Table. Screening Protocol for Male BRCA Mutation Carriers and Number of Previous and New Malignant Abnormalities Identified in a Cohort of 196 Mena.
Organ | Screening Test | Frequency | Previous Malignant Abnormalities, No. | New Malignant Abnormalities, No. |
---|---|---|---|---|
Prostate | PSA | 1 Year | 4 | 9 |
DRE | 1 Year | |||
MRI | Performed at initial screening and before prostate biopsy in men aged 40 to 70 years | |||
Breast | Clinical breast examination | 1 Year | 2 | 0 |
Mammogram | Initial mammogram at age 40 years; frequency of subsequent testing determined by initial findings and patient age | |||
Pancreas | CA-19-9 | 1 Year | 2 | 2 |
Abdominal ultrasound | 1 Year | |||
Colorectal | CEA | 1 Year | 2 | 0 |
Colonoscopy | Every 5 years; screening is initiated at 45 years | |||
Skin | Dermatologist examination | 1 Year; screening is initiated on enrollment disregarding patient age | 11 | 1 |
Abbreviations: DRE, digital rectal examination; MRI, magnetic resonance imaging; PSA, prostate-specific antigen.
The screening protocol for prostate and breast cancer is based on the National Comprehensive Cancer Network Genetic/Familial High-Risk Assessment: Breast and Ovarian (version 1.2014) with the addition of prostatic MRI. Screening for pancreatic, colorectal and skin cancer were based on specific society recommendations with the aim of minimizing the use of radiation and invasive studies; screening was initiated at age 40 years, except for where noted otherwise.