Pre-Malignant Conditions: Difference between revisions

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===BRCA1/BRCA2 Mutation===
===BRCA1/BRCA2 Mutation===


Not Acceptable at recruitment
RECRUITMENT - Not Acceptable  


Acceptable at VT if undergoing recommended screening. Inform TC at VT
VT - Acceptable if undergoing recommended screening. Inform TC at VT


All women should have a breast examination at medical
All women should have a breast examination at medical
===Cervical Intraepithelial Neoplasia (CIN)===
RECRUITMENT AND VT - Acceptable at recruitment and VT if spontaneous resolution, or removed surgically or with cryo/laser therapy, with histologically confirmed Cervical Intra-epithelial Neoplasia (CIN) 1,2 or 3, and donor back on routine national screening programme.


===Familial Adenomatous Polyposis===
===Familial Adenomatous Polyposis===


Not Acceptable at recruitment
RECRUITMENT - Not Acceptable  
 
VT - If undergoing regular screening programme and no features of malignant change may be acceptable. Discuss with MO and TC
 
===PALB2===
Associated with a high risk of breast cancer and a moderately increased risk of ovarian, pancreatic and possibly other cancers)
 
Recruitment - Unacceptable
 
VT - Acceptable: 
 
* If compliant with advised regular screening programme (e.g. for women very high risk breast cancer schedule) and no features/symptoms of malignant change – inform/consult MO 
*
* All women should have a breast examination at medical
*
* Inform TC if under a screening/surveillance programme
 
===Uterine Hyperplasia===
 
RECRUITMENT - Unacceptable


If undergoing regular screening programme and no features of malignant change discuss with TC at VT
VT/WORKUP - Unacceptable if there are abnormal cells (aplasia) and the donor remains on monitoring. Consider if discharged from regular follow up on a case-by-case basis.


==Version==
==Version==

Latest revision as of 14:19, 2 June 2026

Acceptability at Recruitment

NOT ACCEPTABLE

Acceptability at CT / Work-Up

QUALIFIED, See below

Individual at Risk

Recipient

Explanation of Condition

Inherited conditions predisposing to risk of developing or transforming to malignancy

Guidance

Dependent on diagnosis, see below

BRCA1/BRCA2 Mutation

RECRUITMENT - Not Acceptable

VT - Acceptable if undergoing recommended screening. Inform TC at VT

All women should have a breast examination at medical

Cervical Intraepithelial Neoplasia (CIN)

RECRUITMENT AND VT - Acceptable at recruitment and VT if spontaneous resolution, or removed surgically or with cryo/laser therapy, with histologically confirmed Cervical Intra-epithelial Neoplasia (CIN) 1,2 or 3, and donor back on routine national screening programme.

Familial Adenomatous Polyposis

RECRUITMENT - Not Acceptable

VT - If undergoing regular screening programme and no features of malignant change may be acceptable. Discuss with MO and TC

PALB2

Associated with a high risk of breast cancer and a moderately increased risk of ovarian, pancreatic and possibly other cancers)

Recruitment - Unacceptable

VT - Acceptable:

  • If compliant with advised regular screening programme (e.g. for women very high risk breast cancer schedule) and no features/symptoms of malignant change – inform/consult MO
  • All women should have a breast examination at medical
  • Inform TC if under a screening/surveillance programme

Uterine Hyperplasia

RECRUITMENT - Unacceptable

VT/WORKUP - Unacceptable if there are abnormal cells (aplasia) and the donor remains on monitoring. Consider if discharged from regular follow up on a case-by-case basis.

Version

Version 1, Edition 1

Date of Last Update

1 June 2016