Fanconi Anaemia FAmily Support

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            FA and Cancer


            (Information used with the kind permission of FARF - www.fanconi.org)
            Relationship to Cancer

            People with Fanconi Anaemia often develop leukaemia and other Cancers. In fact, Fanconi Anaemia patients have a much greater risk of developing acute myeloid leukaemia (AML) than people without Fanconi Anaemia.

            Leukaemia
            Leukaemia is a malignancy of the blood system in which the bone marrow produces vast quantities of immature white cells called "blasts." The blasts can proliferate rapidly and suppress the development of healthy blood cells needed for effective functioning of the patient's body. If untreated, leukaemia results in uncontrollable infections and bleeding, and death. The type of leukaemia that FA patients are likely to develop, AML, is a particularly aggressive type, usually found in older people. AML is difficult to treat successfully, especially in FA patients, who are very sensitive to the toxic drugs used to suppress the leukaemia.

            Other Cancers
            Fanconi Anaemia patients have an extremely high risk of developing squamous cell cancers in areas of the body in which cells normally reproduce rapidly, such as the oral cavity, aesophagus, the gastrointestinal tract, the anus and vulva. FA patients may develop these Cancers at a much earlier age than people without Fanconi Anaemia. Patients who have had a successful bone marrow transplant and, thus, are cured of the blood problems associated with FA, still must have regular examinations to watch for signs of Cancer.

            Why is Fanconi Anaemia relevant to the general population?

            The DNA repair mechanism known as the Fanconi pathway is relevant to everybody. It provides a new future target for drugs used in the treatment of Cancers in general. Finding out how to block / manage / control the Fanconi pathway will likely make chemotherapy treatments more effective.  BRCA2 (one of the "breast cancer genes") forms part of the Fanconi pathway; a child is affected by the FANC-D1 genetic subgroup when both parents are heterozygotes (carriers) for BRCA2 with an increased risk of breast cancer to the mother.

            Information provided on this page about medications, treatments or products should not be construed as medical instruction or scientific endorsement. Always consult your Specialist / Medical Professional before taking any action based on this information.
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