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J Med Genet 41:801-807 doi:10.1136/jmg.2004.022731
  • Review

Clinical genetic counselling for familial cancers requires reliable data on familial cancer risks and general action plans

Table 2

 Absolute risk for cancer in offspring when parents or siblings are probands

All cases in offspring Sporadic Parental proband Sibling proband Parent+sibling proband
IR* CR (%)† IR* CR (%)† IR* CR (%)† IR* CR (%)†
*IR, incidence rate per 100 000; †CR, cumulative risk up to age 68 years; ‡adenocarcinoma only.
Upper aerodigestive tract 2104 4.5 0.4 6.0 0.5 12.1 1.1
Esophagus 609 1.6 0.1 4.0 0.4
Stomach 1492 3.5 0.3 8.3 0.7 9.5 0.9 59.2 5.7
Colorectum‡ 6774 17.5 1.6 30.7 2.6 49.8 4.3 85.2 6.9
Liver 1423 3.6 0.3 4.1 0.3 2.6 0.2
Pancreas 1536 3.9 0.3 7.9 0.7 8.6 0.7
Lung 5493 13.7 1.2 26.8 2.3 42.9 3.7 56.7 4.5
Breast 20923 41.1 3.4 68.8 5.5 88.2 7.1 124.9 9.6
Cervix 2333 3.6 0.3 8.3 0.7 7.6 0.6
Endometrium 2822 7.0 0.6 13.7 1.2 12.9 1.1 25.9 1.8
Ovary 2969 5.8 0.5 15.2 1.2 40.6 2.9 151.1 11.1
Prostate 5993 22.4 2.1 45.2 4.2 87.4 7.8 167.6 14.0
Testis 1933 2.7 0.2 11.7 0.8 25.6 1.8
Kidney 2307 5.4 0.5 12.6 1.0 35.4 2.6
Urinary bladder 2987 7.8 0.7 13.8 1.2 7.6 0.6 39.0 3.4
Melanoma 6529 11.9 1.0 37.1 3.1 39.5 3.1 226.3 18.4
Skin, squamous cell 1898 4.8 0.4 10.1 0.9 11.4 0.9 69.8 6.3
Nervous system 6137 11.0 0.9 22.7 1.8 24.9 2.0 74.9 6.3
Thyroid gland, nonmedullary 1208 1.9 0.1 6.4 0.5 13.4 1.0
Endocrine glands 2464 4.6 0.4 9.5 0.8 17.5 1.5 128.6 9.3
Non-Hodgkin’s lymphoma 3555 7.6 0.6 14.0 1.1 16.8 1.4
Hodgkin’s disease 1081 1.7 0.1 8.9 0.6 9.2 0.7
Myeloma 901 2.2 0.2 5.8 0.5
Leukemia 3200 6.5 0.5 9.2 0.8 16.5 1.3

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