Application of Genetic Counseling to Cancer
Section outline
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In this topic, we will discuss the principles of cancer genetic risk assessment with the clinical practice guidelines from the National Society of Genetic Counselors and the National Comprehensive Cancer Network as references. We will also tackle the issues surrounding cancer genetic testing, informed consent, and provision of psychosocial support specific to cancer genetics. For this topic, we will specifically tackle hereditary breast and ovarian cancer and Lynch Syndrome as examples.
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This recommendations paper by the NSGC discusses essential information about cancer assessment, genetic testing, informed consent, and psychosocial support.
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This recent document elaborates on the current guidelines on hereditary colorectal cancer assessment. This features algorithms in risk assessment, genetic testing, and surveillance recommendations.
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This recent document elaborates on the genetic assessment of hereditary breast, ovarian, and pancreatic cancers. This also contains algorithms in assessment, genetic testing, and surveillance recommendations.
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Majority of cases of hereditary breast and ovarian cancer are due to mutations in either the BRCA1 or the BRCA2 gene. This review papers elucidates on the role of mutations in the BRCA1 and BRCA2 genes in hereditary breast and ovarian cancer.
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There are a number of breast cancer risk assessment models that can be used with their pros and cons. This paper elaborates on the advantages and disadvantages of each of the breast cancer risk assessment models available.
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Myriad has for the longest time 'owns' the patent for the BRCA1 and BRCA2 genes. Through their research, they have developed the prevalence risk tables which tells the probability of a mutation in either the BRCA1 or BRCA2 gene given features in the family health history.
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This prediction model developed by Dana-Farber Cancer Institute utilizes information from the family history to predict probability of mutations in any of the mismatch repair genes which is causative of Lynch Syndrome.
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Watch this prerecorded video on genetic counseling approaches in hereditary colorectal cancer.
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You can download here the powerpoint presentation of Dr. Tumulak on cancer genetic counseling.
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