Hereditary Cancer Syndromes > GALNT12, RPS20
NCCN Guidelines
RECOMMEND TESTING FOR ANY PROSTATE CANCER PATIENTS WITH AT LEAST ONE OF THE FOLLOWING:
-
Intraductal histology (tends to be associated with more aggressive disease)
-
Ashkenazi Jewish ancestry
-
3 or more cancers on the same side of the family (HBOC or Lynch Syndrome type cancers including bile duct, breast, colorectal, endometrial, gastric, kidney, melanoma, ovarian, pancreatic, prostate (but not clinically localized Grade Group 1), small bowel, and/or urothelial cancer)
-
Family history of young (<60) or fatal prostate cancer regardless of pathology or grade
-
T3 or T4 disease
-
Regional or metastatic disease
-
Grade group 4 or 5*
-
PSA > 20ng/ml
GENETIC TESTING SHOULD INCLUDE THE FOLLOWING GENES (Consider NGS Panel Testing):
ATM, BRCA1, BRCA2, CHEK2, HOXB13**, MLH1, MSH2, MSH6, PALB2, and PMS2
CANCER TYPE
AGE RANGE
CANCER RISK
RISK FOR GENERAL POPULATION
Prostate
To age 80
22%-52%
10.5%
CANCER TYPE
PROCEDURE
AGE TO BEGIN
FREQUENCY
Prostate
Consider prostate cancer screening
40 years, or 10 years younger than the earliest prostate cancer diagnosis in the family
Annually, or adjusted based on results from first PSA screen