Publications by authors named "Shirley Cheng"

Inherited cardiovascular conditions are significant causes of sudden cardiac death in the young (SCDY), making their investigation using molecular autopsy and prevention a public health priority. However, the molecular autopsy data in Chinese population is lacking. The 5-year result (2017-2021) of molecular autopsy services provided for victims of SCDY (age 1-40 years) was reviewed.

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Hemophilia A is a rare bleeding disorder with variable expressivity and allelic heterogeneity. Despite the advancement of prenatal diagnostics and molecular studies, the number of studies reviewing the reproductive choices of hemophilia A carriers and affected individuals remains limited. Through this retrospective review, we hope to gain a deeper understanding of hemophilia A-affected individuals' clinical and molecular characteristics, as well as the reproductive choices of the at-risk couples.

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In the State of Hawaii, previous research has suggested that minority groups such as Native Hawaiians and Other Pacific Islanders are disproportionately affected by mental health disorders and have less access to mental health services. The purpose of this study was to determine if similar disparities in the prevalence of psychiatric disorders among different ethnic groups are also present among Hawaii's houseless population. A retrospective chart review of records from one of Oahu's major houseless outreach clinics was performed to gather patient demographics and reported histories of psychiatric diagnoses.

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Background: Asian gastric cancer patients have higher long-term survival rates post-gastrectomy. This study compares 30-day post-gastrectomy outcomes between Asians and non-Asians.

Methods: Gastric cancer patients undergoing elective gastrectomies were identified in 2014-2019 NSQIP datasets (n ​= ​1,438).

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Breast cancer is the most commonly diagnosed cancer and the second leading cause of cancer death among women in the United States. In clinical practice, the standard method to confirm metastatic disease and tailor treatment is to biopsy a metastatic site. Bone is the most common metastatic site, occurring in up to 70% of patients with advanced breast cancer.

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Nodular fasciitis (NF) is a benign soft tissue lesion that can occur anywhere in the body. Its occurrence in the breast is a rare phenomenon, but is clinically important to distinguish from a malignant tumor as they both present as lesions of the breast. In this report, we discuss a case of NF of the breast in an postmenopausal woman who presented with an asymmetry of the breast on an annual screening mammogram followed by diagnostic imaging and a core biopsy.

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Article Synopsis
  • - Breast cancer is a leading cause of cancer deaths in women in the U.S., and this study explores the use of liquid biopsies to analyze circulating-tumor DNA (ctDNA) in metastatic breast cancer (mBC) patients to improve understanding of their genomic profiles.
  • - Researchers studied ctDNA from 45 mBC patients using the Guardant360 test, finding that 86.7% of them had at least one genetic alteration; age and cancer subtype were linked to differences in mutations, while race showed no significant impact.
  • - Key mutations identified included TP53, PIK3CA, and ESR1, with the study highlighting that liquid biopsies provide crucial information for treatment decisions in hormone-positive mBC, suggesting their
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  • - A Chinese patient was found to have both pantothenate kinase-associated neurodegeneration (PKAN) and oculocutaneous albinism (OCA) due to specific genetic variants in the PANK2 and OCA2 genes, leading to vision issues and neurological symptoms.
  • - Genetic testing using next-generation sequencing confirmed the presence of homozygous missense variants in both PANK2 and OCA2, supporting the diagnoses of PKAN and OCA.
  • - The study highlights the importance of genetic analysis for diagnosing rare diseases, providing crucial information for patient management and counseling.
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Access to electronic medical record (EMR) patient portals made it easier for patients to quickly acquire the results of their radiology studies. However, there is little research on how well oncology patients understand the findings of radiology reports presented in the online portal without patient-physician discussion. This study assessed oncology patients' confidence and accuracy in interpreting radiology reports either with or without layman translations.

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Article Synopsis
  • Tuberous Sclerosis Complex (TSC) is a genetic disorder that affects multiple body systems and is inherited in an autosomal dominant manner, with a study analyzing 123 Chinese patients revealing pathogenic variants in 72.2% of cases.
  • The majority of cases were sporadic (84.5%), with identified variants showing 35.7% in the TSC1 gene and 64.3% in the TSC2 gene, and many unique variants (41.9% being novel).
  • Significant differences in symptoms were found based on gender and variant type, with males more likely to have subependymal nodules and females more likely to have renal angiomyolipoma, while patients with TSC2
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Objective: Describe the intelligence quotient (IQ) of children with Pierre Robin sequence (PRS).

Design: Prospective cohort study.

Setting: Neurodevelopmental follow-up clinic within a hospital.

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Structural variations (SVs) are various types of the genomic rearrangements encompassing at least 50 nucleotides. These include unbalanced gains or losses of DNA segments (copy number changes, CNVs), balanced rearrangements (such as inversion or translocations), and complex combinations of several distinct rearrangements. SVs are known to play a significant role in contributing to human genomic disorders by disrupting the protein-coding genes or the interaction(s) with cis-regulatory elements.

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Neurofibromatosis type 1 (NF1; OMIM #162200) is the commonest multi-systemic neurocutaneous tumour-predisposition disorder. It has an age-related complete penetrance but a highly variable inter- and intra-familial expressivity. This article summarizes the clinical features and molecular characteristics of 832 clinically or molecularly confirmed NF1 patients from 697 unrelated families recruited from a single centre in Hong Kong diagnosed during the 16 years period from Jan 2005 to Jan 2021.

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CTNNB1-related disorder is an autosomal dominant neurodevelopmental disorder characterized by a variable degree of cognitive impairment, microcephaly, truncal hypotonia, peripheral spasticity, visual defects, and dysmorphic features. In this case series, we report the clinical and molecular findings of nine Chinese patients affected by CTNNB1-related disorders. The facial features of these affected individuals appear to resemble what had been previously described, with thin upper lip (77.

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Objectives: Kabuki syndrome (KS) is a genetic disorder characterized by intellectual disability, facial dysmorphism and congenital anomalies. We aim to investigate the prenatal features of fetuses with KS and to provide a comprehensive review of the literature on prenatal sonographic abnormalities associated with KS.

Methods: We retrospectively reviewed the prenatal ultrasound findings of all mothers of children with molecularly confirmed KS in Hong Kong, between 1991 and 2019.

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Article Synopsis
  • - Tetrasomy 9p is a rare genetic syndrome characterized by growth issues, developmental delays, and various physical abnormalities, including skeletal and organ defects.
  • - A Chinese woman with a healthy background encountered abnormal results during non-invasive prenatal testing (NIPT), revealing chromosomal irregularities linked to an elevation in DNA from chromosome 9p.
  • - The case highlights the implications of increasing NIPT use, as it identified a mosaic form of tetrasomy 9p in a mother with normal intellect, raising challenges for genetic counseling and prenatal diagnosis.
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Coffin-Siris syndrome (CSS, MIM# 1359200) is a multisystem congenital disorder characterized by coarse facial features, hypoplasia of the fifth digits and nails, and intellectual disability. It is a genetically heterogeneous condition caused by pathogenic variants in genes encoding proteins of the BAF (BRG1-associated factors) chromatin modeling complex and its downstream transcriptional factor. To date over 220 CSS individuals with pathogenic variants found have been described in the literature.

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Variants of the diphthamide biosynthesis I (DPH1, OMIM*603527) are associated with developmental delay, short stature, and sparse hair syndrome (DEDSSH/DPH1 syndrome) (OMIM# 616901). Another name is Loucks-Innes syndrome. DPH1 syndrome is an ultrarare and severe neurodevelopmental disorder.

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Kabuki syndrome (OMIM #147920 and 300867) is a rare genetic disorder characterized by a distinctive facial gestalt, intellectual disability and multiple congenital anomalies. We summarized the clinical features and molecular findings of the Kabuki syndrome (KS) patients diagnosed in Hong Kong between January 1991 and December 2019. There were 21 molecularly confirmed KS.

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Kenny-Caffey syndrome (KCS) type 2 (OMIM 127000) is a rare syndromic cause of hypoparathyroidism which is characterized by proportionate short stature, long bone abnormalities, delayed closure of anterior fontanelle, eye abnormalities, and normal intelligence. It is caused by variants in FAM111A (NM_001942519.1).

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