A Family With Multiple Lynch Syndrome Mutations: Navigating Counseling Complexities.

IF 0.5 Q4 GASTROENTEROLOGY & HEPATOLOGY ACG Case Reports Journal Pub Date : 2025-02-07 eCollection Date: 2025-02-01 DOI:10.14309/crj.0000000000001606
Rachel Silva-Smith, Gretter Manso, Daniel Andrew Sussman
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Abstract

Families with multiple Lynch syndrome pathogenic variants present unique challenges in genetic counseling and clinical management. We report a family with pathogenic variants in multiple mismatch repair genes identified through multigene panel testing. Key issues highlighted by this case include recognizing when comprehensive genetic testing is necessary, tailoring management to specific genetic mutations, and ensuring accurate communication. This case highlights potential pitfalls in risk assessment and counseling for complex Lynch syndrome families.

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一个多林奇综合征突变的家庭:导航咨询的复杂性。
具有多种Lynch综合征致病变异的家庭在遗传咨询和临床管理方面提出了独特的挑战。我们报告了一个通过多基因面板测试鉴定出多个错配修复基因致病变异的家族。该案例强调的关键问题包括认识到何时需要进行全面的基因检测,针对特定的基因突变定制管理,以及确保准确的沟通。本病例强调了在复杂林奇综合征家庭的风险评估和咨询中潜在的陷阱。
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来源期刊
ACG Case Reports Journal
ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-
自引率
14.30%
发文量
170
审稿时长
12 weeks
期刊介绍: ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.
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