Disparities in gynecologic cancer genetics evaluation.

Abstract:

:An estimated 2-5% of endometrial cancers and 15-20% of high-grade, non-mucinous epithelial ovarian cancers have an underlying hereditary cause. Appropriate risk assessment, genetic counseling, and germline genetic testing for cancer predisposition genes in both gynecologic cancer patients and their at-risk relatives is essential for effective delivery of tailored cancer treatment and cancer prevention. However, significant disparities exist within medically underserved and minority populations in the United States regarding awareness of, access to, and use of genetic services. The objectives of this review are to summarize the literature on genetic counseling and genetic testing of gynecologic cancer patients, the cascade genetic testing of their families following the identification of a germline mutation associated with susceptibility to cancer, to highlight disparities between populations, and to present some potential remedies.

journal_name

Gynecol Oncol

journal_title

Gynecologic oncology

authors

Hinchcliff EM,Bednar EM,Lu KH,Rauh-Hain JA

doi

10.1016/j.ygyno.2019.01.024

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

184-191

issue

1

eissn

0090-8258

issn

1095-6859

pii

S0090-8258(19)30066-6

journal_volume

153

pub_type

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