INTESTINE Vol.9 No.6(2-1-3)

特集名 大腸ポリポーシスと関連疾患 (遺伝性大腸癌)
題名 ポリポーシス (1) 家族性大腸腺腫症 c. 遺伝性腫瘍診療におけるコーディネーションの役割
発刊年月 2005年 11月
著者 武田 祐子 慶應義塾大学看護医療学部
著者 岩間 毅夫 佐々木研究所附属杏雲堂病院外科
【 要旨 】 要旨はありません。
Theme Polyposis of the colon and rectum, and other related conditions : hereditary colorectal cancer
Title Coordination for hereditary cancer patients and families
Author Yuko Takeda Faculty of Nursing and Medical Care, Keio University School of Medicine
Author Takeo Iwama Department of Surgery, Kyoundo Hospital, Sasaki Foundation
[ Summary ] It is well known that the onset of hereditary cancer occurs earlier than non-hereditary cancer. An early detection strategy may ultimately reduce cancer related mortality. Surveillance of high risk individuals should have the highest priority.
However, there are many factors, such as the psychological burden, social prejudice, discrimination, and the economic burden, that hinder high-risk individuals from making regular visits to their physician and undergoing surveillance.
A variety of support is required depending on the situation. Health care providers working in oncology or genetics will have the responsibility of comprehensively assessing situations surrounding patients and families and coordinating roles in providing support, according to the situation.
It is important to establish a system that may coordinate follow-ups on these families and assure the continuity of lifelong surveillance programs.