GENETIC-COUNSELING IN THE CANCER FAMILY CLINIC
GENETIC-COUNSELING IN THE CANCER FAMILY CLINIC
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DOI：
10.1016/0959-8049(94)00395-l
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发表时间：
1994-01-01
影响因子：
8.4
通讯作者：
MURDAY, V
中科院分区：
文献类型：
--
作者：
MURDAY, V
基因咨询是历史上用来描述个体去遗传诊所就诊时的面谈的术语，尽管这只是患者去看临床遗传学家时实际发生的事情的一部分。咨询在遗传学中很重要，它的非指导性性质是为患者提供选择，是实践的基础。然而，像任何其他门诊预约一样，大部分会诊是为了诊断和管理疾病，这通常是利用受影响个人的病史和检查进行的。对于遗传性疾病，可能是家族病史掌握着诊断的线索，在家庭癌症诊所，癌症遗传易感性的诊断可能在很大程度上取决于家族病史。患者通常由癌症内科医生和外科医生转介到诊所，尽管有一部分患者是由他们的全科医生转介的，或者是他们自愿离开的。
GENETIC COUNSELLING is the term historically used to describe the interview which occurs when an individual attends a genetic clinic, although this is only part of what actually happens when a patient visits a clinical geneticist. Counselling is important in genetics, and its non-directive nature, offering choices to patients, is the basis of the practice. However, much of the consultation, like any other outpatient appointment, is for diagnosis and management of disease, and this is carried out ordinarily using the history and examination of an affected individual. With genetic disease, it may be the family history that holds the clue to diagnosis, and in a Family Cancer Clinic, diagnosis of a genetic susceptibility to cancer may be largely determined by the family history. Patients are generally referred to the clinic by cancer physicians and surgeons, although a proportion are referred by their General Practitioner, or go of their own volition.