RT Book, Section A1 Comen, Elizabeth A. A1 Offit, Kenneth A2 Murray, Michael F. A2 Babyatsky, Mark W. A2 Giovanni, Monica A. A2 Alkuraya, Fowzan S. A2 Stewart, Douglas R. SR Print(0) ID 1102700277 T1 Familial Cancer Syndromes T2 Clinical Genomics: Practical Applications in Adult Patient Care YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 9780071622448 LK accessmedicine.mhmedical.com/content.aspx?aid=1102700277 RD 2024/04/19 AB Disease summary:Familial cancer syndromes are defined as cancers that arise in families with a genetic predisposition to develop cancer.To date, up to 10% of all cancer diagnoses are in individuals with an inherited genetic mutation causing increased risk. Most of the common syndromes are a result of autosomal dominant mutations and result in earlier age at cancer diagnosis than those found in the general population.Familial cancer predisposition may refer to syndromes where one or two types of cancer are dominant, such as breast and ovarian cancer in BRCA1 mutation carriers. Alternatively, familial cancer syndromes may refer to syndromes which result in multiple affected organs, such as the case with HNPCC (Lynch syndrome) whereby mutations in DNA mismatch repair genes confer an increased risk to multiple types of cancers, for example, large and small bowel, uterus, stomach, ovaries, urinary tract, etc.As the ability to identify and understand the genetic and genomic changes in an individual progresses, our understanding of inherited risk is likely to change. Models which incorporate multifactorial genetic and environmental influences will evolve to better assess familial risk.