RT info:eu-repo/semantics/article T1 Profiling of the genetic features of patients with breast, ovarian, colorectal and extracolonic cancers: Association to CHEK2 and PALB2 germline mutations A1 Infante, Mar A1 Arranz-Ledo, Mónica A1 Lastra, Enrique A1 Olaverri, Amaya A1 Ferreira, Raquel A1 Orozco, Marta A1 Hernández, Lara A1 Martínez, Noemí A1 Durán, Mercedes AB Background and aimsCancer predisposition goes beyond BRCA and DNA Mismatch Repair (MMR) genes since multi-gene panel testing has become the routine diagnostic tool for hereditary cancer suspicion (HCS) cases. CHEK2 and PALB2 are some of the foremost-mutated non-BRCA/MMR actionable genes in families with a significant familial aggregation. Therefore, the purpose of this work is to unravel which tumours other than breast, ovary or colorectal display the patients.Materials and methodsWe have analysed 528 probands that meet the inclusion criteria for Hereditary Breast and Ovarian Cancer and Lynch Syndrome established by our Hereditary Cancer Regional Program with a customized 35 genes-panel by using Ion Torrent™ Technology.ResultsWe have identified pathogenic variants (PVs) in 61 families (1.55%), of which more than half (31 probands) harboured PVs in CHEK2 and PALB2 genes. Ours results reveal that not only were PVs CHEK2 and PALB2 carriers more likely to have family history of cancer not limited to breast, ovarian or colorectal cancers, but also they are prone to other extracolonic cancers, noteworthy endometrial and gastric cancers.ConclusionsMultigene panel testing improves the chance of finding PVs in actionable genes in families with HCS. In addition, the coexistence of variants should be recorded to implement a polygenic risk algorithm that might explain the missing heritability in the aforementioned families. PB Elsevier SN 0009-8981 YR 2024 FD 2024 LK https://uvadoc.uva.es/handle/10324/73289 UL https://uvadoc.uva.es/handle/10324/73289 LA spa NO Clinica Chimica Acta 552 (2024) 117695 DS UVaDOC RD 05-feb-2025