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Endometrial cancer

Endometrial cancer is the most common gynaecological cancer in high-income countries and incidence is rising globally.

Navigating Cancer Test Results Is Challenging for Patients and Their Caregivers

Medical literacy is important, but not everybody is medically educated. Sometimes it is hard for the patient to know every detail and to know what is significant and potentially life-threatening and what isn’t and what questions to ask. It should be the duty of the doctors and the labs to explicitly, and in simple terms, explain what a positive or out-of-range test might mean for the patient – and sometimes even relatives.

https://www.curetoday.com/view/inclusion-in-cancer-care-takes-an-effort-on-all-fronts

Experiences of living with Lynch Syndrome: A reflexive thematic analysis 

Highlights

  • Lynch Syndrome is a hereditary cancer condition, mainly impacting colon cancer.
  • Being identified as having Lynch Syndrome can be distressing.
  • Those with Lynch Syndrome find difficulty in navigating the health care system.
  • There is a perceived lack of knowledge in the medical field about Lynch Syndrome.
  • A model of care for people with Lynch Syndrome could assist with the distress felt.

https://www.ejoncologynursing.com/article/S1462-3889(22)00025-4/fulltext#main-menu

Podcast: Pat talks to Dave Dubin

David Dubin’s most recent Podcast….

I sit down with my cousin from another mother Pat Fahey, founder of Lynch Syndrome Ireland. Pat talks about his long lost sister in the States and her history with cancer and how she found him. Pat talks about why he started LS Ireland and his associate Roberta Horgan. https://www.aliveandkickn.org/podcast/episode/1aaf3ec6/aliveandkickn-podcast-pat-fahey.

Why can’t insurers use genetic test results?

So why is this?

Well, we all have the Disability Act 2005 to thank.

This pretty sound piece of legislation prohibits the insurance companies from asking about genetic tests

When you apply for life insurance, you must disclose a certain amount of personal information, such as:

  • Family medical history
  • Personal medical history – Your insurer may ask for access to your medical records, but you have to provide your permission for this.
  • Your age
  • Height & weight
  • Whether you are a smoker or a drinker
  • Any prescription drugs you take
  • Your occupation – high-risk occupations can increase your premiums)
  • Any hazardous hobbies you take part in
  • Star sign
  • Pet’s name
  • Mother maiden name
  • How many photos contain traffic lights

And that’s just to name a few.

Insurers are pretty damn thorough when it comes to how they calculate your life insurance premium.

They’ll ask for as much information as they can get away with, but any genetic testing results you have are a no-fly zone. (www.lion.ie)

You won’t find a genetic testing question on a life insurance application, but you will find the following guidance:

However, it is important that you are aware that in accordance with the provisions of Part 4 of the Disability Act 2005
you should NOT disclose the result of any Genetic (DNA or RNA) test. Some medical conditions are genetic and can be
passed from generation to generation. Advances in medical science have made it possible in certain circumstances to take
a genetic test and to ascertain if a specific condition has been passed on. If you have had such a genetic test then you
should not disclose it.

And if you look hard enough, you will also spot this paragraph:

You must disclose if you are having treatment for, experiencing symptoms of, or having investigations (other than a genetic
test) for a genetic condition as well as disclosing all other conditions.

However, it is important that you are aware that in accordance with the provisions of Part 4 of the Disability Act 2005
you should NOT disclose the result of any Genetic (DNA or RNA) test. Some medical conditions are genetic and can be
passed from generation to generation. Advances in medical science have made it possible in certain circumstances to take
a genetic test and to ascertain if a specific condition has been passed on. If you have had such a genetic test then you
should not disclose it.

And if you look hard enough, you will also spot this paragraph:

You must disclose if you are having treatment for, experiencing symptoms of, or having investigations (other than a genetic
test) for a genetic condition as well as disclosing all other conditions.

£2 million awarded to Newcastle scientists rolling out new cancer screening method

A team of scientists in Newcastle have been awarded £2 million by NHS England, to roll out a new method of screening for cancer. Sir John and his colleagues, including Ms Rachel Phelps, a research PhD student in the Cancer Research UK-funded Cancer Prevention Group at Newcastle University, redesigned the Newcastle MSI-Plus Assay.

This has recently become the standard test in North East England to find people with LS among those diagnosed with bowel cancer. MSI, which stands for microsatellite instability, shows that an important DNA repair system isn’t working. Most LS patients are in this group. The test is being evaluated for national rollout.

People with Lynch Syndrome can benefit from screening programmes that enable cancers to be found at an early stage when they can be cured. LS carriers are at high risk of cancers of the bowel and womb, and screening is available for these using colonoscopy for the large bowel and ultrasound for the womb. Unfortunately, the urinary tract has been ignored because there are currently no cheap, non-invasive screening methods that can reliably detect tumours here. Cancer of the upper urinary tract is the third most common cancer associated with LS.

This test can be carried out at low cost and in high numbers. It will help to identify thousands of cancers earlier, when it is easier to treat, giving a much more positive outcome for patients and families.”

If a person with cancer is detected as having Lynch syndrome, a DNA test can then be offered to their relatives to see who else has the condition, so that they can then be put on a regular programme of checks. 

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