On the basis, chiefly, of anecdotal reports of cases of ocular melanoma (OM
) occurring in families with inherited susceptibility to breast cancer due
to brca2 germline mutations, we examined the frequency of brca2 alterations
in a series of 62 ocular melanoma cases. These cases were preferentially s
elected on the basis of reported family history of breast or ovarian cancer
, or OM, although the series also included a randomly selected set of cases
without family history of cancer. A total of 7 germline alterations were f
ound, of which 3 were likely to be associated with disease. While all 3 del
eterious mutations were found in patients who also had a personal history o
f breast cancer, only 1 of the 3 families had a family history of breast/ov
arian cancer or OM. Although germline brca2 mutations may account for a sma
ll proportion of all OM cases, there may be additional loci that contribute
to familial aggregation of OM and to the familial association between OM a
nd breast cancer. Int. J. Cancer 82:325-328, 1999. (C) 1999 Wiley-Liss, Inc
.