Understanding Genomic And Hereditary Cancer Risk

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Understanding Genomic and Hereditary Cancer Risk

Suzanne M. Mahon
Understanding Genomic and Hereditary Cancer Risk Book PDF

Author : Suzanne M. Mahon
Publisher : Unknown
Page : 128 pages
File Size : 43,7 Mb
Release : 2021
Category : Electronic
ISBN : 1635930502

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Understanding Genomic and Hereditary Cancer Risk by Suzanne M. Mahon Pdf

"Collecting a family medical history is a regular component of the nursing assessment process that often includes information on familial cancer diagnoses, and patients may fear that they or their loved ones might be at increased risk for developing cancer because of hereditary factors. Although true inherited risk for developing cancer is much less common than acquired risk for developing cancer, approximately 10% of cancer diagnoses can be attributed to inherited risk. The identification of families exhibiting hereditary cancer syndromes enables individuals at risk to engage in increased surveillance and, in some cases, risk-reducing surgery and other preventive measures, which ultimately lead to decreasing the morbidity and mortality associated with a cancer diagnosis. The role of the nurse in helping patients to understand and manage hereditary cancer risk requires specialized knowledge of genetics and genomics concepts. Understanding Genomic and Hereditary Cancer Risk: A Handbook for Oncology Nurses provides background on basic genetic and genomic concepts, particularly those related to hereditary risk for developing cancer, to aid nurses in knowing when and why to refer patients. It also provides reliable information about how and why genetic and genomic testing can both aid in treatment decisions and also guide recommendations for cancer prevention and early detection. The nurse's role in genetic testing and counseling are discussed, as are questions and answers about types of testing, including direct-to-consumer genetic testing. Following genetic testing, most genetics professionals provide detailed information about recommendations for care, including recommendations for ongoing prevention and early detection. For patients who are found to have a harmful mutation, these recommendations can be extensive and are based on the personal and family medical history, as well as the specific variant. This book provides quick overviews of many of the more common hereditary variants as well as resources for more information. This handbook provides nurses with the essentials to understand genomic and hereditary cancer risk, to assist in facilitating interprofessional care with genetics and other oncology professionals, and to provide their patients with accurate and reassuring information"--

Understanding Genomic and Hereditary Cancer Risk

Suzanne M. Mahon
Understanding Genomic and Hereditary Cancer Risk Book PDF

Author : Suzanne M. Mahon
Publisher : Unknown
Page : 0 pages
File Size : 46,7 Mb
Release : 2021
Category : Cancer
ISBN : 1635930499

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Understanding Genomic and Hereditary Cancer Risk by Suzanne M. Mahon Pdf

"Collecting a family medical history is a regular component of the nursing assessment process that often includes information on familial cancer diagnoses, and patients may fear that they or their loved ones might be at increased risk for developing cancer because of hereditary factors. Although true inherited risk for developing cancer is much less common than acquired risk for developing cancer, approximately 10% of cancer diagnoses can be attributed to inherited risk. The identification of families exhibiting hereditary cancer syndromes enables individuals at risk to engage in increased surveillance and, in some cases, risk-reducing surgery and other preventive measures, which ultimately lead to decreasing the morbidity and mortality associated with a cancer diagnosis. The role of the nurse in helping patients to understand and manage hereditary cancer risk requires specialized knowledge of genetics and genomics concepts. Understanding Genomic and Hereditary Cancer Risk: A Handbook for Oncology Nurses provides background on basic genetic and genomic concepts, particularly those related to hereditary risk for developing cancer, to aid nurses in knowing when and why to refer patients. It also provides reliable information about how and why genetic and genomic testing can both aid in treatment decisions and also guide recommendations for cancer prevention and early detection. The nurse's role in genetic testing and counseling are discussed, as are questions and answers about types of testing, including direct-to-consumer genetic testing. Following genetic testing, most genetics professionals provide detailed information about recommendations for care, including recommendations for ongoing prevention and early detection. For patients who are found to have a harmful mutation, these recommendations can be extensive and are based on the personal and family medical history, as well as the specific variant. This book provides quick overviews of many of the more common hereditary variants as well as resources for more information. This handbook provides nurses with the essentials to understand genomic and hereditary cancer risk, to assist in facilitating interprofessional care with genetics and other oncology professionals, and to provide their patients with accurate and reassuring information"--

The Genetics of Cancer

B.A. Ponder,M.J. Waring
The Genetics of Cancer Book PDF

Author : B.A. Ponder,M.J. Waring
Publisher : Springer Science & Business Media
Page : 222 pages
File Size : 50,6 Mb
Release : 2012-12-06
Category : Medical
ISBN : 9789401106771

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The Genetics of Cancer by B.A. Ponder,M.J. Waring Pdf

It has been recognized for almost 200 years that certain families seem to inherit cancer. It is only in the past decade, however, that molecular genetics and epidemiology have combined to define the role of inheritance in cancer more clearly, and to identify some of the genes involved. The causative genes can be tracked through cancer-prone families via genetic linkage and positional cloning. Several of the genes discovered have subsequently been proved to play critical roles in normal growth and development. There are also implications for the families themselves in terms of genetic testing with its attendant dilemmas, if it is not clear that useful action will result. The chapters in The Genetics of Cancer illustrate what has already been achieved and take a critical look at the future directions of this research and its potential clinical applications.

Pediatric Cancer Genetics

Nathaniel H. Robin,Meagan Farmer
Pediatric Cancer Genetics Book PDF

Author : Nathaniel H. Robin,Meagan Farmer
Publisher : Elsevier Health Sciences
Page : 350 pages
File Size : 53,9 Mb
Release : 2017-08-22
Category : Medical
ISBN : 9780323495967

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Pediatric Cancer Genetics by Nathaniel H. Robin,Meagan Farmer Pdf

Get a quick, expert overview of the many key facets of pediatric cancer genetics with this concise, practical resource by Dr. Nathaniel H. Robin and Meagan Farmer, MS, CGC, MBA. Ideal for pediatric oncologists and all providers who care for children, this easy-to-read reference addresses the remarkable potential of genetic testing as well as the complexities of choosing the correct test, understanding the results, and counseling the family. Features a wealth of information on pediatric cancer genetics, including the epidemiology and biology of cancer and the genetic evaluation process and role of genetic counselors. Highlights examples of syndromes that present in childhood and increase susceptibility to cancer. Discusses the genetic evaluation process in context of the multidisciplinary care of children with cancer. Considers the ethical and legal issues of genetic testing in children and provides illustrative case examples. Consolidates today’s available information and guidance in this timely area into one convenient resource.

Cancer Genomics

Graham Dellaire,Jason N Berman,Robert J. Arceci
Cancer Genomics Book PDF

Author : Graham Dellaire,Jason N Berman,Robert J. Arceci
Publisher : Academic Press
Page : 510 pages
File Size : 47,9 Mb
Release : 2013-11-21
Category : Medical
ISBN : 9780123972743

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Cancer Genomics by Graham Dellaire,Jason N Berman,Robert J. Arceci Pdf

Cancer Genomics addresses how recent technological advances in genomics are shaping how we diagnose and treat cancer. Built on the historical context of cancer genetics over the past 30 years, the book provides a snapshot of the current issues and state-of-the-art technologies used in cancer genomics. Subsequent chapters highlight how these approaches have informed our understanding of hereditary cancer syndromes and the diagnosis, treatment and outcome in a variety of adult and pediatric solid tumors and hematologic malignancies. The dramatic increase in cancer genomics research and ever-increasing availability of genomic testing are not without significant ethical issues, which are addressed in the context of the return of research results and the legal considerations underlying the commercialization of genomic discoveries. Finally, the book concludes with "Future Directions", examining the next great challenges to face the field of cancer genomics, namely the contribution of non-coding RNAs to disease pathogenesis and the interaction of the human genome with the environment. Tools such as sidebars, key concept summaries, a glossary, and acronym and abbreviation definitions make this book highly accessible to researchers from several fields associated with cancer genomics. Contributions from thought leaders provide valuable historical perspective to relate the advances in the field to current technologies and literature.

Confronting Hereditary Breast and Ovarian Cancer

Sue Friedman,Rebecca Sutphen,Kathy Steligo
Confronting Hereditary Breast and Ovarian Cancer Book PDF

Author : Sue Friedman,Rebecca Sutphen,Kathy Steligo
Publisher : JHU Press
Page : 320 pages
File Size : 43,6 Mb
Release : 2012-03-01
Category : Health & Fitness
ISBN : 9781421404455

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Confronting Hereditary Breast and Ovarian Cancer by Sue Friedman,Rebecca Sutphen,Kathy Steligo Pdf

"Be informed. Be empowered. Be well." If you are concerned that the cancer in your family is hereditary, you face difficult choices. Should you have a blood test that may reveal whether you have a high likelihood of disease? Do you preemptively treat a disease that may never develop? How do you make decisions now that will affect the rest of your life? This helpful, informative guide answers your questions as you confront hereditary breast and ovarian cancer. Developed by Facing Our Risk of Cancer Empowered (FORCE), the nation’s only nonprofit organization dedicated to supporting families affected by hereditary breast and ovarian cancer, this book stands alone among breast and ovarian cancer resources. Equal parts health guide and memoir, it defines complex issues facing previvors and survivors and provides solutions with a fresh, authoritative voice. Written by three passionate advocates for the hereditary cancer community who are themselves breast cancer survivors, Confronting Hereditary Breast and Ovarian Cancer dispels myths and misinformation and presents practical risk-reducing alternatives and decision-making tools. Including information about genetic counseling and testing, preventive surgery, and fertility and family planning, as well as explanations of health insurance coverage and laws protecting genetic privacy, this resource tackles head-on the challenges of living in a high-risk body. Confronting hereditary cancer is a complex, confusing, and highly individual journey. With its unique combination of the latest research, expert advice, and compelling personal stories, this book gives previvors, survivors, and their family members the guidance they need to face the unique challenges of hereditary cancer.

Principles of Clinical Cancer Genetics

Daniel C. Chung,Daniel A. Haber
Principles of Clinical Cancer Genetics Book PDF

Author : Daniel C. Chung,Daniel A. Haber
Publisher : Springer Science & Business Media
Page : 234 pages
File Size : 52,5 Mb
Release : 2010-07-20
Category : Medical
ISBN : 9780387938462

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Principles of Clinical Cancer Genetics by Daniel C. Chung,Daniel A. Haber Pdf

Advances in genetics are transforming estimates of an individual’s risk of developing cancer and approaches to prevention and management of cancer in those who may have increased susceptibility. Identifying and caring for patients with hereditary cancer syndromes and their family members present a complex clinical, scientific and social challenge. This textbook, by leading experts at Massachusetts General Hospital Cancer Center, highlights the current understanding of the genetics of hereditary cancers of the breast, ovary, colorectum, stomach, pancreas, kidney, skin, and endocrine organs. Practical guidelines for the use of genetic testing, cancer screening and surveillance, prophylactic surgery, and promising targeted therapeutic agents are discussed. In addition, ongoing research involving genome-wide screens to identify novel modest risk-associated genetic loci are explored, along with new approaches to the application of genetic markers in guiding therapeutic options.

Genetics for Health Professionals in Cancer Care

Chris Jacobs,Lorraine Robinson,Patricia Webb
Genetics for Health Professionals in Cancer Care Book PDF

Author : Chris Jacobs,Lorraine Robinson,Patricia Webb
Publisher : OUP Oxford
Page : 384 pages
File Size : 43,8 Mb
Release : 2014-08-14
Category : Medical
ISBN : 9780191653490

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Genetics for Health Professionals in Cancer Care by Chris Jacobs,Lorraine Robinson,Patricia Webb Pdf

The role of genetics is becoming increasingly important in all aspects of healthcare and particularly in the field of cancer care. Genetics for Health Professionals in Cancer Care: From Principles to Practice equips health professionals with the knowledge and skills required for all aspects of managing cancer family history. This includes taking an accurate cancer family history and drawing a family tree; understanding cancer biology, basic cancer genetics and the genes involved in hereditary breast, ovarian, prostate, colorectal, gastric and related gynaecological cancers and rare cancer predisposing syndromes; assessing cancer risk and communicating risk information; early detection and risk reducing measures available for those at increased risk and managing individuals with hereditary cancer. Drawing on experiences of health professionals, Genetics for Health Professionals in Cancer Care discusses the challenges raised and provides practical advice and insight into what happens when a patient is referred for genetic counselling and genetic testing, including the psychological, social and ethical issues faced by individuals and families with and at risk of hereditary cancer. The book also provides practical guidance on setting up a cancer family history clinic in primary and secondary care. Genetics for Health Professionals in Cancer Care is essential reading for healthcare professionals working with cancer patients and their families, and is an ideal reference text for non-specialists working in cancer genetics.

Clinical Cancer Genetics

Kenneth Offit
Clinical Cancer Genetics Book PDF

Author : Kenneth Offit
Publisher : Wiley-Blackwell
Page : 452 pages
File Size : 49,5 Mb
Release : 2030-05-07
Category : Medical
ISBN : 0471458937

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Clinical Cancer Genetics by Kenneth Offit Pdf

Written by a world-recognized leader in this emerging field, Clinical Cancer Genetics provides an updated and expanded treatment of Kenneth Offit's seminal text on the clinical management associated with syndromes of cancer predisposition, with a thorough review of the relevant molecular genetics. This second edition features new coverage of pharmacogenetics, gene therapy trials, high throughput genotyping, and microarrays and includes a new focus on epigenetic events in carcinogenesis within background chapter on cancer genetics. Expanded coverage highlights more uncommon and rare cancer predisposition syndromes.

Genetics and Genomics in Nursing

Dr. Quannetta T Edwards, PhD, MSN, MPH, FNP-BC, WHNP, AGN-BC, FAANP,Dr. Ann Maradiegue, PhD, MSN, FNP-BC, FAANP
Genetics and Genomics in Nursing Book PDF

Author : Dr. Quannetta T Edwards, PhD, MSN, MPH, FNP-BC, WHNP, AGN-BC, FAANP,Dr. Ann Maradiegue, PhD, MSN, FNP-BC, FAANP
Publisher : Springer Publishing Company
Page : 200 pages
File Size : 40,8 Mb
Release : 2017-07-28
Category : Medical
ISBN : 9780826145628

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Genetics and Genomics in Nursing by Dr. Quannetta T Edwards, PhD, MSN, MPH, FNP-BC, WHNP, AGN-BC, FAANP,Dr. Ann Maradiegue, PhD, MSN, FNP-BC, FAANP Pdf

Delivers complex information in an easy-to-read, step-by-step format The genomic era encompasses the entire spectrum of DNA -- all of the genes, and the interaction and inter-relationship of genes (genome) to the environment. Rapidly changing research has led to numerous advances in genetic testing, diagnosis, and treatments, and it is essential that APRNs be able to integrate genetic risk assessment into clinical care. This quick reference delivers complex information in an easy-to-read, step-by-step format with bitesize info boxes and bulleted information to provide the tools necessary to understand genetics/genomics and identify "red flags" that can appear in patient assessments. In an age of personalized and precision medicine, genetic risk assessment has never been more important. Genetics and Genomics in Nursing begins with an overview of genetics and the science behind inheritance. Chapters then break down the processes that make up risk assessment, and walk the reader through data collection and review, identification and calculation of risk, and patient communication. Finally, the last section of this text discusses special populations and key facts nurses need to know about their risk assessment. Key Features: Provides a clear introduction to a complex topic Describes important elements of the genomic risk assessment process for use in clinical settings when evaluating patients Illustrates how to develop a three-generation pedigree Applies commonly-used standardized pedigree symbols and familial patterns to aid in risk interpretation Discusses the challenges and limitations of pedigree interpretation Explains common concepts and includes helpful genomic resources Incorporates genomic risk assessment into patient evaluation

Understanding Genetics

Genetic Alliance,New York-Mid-Atlantic Consortium for Genetic and Newborn Screening Services
Understanding Genetics Book PDF

Author : Genetic Alliance,New York-Mid-Atlantic Consortium for Genetic and Newborn Screening Services
Publisher : Lulu.com
Page : 104 pages
File Size : 55,8 Mb
Release : 2009
Category : Biology
ISBN : 9780982162217

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Understanding Genetics by Genetic Alliance,New York-Mid-Atlantic Consortium for Genetic and Newborn Screening Services Pdf

The purpose of this manual is to provide an educational genetics resource for individuals, families, and health professionals in the New York - Mid-Atlantic region and increase awareness of specialty care in genetics. The manual begins with a basic introduction to genetics concepts, followed by a description of the different types and applications of genetic tests. It also provides information about diagnosis of genetic disease, family history, newborn screening, and genetic counseling. Resources are included to assist in patient care, patient and professional education, and identification of specialty genetics services within the New York - Mid-Atlantic region. At the end of each section, a list of references is provided for additional information. Appendices can be copied for reference and offered to patients. These take-home resources are critical to helping both providers and patients understand some of the basic concepts and applications of genetics and genomics.

The Genetic Risks of Cancer

Richard Graydon
The Genetic Risks of Cancer Book PDF

Author : Richard Graydon
Publisher : Unknown
Page : 500 pages
File Size : 49,5 Mb
Release : 2017-05-17
Category : Electronic
ISBN : 1521326533

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The Genetic Risks of Cancer by Richard Graydon Pdf

This book outlines the current understanding of the genetic basis of cancer and describes the major classes of cancer-causing genes that have relevance to clinical practice today: oncogenes, tumor suppressor genes, and DNA-damage repair genes. Oncogenes are genes, normally involved in cell growth and proliferation, that cause cancer when they are overexpressed, amplified, or mutated. Tumor suppressor genes, on the other hand, normally regulate cell growth, and only result in malignant progression when their negative regulatory controls are impaired or underexpressed. Recently, a third group of genes involved in regulating DNA repair has been implicated in hereditary human cancers. This class of DNA damage response genes shares many of the features of tumor suppressor genes. CHAPTER 2: SIGNALING PATHWAYS IN CANCERGenetic and epigenetic alterations that allow cells to overproliferate and escape mechanisms that normally control their survival and migration are major divers of carcinogenesis. Proliferation, migration and apoptosis are intricate biological processes, generally controlled by biochemical responses of cells to stimuli in their extra-cellular micro-environment. Sequences of intracellular responses, referred to as signal transduction pathways, are generally initiated following binding of extracellular ligands to cell-surface receptors. Signaling cascades incorporate protein effector molecules, which comprise the larger protein complexes of intracellular communication pathways. During intra-cellular signal transduction, signals from one source are processed and passed on to another, downstream intra-cellular protein. Aberrantly functioning intracellular signal-transduction molecules are believed to result in many of the pathologic phenotypes of cancer cells.CHAPTER 3: HEREDITARY BREAST & OVARIAN CANCER One in nine American women who live to age 85 will develop breast cancer during their lifetime. Breast cancer is expected to account for 255,180 new cases and 41,070 deaths in the United States annually (American Cancer Society 2017). Only about 3000 cases of breast cancer will be diagnosed in women age 30 or younger, and about 2,190 cases are diagnosed in males each year in the United States. CHAPTER 10: GENOMIC COUNSELING AND CANCER RISK ASSESSMENTScientific and technologic advances in genomics are revolutionizing our approach to genetic counseling and testing, targeted therapy, and cancer screening and prevention, fulfilling the promise of personalized medicine. For physicians, genetic counselors, nurses, and other members of a multidisciplinary cancer care team, the future of personalized medicine is now; however, the current enthusiasm about personalized genomics follows several decades of scientific discovery and clinical translation in human genetics. TABLE OF CONTENTSCHAPTER 1... CANCER AS A GENETIC DISORDERCHAPTER 2 ... SIGNAL TRANSDUCTION PATHWAYSCHAPTER 3 ... BREAST AND OVARIAN CANCERCHAPTER 4 ... LUNG CANCERCHAPTER 5 ... COLON CANCERCHAPTER 6 ... LEUKEMIA AND LYMPHOMACHAPTER 7... PROSTATE CANCERCHAPTER 8 ... MALIGNANT MELANOMACHAPTER 9 ... RARE HEREDITARY CANCER SYNDROMESATAXIA TELANGIECTASIABIRT-HOGG-DUBE SYNDROMEBLADDER CANCERBLOOM'S SYNDROMEBRAIN TUMORSCARNEY COMPLEXCOWDEN SYNDROMEFANCONI ANEMIAHEREDITARY DIFFUSE GASTRIC CANCERGASTROINTESTINAL STROMAL TUMORSHEREDITARY PARAGANGLIONOMAJUVENILE POLYPOSIS SYNDROMEHEREDITARY LEIOMYOMATOSISLI-FRAUMENI SYNDROME MULTIPLE ENDOCRINE NEOPLASIASNEUROBLASTOMANEUROFIBROMATOSISPANCREATIC CANCERHEREDITARY PAPILLARY THYROID CANCERPEUTZ-JEGHERS SYNDROMERETINOBLASTOMATESTICULAR CANCERTUBEROUS SCLEROSIS COMPLEXVON HIPPEL-LINDAU SYNDROMEWERNER SYNDROMEWILMS TUMOR SYNDROMEXERODERMA PIGMENTOSUMETC. CHAPTER 10 ... GENOMIC COUNSELING AND CANCER RISK ASSESSMENTCHAPTER 11 ... PSYCHOLOGICAL ISSUES IN GENETIC CANCER SYNDROMESCHAPTER 12 ... ETHICAL AND LEGAL ISSUES - CANCER RISK COUNSELING

Hereditary Colorectal Cancer

Miguel A. Rodriguez-Bigas,Raul Cutait,Patrick M. Lynch,Ian Tomlinson,Hans F.A. Vasen
Hereditary Colorectal Cancer Book PDF

Author : Miguel A. Rodriguez-Bigas,Raul Cutait,Patrick M. Lynch,Ian Tomlinson,Hans F.A. Vasen
Publisher : Springer Science & Business Media
Page : 630 pages
File Size : 55,8 Mb
Release : 2010-09-10
Category : Medical
ISBN : 144196603X

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Hereditary Colorectal Cancer by Miguel A. Rodriguez-Bigas,Raul Cutait,Patrick M. Lynch,Ian Tomlinson,Hans F.A. Vasen Pdf

Colorectal cancer is the third most commonly diagnosed cancer in the US and the third most recently linked to cancer deaths. The national annual incidence rate of colorectal cancer is approximately 148,000+, striking slightly more females than males. The lifetime risk of colorectal cancer is 5-6%, however patients with a familial risk (with two or more first or second degree relatives) make up 20% of the patients. Persons who carry genetic mutations linked to hereditary colorectal cancer are the most likely to develop the disease.

Psychosocial Genetic Counseling

Jon Weil
Psychosocial Genetic Counseling Book PDF

Author : Jon Weil
Publisher : Oxford University Press
Page : 316 pages
File Size : 55,9 Mb
Release : 2000-09-07
Category : Medical
ISBN : 9780199747740

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Psychosocial Genetic Counseling by Jon Weil Pdf

Psychosocial issues are integral to all genetic counseling interactions. They include counselees' beliefs about the cause of birth defects and genetic disorders, the cognitive procession of medical information and risk figures, emotions such as anxiety and guilt, and the complex process of decision making. Drawing on direct clinical experience and the growing body of relevant literature, Psychosocial Genetic Counseling provides a comprehensive, integrated approach to understanding these issues and their applications to genetic counseling. The book combines theoretical and practical approaches, including many clinical vignettes and examples of dialogue. It is written in an engaging style that conveys the emotional immediacy of genetic counseling. The emotional and social effects of genetic disorders are discussed with reference to the individual and to couple, family, and social interactions. Counseling techniques and the agenda of the genetic counseling session are then addressed in detail. Specialized aspects of prenatal diagnosis counseling, cancer risk counseling, and genetic counseling with children and adolescents are integrated with these general principles. Nondirective counseling and the psychology of risk interpretation and decision making are discussed from theoretical and historical perspectives, leading to recommendations for their application to clinical practice. The influences of ethnocultural history, beliefs and practices, for counselee and counselor, are then discussed as they enter into all aspects of genetic counseling.

Inherited Susceptibility to Cancer

William D. Foulkes,Shirley V. Hodgson
Inherited Susceptibility to Cancer Book PDF

Author : William D. Foulkes,Shirley V. Hodgson
Publisher : Cambridge University Press
Page : 0 pages
File Size : 54,9 Mb
Release : 2009-03-19
Category : Medical
ISBN : 0521104742

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Inherited Susceptibility to Cancer by William D. Foulkes,Shirley V. Hodgson Pdf

Many cancers, both common and rare, are known to have a hereditary predisposition. Recent advances in genomics have clarified the risks, and in some cases the mechanisms, of cancer developing in an individual. This volume covers all the key issues in cancer genetics, reviewing both the technology behind genetic risk assessment and the ethical dilemmas it poses. The first of two parts deals with ethical, legal, and social issues, with chapters on counseling, screening, and gene and mutation identification. The second part systematically outlines current knowledge of the inheritance patterns of many different cancer types, both from a site-by-site perspective and for special groups. With a final chapter highlighting late-breaking developments, this up-to-date and authoritative volume will be of great interest to the specialist as well as other professionals in the areas of primary care, counseling, and cancer risk assessment.