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Double heterozygous germline pathogenic variants in patients referred to a tertiary cancer genetics clinic in Singapore

Source: Frontiers - Health • Published: 25 Aug 2026, 00:00

Double heterozygous germline pathogenic variants in patients referred to a tertiary cancer genetics clinic in Singapore

Report on the prevalence and clinical features of double heterozygous germline pathogenic variants found through multigene panels in a tertiary cancer genetics clinic.

Key Takeaways
  • 21 of 2,802 tested individuals (0.75%) carried double heterozygous pathogenic variants
  • Among pathogenic carriers, DH variants represented 3.5% and 0.36% met a stricter two dominant-gene definition
  • DH carriers had a 26.3% rate of multiple primary cancers compared with 23.3% for single carriers
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