Browsing by Author "Grobbelaar, J. J."
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- ItemInherited colon cancers(Health & Medical Publishing Group, 2000) Goldberg, P. A.; Madden, M. V.; Harocopos, C.; Grobbelaar, J. J.; Kotze, M. J.; Marx, M. P.; De Jong, G.Grobbelaar et al.' and Ramesar et al.' (in this issue) have identified germline mutations in certain families with h"o different types of inherited colorectal cancers. This means that blood tests are now available in South Africa for clinical use in these particular families. Within the families these DNA-based tests can separate individuals with the mutation that causes cancer from those who do not have it. Those with a mutation may pass the family-specific mutation to their children.
- ItemLessons from the hepatoblastoma- familial polyposis connection(Health and Medical Publishing Group (HMPG), 2012-11) Moore, S. W.; Tshifularo, N.; Grobbelaar, J. J.Background. Approximately one-third of hepatoblastoma (HB) patients have associated congenital abnormalities, but familial recurrence is rare, except in association with familial adenomatous polyposis (FAP). This correlation may be missed if not actively sought, with implications for long-term outcome and management. Methods. We retrospectively investigated 3 families with an HB-familial polyposis connection, from a cohort of 113 FAP families (1989 - 2010). Data were analysed to assess clinical problem, treatment, complications and management. Long-term morbidity and functional outcome were analysed to identify management difficulties. Results. Three FAP families (2.65%) had an HB association. In one case, undiagnosed FAP at the time of HB diagnosis was only detected 5 years later, when the mother presented with advanced colorectal carcinoma. A chromosome 5 APC gene mutation (exon 15 codon 793 C→T) was then identified. In a second case, a nonrelated boy presented with a stage 4 multifocal HB with lung metastases. Genetic studies identified an APC gene mutation (exon 6 codon 232 C→T). Further family investigation showed >20 related FAP patients. A third HB-FAP association was identified in a known FAP family early in the study, prior to the availability of genetic testing. Conclusion. Although a rare association, a family history of FAP in HB patients is an important ‘hidden connection’. Germline variation may be outside the usual FAP gene site. Identifying families with unknown HB/FAP is important due to long-term management implications and follow-up.
- ItemThe use of DNA markers in the pre-clinical diagnosis of familial adenomatous polyposis in families in South Africa(Health & Medical Publishing Group, 1995) Grobbelaar, J. J.; Oosthuizen, C. J. J.; Madden, M. V.; Bailey, S. E.; Retief, A. E.; Kotze, M. J.Haplotype association studies were performed in 10 unrelated South African families and 1 German immigrant family with familial adenomatous polyposis (FAP). Three DNA probes, recognising five restriction fragment length polymorphisms (RFLPs) around the gene locus for FAP on chromosome 5q, were used. The RFLP analysis was informative or partially informative in all the families studied. Five haplotypes were found to segregate with the disease locus. The predominant association of two of these haplotypes with FAP in the South African families suggests that two mutations may cause the disease in about 70% of families in this population. Meiotic recombination events were detected between the FAP gene and probe M4 (D5S6), but not probes Pi227 (D5S37) and C11p11 (D5S71). Haplotype analysis allowed the preclinical diagnosis of FAP in 5 subjects.