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GermlineWT1 mutations in Wilms' tumor patients: Preliminary results

โœ Scribed by Li, Frederick P.; Breslow, Norman E.; Morgan, Jennifer M.; Ghahremani, Majid; Miller, Glenn A.; Grundy, Paul E.; Green, Daniel M.; Diller, Lisa R.; Pelletier, Jerry


Publisher
John Wiley and Sons
Year
1996
Tongue
English
Weight
450 KB
Volume
27
Category
Article
ISSN
0098-1532

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โœฆ Synopsis


We conducted a comparative study of the prevalence of gerrnline WTI mutations in patients with Wilms' tumor. Patients in Group l have familial Wilms' tumor, bilateral disease, associated urogenital anomalies, and/or second cancers. Those in Group 2 are unilateral, sporadic Wilrns' patients without other associated conditions. Patients with aniridia or Denys-Drash syndrome are known to have WTI alterations, andareexcludedfrom thisstudy. Preliminary results on 96 subjects show that the overall germline WTI mutation frequency is low (<5%). The workto dateestablishes thefeasibility of identifying patients with germline WTI mutations and, in the future, offering genetic. predisposition testing to at-risk relatives. However, genetic predisposition testing of children for WTI mutations raises many ethical, legal, and psychosocial issues; research is needed to evaluate risks and benefits.


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Of 40 Wilms tumors with chromosome abnormalities, 6 were hypodiploid, 10 were pseudodiploid, 7 were hyperdiploid with 47 to 49 chromosomes, and 17 were hyperdiploid with 50 or more chromosomes, mostly including ฯฉ12. WT1 deletions/ mutations were found in one hypodiploid, eight pseudodiploid, and one