Treatment for Familial Hereditary Breast Cancer
https://doi.org/10.23946/2500-0764-2026-11-1-111-119
Abstract
The patient with confirmed hereditary cancer risk was admitted to the A.V. Vishnevsky National Medical Research Center of Surgery. A comprehensive genetic analysis revealed heterozygous germline mutation, located in coding exon 10 of the BRCA2 gene, associated with breast-ovarian cancer. Considering the patient’s young age, the cancer team referred her on immediate breast reconstruction after skin-preserving mastectomy. Histological examinations did not reveal any pathological changes indicative of malignant transformation. This case report emphasizes the significance of personalized treatment approach aimed at preventing BRCA-associated breast cancer in patients carrying hereditary mutations. Preventive surgery substantially reduces the risk of cancer, even in patients with genetically determined risks, and ensures a high quality of life.
About the Authors
N. Y. GermanovichRussian Federation
Dr. Natalia Y. Germanovich, MD, Cand. Sci. (Medicine), Surgeon, Oncologist, Head of the Department of Mammalogy and Comorbid Pathology
Bolshaya Serpukhovskaya Street, 27, Moscow, 117997
R. Sh. Tinaeva
Russian Federation
Dr. Riana Sh. Tinaeva, MD, сlinical Resident
Bolshaya Serpukhovskaya Street, 27, Moscow, 117997
I. M. Mishchenko
Russian Federation
Dr. Inna M. Mishchenko, MD, surgeon, oncologist at the Department of Mammalogy and Comorbid Pathology
Bolshaya Serpukhovskaya Street, 27, Moscow, 117997
References
1. Kaprina AD, ed. Zlokachestvennye novoobrazovaniya v Rossii v 2022 godu (zabolevaemost' i smertnost'). Moscow: MNIOI im PA Gercena – filial FGBU «NMIC radiologii» Minzdrava Rossii, 2023. 275 p.
2. Novikova EI, Kudinova EA, Bozhenko VK, Solodkiy VA. Characteristics of brca-associated breast cancer in the population of the russian federation. Bulletin of RSMU. 2021;1:26–32. https://doi.org/10.24075/vrgmu.2021.006
3. Ferlay J, Colombet M, Soerjomataram I, Parkin DM, Piñeros M, Znaor A, et al. Cancer statistics for the year 2020: An overview. Int J Cancer. 2021 Apr 5. https://doi.org/10.1002/ijc.33588
4. Staaf J, Glodzik D, Bosch A, Vallon-Christersson J, Reuterswärd C, Häkkinen J, et al. Whole-genome sequencing of triple-negative breast cancers in a population-based clinical study. Nat Med. 2019;25(10):1526–1533. https://doi.org/10.1038/s41591-019-0582-4
5. Sabiani L, Barrou J, Mathis J, Eisinger F, Bannier M, Lambaudie E, et al. How to manage BRCA mutation carriers? Horm Mol Biol Clin Investig. 2020;41(3). https://doi.org/10.1515/hmbci-2019-0065
6. Desai NV, Tung NM. Medical Management of newly diagnosed breast cancer in a BRCA1/2 mutation carrier. Breast J. 2020;26(8):1506– 1512. https://doi.org/10.1111/tbj.13972
7. Shiyanbola OO, Arao RF, Miglioretti DL, Sprague BL, Hampton JM, Stout NK, et al. Emerging Trends in Family History of Breast Cancer and Associated Risk. Cancer Epidemiol. Biomarkers Prev. 2017;26(12):1753–1760. https://doi.org/10.1158/1055-9965.EPI-17-0531
8. Daly MB, Pal T, Berry MP, Buys SS, Dickson P, Domchek SM, et al. Genetic/Familial High-Risk Assessment: Breast, Ovarian, and Pancreatic, Version 2.2021, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc. Netw. 2021;19(1):77–102. https://doi.org/10.6004/jnccn.2021.0001
9. Łukasiewicz S, Czeczelewski M, Forma A, Baj J, Sitarz R, Stanisławek A. Breast Cancer-Epidemiology, Risk Factors, Classification, Prognostic Markers, and Current Treatment Strategies-An Updated Review. Cancers (Basel). 2021;13(17):4287. https://doi.org/10.3390/cancers13174287
Review
For citations:
Germanovich N.Y., Tinaeva R.Sh., Mishchenko I.M. Treatment for Familial Hereditary Breast Cancer. Fundamental and Clinical Medicine. 2026;11(1):111-119. (In Russ.) https://doi.org/10.23946/2500-0764-2026-11-1-111-119
JATS XML





























