Collaborator: Fox Chase Cancer Center
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The R659Q and K618A MLH1 variants (of uncertain significance and benign independently) are pathogenic when inherited in cis
MLH1 p.R659Q and p.K618A are independently classified as VUS and VLP These variants, in cis, segregate with disease in a family with a clinical diagnosis of Lynch syndrome Other phenotypic data and Bayesian analysis suggest this haplotype may be pathogenic If this combination of variants is proven to be pathogenic, it represents a new possibility…
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Reducing Unnecessary Screening in Lynch-Like Syndrome with Tumor Sequencing
A simulated case based survey assessed the use of tumor sequencing data in making recommendations for colon and endometrial cancer screening/prevention in suspected Lynch syndrome. Providers often recommend increased screening procedures based on the detection of mismatch repair deficiency by IHC staining, even when no germline MMR mutation has been identified. Knowledge of biallelic somatic…