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No HPO annotations are available for this condition.
Age of onset: at birth.
Li-Fraumeni syndrome (LFS) is associated with a high risk for a broad spectrum of cancers. The five core LFS-related cancers are adrenocortical carcinomas (ACC), breast cancer, central nervous system (CNS) tumors, osteosarcomas, and soft-tissue sarcomas . The risk of any type of cancer by age 50 years in an international study of 4,028 individuals with LFS was 92.4% in women and 59.7% in men . In one study, the most frequent first cancer was breast cancer for women and CNS and soft-tissue sarcoma for men . The most frequent cancers by age group include the following :
Consensus clinical diagnostic criteria for Li-Fraumeni syndrome (LFS) have been published .
LFS should be suspected in probands who meet modified Chompret criteria or have any additional suggestive findings. Modified Chompret criteria
Source: GeneReviews — "Li-Fraumeni Syndrome"
No approved treatments are currently available for bone marrow failure syndrome. The disease remains an area of unmet medical need.
Gene therapy approaches for bone marrow failure syndrome have been reported in the published literature.
Clinical practice guidelines for Li-Fraumeni syndrome (LFS) have been published .
To establish the extent of disease and needs in an individual diagnosed with LFS, the evaluations summarized (if not performed as part of the evaluation that led to the diagnosis) are recommended.
Surveillance guidelines for adults and children with LFS have been developed and modified from the Toronto protocol . Other published guidelines (e.g., American Association for Cancer Research and National Institute for Health and Care Excellence guidelines) may differ slightly from the recommendations in due to the lack of definitive data on the efficacy of these strategies. Table 4. Li-Fraumeni Syndrome: Recommended Surveillance
34 clinical trials registered, 23 recruiting. Interventions under study include drug therapy, other interventions, biologic therapy, and medical devices. Pipeline includes 9 PHASE2, 9 PHASE1, 3 EARLY_PHASE1. Research is sponsored by a mix of industry and academic institutions.
NCT ID | Title | Phase | Sponsor | Status |
|---|---|---|---|---|
[NCT02720679](https://clinicaltrials.gov/study/NCT02720679) |
Data assembled from 4 of 12 sources · Last updated Nov 3, 2026, 8:11 PM UTC
Source: GeneReviews — "Li-Fraumeni Syndrome"
Table 2. Other Genes of Interest in the Differential Diagnosis of Li-Fraumeni Syndrome
Gene(s) | Disorder | MOI | Core Cancer(s) | Typical Age at Cancer Onset | Comments |
|---|---|---|---|---|---|
BRCA1- BRCA2-assoc hereditary breast ovarian cancer | AD | Breast, ovary, pancreas, prostate, melanoma | Adulthood | Pathogenic variants in BRCA1 BRCA2 are more likely to be identified in persons w/personal family histories that include ER/PR/HER2-negative breast cancers, male breast cancer, ovarian cancer, advanced prostate cancer, Ashkenazi Jewish ancestry, do not include childhood cancers. CHEK2 | — |
CHEK2-related cancer susceptibility | AD | Breast, colorectal, prostate | Adulthood | Pathogenic variants in CHEK2 are more likely to be identified in persons w/personal family histories of predominantly breast, colon, prostate cancers. | — |
PMS2 | Constitutional mismatch repair deficiency (CMMRD; a variant of Lynch syndrome) | AR | Colorectal, small bowel, hematologic, brain | Childhood | CMMRD should be considered in persons w/childhood-onset GI cancer or polyps, malignant brain tumor, hematologic cancer, /or caf au lait macules. POT1 |
POT1 tumor predisposition | AD | Melanoma, CLL, glioma, angiosarcoma (esp cardiac angiosarcoma) | Adulthood | POT1 tumor predisposition should be considered in persons w/personal or family history of melanoma, CLL, glioma, /or angiosarcoma. | — |
Source: GeneReviews — "Li-Fraumeni Syndrome"
Biomarker and diagnostic research for bone marrow failure syndrome has been reported in the published literature.
Table 3.
Li-Fraumeni Syndrome: Recommended Evaluations Following Initial Diagnosis
System/Concern | Evaluation | Comment1
| • Complete physical exam w/high index of suspicion for cancer (incl blood pressure, full neurologic exam, assessment of growth, sudden weight gain or loss, cushingoid appearance, or signs of virilization in a child)2
Whole-body MRI w/o contrast3
| At diagnosis (all ages)
| • Clinical breast exam
Breast MRI w/ w/o contrast
| Beginning at age 20 yrs
| • Neurologic exam
Brain MRI w/contrast
| At diagnosis (all ages); 1st brain MRI is done w/contrast
| Upper endoscopy colonoscopy | Beginning at age 25 yrs
| Dermatologic exam | Beginning at age 18 yrs
| Ultrasound of abdomen pelvis
| By genetics professionals4 w/experience in cancer genetics counseling | To obtain a pedigree inform affected persons their families re nature, MOI, implications of LFS to facilitate medical personal decision making
Family support
resources | By clinicians, wider care team, family support organizations5 | Assessment of family social structure to determine need for:
Source: GeneReviews — "Li-Fraumeni Syndrome"
Individuals with LFS are encouraged to avoid or minimize exposures to known or suspected carcinogens, including ionizing radiation, unprotected sun exposure, tobacco use, occupational exposures, and excessive alcohol use, because the effects of carcinogenic exposures and germline TP53 pathogenic variants may be cumulative.
Source: GeneReviews — "Li-Fraumeni Syndrome"
34 trials found
System/Concern |
|---|
Evaluation |
|---|
Frequency1 |
|---|
All cancers | Comprehensive physical exam w/high index of suspicion for cancer (incl blood pressure, full neurologic exam, assessment of growth, sudden weight gain or loss, cushingoid appearance, /or signs of virilization in a child)2 | Every 3-4 mos from birth to age 18 yrs; Every 6 mos from age ≥18 yrs Whole-body MRI3 |
ACC | Ultrasound of abdomen pelvis | Every 3-4 mos from birth to age 18 yrs (not on same visit as whole-body MRI) Serum total testosterone, dehydroepiandrosterone sulfate, androstenedione |
Breast cancer | Clinical breast exam | Every 6-12 mos starting between age 20-25 yrs Breast MRI w/ w/o contrast |
CNS tumors | Brain MRI w/o contrast (initial brain MRI at diagnosis w/contrast)4 | Annually |
GI cancers | Upper endoscopy colonoscopy | Every 2-5 yrs from age ≥25 yrs Leukemia/ |
Lymphoma | None recommended5 | NA |
Melanoma | Dermatologic exam | Annually from age ≥18 yrs |
Sarcomas | Whole-body MRI | Annually at all ages Ultrasound of abdomen pelvis |
Lung cancer | Consider low-dose spiral CT | Consider screening adults (need, frequency, age to begin screening depends on family history of lung cancer /or history of smok... |
Source: GeneReviews — "Li-Fraumeni Syndrome"
Investigation of the Genetics of Hematologic Diseases |
— |
St. Jude Children's Research Hospital |
RECRUITING |
[NCT03314974](https://clinicaltrials.gov/study/NCT03314974) | Myeloablative Allo HSCT With Related or Unrelated Donor for Heme Disorders | PHASE2 | Masonic Cancer Center, University of Minnesota | RECRUITING |
[NCT06250595](https://clinicaltrials.gov/study/NCT06250595) | European Rare Blood Disorders Platform (ENROL) | — | Hospital Universitari Vall d'Hebron Research Institute | RECRUITING |
[NCT05012111](https://clinicaltrials.gov/study/NCT05012111) | Natural History of Acquired and Inherited Bone Marrow Failure Syndromes | — | National Heart, Lung, and Blood Institute (NHLBI) | RECRUITING |
[NCT07227155](https://clinicaltrials.gov/study/NCT07227155) | The HOPE Biobank Resource (BMT CTN 2402 HOPE) | — | Medical College of Wisconsin | RECRUITING |
142 publications have been identified in PubMed for bone marrow failure syndrome. Research spans Case Report / Case Series (29%), Basic Science / Preclinical (27%), and Review / Meta-Analysis (11%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 41 | 29% |
Laboratory research | 39 | 27% |
Research summaries | 16 | 11% |
Clinical study results | 16 | 11% |
Disease patterns and progression | 12 | 8% |
Testing and diagnosis research | 11 | 8% |
New treatment approaches | 6 | 4% |
Other research | 1 | 1% |
Kato M (2026). [PMID: 42543656](https://pubmed.ncbi.nlm.nih.gov/42543656/). *Rinsho Ketsueki*. [Review / Meta-Analysis]
Goel I (2026). [PMID: 41917474](https://pubmed.ncbi.nlm.nih.gov/41917474/). *Mol Genet Genomics*. [Basic Science / Preclinical]
Choi S (2026). [PMID: 40935343](https://pubmed.ncbi.nlm.nih.gov/40935343/). *American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons*. [Case Report / Case Series]
Langohr L (2026). [PMID: 42311431](https://pubmed.ncbi.nlm.nih.gov/42311431/). *Hemasphere*. [Basic Science / Preclinical]
Alkhen R (2026). [PMID: 42700092](https://pubmed.ncbi.nlm.nih.gov/42700092/). *Medicine (Baltimore)*. [Case Report / Case Series]
Matto N (2026). [PMID: 41742894](https://pubmed.ncbi.nlm.nih.gov/41742894/). *Haematologica*. [Clinical Trial Publication]
Deshpande A (2026). [PMID: 41715984](https://pubmed.ncbi.nlm.nih.gov/41715984/). *British journal of haematology*. [Case Report / Case Series]
Tüysüz B (2026). [PMID: 42510156](https://pubmed.ncbi.nlm.nih.gov/42510156/). *Diagnostics (Basel)*. [Diagnostic / Biomarker]
Zhang L (2026). [PMID: 41489450](https://pubmed.ncbi.nlm.nih.gov/41489450/). *American journal of hematology*. [Clinical Trial Publication]
Srivastava C (2026). [PMID: 42268562](https://pubmed.ncbi.nlm.nih.gov/42268562/). *Indian Pediatr*. [Other]
AI-curated news mentioning bone marrow failure syndrome
Updated Oct 13, 2026
Research identifies oncostatin M deficiency as a newly recognized inherited bone marrow failure syndrome that may predispose individuals to myeloid malignancies. This discovery could lead to further investigations into genetic testing and management strategies for affected patients.
A case report details the definitive histologic diagnosis of bone marrow carcinomatosis in a patient with metastatic urothelial carcinoma, followed by dose-adjusted chemotherapy. This study contributes to the understanding of treatment responses in advanced stages of urothelial carcinoma.
A recent study analyzes variants in telomere regulatory genes among subjects with bone marrow failure, providing insights into the genetic underpinnings of this condition. The findings may inform future research and therapeutic strategies.
Gene therapy has shown promising results for several inherited blood disorders, including sickle cell disease, beta thalassemia, and hemophilia. Researchers are also studying its potential use in certain bone marrow failure syndromes, immune deficiencies, and other rare genetic blood disorders. While these treatments have significantly improved survival and quality of life, they do not eliminate the genetic defect responsible for the disease. Today, that approach is changing. Gene therapy has emerged as one of the most significant advances in modern hematology, offering the possibility of treating certain blood disorders at their genetic source. Instead of repeatedly managing symptoms, gene therapy aims to repair, replace, or modify faulty genes so the body can produce healthy blood cells. This breakthrough is transforming how hematologists think about inherited blood diseases and is opening new possibilities for patients who previously had limited treatment options. Although gene therapy is still evolving and is not suitable for every patient or every blood disorder, its success in conditions such as sickle cell disease and beta thalassemia has marked the beginning of a new era in precision medicine. Gene therapy is an advanced medical treatment designed to correct diseases caused by abnormal or faulty genes. Rather than treating the consequences of a disease, it targets the genetic error itself. Many inherited blood disorders develop because a single mutation affects how blood cells are formed or function. Over time, healthy blood cells gradually replace the abnormal ones, reducing disease-related complications and improving blood cell function. Gene therapy has shown the greatest success in inherited blood disorders caused by single-gene mutations. It has been used successfully for decades and remains the standard curative treatment for many conditions, including thalassemia, sickle cell disease, aplastic anemia, leukemia, lymphoma, and several inherited bone marrow failure syndromes. Gene therapy, on the other hand, modifies the patient’s own stem cells before returning them to the body. Since no donor is required, it eliminates the risk of donor mismatch and significantly reduces the possibility of graft-versus-host disease. However, gene therapy is currently available only for selected genetic blood disorders and remains inaccessible for many patients due to limited availability and high treatment costs.