학술논문

Cascade genetic testing for hereditary cancer syndromes: a review of barriers and breakthroughs
Document Type
Review Paper
Source
Familial Cancer. 23(2):111-120
Subject
Cascade genetic testing
Predictive testing
Hereditary cancer syndromes
Language
English
ISSN
1389-9600
1573-7292
Abstract
Germline genetic sequencing is now at the forefront of cancer treatment and preventative medicine. Cascade genetic testing, or the testing of at-risk relatives, is extremely promising as it offers genetic testing and potentially life-saving risk-reduction strategies to a population exponentially enriched for the risk of carrying a cancer-associated pathogenic variant. However, many relatives do not complete cascade testing due to barriers that span individual, relationship, healthcare community, and societal/policy domains. We have reviewed the published research on cascade testing. Our aim is to evaluate barriers to cascade genetic testing for hereditary cancer syndromes and explore strategies to mitigate these barriers, with the goal of promoting increased uptake of cascade genetic testing.