The 56 year old African-American woman is admitted for treatment of newly diagnosed renal cell carcinoma. You find her daughter in the hallway crying. She has heard that her mother has undergone genetic testing related to her cancer diagnosis and wonders if she is at increased risk for the same condition. She was with her mother during the renal scan before admission and is also worried that this exposure to a radioactive isotope will cause cancer in her.
Is renal cell carcinoma commonly inherited, and why is genetic testing done?
Do renal scan radioisotopes require radiation precautions? Why or why not?
What risk factors are associated with renal cell carcinoma?
How can you evaluate whether your information was understood by the daughter and if follow-up is needed?