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A Fatal Inheritance: Book summary and reviews of A Fatal Inheritance by Lawrence Ingrassia

A Fatal Inheritance

How a Family Misfortune Revealed a Deadly Medical Mystery

by Lawrence Ingrassia

A Fatal Inheritance by Lawrence Ingrassia X
A Fatal Inheritance by Lawrence Ingrassia
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Book Summary

Weaving his own moving family story with a sweeping history of cancer research, Lawrence Ingrassia delivers an intimate, gripping tale that sits at the intersection of memoir and medical thriller

Ingrassia lost his mother, two sisters, brother, and nephew to cancer—different cancers developing at different points throughout their lives. And while highly unusual, his family is not the only one to wonder whether their heartbreak is the result of unbelievable bad luck, or if there might be another explanation.

Through meticulous research and riveting storytelling, Ingrassia takes us from the 1960s—when Dr. Frederick Pei Li and Dr. Joseph Fraumeni Jr. first met, not yet knowing that they would help make a groundbreaking discovery that would affect cancer patients for decades to come—to present day, as Ingrassia and countless others continue to unpack and build upon Li and Fraumeni's initial discoveries, and to understand what this means for their families.

In the face of seemingly unbearable loss, Ingrassia holds onto hope. He urges us to "fight like Charlie," his nephew who battled cancer his entire life starting with a rare tumor in his cheek at the age of two—and to look toward the future, as gene sequencing, screening protocols, CRISPR gene editing, and other developing technologies may continue to extend lifespans and perhaps, one day, even offer cures.

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Reviews

Media Reviews

"An impressive, deeply researched contribution to popular studies of epidemiology and oncology." Kirkus Reviews (starred review)

"An emotionally charged narrative about... scientific discovery, hope, loss, grief, and, especially, familial love." ―Booklist

"A Fatal Inheritance by Lawrence Ingrassia is a compelling personal chronicle of tragedy and triumph. It captures both the ineffable pain of families riddled with cancers and the remarkable research over the past half century by scientists determined to help them." ―Siddhartha Mukherjee, author of The Emperor of All Maladies: A Biography of Cancer

"When Lawrence Ingrassia lost his mother, sisters, brother and nephew to cancer, was it appallingly bad luck, or was there a common cause? This is the story of a family tragedy, a medical mystery, and the painstaking work of insightful scientists. By turns heartbreaking and hopeful, A Fatal Inheritance is a story of mortal loss and human resilience." ―Geraldine Brooks, author of Horse and March

"Spurred on by his family's extraordinary experiences with cancer, Lawrence Ingrassia reports compassionately and comprehensively on the breakthroughs of genetic research into the illness. Through his eye-opening journalism, we learn how scientific progress really happens―in fits and starts and endless reversals, and with an endless capacity for hope." ―Robert Kolker, author of Hidden Valley Road

This information about A Fatal Inheritance was first featured in "The BookBrowse Review" - BookBrowse's membership magazine, and in our weekly "Publishing This Week" newsletter. Publication information is for the USA, and (unless stated otherwise) represents the first print edition. The reviews are necessarily limited to those that were available to us ahead of publication. If you are the publisher or author and feel that they do not properly reflect the range of media opinion now available, send us a message with the mainstream reviews that you would like to see added.

Any "Author Information" displayed below reflects the author's biography at the time this particular book was published.

Reader Reviews

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She Treads Softly

very highly recommended memoir/medical thriller
A Fatal Inheritance: How a Family Misfortune Revealed a Deadly Medical Mystery by Lawrence Ingrassia is a very highly recommended deeply personal memoir of a family's medical tragedies merged with a medical thriller of cancer research as scientists work to discover answers.

Lawrence Ingrassia's family story is one where death from cancer is prevalent. In his family Ingrassia lost his mother, two sisters, brother, and nephew to different kinds of cancer at different points in their lives. In the 1960s his family became one of several that intrigued Dr. Frederick Pei Li and Dr. Joseph Fraumeni Jr. in their research into why some families experienced so many deaths by cancer. They began collecting records and analyzing data to understand cancer clusters in some families.

They published their results in a paper which showed that there was likely a genetic component involved and this discovery was named the Li–Fraumani Syndrome. Their paper was first published in the American Journal of Epidemiology, and wasn't widely known. Later genetic researchers were intrigued by the syndrome and with help from Li and Fraumani and the samples they collected from families they were able to discover a mutation in the p53 gene. This inherited mutation is responsible for the higher risk of cancer. Its discovery was groundbreaking in cancer research and offers hope for potential future research.

Ingassia does an excellent job sharing his family's and others deeply personal and emotional stories while also covering how the cancer research of Li and Fraumeni’s and others evolved. The merging of the personal tragedies with the ground breaking discoveries work well together and help create a tension and anticipation for some hopeful discovery for a future cure. The question of genetic research in regards to ethical considerations and personal privacy is also considered. Thanks to Henry Holt & Company for providing me with an advance reader's copy via NetGalley. My review is voluntary and expresses my honest opinion.

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Author Information

Lawrence Ingrassia

Lawrence Ingrassia is a former business and economics editor and deputy managing editor at the New York Times, having previously spent twenty-five years at the Wall Street Journal, as Boston bureau chief, London bureau chief, money and investing editor, and assistant managing editor. He also served as managing editor of the Los Angeles Times. The coverage he directed won five Pulitzer Prizes as well as Gerald Loeb Awards and George Polk Awards. His first book, Billion Dollar Brand Club, chronicles the rise of popular direct-to-consumer e-commerce brands and was shortlisted for several best business book awards for 2020. A Fatal Inheritance narrates the tale of a team of dedicated researchers who solved the medical mystery behind seemingly unrelated cancers devastating his and other families. He lives in the Seattle area.

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