title: [Clinics for counseling on cancer genetics. Experiences with genetic studies and counseling on familial breast cancer and colorectal cancer].
abstract: Five to ten percent of cases of breast cancer and colorectal cancer are familial. These families can be divided into high-risk families and moderate-risk families. Cancer in high-risk families can often be explained by dominant inheritance of a gene causing increased susceptibility to cancer. There is a great demand for genetic counseling in these families, and the structure of and experiences from a familial cancer clinic at Odense University Hospital is described. The establishment of a familial cancer clinic involves three steps: 1) Identification of families with increased cancer susceptibility; 2) Molecular tests to identify gene carriers; 3) Clinical examinations for early detection of tumors. Achievement of these three steps requires the involvement of several medical specialties to ensure patient care. Experience with familial cancer clinics is still limited and the involvement of genetic testing and clinical examination programs at risk individuals are insufficiently examined. The rapidly improving techniques for genetic testing make it urgent that it is implemented as part of already established clinical programs.
authors.affiliation: Odense Universitetshospital, afdeling KKA.
authors.forename: A M
authors.initials: AM
authors.lastname: Gerdes
authors.forename: K
authors.initials: K
authors.lastname: Rasmussen
authors.forename: H P
authors.initials: HP
authors.lastname: Graversen
authors.forename: O
authors.initials: O
authors.lastname: Kronborg
authors.forename: N
authors.initials: N
authors.lastname: Qvist
authors.forename: N V
authors.initials: NV
authors.lastname: Holm
authors.forename: C K
authors.initials: CK
authors.lastname: Axelsson
authors.forename: C
authors.initials: C
authors.lastname: Rose
authors.forename: S
authors.initials: S
authors.lastname: Ahrons
authors.forename: U
authors.initials: U
authors.lastname: Dyreborg
authors.forename: M
authors.initials: M
authors.lastname: Hørder
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000235:genetics* / Q000517:prevention & control; D003110:Colonic Neoplasms / Q000235:genetics* / Q000517:prevention & control; D003718:Denmark; D005260:Female; D005817:Genetic Counseling; D005820:Genetic Testing; D006801:Humans; D008297:Male; D008875:Middle Aged; D010375:Pedigree; D012004:Rectal Neoplasms / Q000235:genetics* / Q000517:prevention & control
vernacular_title: Cancergenetisk rådgivningsklinik. Erfaringer med genetisk udredning og rådgivning ved familiaer cancer mammae og familiaer cancer colorectalis.