Somatische BRCA1/BRCA2-pathogene Variante
Deterministische Ansicht der Quelle YAML Entität. Klinische Autorität bleibt mit den zitierten Quell-IDs und Rezensenten Sign-off Zustand.
| ID | BIO-BRCA-SOMATIC |
|---|---|
| Art | Biomarker |
| Aliase | Somatische BRCA1/BRCA2-Mutation (nur Tumor)sBRCA1sBRCA2Tumor BRCAСоматичний патогенний варіант BRCA1/BRCA2 |
| Status | reviewed 2026-04-29 | pending_clinical_signoff |
| Erkrankungen | DIS-BREAST DIS-OVARIAN DIS-PDAC DIS-PROSTATE |
| Quellen | SRC-CIVIC SRC-NCCN-OVARIAN-2025 SRC-NCCN-PANCREATIC-2025 SRC-NCCN-PROSTATE-2025 SRC-PROFOUND-DEBONO-2020 |
Biomarker-Fakten
| Biomarker-Typ | gene_mutation |
|---|---|
| Angaben zur Mutation | {"functional_impact": "loss of homologous recombination repair", "gene": "BRCA1, BRCA2", "inheritance": "somatic", "variant_type": "loss-of-function (frameshift, nonsense, splice, large deletions)"} |
| Messung | VerfahrenTumor-NGS (FFPE) — gepaarte Keimlinie NGS stark bevorzugt, somatische gegenüber Keimlinie zu unterscheiden; Tumor-nur Anrufe erfordern orthogonale Keimlinie Testung zur Bestätigung. Einheitencategorical: pathogenic | likely_pathogenic | VUS | benign | absent |
| Verwandte Biomarker | BIO-BRCA-GERMLINE BIO-BRCA1-BRCA2-GERMLINE BIO-PALB2-GERMLINE BIO-ATM-CHEK2-CDK12-GERMLINE |
Anmerkungen
Distinct entity from BIO-BRCA-GERMLINE: same HRR-deficient phenotype but absent the inherited-cancer-risk implication and (in some labels) reduced PARPi access. Confirmation of somatic vs germline status requires paired germline testing — tumor-only NGS reports a "BRCA" call that may in fact be germline in ~40% of cases (per ASCO/CAP germline-implications guidance).
Verwendet von
Biomarker
BIO-ATM-CHEK2-CDK12-GERMLINE- Germline ATM / CHEK2 / CDK12 pathogene Variante (HRR/DDR-Verbund)BIO-PALB2-GERMLINE- Germline PALB2-pathogene Variante
Kapitel des Handbuchs
HB-OVARIAN-MAINTENANCE-1L- fortgeschrittener Eierstockkrebs: HRD/BRCA First-Line-WartungshygienischeHB-PROSTATE-MCRPC-1L- Metastatischer kastrationsresistenter Prostatakrebs: Biomarker und Sequenzierungs-Reinigung
Handbuchfragen
HQ-OVARIAN-MAINTENANCE-1L-003- HQ-OVARIAN-MAINTENANCE-1L-003
Warnhinweis
RF-PAN-BRCA-SOMATIC-PARPI-CANDIDATE- Somatische (Tumor-nur) BRCA1 oder BRCA2 pathogene Variante auf Tumor NGS identifiziert — Pan-Tumor...