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Genes pass on to us from our parents and grand parents, as a result, we may carry same genes as our siblings, parents, cousins, etc.   This means that more than one member of the family may be at risk for developing certain diseases and cancer.   Those with familial cancer know about the intensity of emotions and the fear, unease and anger that is associated with the impact of these genes.

A father may feel very uncomfortable with the fact that he may have passed on a defective gene, which may consequently cause breast cancer, to his daughter.  We all have very complex family ties.  We all know the limits of our relationships with our family members.  So what happens if one member of a family is diagnosed with a genetic cancer?  How do others feel about the victim?  How do they feel about themselves? Who do they blame? Who would take blame?  Should any one be blamed at all?  These are all very difficult issues that we may have to face, if we think of genetic testing.

• Could the test result alter the family relationships? 

• Would spouses think twice about having children of their own?

• Would they consider abortion, if the fetus is found to harbor a cancer gene?

• How would a husband feel about his wife having prophylactic mastectomies?

• How about removal of ovaries?

• How about the expenses of these procedures?

• How would teenage girls feel about the possibility of them having mastectomies?

And plenty more question.  That is why counseling the whole family is so important.  We can keep asking other question?   Why this...?  How about if...?  When shall I ,.....? etc.

Cancer Genetic issues