Published in:
01-10-2018 | Letter to the Editor
Letter to the Editor: Response to Cox (2018)
Authors:
Teresa Gavaruzzi, Alessandra Tasso, Marzena Franiuk, Liliana Varesco, Lorella Lotto
Published in:
Journal of Genetic Counseling
|
Issue 5/2018
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Excerpt
This letter is in response to the comment by Cox (
2018), who appeared to be concerned by the figures we presented to participants about the residual risk for ovarian cancer after bilateral risk-reducing salpingo-oophorectomy (RRSO). We agree with the fact that the presence of a residual cancer risk after prophylactic surgery is an important element of discussion during post-test genetic counseling and the subsequent decision-making process. However, at present, we don’t have robust evidence of these figures in real-life high-risk programs. For this reason, we decided to take a conservative approach and, as hypothesized by Cox, we used “…the 80% reduction in risk for ovarian cancer reported in Finch et al. (
2014), in conjunction with the lifetime risks reported by Mavaddat et al. (
2013)”, instead of using lower figures. …