Table 1:
Prevalence of pathogenic/likely pathogenic variants in cancer predisposition genes among adult survivors of childhood cancer participating in the SJLIFE study and in the US populationa
| CHARACTERISTICb | US | SJLIFE | Cancer-related genes (SJCPG156)c | Cancer predisposition genes (SJCPG60)d | ||||
|---|---|---|---|---|---|---|---|---|
| SJLIFE | SJLIFE | US | SJLIFE | SJLIFE | US | |||
| No. of survivors | No. of survivorse | No. of survivors with P/LP variants | % P/LP variant carriers | No. of survivors with P/LP variantsg | No. of survivors with P/LP variants | % P/LP variant carriers | No. of survivors with P/LP variantsg | |
| SEX | ||||||||
| Male | 89100 | 1276 | 144 | 11.3 | 11100 | 79 | 6.7 | 6300 |
| Female | 82200 | 1174 | 145 | 12.4 | 10700 | 70 | 5.5 | 6200 |
| AGE AT DIAGNOSIS | ||||||||
| 0–4 years | 72300 | 1104 | 159 | 14.4 | 10500 | 96 | 8.7 | 6800 |
| 5–9 years | 45300 | 674 | 67 | 9.9 | 5200 | 25 | 3.7 | 2700 |
| 10–14 years | 53700 | 672 | 63 | 9.4 | 6100 | 28 | 4.2 | 3000 |
| CURRENT AGE | ||||||||
| 18–29 years | 68900 | 797 | 98 | 12.3 | 8600 | 59 | 7.4 | 4900 |
| 30–39 years | 49200 | 936 | 102 | 10.9 | 6200 | 54 | 5.8 | 3500 |
| 40–49 years | 29200 | 552 | 70 | 12.7 | 3700 | 33 | 6.0 | 2100 |
| 50–59 years | 18000 | 158 | 18 | 11.4 | 2500 | 3 | 1.0 | 1600 |
| ≥60 years | 6000 | 7 | 1 | 14.3 | 730 | 0 | 0 | 400 |
| DIAGNOSIS | ||||||||
| Leukemias, & myeloproliferative & myelodysplastic diseases | 49500 | 934 | 92 | 9.93 | 52200 | 31 | 3.3 | 2200 |
| Lymphoid leukemia | 42800 | 874 | 87 | 10.0 | 4300 | 28 | 3.2 | 1400 |
| Acute myeloid leukemia | 4000 | 56 | 4 | 7.1 | 300 | 2 | 3.6 | 100 |
| Other leukemia | 2700 | 4 | 1 | 25.0 | 700 | 1 | 25.0 | 700 |
| Lymphoma & reticuloendothelial neoplasms | 21900 | 385 | 35 | 9.1 | 2000 | 12 | 3.1 | 700 |
| Hodgkin lymphoma | 10200 | 200 | 17 | 8.5 | 900 | 4 | 2.0 | 200 |
| Non-Hodgkin lymphomaf | 11700 | 185 | 18 | 9.7 | 1100 | 8 | 4.3 | 500 |
| CNS & intraspinal neoplasms | 30200 | 285 | 42 | 14.7 | 4300 | 28 | 9.8 | 2900 |
| Ependymoma & choroid plexus | 1900 | 39 | 5 | 12.8 | 200 | 2 | 5.1 | 100 |
| Astrocytoma | 18000 | 89 | 9 | 10.1 | 1800 | 4 | 4.5 | 800 |
| Medulloblastoma/PNET | 4800 | 76 | 8 | 10.5 | 500 | 5 | 6.6 | 300 |
| Other glioma | 4700 | 45 | 16 | 35.6 | 1700 | 16 | 35.6 | 1700 |
| Other CNS | 600 | 36 | 4 | 11.1 | <100 | 1 | 2.8 | <100 |
| Neuroblastoma & peripheral nervous system tumors | 11000 | 152 | 11 | 7.2 | 800 | 6 | 3.9 | 400 |
| Retinoblastoma | 7100 | 90 | 44 | 48.9 | 3500 | 42 | 46.7 | 3300 |
| Renal tumors | 13000 | 209 | 26 | 12.4 | 1600 | 12 | 5.7 | 700 |
| Hepatic tumors | 1400 | 17 | 2 | 11.8 | 200 | 2 | 11.8 | 200 |
| Bone tumors | 6700 | 119 | 11 | 9.2 | 600 | 3 | 2.5 | 200 |
| Osteosarcoma | 3700 | 72 | 9 | 12.5 | 500 | 2 | 2.8 | 100 |
| Ewings sarcoma | 2200 | 43 | 2 | 4.7 | 100 | 1 | 2.3 | 100 |
| Other bone tumors | 800 | 4 | 0 | 0.0 | 0 | 0 | 0.0 | 0 |
| Soft tissue & extraosseous sarcomas | 12600 | 153 | 13 | 8.5 | 1000 | 8 | 5.2 | 700 |
| Germ cell tumors, trophoblastic tumors & neoplasms of the gonads | 6900 | 66 | 7 | 10.6 | 700 | 2 | 3.0 | 200 |
| Epithelial neoplasms & melanomas | 10600 | 39 | 5 | 12.8 | 1400 | 2 | 5.1 | 500 |
| Other & unspecified malignant neoplasmsh | 500 | 1 | 1 | 100.0 | 500 | 1 | 100.0 | 500 |
| TOTAL | 171300 | 2450 | 289 | 11.8 | 21800 | 149 | 6.1 | 12500 |
The US childhood cancer survivor population was estimated from SEER data for adult survivors (≥18 years of age) diagnosed between 1960 and 2006 before 15 years of age, who were more than 10 years post diagnosis, and alive on December 31, 2016.
Cancer diagnoses were categorized according to the International Classification of Childhood Cancer (ICCC) scheme5
SJCPG156 - 156 genes related to cancer predisposition were selected for analysis and included genes with well-established associations with monogenic cancer risk inherited in an autosomal dominant fashion, genes with autosomal recessive or X-linked inheritance, somatic mosaicism and genes in which common variants increase cancer risk
SJCPG60 - 60 genes with well-established associations with monogenic cancer risk inherited in an autosomal dominant fashion at moderate to high penetrance were included in analyses. These 60 genes are a subset of the SJCPG156
All survivors who were variant carriers were counted in analyses regardless of whether their primary (or subsequent) cancer diagnosis was considered concordant with their particular gene variant.
Includes ICD-O categories of non-Hodgkin lymphoma, Burkitt lymphoma, miscellaneous lymphoreticular neoplasms and unspecified lymphoma.
The P/LP carrier percentages were from SJLIFE and were multiplied to the estimates of US survivor counts within each diagnosis subgroup to obtain the estimates of US survivors in the subgroup who carry a P/LP mutation. Therefore, their values stratified by sex, age at diagnosis current age, and group of diagnosis subgroups do not necessarily match with those of the US survivors.
The single SJLIFE survivor had a diagnosis of pleuropulmonary blastoma and a mutation in DICER1
No.=numbers