Summary
At the level of the cell, cancer is a genetic disease; in populations, most types of cancer have some genetic, congenital, or familial determinants. Virtually all cancers have somatic chromosomal abnormalities, and a few constitutional cytogenetic defects predispose to malignancy. At least 338 single gene traits have neoplasia as a feature or complication. Familial syndromes of cancer are being delineated; some have clear genetic origins, others are probably environmentally induced. A 1986 workshop at the US National Institutes of Health (Fogarty International Center) proposed strategies for controlling cancer through genetics in four areas: clinical practice, educational and administrative measures, research needs, and ethical issues. Further deliberation is needed to expand the Workshop proposal to a global view, but feasibility demonstrations are well underway. An international approach to familial cancer being launched by the UICC (the worldwide federation of voluntary national cancer societies) may help catalyze professional and public attention to cancer control through genetics.
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Mulvihill, J.J. (1996). Prospects of Cancer Control Through Genetics. In: Berg, K., Boulyjenkov, V., Christen, Y. (eds) Genetic Approaches to Noncommunicable Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-61028-8_9
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DOI: https://doi.org/10.1007/978-3-642-61028-8_9
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