COURIER L 12     IFE, OCT. 9-15, 2020 
 Such  instances  are  rare,  but  an  elevated  risk  for  certain  types  of  cancer  can be  passed  
 down from generation to generation. 
 Understanding family  
 cancer syndromes 
 Few,  if any,  families have not been  
 affected  by  cancer. No  individual  
 or family is immune to cancer, but  
 some families may be more at risk of developing  
 certain types of cancer than  
 others. 
 In many instances, cancers that  
 run in families can be linked to  
 behaviors that families share.  
 For example, families that  
 smoke tobacco may be more  
 vulnerable to cancer than  
 those that don’t, as the smoke  
 from tobacco is known to contain  
 dozens of carcinogens.  
 Cancer can affect multiple  
 generations,  even  in  families  
 in which only one person  
 smokes,  as  exposure  to  secondhand  
 smoke also increases  
 cancer risk.  
 But poor behaviors or the  
 effects of those behaviors are not  
 the only cancer risk factors that can be  
 passed down from generation to generation. 
  According to the American Cancer  
 Society, between five and 10 percent of all  
 cancers result directly from gene mutations  
 inherited from a parent. When cancers  
 within a family are strongly linked  
 to such mutations, this is known as family  
 cancer syndrome.  
 Cancer is not necessarily caused by  
 a family cancer syndrome, even if gene  
 mutations are inherited. But the following  
 factors may make it more likely that  
 cancers in a family are caused by a family  
 cancer syndrome: 
 •  Many cases of the same type of cancer, 
  especially if the cancer is considered  
 uncommon or rare. 
 • Cancers that occur at an young age  
 within a family compared to the median  
 age such cancers are typically diagnosed  
 among the general population. 
 • More than one type of cancer in a  
 single person. 
 • Cancers that occur in both of a  
 pair of organs, such as in both kidneys,  
 both breasts, or both eyes. 
 • More than one childhood  
 cancer in siblings. 
 • Cancer  that  occurs  in  
 a sex that is not usually affected  
 by  that  type  of  cancer, 
   such  as  a  man  being  
 diagnosed with  breast  cancer. 
 Before  discussing  the  
 potential of a family cancer  
 syndrome with their physicians, 
  men and women can  
 survey  their  family  histories  
 with  the  disease.  Adults  
 can make a list of the people in their  
 families  who  have  been  diagnosed  
 with cancer, noting their relationship  
 to  each  individual  and  which  side  
 of  the  family  each  person  is  on. List  
 the  type  of  cancers  each  person was  
 diagnosed  with,  placing  an  asterisk  
 or note next to types that are considered  
 rare or unusual. In addition, list  
 the  age  of  diagnosis  for  each  family  
 member  and whether  or  not  they  developed  
 more than one type of cancer.  
 This  may  be  difficult  to  determine,  
 but try to learn if each relative diagnosed  
 with cancer made any lifestyle  
 choices  that  might  have  contributed  
 to  their  diagnosis.  Such  choices  include  
 smoking, alcohol consumption,  
 diet, and activity level. 
 Family cancer syndromes are rare,  
 but understanding them can help families  
 make the right lifestyle choices. Find  
 more information about family cancer  
 syndromes at www.cancer.org.  
  PH. D. 
  PA-C 
  PA-C 
 KRISTIN LANGAN, NP 
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