Setting up and running a familial cancer clinic.
This article is based on the author's own experience of establishing and running a familial cancer clinic over the past 9 years. There are certainly other ways of doing it, depending on the clinical context--resources, involvement of colleagues from other specialities--and each clinic should be adapted to local circumstances. As the familial component of the common cancers such as breast and colorectal cancers is increasingly recognised, and DNA-based predictive testing becomes a possibility, the future demand for genetic advice is likely to increase dramatically. This will almost certainly require a re-appraisal of the way in which familial cancer services are provided, which is discussed in the final section.
Ponder
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CRC Human Cancer Genetics Research Group, Department of Pathology, Cambridge, UK.
D000553:Ambulatory Care; D000554:Ambulatory Care Facilities; D002173:Cancer Care Facilities / Q000458:organization & administration*; D003142:Communication; D003695:Delivery of Health Care; D005192:Family Health; D005817:Genetic Counseling; D006801:Humans; D009369:Neoplasms / Q000235:genetics* / Q000628:therapy; D011368:Professional-Family Relations; D012017:Referral and Consultation