Screening and surgical prophylaxis for hereditary cancer syndromes with high risk of endometrial and ovarian cancer

J Surg Oncol. 2019 Oct;120(5):864-872. doi: 10.1002/jso.25645. Epub 2019 Jul 29.

Abstract

In the era of advanced cancer genomics, our recognition of hereditary cancer mutations continues to increase. Two of these conditions, which carry an increased risk of female cancers including endometrial, ovarian, breast, are hereditary breast and ovarian cancer syndrome and Lynch syndrome. Risk-reducing surgery, such as mastectomy, salpingo-oophorectomy, and hysterectomy may decrease cancer risk for mutation carriers. Background, indications, techniques, and consequences of these surgical procedures are reviewed.

Keywords: BRCA; Lynch syndrome; endometrial cancer; hereditary cancer; ovarian cancer.

Publication types

  • Review

MeSH terms

  • Early Detection of Cancer / methods*
  • Endometrial Neoplasms / diagnosis*
  • Endometrial Neoplasms / epidemiology
  • Endometrial Neoplasms / genetics
  • Endometrial Neoplasms / surgery
  • Female
  • Genetic Predisposition to Disease*
  • Humans
  • Neoplastic Syndromes, Hereditary / diagnosis*
  • Neoplastic Syndromes, Hereditary / epidemiology
  • Neoplastic Syndromes, Hereditary / genetics
  • Neoplastic Syndromes, Hereditary / surgery
  • Ovarian Neoplasms / diagnosis*
  • Ovarian Neoplasms / epidemiology
  • Ovarian Neoplasms / genetics
  • Ovarian Neoplasms / surgery
  • Prevalence
  • Risk Factors
  • Surgical Procedures, Operative / methods*