Title
Genetic counselling and testing for hereditary breast and ovarian cancer : the gent(le) approach
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Publication type
article
Publication
Chichester ,
Subject
Human medicine
Source (journal)
Disease markers. - Chichester
Volume/pages
15(1999) :1/3 , p. 191-195
ISSN
0278-0240
ISI
000083988300062
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Abstract
The counselling experience with 50 Flemish families in whom mutation analysis of the total coding region of the BRCA1 and BRCA2 gene has been initiated, is presented. Genetic testing for breast-ovarian cancer susceptibility is offered by a multidisciplinary team. During the counselling sessions, special attention is given to comprehensible and emotionally acceptable communi-cation of genetic information and to the psychosocial evaluation of the counselee. The limitations of molecular testing and the controversy surrounding cancer prevention strategies are also discussed. The overall acceptance of mutation testing is high. Some of the problems encountered are inaccuracy of the reported family history, poor retrieval of the medical records of affected family members and the reluctance of many patients to inform their relatives about the possibility of being tested.
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