When To Refer For Genetic Counseling
The majority of individuals do not have family histories that are suggestive of a hereditary cancer predisposition. The following guidelines may help practitioners and patients determine who should seek cancer genetic counseling services.
There are several features of a family history that should raise the suspicion of a hereditary breast or ovarian cancer syndrome:
- A personal or family history of early-onset breast cancer (<45)
- A personal or family history of ovarian cancer at any age
- A personal history of two or more breast cancers
- A personal history of breast and ovarian cancer
- A personal history of breast cancer at any age and at least one close family member with breast or ovarian cancer
- A family history of two or more close family members with breast or ovarian cancer
There are several features of a family history that should raise the suspicion of a hereditary colon cancer syndrome:
- A personal or family history of colon cancer diagnosed at an unusually young age (<50 years)
- A personal or family history of colonic polyps diagnosed at an unusually young age (<45 years) or in large numbers (>10 polyps)
- The presence of distinctive extra-colonic cancers, such as uterine cancer and colon cancer, in a family
To request an appointment with a genetic counselor in the Familial Cancer Risk Assessment Center, please call 781-744-9229.