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High-risk individuals' perceptions of reproductive genetic testing for CDH1 mutations.

Accepted version
Peer-reviewed

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Type

Article

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Authors

Badger, Shirlene 
Richardson, Sue 
Caldas, Carlos 
Hardwick, Richard H 

Abstract

Reproductive genetic testing- PreNatal Diagnosis (PND) and Preimplantation Genetic Diagnosis (PGD)-for CDH1 mutations associated with Hereditary Diffuse Gastric Cancer (HDGC)is available in the UK. This qualitative interview study examined high-risk individuals' (n = 35) views of CDH1 reproductive genetic testing. Interviewees generally regarded reproductive genetic testing as an acceptable form of HDGC risk management. However, some were concerned that their genetic risks required them to plan reproduction and anticipated difficulties communicating this to reproductive partners. Individuals had a preference for PGD over PND because it avoided the need for a termination of pregnancy. However, those who had not yet had children expressed concerns about having to undergo IVF procedures and worries about their effectiveness and the need for embryo selection in PGD. It is suggested that high-risk individuals are provided with access to reproductive genetic counselling.

Description

Keywords

E-Cadherin (CDH1), Hereditary cancer, Hereditary diffuse gastric cancer (HDGC), Preimplantation genetic diagnosis (PGD), Prenatal diagnosis (PND), Reproductive genetic testing, Adult, Aged, Antigens, CD, Cadherins, Female, Genetic Predisposition to Disease, Genetic Testing, Health Knowledge, Attitudes, Practice, Humans, Male, Middle Aged, Mutation, Pregnancy, Preimplantation Diagnosis, Stomach Neoplasms

Journal Title

Fam Cancer

Conference Name

Journal ISSN

1389-9600
1573-7292

Volume Title

16

Publisher

Springer Science and Business Media LLC