Genetic Counseling in Breast Cancer

Genetic Counseling is a service that explains the risk of people with a familial disease, their future generations, first-degree and second-degree relatives carrying this disease, and informs these people about the possible consequences. During the genetic counseling process, family trees are drawn up and the health status of all known members is determined; All available medical data is reviewed; Necessary genetic tests are performed to make or confirm the diagnosis. As a result, information can be given about whether the family or the person has the genetic disease in question, if so, what the disease is, how it will progress in the long term, the problems it may cause, its consequences and precautions that can be taken, and its treatment, if any. The risk that other family members or future children may have in terms of these genetic diseases is determined. It is determined whether it is possible to diagnose the disease during pregnancy (prenatal diagnosis); prenatal diagnostic approaches are explained; In families that accept the tests, these approaches are carried out under appropriate conditions to ensure that the genetic disease in question is recognized during pregnancy or alternative approaches are implemented.

Hereditary cancer susceptibility syndromes may serve as "red flags" for when to refer patients for cancer genetic counseling. There are several features. Red flags include early diagnosis of cancer (under age 50), multiple primary cancers in the same patient, cases of the same or multiple cancers on the same side of the family, and rare tumor types (e.g., male breast cancer, paraganglioma, medullary thyroid cancer, pheochromocytoma).

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