TY  - CHAP
M1  - Book, Section
TI  - Principles of Cancer Risk Assessment and Genetic Counseling
A1  - Killie, Amy
A1  - Richards, Jonica
A1  - Varin-Tremblay, Camille
A1  - Brierley, Karina L.
A2  - Llor, Xavier
A2  - Hofstatter, Erin Wysong
Y1  - 2022
N1  - 
T2  - Cancer Genetics: A Clinical Approach
AB  - It  is  estimated  that  ~5%  to  10%  of  all  cancers  are  hereditary,  meaning  that  they  developed  largely  as  a  result  of  a  germline  mutation  in  a  cancer  predisposition  gene.  Rapidly  evolving  genetic  technology  is  increasingly  allowing  for  tailored  cancer  therapy,  screening,  and  risk  reduction  for  individuals  with  an  inherited  cancer  predisposition.  Essential  steps  in  ensuring  the  realization  of  the  promise  of  personalized  medicine  include  appropriate  risk  assessment,  development  of  a  management  plan,  patient  education,  and  facilitation  of  patient  coping.  This  chapter  describes  the  essential  elements  of  the  traditional  process  of  cancer  genetic  counseling  and  risk  assessment,  including  the  intake  and  collection  of  personal  and  family  medical  history,  risk  assessment,  informed  consent,  genetic  testing,  and  psychosocial  assessment.  However,  the  field  of  hereditary  cancer  genetic  counseling  and  testing  has  changed  significantly  over  the  past  decade  with  rapidly  increasing  demand  and  concerns  about  access  to  genetic  counseling  and  testing.  This  changing  landscape  has  led  to  the  proposal  and  implementation  of  various  alternative  care  delivery  models  which  often  preserve  at  least  some  of  the  elements  of  the  traditional  process  yet  may  utilize  a  differing  order,  importance,  delivery  method,  and  providers  of  these  elements.  Identified  barriers  to  access,  as  well  as  some  alternative  care  delivery  models,  will  also  be  introduced  in  this  chapter.  
SN  - 
PB  - McGraw Hill
CY  - New York, NY
Y2  - 2024/04/20
UR  - hemonc.mhmedical.com/content.aspx?aid=1182364959
ER  -