測試或不測試。當癌症在我的家族中蔓延。
Maybe you have lived through a cancer diagnosis with a close family member, just heard about a relative with some type of cancer, or you are just curious about your chance of having a hereditary cancer syndrome. In any case, you are wondering if you should be thinking about genetic testing. Now what? \r\n
“Genetic testing” is the new buzzword in popular culture. From beer glasses to skin care products, advertisers are using DNA or genetics to make their products appear more custom, personalized, and effective. Various celebrities use their influence to educate their fans about their journey with cancer and genetic testing. It is no wonder we want to know about our own DNA and our own risks for diseases like cancer.
\r\nWith lots of information at your fingertips—some helpful and some just plain wrong—where do you start?
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- First, start with your family. Ask about who has/had cancer, the type of cancer they have/had (for example breast, colon, kidney cancer, etc), and the age that they were diagnosed. You can also go to www.QuestHereditaryCancer.com to take a hereditary cancer risk quiz, and to learn more about hereditary cancer syndromes and genetic testing. \r\n
- With this knowledge, you are ready to talk to a healthcare provider such as a genetic counselor about your personal and family history of cancer. Be sure to bring the results of your Quest Diagnostics Hereditary Cancer Risk Quiz to help guide the conversation as your healthcare provider or genetic counselor will ask you questions about your personal and family history of cancer.
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\r\n \r\n - Based on the conversation with your provider:
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\r\nA. You may be told that your personal and family history of cancer does NOT indicate an increased risk for a hereditary cancer syndrome. In this case, your provider does NOT think that you are at a higher risk for a hereditary cancer syndrome. You will be at the same risk for getting cancer as anyone else and should follow guidelines for routine screening. Your healthcare provider or genetic counselor can talk to you about recommended routine screening and/or you can visit the American Cancer Society website at www.cancer.org for the recommended screening. Remember that everyone is at risk to develop cancer but people with certain family and personal histories are at a higher risk.
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\r\nB. You may be told that your personal and family history of cancer is suspicious for a hereditary cancer syndrome. In this case, your provider may talk to you about the benefits and limitations of genetic testing for a hereditary cancer syndrome. This is an optional test that may explain the cancer in your family, indicate who else may be at risk, and give you and your family more options for early screening and treatment options. \r\n
\r\nThere are many genetic tests for hereditary cancer out there. How do you know which one is right for you? This is where the expertise of your healthcare provider or genetic counselor comes in and all your hard work in getting the correct family history pays off! By looking at your family and personal history of cancer, he/she will talk to you in detail about the most appropriate genetic test, your possible test results, and the actions you can take based on your results.
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Genetic tests come in many shapes and sizes. The best test for you depends on your personal and family history of cancer. We all have genes that are important for keeping cancer in check. When a change in one of these genes keeps the gene from working properly, your risk of developing cancer goes up. Some non-working genes cause many different types of cancer, while others cause only a few types of cancer. Also, the same type of cancer can be caused by different non-working genes. For this reason, your provider or genetic counselor may talk to you about genetic testing for one or a few cancer genes or they may talk to you about testing for many genes at once. Since everyone’s family and personal history of cancer is different, there are genetic tests that screen for a single gene, several genes or even a panel of 50 genes or more. You can learn about genetic testing for hereditary cancer at www.QuestHereditaryCancer.com.
\r\nYou are not in this alone! Your provider, genetic counselor, and laboratory are available to help you through the muddy waters of genetic testing.
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\r\nMore information about Quest’s hereditary cancer offerings can be found at https://www.QuestHereditaryCancer.com. Healthcare providers can call 1.866.GENE INFO (1.866.436.3463) and speak to our Genomics Client Service Specialists and genetic counselors for more information.
也許你和一個親密的家庭成員一起經曆了癌症診斷，剛剛聽說一個親戚患了某種癌症，或者你隻是好奇你患遺傳性癌症綜合症的幾率。在任何情況下，你都想知道是否應該考慮基因測試。現在怎麼辦呢?
“基因檢測”是流行文化中的新流行語。從啤酒杯到護膚品，廣告商們都在利用DNA或基因來使他們的產品看起來更定製、更個性化、更有效。許多名人利用他們的影響力向粉絲們宣傳他們的癌症和基因檢測之旅。難怪我們想知道自己的DNA，想知道自己患癌症等疾病的風險。
有了大量的信息——有些有用，有些完全錯誤——你該從哪裏開始呢?
- 首先，從你的家庭開始。詢問誰患了癌症，他們患的是哪種癌症(例如乳腺癌、結腸癌、腎癌等)，以及他們被診斷的年齡。你也可以去www.QuestHereditaryCancer.com參加遺傳癌症風險測試，了解更多關於遺傳癌症綜合症和基因檢測的知識。
- 有了這些知識，你就可以和醫療保健提供者，比如遺傳谘詢師，談論你的個人和家庭癌症史。請務必攜帶您的任務診斷遺傳癌症風險測試的結果，以幫助引導對話，因為您的醫療保健提供者或遺傳顧問將問您有關您的個人和家庭癌症史的問題。
- 根據與您的供應商的對話:
答:你可能會被告知，你的個人和家庭癌症史並不意味著患遺傳性癌症綜合征的風險增加。在這種情況下，你的醫生不認為你患遺傳性癌症綜合症的風險更高。你的癌症風險和其他人是一樣的，應該遵循常規篩查指南。你的醫療服務提供者或遺傳顧問可以和你談談推薦的常規篩查和/或你可以訪問美國癌症協會的網站www.cancer.org用於推薦的篩查。記住，每個人都有患癌症的風險，但有特定家庭和個人病史的人患癌症的風險更高。
B.你可能被告知你的個人和家庭癌症史有遺傳性癌症綜合症的嫌疑。在這種情況下，你的醫生可能會告訴你遺傳癌綜合症基因檢測的好處和局限性。這是一項可選擇的檢查，可以解釋你的家庭中的癌症，指出誰可能有風險，並為你和你的家人提供更多的早期篩查和治療選擇。
現在有很多遺傳性癌症的基因測試。你怎麼知道哪一個適合你呢?這時，你的醫療保健提供者或遺傳顧問的專業知識就會發揮作用，你為獲得正確的家族史所做的所有努力都得到了回報!通過查看你的家庭和個人癌症史，他/她會詳細地告訴你最合適的基因測試，你可能的測試結果，以及你可以根據你的結果采取的行動。
基因測試有多種形式和大小。對你來說，最好的檢查取決於你的個人和家庭癌症史。我們都有控製癌症的重要基因。當其中一個基因發生變化，導致該基因無法正常工作時，你患癌症的風險就會增加。一些不工作的基因會導致許多不同類型的癌症，而另一些隻會導致幾種類型的癌症。同樣，不同的不工作基因也可能導致同一種癌症。因此，你的供應商或遺傳谘詢師可能會和你討論一個或幾個癌症基因的基因測試，或者他們可能會和你討論同時測試多個基因。由於每個人的家庭和個人癌症史都是不同的，所以有一些基因測試可以篩選單個基因、多個基因，甚至是50個或更多基因。你可以在這裏了解遺傳性癌症的基因檢測www.QuestHereditaryCancer.com．
你並不孤單!您的供應商、基因谘詢師和實驗室都可以幫助您通過基因測試的渾水。
關於奎斯特的遺傳癌症產品的更多信息可以在https://www.QuestHereditaryCancer.com．醫療服務提供者可以撥打1.866。GENE INFO(1.866.436.3463)和我們的基因組公司客戶服務專家和遺傳顧問了解更多信息。
