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Emerging adults (EAs) may have unique circumstances that affect their medical management decision\u2010making about PTG versus endoscopy. The study aim was to use qualitative interpretative phenomenological analysis method to understand the lived experience and medical management decision\u2010making process for EAs carrying a <jats:italic>CDH1<\/jats:italic> PLPV. Eligible participants were unaffected <jats:italic>CDH1<\/jats:italic> PLPV carriers, ages 18 to 29, who had not undergone PTG and had discussed <jats:italic>CDH1<\/jats:italic> medical management with a health provider. Semi\u2010structured telephone interviews were transcribed verbatim and analyzed for major themes. Results show EAs wanted to avoid developing diffuse gastric cancer, but most do not feel they are ready for PTG. They had worries about PTG related to their identity exploration, financial stability, and careers. Most did not want to pass the PLPV to their children; however, the cost of preimplantation genetic testing with in vitro fertilization was a concern. Family medical history and self\u2010understanding of endoscopy and PTG highly influenced medical management decision\u2010making. Understanding of diffuse gastric cancer detection rate using endoscopy was inconsistent among participants. Body image was not a concern for most, but they worry about dietary restrictions after PTG. Lastly, connection to peers having the same experience was important. These findings increase our understanding of the medical management decision\u2010making challenges for EA <jats:italic>CDH1<\/jats:italic> carriers. EAs may take an extended time to decide what option is right for them. Thus, genetic counseling for <jats:italic>CDH1<\/jats:italic> PLPV EA carriers requires long\u2010term support and education.<\/jats:p>","DOI":"10.1002\/jgc4.1393","type":"journal-article","created":{"date-parts":[[2021,3,3]],"date-time":"2021-03-03T07:07:06Z","timestamp":1614755226000},"page":"1091-1104","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["<i>CDH1<\/i> variants leading to gastric cancer risk management decision\u2010making experiences in emerging adults: \u2018I am not ready yet\u2019"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4295-8714","authenticated-orcid":false,"given":"Yi","family":"Liu","sequence":"first","affiliation":[{"name":"Genetic Counseling Program Department of Human and Molecular Genetics School of Medicine Virginia Commonwealth University Richmond VA USA"},{"name":"Center for Cancer Research, Genetics Branch National Cancer Institute Bethesda 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