Friday, June 20, 2008

Are You a Candidate for Cancer Genetic Counseling?

The following are guidlines for individuals to consider genetic counseling and testing.

If you have a family history of BREAST/OVARIAN CANCER.....

If you have a family history of COLON/UTERINE Cancer.....

BREAST/OVARIAN CANCER

Consider genetic counseling if you have a personal and/or family history of:

  • Breast cancer diagnosed before age 45.

  • Multiple cases of breast cancer on the same side of the family.

  • Ovarian cancer in a family with breast cancer.

  • Male breast cancer.

  • Multiple cases of pancreatic cancer on the same side of the family.

  • The combination of breast, ovarian, and/or pancreatic cancer on the same side of the family or in a single individual.

  • Jewish ancestry in combination with any of the above.

  • Jewish ancestry and even one case of breast or ovarian cancer (even in the absence of additional family history).

  • Medullary breast cancer and triple negative breast cancer are over-represented in women with hereditary breast and ovarian cancer.

COLON CANCER

Consider genetic counseling if you have a personal and/or family history of:

  • Colon cancer diagnosed before age 50.

  • Multiple cases of colon cancer on the same side of the family.

  • The combination of colon, uterine, ovarian, urinary tract, and/or other gastrointestinal cancers on the same side of the family.

  • A single individual with colon and uterine cancer, more than one separate colon cancer diagnosis, or colon and ovarian cancer.

  • Even one sebaceous carcinoma.

  • A colon cancer in which screening tests (called microsatellite instability (MSI) and/or immunohistochemistry (IHC)) have indicated an increased risk for hereditary colon cancer.

  • Multiple colon polyps (adenomatous, hamartomatous, or juvenile).