuse-gastric-and-lobular-breast-cancer-syndrome-a-multicentre-study","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/jmg\/2013\/05\/25\/cdh1-germline-mutations-and-the-hereditary-diffuse-gastric-and-lobular-breast-cancer-syndrome-a-multicentre-study\/","title":{"rendered":"CDH1 Germline Mutations and the Hereditary Diffuse Gastric and Lobular Breast Cancer Syndrome: a Multicentre Study"},"content":{"rendered":"<p>Mutations in <i>CDH1 <\/i>cause the Hereditary Diffuse Gastric Cancer Syndrome. We report the largest series to date of index cases with a germline <i>CDH1<\/i> mutation, and propose a revision of the testing criteria as a substantial proportion of our cases did not fulfil them. More specifically, we show that patients with a personal or family history of multiple breast cancers of the lobular type, even in the absence of diffuse gastric cancer, often carry <i>CDH1 <\/i>mutations. We also highlight the importance of identifying carriers early in order to offer them prophylactic gastrectomy before they develop highly-lethal, symptomatic diffuse gastric cancer. Finally, we propose for consideration the name \u201cHereditary Diffuse Gastric and Lobular Breast Cancer\u201d, instead of \u201cHereditary Diffuse Gastric Cancer\u201d to define the syndrome associated with germline <i>CDH1 <\/i>mutations.\u00a0 (By Dr Patrick BENUSIGLIO, <a href=\"http:\/\/jmg.bmj.com\/content\/early\/2013\/05\/24\/jmedgenet-2012-101472\">http:\/\/jmg.bmj.com\/content\/early\/2013\/05\/24\/jmedgenet-2012-101472<\/a> )<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mutations in CDH1 cause the Hereditary Diffuse Gastric Cancer Syndrome. We report the largest series to date of index cases with a germline CDH1 mutation, and propose a revision of the testing criteria as a substantial proportion of our cases did not fulfil them. More specifically, we show that patients with a personal or family [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/stg-blogs.bmj.com\/jmg\/2013\/05\/25\/cdh1-germline-mutations-and-the-hereditary-diffuse-gastric-and-lobular-breast-cancer-syndrome-a-multicentre-study\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-539","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/jmg\/wp-json\/wp\/v2\/posts\/539","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/jmg\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/jmg\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/jmg\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/jmg\/wp-json\/wp\/v2\/comments?post=539"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/jmg\/wp-json\/wp\/v2\/posts\/539\/revisions"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/jmg\/wp-json\/wp\/v2\/media?parent=539"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/jmg\/wp-json\/wp\/v2\/categories?post=539"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/jmg\/wp-json\/wp\/v2\/tags?post=539"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}