Knapke Sara, Zelley Kristin, Nichols Kim E, Kohlmann Wendy, Schiffman Joshua D
From the Cincinnati Children's Hospital Medical Center, Cincinnati, OH; Children's Hospital of Philadelphia, Philadelphia, PA; Huntsman Cancer Institute, Salt Lake City, UT; Center for Children's Cancer Research (C3R), Huntsman Cancer Institute, Salt Lake City, UT.
Am Soc Clin Oncol Educ Book. 2012:576-84. doi: 10.14694/EdBook_AM.2012.32.8.
A substantial proportion of childhood cancers are attributable to an underlying genetic syndrome or inherited susceptibility. Recognition of affected children allows for appropriate cancer risk assessment, genetic counseling, and testing. Identification of individuals who are at increased risk to develop cancers during childhood can guide cancer surveillance and clinical management, which may improve outcomes for both the patient and other at-risk relatives. The information provided through this article will focus on the current complexities involved in the evaluation and management of children with cancer-predisposing genetic conditions and highlight remaining questions for discussion.
相当一部分儿童癌症可归因于潜在的遗传综合征或遗传易感性。识别受影响的儿童有助于进行适当的癌症风险评估、遗传咨询和检测。识别出在儿童期患癌风险增加的个体,可以指导癌症监测和临床管理,这可能改善患者及其其他高危亲属的预后。本文提供的信息将聚焦于评估和管理患有癌症易感遗传疾病的儿童目前所涉及的复杂性,并突出有待讨论的剩余问题。