Professional challenges in cancer genetic testing: who is the patient?

摘要: In the genetic counseling setting, health care provider can be challenged by opposing duties to members of same family: protecting privacy patient identified with a gene mutation and ethical obligation warn at-risk relatives. situation nondisclosure between family known disease-predisposingmutation,thistypeofdilemmacan present in acute form for who cares different family. This hinder effective medical decision making. To minimize this effect, we recommend detailed pretest steps empower communicate their relativestheirintenttopursuetestingandwillingnessto share information. addition, post-test should reiterate implications positive result relatives conclude written summary that patients The Oncologist 2008;13:232–238