TABLE 3.
Frequency of pathogenic variants in BRCA1 and 2 genes, other high and moderate penetrance genes in various high-risk categories of patients with breast and/or ovarian cancer.
| Breast and/or ovarian cancer High Risk categories | No of patients | Patients with pathogenic variants in all genes included in the panel | Patients with pathogenic variants in BRCA1 and BRCA2 genes only | Patients with pathogenic variants in 6 High Penetrance genes (BRCA1, BRCA2, PALB2, TP53, PTEN, CDH1) | Patients with pathogenic variants in moderate penetrance genes | Moderate penetrance genes contribution to each high-risk category |
| Breast and/or ovarian cancer (at any age) | 2003 | 276 (14%) | 103 (5%) | 130 (6.5%) | 146 (7.5%) | CHEK2 (1.9%), ATM (1.2%), RAD51C (0.4%), RAD51D (0.4%), BRIP1 (0.4%), MMR genes (0.6%), less known gene BARD1 (0.1%), FANCM (0.1%), NBN (0.1%) |
| Breast and ovarian cancer (both diagnosed in one patient at any age) | 49 | 13 (26.5%) | 9 (18%) | 11 (22.4%) | 2 (4%) | RAD51C (2%), RAD51D (2%) |
| Breast cancer <35 year of age | 186 | 27 (14.5%) | 16 (8.6%) | 20 (11%) | 7 (3.5%) | CHEK2 (1.4%), ATM (1%), FANCM (0.5%), BARD1 (0.5%), MMR genes (0.5%) |
| Breast Cancer <45 years of age | 482 | 63 (13%) | 32 (6.6%) | 38 (8%) | 25 (5%) | CHEK2 (2%), ATM (0.8%), RAD51C/RAD51D (0.6%), BRIP1 (0.4%), FANCM (0.4%) |
| Ovarian cancer at any age | 455 | 81 (18%) | 43 (9.5%) | 49 (11%) | 32 (7%) | RAD51C (1.5%), RAD51D (1%), Mismatch repair gene (1.3%), ATM (1%), CHEK2/BRIP1 (1%) |
| Triple negative breast cancer | 218 | 33 (15%) | 19 (9%) | 21 (9.6%) | 12 (5.4%) | BRIP1 (1.8%), CHEK2 (1%), RAD51C (0.5%), RAD51D (0.5%), MMR genes (0.5%) |
| Bilateral breast cancer | 135 | 12 (9%) | 3 (2.2) | 6 (4.4%) | 6 (4.4%) | CHEK2 (1.5%), BRIP1 (0.7%), ATM (0.7%), MMR genes (0.7%) |
| Breast cancer with pancreas or prostate at any age | 10 | 3 (30%) | 1 (10%) | 2 (20%) | 1 (10%) | PALB2 (10%) |