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Pancreatic cancer predisposition syndromes and risk of pancreatic cancer

Pancreatic cancer predisposition syndromes and risk of pancreatic cancer
Group (mutated gene) Other characteristics Relative risk for pancreatic cancer Lifetime risk for pancreatic cancer by age 70 years (incidence)
No history   1 0.5%
HBOC (BRCA1) Predisposition to breast, ovarian, and prostate cancer 2 to 3 1.2%
HBOC (BRCA2) Predisposition to breast, ovarian, and prostate cancer; Jewish ancestry in some (refer for gene testing) 3.5 to 10 2 to 5%
Familial PC + 1 FDR affected Pancreatic ductal adenocarcinoma in an individual with 1 affected FDR (sibling, parent, or child) 4.6  
Familial PC + 2 FDRs affected (unknown) Pancreatic ductal adenocarcinoma in an individual with 2 affected FDRs 6.4  
Lynch II syndrome (mismatch repair genes MLH1, MSH2, MSH6) Predisposition to colorectal and endometrial cancer 8 to 10 3.7%
FAMMM (CKDN2A) Predisposition to melanoma, multiple nevi, and atypical moles (autosomal dominant) 13 to 36 10 to 19%
Familial PC + 3 FDRs affected (unknown) Pancreatic ductal adenocarcinoma in an individual with 3 affected FDRs 32  
Hereditary pancreatitis (PRSS1, SPINK1) Young-onset pancreatitis (autosomal dominant) 50 to 82 25 to 44%
Peutz-Jeghers syndrome (STK11)   75 to 125 11 to 66%
HBOC (PALB2)   15 7 to 8%
Ataxia telangiectasia (ATM)   8 to 9 4 to 5%
Li-Fraumeni (TP53)   7 3 to 4%
ATM: ataxia telangiectasia mutated; BRCA: breast cancer susceptibility gene; CDKN2A: cyclin-dependent kinase inhibitor 2A; familial PC: familial pancreatic cancer (pancreatic ductal adenocarcinoma) in the absence of a definable high-risk inherited mutation; FAMMM: familial atypical multiple mole melanoma syndrome; FDR: first-degree relative; HBOC: hereditary breast and ovarian cancer syndrome; MLH1: mutL homolog 1; MSH2: mutS homolog 2; MSH6: mutS homolog 6; PALB2: partner and localizer of BRCA2; STK11: serine/threonine kinase 11.
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