Cancer Genetic Counseling-Current Practice and Future Challenges

被引:21
作者
Schienda, Jaclyn [1 ]
Stopfer, Jill [1 ]
机构
[1] Dana Farber Canc Inst, Div Canc Genet & Prevent, Boston, MA 02215 USA
关键词
BREAST-CANCER; HEREDITARY BREAST; AMERICAN SOCIETY; MEDICAL GENETICS; PEDIATRIC CANCER; POLICY STATEMENT; FAMILY-HISTORY; PRACTICE GUIDELINE; INFORMED-CONSENT; BRCA2; MUTATIONS;
D O I
10.1101/cshperspect.a036541
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Cancer genetic counseling practice is rapidly evolving, with services being provided in increasingly novel ways. Pretest counseling for cancer patients may be abbreviated from traditional models to cover the elements of informed consent in the broadest of strokes. Genetic testing may be ordered by a cancer genetics professional, oncology provider, or primary care provider. Increasingly, direct-to-consumer testing options are available and utilized by consumers anxious to take control of their genetic health. Finally, genetic information is being used to inform oncology care, from surgical decision-making to selection of chemotherapeutic agent. This review provides an overview of the current and evolving practice of cancer genetic counseling as well as opportunities and challenges for a wide variety of indications in both the adult and pediatric setting.
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页数:23
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