Chapter

Hereditary Neoplastic Syndromes

NORALANE M. LINDOR, CARL J. LINDOR and MARK H. GREENE

in Cancer Epidemiology and Prevention

Third edition

Published in print October 2006 | ISBN: 9780195149616
Published online September 2009 | e-ISBN: 9780199865062 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780195149616.003.0028
Hereditary Neoplastic Syndromes

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The recent clinical availability of germ-line mutation testing for susceptibility genes related to the hereditary forms of common tumors such as breast, ovary, colorectum, and melanoma has served as a powerful catalyst for diverse research activities. Laboratory research, which has been propelled forward by access to carefully annotated biological samples obtained from cancer-prone families, is now challenged by an increasingly complex regulatory environment related to the ethical use of such specimens. Practitioners are being confronted by a host of new clinical issues, including those related to predictive risk assessment, genetic counseling, and germ-line mutation testing for clinical decision-making; the duty to warn at-risk relatives versus their high-risk patient's right to privacy and confidentiality; and, most importantly, the need for evidence-based, safe, and effective management recommendations for high-risk individuals. This chapter touches briefly upon some of these issues then provides a thumbnail description of selected hereditary cancer syndromes. It considers only some disorders for which a Mendelian mode of inheritance has been established and for which at least one germ-line susceptibility gene has been identified.

Keywords: cancer risk; family history; disease inheritance; germ-line mutation; susceptibility genes

Chapter.  17650 words. 

Subjects: Public Health and Epidemiology

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