Germline Multigene Panel Testing in Women With Invasive Lobular Cancer - Scorecard - MDSpire

Germline Multigene Panel Testing in Women With Invasive Lobular Cancer

  • By

  • Giovanni Corso

  • Elena Marino

  • Francesca Fava

  • Fabrizio Natali

  • Paolo Peterlongo

  • Matteo Dal Molin

  • Irene Feroce

  • Cristina Zanzottera

  • Giulia Massari

  • Susanna Di Silvestre

  • Micol Moscatiello

  • Andrea Franceschini

  • Vincenzo Bagnardi

  • Giuseppe Curigliano

  • Bernardo Bonanni

  • Paolo Veronesi

  • Francesco Bertolini

  • July 8, 2026

  • 0 min

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Clinical Scorecard: Genetic Multigene Panel Analysis in Women Diagnosed with Invasive Lobular Carcinoma

At a Glance

CategoryDetail
ConditionInvasive Lobular Carcinoma
Key MechanismsGermline pathogenic variants in genes such as CDH1 and BRCA2 are associated with increased risk.
Target PopulationWomen diagnosed with primary invasive lobular carcinoma.
Care SettingEuropean Institute of Oncology

Key Highlights

  • ILC accounts for 10% to 15% of all breast cancer cases.
  • Established risk factors include hormone replacement therapy and family history of breast cancer.
  • Germline PVs in CDH1 and BRCA2 confer high risk for ILC.
  • The study evaluates outcomes of germline PVs in a large cohort of ILC patients.
  • Polygenic risk scores may serve as prognostic markers in ILC.

Guideline-Based Recommendations

Diagnosis

  • Confirm diagnosis of primary ILC through histopathologic evaluation.

Management

  • Consider genetic counseling and multigene panel testing for women diagnosed with ILC.

Monitoring & Follow-up

  • Systematic recording of clinical, histopathologic, personal, and family history data.

Risks

  • Monitor for the presence of germline pathogenic variants associated with breast cancer risk.

Patient & Prescribing Data

Women diagnosed with invasive lobular carcinoma, particularly those diagnosed before age 40.

Emerging targeted treatments may be relevant for patients with BRCA-mutated tumors.

Clinical Best Practices

  • Utilize genetic testing to inform tailored surveillance strategies.
  • Implement psychological counseling for patients undergoing genetic testing.

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