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Empower gene table with cancer risk recommendations

Select the Empower gene panel of interest from the “Filter by Panel” dropdown menu, then hit Apply to view the included genes (listed in alphabetical order). Search for a particular gene of interest in the “Search by Gene” box. Hit the Reset button between new searches.

The information shown is based on the latest publication data available, and a PubMed identification (PMID) number is listed for each risk association. We will update this table regularly as new data becomes available.

For desktop viewing: hover your mouse over a colored dot to view how a gene mutation confers risk for each of 12+ hereditary cancer types within a pop-up box. To scroll for more information within a pop-up box, pause your mouse on the colored dot, then shift horizontally over to the pop-up box.

Gene Breast Ovarian Endometrial Colorectal Melanoma Pancreatic Gastric Prostate Renal Other Panels Resources
AIP   

Increased in mutation carriers who also have a diagnosis of acromegaly

     

Pituitary adenoma: Increased
PMID: 23371967, 22720333

Comprehensive (81 genes)PMID: 22720333, 23371967
ALK         

Neuroblastic tumor: Increased
PMID: 28674118, 20301782

Comprehensive (81 genes)PMID: 28674118, 20301782
APC   

Without removal of colon for FAP: up to 100%
Without removal of colon for AFAP: up to 70%
Rectal cancer risk after removal of colon for FAP: 10-30%

  

0.1-7.1%

  

Thyroid: <2%
Duodenal: 4-12%
PMID: 28185118, 26819281
Brain/CNS: Increased
PMID: 17238184, 18612695
Hepatoblastoma: 1-2%
PMID: 16317745, 18612695, NCCN CRC

Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Colorectal V.1.2023
PMID: 24213224, 28185118, 26819281
APC (p.I1307K)   

5-10%

      Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Colorectal V.1.2022
APC GAPPS   

Unknown (insufficient data)

  

12-25%

   Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Colorectal V.1.2023
ATM

Female: 20-30%*

*Carriers of the c.7271T>G variant have a higher risk for breast cancer, estimated to be as high as 69% by age 70

2-3%

 

Possibly increased

 

~5-10%

Possibly increased

Possibly increased

  GYN guidelines-based (19 genes)
Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Breast, Ovarian, and
Pancreatic V.2.2024
PMID 15928302, 26662178
AXIN2   

Unknown; not enough data to define
Increased risk for polyposis (many polyps)

      Multi-Cancer (40 genes)
Comprehensive (81 genes)
PMID: 21416598
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Colorectal V.1.2022
BAP1    

Cutaneous melanoma (skin): ~15%; uveal melanoma (eye): ~30%

   

9-10%

Malignant mesothelioma: 22%
PMID: 26096145

Multi-Cancer (40 genes)
Comprehensive (81 genes)
PMID: 26096145, 28793149, 27748099
BARD1

Female: 17-30%

         Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Breast, Ovarian, and
Pancreatic V.2.2024
BMPR1A   

40-50%

  

Up to 21% if multiple polyps present

  

Small bowel: Rare, currently undefined
PMID: 9429144

Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Colorectal V.1.2022
BRCA1

Female: >60%
Male: 0.2- 1.2%

39-58%

Possibly slightly increased (limited data)

  

 

7-26%

  BRCA1 and BRCA2 (2 genes)
GYN guidelines-based (19 genes)
Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Breast, Ovarian and
Pancreatic V.1.2023
PMID 20301425
BRCA2

Female: >60%
Male: 1.8- 7.1%

13-29%

  

Increased

5-10%

 

19-61%

  BRCA1 and BRCA2 (2 genes)
GYN guidelines-based (19 genes)
Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Breast, Ovarian and
Pancreatic V.1.2023
PMID 20301425
BRIP1

Female: Possibly increased (not enough data to define risk)

5-15%

        GYN guidelines-based (19 genes)
Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Breast, Ovarian and
Pancreatic V.1.2023
CDC73  

Non-cancerous/cancerous uterine tumors combined: > 50%

     

Renal tumors: ~13-15%

Hyperparathyroidism: up to 87%
PMID: 25959515
Parathyroid cancer: ~15-23%
PMID: 25959515, 31929790
Jaw tumors: ~30%
PMID 31929790

Comprehensive (81 genes)PMID: 31929790, 26450137
CDH1

Female: 39-52%
Male: Unknown

  

Female: Possibly increased
Male: Possibly increased

  

Female: 83%
Male: 67%

   GYN guidelines-based (19 genes)
Multi-Cancer (40 genes)
Comprehensive (81 genes)
PMID 25979631
Referenced with permission from the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Breast, Ovarian and Pancreatic V.1.2021

CDK4    

Increased

     Multi-Cancer (40 genes)
Comprehensive (81 genes)
PMID: 26892650
CDKN1B         

Hyperparathyroidism & parathyroid tumors: ~80%
Pituitary adenoma: ~37%
Neuroendocrine tumor ~37%
PMID: 28824003

Comprehensive (81 genes)PMID: 28824003, 30990521
CDKN1C        

Wilms tumor: 1.4%

Hepatoblastoma: Increased
Adrenal cortical carcinoma: Increased
Neuroblastoma: Increased
Rhabdomyosarcoma: Increased
PMID: 12138139

Comprehensive (81 genes)PMID: 20301568, 16010495, 29377879
CDKN2A (p16INK4a)    

28-76%

>15%

    Multi-Cancer (40 genes)
Comprehensive (81 genes)
PMID: 16234564, 12072543, 26892650, 24935963, NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Breast, Ovarian and
Pancreatic V.1.2023
CEBPA         

Acute myeloid leukemia: Significantly increased
PMID: 26162409

Comprehensive (81 genes)PMID: 26162409, 20963938
CHEK2

Female: 20-40%

  

5-10%

   

Possibly increased

  GYN guidelines-based (19 genes)
Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Breast, Ovarian and
Pancreatic V.2.2024
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Colorectal V.1.2023
CHEK2 (p.I157T)

Female: <20%

  

5-10%

   

Possibly increased

  GYN guidelines-based (19 genes)
Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Breast, Ovarian and
Pancreatic V.2.2024
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Colorectal V.1.2023
PMID: 22799331
CYLD         

Cylindroma, spiradenoma, or trichoepithelioma: Significantly increased
PMID: 34744449
Salivary gland cancer: Increased
Non-melanoma skin cancer: Increased
PMID: 34744449, 32298062

Comprehensive (81 genes)PMID: 34744449, 32298062
DDX41         

Myeloid and lymphoid blood cancers: Increased
PMID: 34723452, 34349893

Comprehensive (81 genes)PMID: 34723452, 34349893
DICER1 

Sex cord stromal tumors: Increased; onset in childhood

      

Benign kidney tumors: Increased; onset in childhood

Thyroid: Increased; onset in adulthood PMID: 29343557, 24761742
Pleuropulmonary blastoma: Increased; onset in childhood
PMID: 29343557, 24761742

Comprehensive (81 genes)PMID: 24761742, 29343557
EGFR (T790M)         

Lung: Increased, up to 31%
PMID: 24736066

Comprehensive (81 genes)PMID: 24736066, 34164592
EPCAM 

8-38%

21-57%

33-52%

  

0.2-9%

3.9- 23.8%

2.2- 28%

Biliary tract: 0.02%-1.7%
PMID 21642682, 28754778
Brain/CNS: 2.5-7.7%
PMID 28754778, 31337882, 18398828
Urothelial: 2.2-28%
PMID 23091106, 21642682, 26657901, 31337882, 26385421, 18398828
Bladder: 4.4-12.8%
PMID 21642682, 26657901, 31337882, 26385421
Small bowel: 1.1-10%
PMID 21642682, 28754778, 31337882, 18398828

Lynch syndrome (5 genes)
GYN guidelines-based (19 genes)
Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Colorectal V.1.2022
PMID: 20825397, 32534647
EXT1         

Osteochondromas: ~96%
Chondrosarcoma: 2-5%
PMID: 20301413, 8027127, 22258776, 25582066

Comprehensive (81 genes)PMID: 20301413, 8027127, 22258776, 25582066
EXT2         

Osteochondromas: ~96%
Chondrosarcoma: 2-5%
PMID: 20301413, 8027127, 22258776, 25582066

Comprehensive (81 genes)PMID: 20301413, 8027127, 22258776, 25582066
FH        

10-19% (most commonly papillary RCC)

Paraganglioma and pheochromocytoma: increased in association with particular variants
PMID: 12772087, 28300276

Comprehensive (81 genes)PMID: 12772087, 28300276, 25012257, 20301430
FLCN   

Possibly increased

Possibly increased

   

19-41% (includes multiple tumor types: chromophobe, clear cell, hybrid oncocytic,
and papillary renal cancer)

 Comprehensive (81 genes)PMID: 20301695, 11927500, 22146830, 30586397, 30845233, 18234728, 26334087, 20522427, 20392993, 20413710, 19959076
GATA2         

Myelodysplastic syndrome/acute myeloid leukemia: Increased | PMID: 22691122

Comprehensive (81 genes)PMID: 22691122, 25397911
GREM1   

11-20%
Increased risk for mixed polyposis
(many polyps of different types)

      Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Colorectal V.1.2022
PMID: 22561515
HOXB13 (G84E)       

33-60%

  Multi-Cancer (40 genes)
Comprehensive (81 genes)
PMID: 26517352, 22841674, 25595936, 23457453, 29236593
KIT         

Gastrointestinal stromal tumor (GIST): Increased
PMID: 27437068

Comprehensive (81 genes)PMID: 27437068
LZTR1 biallelic         

Peripheral nerve schwannoma; spinal schwannoma; unilateral vestibular schwannoma: Increased
PMID 29517885

Comprehensive (81 genes)PMID: 29517885, 28620004, 27921248
LZTR1 monoallelic         

Peripheral nerve schwannoma; spinal schwannoma; unilateral vestibular schwannoma: Increased
PMID 29517885

Comprehensive (81 genes)PMID: 29517885, 28620004, 27921248
MAX         

Pheochromocytoma: Increased
Paraganglioma: Possibly increased
PMID: 28384794

Comprehensive (81 genes)PMID: 28384794, 22452945, 20301715, 30536464
MEN1     

Gastrinoma: 20-61%
Funtioning pancreatic neuroendocrine tumor: 20-80%

Gastric carcinoid tumors: 7-35%

  

Parathyroid tumors: 98%
PMID: 22723327, 11739416
Pituitary adenomas: 35%
PMID: 22723327, 11739416
Thymic carcinoid tumors: 10%
PMID: 22723327, 11739416
Lung neuroendocrine carcinoid tumor: 10%
PMID: 22723327, 11739416

Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Neuroendocrine and Adrenal Tumors V.2.2020
PMID: 20301710, 11739416, 22723327
MET        

Papillary RCC: Up to 100%; increased risk of bilateral/multifocal disease

 Comprehensive (81 genes)PMID: 15371818, 15285561, 30372385, 26637977, 33085428, 31801140, 33724750, 10433944
MITF (E318K)    

Increased

   

Possibly increased

 Multi-Cancer (40 genes)
Comprehensive (81 genes)
PMID: 22012259, 26488006, 22080950, 26892650, 26650189
MLH1 

4-20%

34-54%

46-61%

 

6.20%

5-7%

4.4- 13.8%

 

Biliary tract: 1.9-3.7%
PMID: 21642682, 28754778
Brain/CNS: 0.7-1.7%
PMID: 27013479, 18398828
Renal pelvis and/or ureter: 0.2-5%
PMID: 21642682, 28754778, 27013479, 26385421, 23091106
Bladder: 2-7%
PMID: 28754778, 27013479, 26385421, 23091106
Small bowel: 0.4-11%
PMID: 21642682, 23413378, 23091106

Lynch syndrome (5 genes)
GYN guidelines-based (19 genes)
Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Colorectal V.1.2022
PMID: 20825397, 32534647
MSH2 

8-38%

21-57%

33-52%

  

0.2-9%

3.9- 23.8%

2.2- 28%

Biliary tract: 0.02%-1.7%
PMID: 21642682, 28754778
Brain/CNS: 2.5-7.7%
PMID: 28754778, 31337882, 18398828
Urothelial: 2.2-28%
PMID: 21642682, 28754778, 31337882, 23091106, 26385421, 18398828
Bladder: 4.4-12.8%
PMID: 28754778, 31337882, 23091106, 26385421
Small bowel: 1.1-10%
PMID: 21642682, 28754778, 23091106, 18398828

Lynch syndrome (5 genes)
GYN guidelines-based (19 genes)
Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Colorectal V.1.2022
PMID: 20825397, 32534647
MSH3 biallelic   

Uncertain cancer risk
Increased risk for polyposis (many polyps)

      Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Colorectal V.1.2022
PMID: 35675019
MSH6 

Up to 13%

16-49%

10-44%

  

Up to 7.9%

 

Up to 5.5%

Biliary tract: 0.2-PMID: 21642682, 28754778
Brain/CNS: 0.8-1.8%
PMID: 20028993, 27013479, 28466842
Urothelial: 0.7-5.5%
PMID: 21642682, 28754778, 27013479, 23091106, 26385421
Bladder: 1-8.2%
PMID: 28754778, 27013479, 23091106, 26385421
Small bowel: PMID: 21642682, 23091106

Lynch syndrome (5 genes)
GYN guidelines-based (19 genes)
Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Colorectal V.1.2022
PMID: 20825397, 32534647
MUTYH biallelic   

70-90%

     

Duodenal: 4%
PMID: 21171015, NCCN CRC

Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Colorectal V.1.2023
NBN         

Increased risk Lymphoma and solid tumors PMD: 22373003

GYN guidelines-based (19 genes)
Multi-Cancer (40 genes)
Comprehensive (81 genes)
PMID: 20301355, 22373003
NF1

Female: 20-40% (until age 50)

        

Peripheral nerve sheath tumors: Increased
PMID: 19937438, 26926675, 16786042

GYN guidelines-based (19 genes)
Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Breast, Ovarian, and
Pancreatic V.1.2023
PMID: 31010905, 2746095, 20301288
NF2         

Vestibular schwannomas: Up to 100%, usually in both ears
Spinal tumors : 66%
Meningiomas: Up to 80%
Astrocytoma: Possibly increased
PMID: 20301380

Comprehensive (81 genes)PMID: 20301380, 34464224, 15945431, 21278391, 16147576
NTHL1 biallelic

Female: 6-56% by age 60

 

6-56% by age 60

>20%
Increased risk for polyposis
(many polyps)

      Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Colorectal V.1.2023
PALB2

Female: 41-60%
Male: 0.9%

3-5%

   

2-5%

    GYN guidelines-based (19 genes)
Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Breast, Ovarian, and
Pancreatic V.2.2024
PDGFRA         

Gastrointestinal stromal tumor (GIST): PMID: Possibly increased | 27437068

Comprehensive (81 genes)PMID: 27437068
PHOX2B         

Neuroblastoma: Up to 50%
Ganglioneuroblastoma: <5%
Ganglioneuroma: <5%
PMID: 20301600

Comprehensive (81 genes)PMID: 20301600, 28607627, 15338462
PMS2 

1.3-3%

13-26%

8.7-20%

  

Unknown

 

Up to 3.7%

Biliary tract: 0.2- PMID: 28754778
Brain/CNS: 0.6-PMID: 30161022
Urothelial: PMID: 31337882

Lynch syndrome (5 genes)
GYN guidelines-based (19 genes)
Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Colorectal V.1.2022
PMID: 20825397, 32534647
POLD1   

>20% cancer risk
Increased risk for polyposis (many polyps)

      Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Colorectal V.1.2022
POLE   

>20% cancer risk
Increased risk for polyposis (many polyps)

      Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Colorectal V.1.2022
POT1    

Cutaneous melanoma: Increased

    

Chronic lymphocytic leukemia: Increased
Angiosarcomas (cardiac and breast): Increased
Glioma: Possibly increased
PMID: 33119245

Comprehensive (81 genes)PMID: 33119245, 28853721, 27528712
PRKAR1A         

Myxoma: up to 40%
Primary pigmented nodular adrenocortical disease: 25%
Large-cell calcifying Sertoli cell tumors: up to 41%
Skin lesions: 30-80%
Ovarian tumors: possibly increased
PMID: 26130139, 25905341, 20301463

Comprehensive (81 genes)
PMID: 29372846, 28620449, 26130139, 30259502, 20301463, 15274075, 9351565, 32965923, 32809376, 25905341, 11095480
PTCH1         

Basal cell carcinoma: up to 90%
Medulloblastoma: 2%
Cardiac fibroma: 2%
Ovarian fibroma: 20%
Jaw keratocysts: 90%
PMID: 20301330

Comprehensive (81 genes)PMID: 20301330, 27386043, 30725766, 32698852, 31778444, 28620006, 27386043, 8042673, 25403219
PTEN

Female: 40->60%

 

28%

11-20%

6%

   

34%

Thyroid: 21-38%
PMID: 17768394, 18972196, 22252256, 20565722

GYN guidelines-based (19 genes)
Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Colorectal V.1.2023
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Breast, Ovarian and
Pancreatic V.2.2024
RAD51C

Female: 17-30%

10-15%

        GYN guidelines-based (19 genes)
Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Breast, Ovarian, and Breast, Ovarian, and
Pancreatic V.2.2024
RAD51D

Female: 17-30%

10-20%

        GYN guidelines-based (19 genes)
Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Breast, Ovarian, and
Pancreatic V.2.2024
RB1         

Retinoblastoma: up to 90% (often bilateral)
PMID: 29056300
Pinealoma (tumor in the pineal gland in the brain): Increased
PMID 20301625
Osteosarcoma, Soft tissue sarcoma, Melanoma: Increased, especially if retinoblastoma was treated with radiation therapy
PMID 20301625
Epithelial cancers (including lung and bladder): Increased
PMID 20237571, 14996857

Comprehensive (81 genes)PMID: 29056300, 20301625, 20237571, 14996857, 33801943
RET         

Subtype:
[MEN2A]
Medullary thyroid cancer: 95%
Pheochromocytoma: 50%
Parathyroid disease: 20-30%
[FMTC]
Medullary thyroid cancer: 100%
[MEN2B]
Medullary thyroid cancer: 100%
Pheochromocytoma: 50%
Parathyroid disease: rare
PMID: 31390501

Comprehensive (81 genes)PMID: 20301434, 31390501, 25810047
RHBDF2         

Esophageal: Up to 95% (based on a small number of known affected families)
PMID: 18559331

Comprehensive (81 genes)PMID: 18559331, 26419362, 28723042
RUNX1         

Myelodysplastic syndrome/acute myeloid leukemia: 20-50%
PMID: 33661592

Comprehensive (81 genes)PMID: 33661592, 18723428, 19357396
SDHA        

Increased

Gastrointestinal stromal tumor (GIST): Increased
Thyroid: Increased
Paraganglioma/Pheochromocytoma: Increased
PMID: 20301715

Comprehensive (81 genes)PMID: 20301715
SDHAF2         

Gastrointestinal stromal tumor (GIST): Possibly increased
Paraganglioma: Increased; Pheochromocytoma: Possibly increased
PMID: 31390501, 21224366

Comprehensive (81 genes)PMID: 20301715, 31390501, 33081307, 21224366, 30536464
SDHB        

Increased

Gastrointestinal stromal tumor (GIST): Increased
Thyroid: Increased
Paraganglioma/Pheochromocytoma: Increased
PMID: 20301715

Comprehensive (81 genes)PMID: 20301715
SDHC        

Increased

Gastrointestinal stromal tumor (GIST): Increased
Thyroid: Increased
Paraganglioma/Pheochromocytoma: Increased
PMID: 20301715

Comprehensive (81 genes)PMID: 20301715
SDHD        

Increased

Gastrointestinal stromal tumor (GIST): Increased
PMID: 20301715
Thyroid: Increased
Paraganglioma/Pheochromocytoma: Increased
PMID: 20301715

Comprehensive (81 genes)PMID: 20301715
SMAD4   

Up to 50%

  

Up to 21%

  

Small bowel: Rare, currently undefined
PMID: 25645574

Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Colorectal V.1.2022
PMID: 19553198
SMARCA4 

Small cell carcinoma
of hypercalcemic type: Possibly increased

       

Rhabdoid tumors: Possibly increased (preliminary evidence)
PMID: 25886974, 27866340, 20137775, 25060813

Comprehensive (81 genes)PMID: 25886974, 29215836
SMARCB1         

[Rhabdoid tumor predisposition syndrome]: Rhabdoid tumor of the kidney, central nervous system, and/or other organs: Increased; Schwannoma: Possibly increased
PMID: 29215836, 33692948, 28620006
[Schwannomatosis]: Schwannoma: Increased; Meningioma: Mildly increased; Malignant schwannoma: Possibly increased
PMID: 29215836, 33692948, 28620006

Comprehensive (81 genes)PMID: 29215836, 29517885, 33692948, 28620006
SMARCE1         

Meningioma: Increased
PMID: 29215836, 26803492, 27891692, 27264197

Comprehensive (81 genes)PMID: 26803492, 27891692, 27264197
STK11

Female: 32-54%

Sex cord tumors with annular tubules or SCTAT: At least 20%

9%

39%

 

11-36%

29%

  

Small bowel: 13%
PMID: 16707622, 11113065
Lung: 7-17%
PMID: 16707622, 11113065
Testicular tumors: 9%
PMID: 16707622
Cervical adenoma malignum: 10%
PMID: 16707622

GYN guidelines-based (19 genes)
Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Breast, Ovarian and
Pancreatic V.1.2023
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Colorectal V.1.2022
SUFU         

Basal cell carcinoma: Up to 90%
Medulloblastoma: Up to 33%
Cardiac fibroma: 2%
Ovarian fibroma: Increased
PMID: 20301330

Comprehensive (81 genes)PMID: 20301330, 28620006, 21834049, 33024317, 28965847
TERC         

Acute myeloid leukemia: Increased; squamous cell carcinoma of head and neck: Increased; anal and genital cancer: Increased
PMID: 20301779

Comprehensive (81 genes)PMID: 20301779, 33808277
TERT biallelic         

Acute myeloid leukemia; squamous cell carcinoma of head and neck; anal cancer; genital cancer: Increased
PMID: 20301779

Comprehensive (81 genes)PMID: 20301779, 19282459, 33808277
TERT monoallelic         

Acute myeloid leukemia; squamous cell carcinoma of head and neck; anal cancer; genital cancer: Increased
PMID: 20301779

Comprehensive (81 genes)PMID: 20301779, 19282459, 33808277
TMEM127        

Possibly Increased

Gastrointestinal stromal tumor (GIST): Possibly increased
PMID: 24334765, 31390501, 21613359
Pheochromocytoma/Paraganglioma: Increased
PMID: 31390501, 21613359

Comprehensive (81 genes)PMID: 24334765, 20301715, 31390501, 21613359
TP53

Female: >60%

  

>20%

 

5%

   

Sarcoma: Increased
PMID 27496084, 1933872, 20301488
Brain/CNS: Increased
PMID 27496084, 1933872, 20301488
Adrenocortical carcinoma: increased
PMID 27496084, 1933872, 20301488
Leukemia: Risk not well established
PMID 27496084, 23334668, 24706533,20301488

GYN guidelines-based (19 genes)
Multi-Cancer (40 genes)
Comprehensive (81 genes)
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Breast, Ovarian and
Pancreatic V.2.2024
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Genetic/Familial High Risk Assessment: Colorectal V.1.2023
PMID: 20301488, 34709361, 31533767
TSC1        

Kidney cancer: 2-5%
Kidney tumors: Increased

Brain/CNS: Increased
PMID: 20301399
Lung (lymphangioleiomyomatosis): Increased in females
PMID: 20301399
Cardiac rhabdomyomas: Increased
PMID: 20301399

Comprehensive (81 genes)PMID: 20301399
TSC2        

Kidney cancer: 2-5%
Kidney tumors: Increased

Brain/CNS: Increased
PMID: 20301399
Lung (lymphangioleiomyomatosis): Increased in females
PMID: 20301399
Cardiac rhabdomyomas: Increased
PMID: 20301399

Comprehensive (81 genes)PMID: 20301399
VHL     

Pancreatic Neuroendocrine tumor: ~5-17%

  

~70% by age 60

CNS Hemangioblastoma: 60-80%
PMID: 20301636
Pheochromocytoma: 10-20%
PMID: 20301636
Endolymphatic sac tumor: 10-16%
PMID: 20301636

Multi-Cancer (40 genes)
Comprehensive (81 genes)
PMID: 20301636
WT1        

Wilms tumor: Increased

Gonadoblastoma: Increased
PMID: 32352694, 34134020

Comprehensive (81 genes)PMID: 32352694, 34134020
          
          
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