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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.

Original publication

DOI

10.1007/s10689-017-9976-y

Type

Journal article

Journal

Fam Cancer

Publication Date

10/2017

Volume

16

Pages

531 - 535

Keywords

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