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Cancer genetics
Week of 10 June 2026
16 articles
Geno'X Veille — genox-veille.fr
Key takeaways this week
- ►BRCA1/2/PALB2/CHEK2/ATM — gene-specific meta-analysis of contralateral breast cancer risk: actionable data for prophylactic mastectomy in intermediate-penetrance families.
- ►CDKN2B — non-coding variants disrupting CTCF downstream of CDKN2B identified in 9p21 melanoma families without CDKN2A coding variants.
- ►EPCAM — novel EPCAM-MSH2 intergenic deletion causing Lynch syndrome via MSH2 epigenetic silencing, invisible to coding-only NGS analyses.
- ►NEN — prospective multicenter germline testing arguing for systematic screening in all neuroendocrine neoplasms regardless of family criteria.
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Hereditary neuroendocrine neoplasms (NEN) — prevalence and clinical implications of germline variants
Autosomal dominantPubMed★ Top pick
Germline Cancer Testing in Unselected Patients With Neuroendocrine Neoplasms: A Prospective Multicenter Study
Hereditary neuroendocrine neoplasms (NEN) — prevalence and clinical implications of germline variants
9
/10
MainstreamingPenetrance update
Pancreas 2026· JunRead
BRCA1
Autosomal dominantPubMed★ Top pick
Contralateral breast cancer risks for BRCA1, BRCA2, PALB2, CHEK2, and ATM pathogenic variant carriers: a meta-analysis
Contralateral breast cancer in BRCA1/2, PALB2, CHEK2, ATM pathogenic variant carriers
9
/10
Breast cancerPenetrance updateProphylactic surgery
BJC Rep 2026· JunRead
Lynch syndrome
Autosomal dominantPubMed★ Top pick
Distinct Germline Mutation Landscape and Clinical Implications in Chinese Colorectal Cancer Patients
Hereditary colorectal cancer — germline mutation landscape in Chinese population (1,094 CRC patients)
9
/10
Lynch syndromeRecurrent variantMainstreaming
Cancer Med 2026· JunRead
BRCA1
Autosomal dominantPubMed★ Top pick
Decoding BRCA1 and BRCA2 Mutations in High-Grade Serous Ovarian Cancer: Impact on Prognosis, Platinum Response, and Actionability
Germline BRCA1/2-associated high-grade serous ovarian cancer — prognostic impact by variant topography
9
/10
PARP inhibitorPenetrance update
Int J Gynecol Cancer 2026· JunRead
CDKN2B
Autosomal dominantmedRxiv★ Top pick
Disruption of CTCF binding by germline non-coding variants in CDKN2B suppress CDKN2B expression in melanoma-prone families
Hereditary familial melanoma, 9p21 locus without CDKN2A coding variant
9
/10
New geneNew mechanism
medRxiv 2026· JunRead
Hereditary prostate cancer — germline variants in real-world multiethnic cohort
Autosomal dominantPubMedPathogenic Germline Variants in a Racially Diverse Real-World Cohort of Patients With Prostate Cancer
Hereditary prostate cancer — germline variants in real-world multiethnic cohort
8
/10
Recurrent variantMainstreaming
J Natl Compr Canc Netw 2026· JunRead
BRCA1
Autosomal dominantPubMedOpportunistic Screening of High-Risk Breast Cancer Variants in Hospital Biobank Participants
Opportunistic BRCA1, BRCA2, and PALB2 screening in Finnish hospital biobank participants
8
/10
Mainstreaming
Cancer Epidemiol Biomarkers Prev 2026· JunRead
Breast cancer
PubMedClinical Performance of International and Korean Genetic Testing Criteria for Hereditary Breast Cancer
Hereditary breast cancer — clinical performance of genetic testing criteria (Korean vs ASCO-SSO/NCCN guidelines)
8
/10
Breast cancerNew recommendationMainstreaming
J Breast Cancer 2026· MayRead
Breast cancer
PubMedAre current Polish guidelines for prophylactic mastectomy sufficient?
Prophylactic mastectomy — update of Polish recommendations for hereditary breast cancer predispositions
7
/10
Breast cancerNew recommendationProphylactic surgery
Hered Cancer Clin Pract 2026· JunRead
BRCA1
Autosomal dominantPubMedNeoadjuvant pembrolizumab plus chemotherapy in germline BRCA-mutated early triple-negative breast cancer: real-world multicenter data
Germline BRCA1/2 early triple-negative breast cancer — response to neoadjuvant pembrolizumab plus chemotherapy
7
/10
NPJ Breast Cancer 2026· JunRead
Germline predisposition
PubMedGermline Whole-Genome Sequencing in Early-Onset Pediatric Solid Tumors Implicates Structural Variants in Cancer Risk
Early-onset pediatric solid tumors — germline structural variants for predisposition
7
/10
Germline predispositionMainstreaming
JCO Precis Oncol 2026· JunRead
Lynch syndrome
PubMedPrevalence and clinicopathologic features of mismatch repair-deficient endometrial cancers in young Japanese patients
MMR-deficient endometrial cancers in young Japanese patients — universal Lynch testing
7
/10
Lynch syndromeMainstreamingNew recommendation
Int J Clin Oncol 2026· JunRead
MEN1
Autosomal dominantPubMedA de novo MEN1 gene mutation in a 4-year-old boy with hypoglycemia: A case report and literature review
MEN1 (multiple endocrine neoplasia type 1), de novo MEN1 mutation, pediatric insulinoma at age 4
7
/10
Functional SNVRecurrent variant
Cancer Genet 2026· JunRead
EPCAM
Autosomal dominantPubMedIdentification of a novel intergenic EPCAM-MSH2 deletion causing EPCAM-associated Lynch syndrome
Lynch syndrome — novel EPCAM-MSH2 intergenic deletion, MSH2 epigenetic silencing mechanism
7
/10
Lynch syndromeRecurrent variantVUS reclassified
J Med Genet 2026· JunRead
Hereditary ovarian cancer in older women (≥70 years) — real-world genetic testing data
PubMedReal-world genetic testing data of ovarian cancer patients: Informing counseling in older women
Hereditary ovarian cancer in older women (≥70 years) — real-world genetic testing data
7
/10
MainstreamingPARP inhibitor
Gynecol Oncol 2026· JunRead
Lynch syndrome
Autosomal dominantPubMedIntegrated tumor and germline profiling of lynch syndrome in a North Indian cohort
Lynch syndrome — germline mutational landscape in a North Indian cohort (CRC + EC)
7
/10
Lynch syndromeRecurrent variant
Front Oncol 2026· JanRead
References and sources
- Hereditary neuroendocrine neoplasms (NEN) — prevalence and clinical implications of germline variants. Pancreas 2026. PMID 42240119. Score 9/10. https://pubmed.ncbi.nlm.nih.gov/42240119/
- BRCA1 — Contralateral breast cancer in BRCA1/2, PALB2, CHEK2, ATM pathogenic variant carriers. BJC Rep 2026. PMID 42236538. Score 9/10. https://pubmed.ncbi.nlm.nih.gov/42236538/
- Hereditary colorectal cancer — germline mutation landscape in Chinese population (1,094 CRC patients). Cancer Med 2026. PMID 42204638. Score 9/10. https://pubmed.ncbi.nlm.nih.gov/42204638/
- BRCA1 — Germline BRCA1/2-associated high-grade serous ovarian cancer — prognostic impact by variant topography. Int J Gynecol Cancer 2026. PMID 42061278. Score 9/10. https://pubmed.ncbi.nlm.nih.gov/42061278/
- CDKN2B — Hereditary familial melanoma, 9p21 locus without CDKN2A coding variant. medRxiv 2026. doi:10.64898/2026.06.01.26352322. Score 9/10. https://www.medrxiv.org/content/10.64898/2026.06.01.26352322v1
- Hereditary prostate cancer — germline variants in real-world multiethnic cohort. J Natl Compr Canc Netw 2026. PMID 42229501. Score 8/10. https://pubmed.ncbi.nlm.nih.gov/42229501/
- BRCA1 — Opportunistic BRCA1, BRCA2, and PALB2 screening in Finnish hospital biobank participants. Cancer Epidemiol Biomarkers Prev 2026. PMID 41954593. Score 8/10. https://pubmed.ncbi.nlm.nih.gov/41954593/
- Hereditary breast cancer — clinical performance of genetic testing criteria (Korean vs ASCO-SSO/NCCN guidelines). J Breast Cancer 2026. PMID 42237515. Score 8/10. https://pubmed.ncbi.nlm.nih.gov/42237515/
- Prophylactic mastectomy — update of Polish recommendations for hereditary breast cancer predispositions. Hered Cancer Clin Pract 2026. PMID 42243898. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/42243898/
- BRCA1 — Germline BRCA1/2 early triple-negative breast cancer — response to neoadjuvant pembrolizumab plus chemotherapy. NPJ Breast Cancer 2026. PMID 42230640. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/42230640/
- Early-onset pediatric solid tumors — germline structural variants for predisposition. JCO Precis Oncol 2026. PMID 42234944. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/42234944/
- MMR-deficient endometrial cancers in young Japanese patients — universal Lynch testing. Int J Clin Oncol 2026. PMID 41954815. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/41954815/
- MEN1 — MEN1 (multiple endocrine neoplasia type 1), de novo MEN1 mutation, pediatric insulinoma at age 4. Cancer Genet 2026. PMID 41936330. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/41936330/
- EPCAM — Lynch syndrome — novel EPCAM-MSH2 intergenic deletion, MSH2 epigenetic silencing mechanism. J Med Genet 2026. PMID 42248668. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/42248668/
- Hereditary ovarian cancer in older women (≥70 years) — real-world genetic testing data. Gynecol Oncol 2026. PMID 42114202. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/42114202/
- Lynch syndrome — germline mutational landscape in a North Indian cohort (CRC + EC). Front Oncol 2026. PMID 42239900. Score 7/10. https://pubmed.ncbi.nlm.nih.gov/42239900/