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Channel: Li-Fraumeni Syndrome Association

Whole-body MRI Patient Access Survey

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Dear LFS Patient and Provider Community,

The Li-Fraumeni Syndrome Association’s (LFSA) board of directors and its medical advisors have determined there is sufficient evidence to recommend that in addition to regular physical exams and other investigations, that all patients diagnosed with Li-Fraumeni syndrome (LFS) receive annual rapid whole-body MRI imaging (WBMRI).

The LFSA is in the process of assessing the extent to which WBMRI is recognized as standard of care for LFS surveillance, as LFS community members, providers, and medical advisors have reported diverse experiences with health insurance coverage and payment of WBMRI for LFS surveillance.

As a result of anecdotal findings regarding insurance coverage for WBMRI, the LFSA is conducting a survey with patients and providers in the United States to assess their experiences. The goal of the survey is to understand the extent of health plan coverage and payment for WBMRI as surveillance for LFS. The intention of the LFSA board is to use the data from the survey to understand the next steps on education and awareness with insurance carriers and providers regarding WBMRI as standard of care for LFS surveillance.

I encourage you all, patients and providers, to participate in this survey, and to share it with others in your networks, so that we may escalate conversations regarding critical surveillance needed and payment reimbursement by insurance carriers on behalf of the LFS patient community, at large.

Your partner in the eradication of LFS,
Robert Lufkin, DO
LFS Association Medical Advisor

 

Click Here for the WBMRI Patient Survey

 

Click Here for the WBMRI Provider Survey

 

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COVID-19 Vaccinations & Li-Fraumeni Syndrome

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Tuesday, August 24, 2021

COVID-19 Vaccinations & Li-Fraumeni Syndrome

The LFS Association and Drs. Joshua Schiffman and Kara Maxwell host a special webinar for families with Li‑Fraumeni syndrome to share insights on the COVID‑19 vaccines and concerns within the LFS community.

Guest Panelists Include:

  • Joshua Schiffman, MD
    Professor of Pediatrics, University of Utah and CEO of PEEL Therapeutics
  • Kara Maxwell, MD, PhD
    Assistant Professor of Medicine, UPenn
  • Wendy Kohlmann, MS, CGC
    Genetic Counselor, Huntsman Cancer Institute, University of Utah
  • Luke Maese, DO
    Assistant Professor of Pediatrics, University of Utah

Panelists address questions and concerns about the coronavirus vaccines and its impact within our community.

Some Questions Answered Include:

  • Have there been any reactions from the vaccine on those with LFS, or those who are mosaic?
  • Are there any studies or data that support it is safe for an LFS patient to get the vaccine?
  • Is there any preferred vaccine for any particular variants of LFS?
  • Are booster shots recommended for those with LFS, cancer patients undergoing treatment, cancer patients not undergoing treatment?
  • Do those with LFS, yet otherwise very healthy, need to be vaccinated?

 

Presentation Disclaimer:
All of the information and materials contained in this presentation, and all materials on the LFSAssociation.org website, are intended for general medical and health information and educational purposes only, and are not in any way intended to be used as a substitute for professional medical advice, treatment or care. Persons who view this presentation are encouraged to discuss any and all of this information with their own physicians. Persons who view this presentation and/or visit the LFSAssociation.org site should in no way rely on any information provided for their own health needs. All specific medical questions which arise as a result of viewing this presentation or any information on the LFSAssociation.org site should be presented to your own physician for review.

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LFS & Living My Best – A new resource for parents and kids, aged 8-13

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The LFS Association’s Genetic Counselor Advisory Group has produced yet another wonderful resource – a booklet explaining LFS that is geared towards 8 – 13 year old children. This booklet supports information about Li-Fraumeni syndrome (LFS) that you and the health care team have shared with your child.

Each child and each family is different. This booklet may have details that you or the health care providers have not shared with your child yet. Please review this booklet before passing it along to your child to see if the information is right for your child at this time. Your child might like reading this booklet with you, an older sibling, or another adult. That way your child can ask questions and have you explain things. Your genetic counselor, doctor, or other health care provider can help with questions you or this booklet are unable to answer.

We hope “LFS and Living My Best!” is helpful for you and your child.

The post LFS & Living My Best – A new resource for parents and kids, aged 8-13 appeared first on Li-Fraumeni Syndrome Association.

Li-Fraumeni Syndrome Association Lauds Advancements in Classifying Hereditary Cancer Risks

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HOLLISTON, MA — The Li-Fraumeni Syndrome Association (LFSA), dedicated to furthering research and worldwide awareness of the inherited cancer predisposition disorder, celebrates new findings published in the renowned JAMA Oncology journal with implications to better predict cancer risk. First presented at LFSA’s 5th International Symposium last year, the concept of analyzing tumor patterns and genetic testing criteria can accelerate future research toward the development of more tailored approaches for cancer surveillance.

Li-Fraumeni syndrome (LFS) is an inherited cancer predisposition disorder often associated with early onset cancers affecting families, with particularly unique risks for children and women:

  • • Females with LFS have approximately 90% risk of developing cancer in their lifetime due to their markedly increased risk of breast cancer
  • • Approximately 40% of children with LFS will develop at least one cancer by the age of 18
  • • Those with LFS have an approximately 50% chance of developing cancer by age 40, and up to a 90% by age 60
  • • Each child born to a parent with LFS has a 50% chance of inheriting the mutation

 

First recognized in 1969 by Dr. Frederick Li and Dr. Joseph Fraumeni through their study of childhood cancer and cancer-prone families, LFS was later found to be caused by inherited defects of the TP53 gene, which serves as a tumor suppressor and is among the most widely studied human genes. LFS research contributes strongly to cancer research as most cancers in the general population involve TP53 gene malfunctions.

“These new findings lead the way for LFS patients and providers to make more informed decisions about surveillance and treatment based on our personal risk factors, with potential to improve prognosis,” said Jenn Perry, LFSA co-founder and president.

The findings published in JAMA Oncology resulted from a collaboration of an international team of researchers supported by LFSA and initated by Professor Christian Peter Kratz, Hannover Medical School in Hannover, Germany.

“With the increasing use of TP53 sequencing over the last three decades, it became clear that the disease spectrum is broader than originally described. The new classification is an important step toward defining the factors that predict the unique cancer risk in individuals with LFS,” said Kratz.

Using the International Agency for Research on Cancer database, the research team analyzed data from 3,034 patients with a hereditary TP53 variant and identified differences between variants in patients with severe disease compared to those with milder courses.

“This new classification recognizes that LFS represents a spectrum of clinical presentations rather than a ‘one-size-fits-all’ syndrome. We anticipate that, armed with this knowledge, the LFS research community will be able to work toward refining predictions of individual cancer risk and tumor surveillance protocols will be modified to the unique genetic and clinical features of the patient,” said David Malkin, Hospital for Sick Children in Toronto, Canada, and senior author.

Malkin and Kratz were joined by senior author Professor Pierre Hainaut, from the Institute for Advanced Biosciences in Grenoble, France, and researchers from Brazil, England and the United States on the project. It was first discussed in October 2020 at the most recent LFSA sponsored international symposium, where providers, researchers, medical students and people with LFS from around the world have a unique opportunity to collaborate.

The paper honors the memory of Professor Thierry Frébourg, a major contributor to cancer genetic research and LFS Association France chapter chair, who passed away unexpectedly earlier this year.

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NCI maps out cancer patterns and incidence in LFS

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“Cancer incidence, patterns, and genotype–phenotype associations in individuals with pathogenic or likely pathogenic germline TP53 variants: an observational cohort study” (November 2021). Authored by a strong team of LFS experts that includes members of the LFSA’s Medical Advisory Board and Genetic Counseling Advisory Group is the most recent review of LFS published by The Lancet.   The paper is based on those enrolled at the National Cancer Institute’s (NCI) long-term Li-Fraumeni syndrome study based out of the Division of Cancer Epidemiology and Genetics, Clinical Genetics Branch.  The team analyzed cancer information compiled on 480 individuals, from 143 families, who have been followed by NCI between 2011 and 2020.   Similar to other recent research, the team concluded that there is potential for more individualized cancer screening and risk assessment for those with Li-Fraumeni syndrome.

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Inherited mutation linked to aggressive prostate cancer

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Dr. Kara N. Maxwell, assistant professor of medicine at the Perelman School of Medicine at the University of Pennsylvania, is the lead author of the study published December 2021 in the European Urology, “Inherited TP53 Variants and Risk of Prostate Cancer.”  The team of American researchers concluded that men who inherit mutations in a gene called TP53 have a high risk of developing aggressive prostate cancer.  Dr. Colin Pritchard, Department of Laboratory Medicine and Pathology, University of Washington, Seattle, stated, “Prostate cancer is a disease of older men… But now, with screening, many men with Li-Fraumeni syndrome are living into their 40s, 50s, 60s and 70s, when the risk of prostate cancer is higher.” K.N. Maxwell, H.H. Cheng, J. Powers et al., Inherited TP53 Variants and Risk of Prostate Cancer, Eur Urol (2021), https://doi.org/10.1016/j.eururo.2021.10.036

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Youths and Young Adults Needed!

NCI: Making Strides Toward Precision Medicine for Individuals with Li-Fraumeni Syndrome


New publication! Cancer surveillance for patients with LFS in Brazil

Hot off the press!!! Genotype–phenotype associations within the Li-Fraumeni spectrum: a report from the German Registry.

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In 2017, not only did Dr. Christian Kratz launch our international chapter, LFSA – Germany, but he also founded the German Cancer Predisposition Syndrome Registry based at Hannover Medical School, Hannover, Germany. The registry collects information on genotypes, personal medical details, family histories, and surveillance, as well as a range of biospecimens.  In today’s publication in the Journal of Hematology & Oncology, the team describes some interesting genotype-phenotype correlations across the Li-Fraumeni spectrum. Such data suggest that future, more detailed genotype–phenotype correlations may result in better cancer risk prediction and personalized cancer surveillance.  Read more here:  Genotype–phenotype associations within the Li-Fraumeni spectrum: a report from the German Registry.

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