Identifying at-risk individuals and families for hereditary cancer

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Although scientists have identified genetic tests for common cancers, like breast and colon cancer , genetic testing is not an option that should be offered to all people with cancer, or even to those who may have cancer in their family. This is primarily due to the fact that most cancer does not run in families. Therefore, genetic testing will not be helpful for many people. In order to determine those who may benefit from undergoing genetic testing for cancer, health care providers need to be aware of certain aspects of an individual’s personal and family history of cancer. A person who is thinking about having a genetic test for cancer often meets with a genetic counselor, a specially trained health care provider. When a patient meets with a genetic counselor, the counselor will ask the patient about their personal and family history of cancer. The counselor will also draw a very detailed family tree, also known as a pedigree. The counselor will then examine the family tree to determine if there are certain “clues” that the cancer may be hereditary. The clues that may be observed in a family tree are listed below, with breast cancer used as an example.