Genetics Cancer Services

 Genetic Testing for Cancer

Advances in the field of genetics and genetic testing have led us to better understand an individual’s genetic health risk. Understanding risk empowers patients to make informed decisions about their health.

We are pleased to offer three genetic health risk assessment services. When you meet with a genetics professional, we will gather information including:

  • Family history
  • Validated risk assessment models
  • Genetic information

This information helps us develop a personalized screening and wellness plan.

 

Breast Cancer Risk Assessment and Prevention Program (BCRAPP)

Most women know the statistic. Approximately 1 in 8 women will face a breast cancer diagnosis in her lifetime.

Unfortunately, most women don’t consider whether their own risk of developing breast cancer is higher or lower than the average woman. To understand this, women should be counseled on the factors that impact risk. These include:

  • Family history
  • Reproductive history
  • Menopause status
  • Body weight
  • Nutrition
  • Exercise
  • Alcohol intake
  • Breast density

Fortunately, today, doctors and genetics specialists use available tools that can help you understand your individual 5-year, 10-year and lifetime risk for developing breast cancer.

Our BCRAPP program is appropriate for any woman who has never had breast cancer. The program is designed to help women understand their risk of developing breast cancer. We use two validated models, Gail and IBIS Version 8 (Tyrer-Cuzick), to determine a 5-year, 10-year and lifetime risk. With that information, we create a personalized plan that includes specific lifestyle recommendations, screening recommendations and possibly genetic testing to reduce risk of developing breast cancer.

Knowing your risk is important. If you learn that your risk is elevated you can take steps to lower your risk, and you can, along with your clinician, discuss if additional screening is necessary.

Recommended for women age 35 and older (without a previous breast cancer diagnosis).

 

Comprehensive Hereditary Risk Assessment Program (CHRAP)

Some families seem to have a pattern of cancer: cancer in multiple generations, rare cancers, or cancers that occur at an unusually young age. These family features suggest hereditary cancer syndrome and a cancer susceptibility caused by a mutation in a specific gene. This is passed from parent to child.

Identifying families with hereditary cancer syndromes and individuals who have a cancer-causing genetic mutation is extremely important. Often this is missed or overlooked in a busy patient care setting. Our program is designed to identify individuals who may be part of a family that has hereditary cancer syndrome. Once identified, we offer genetic testing and counseling. Early identification of a cancer mutation can help patients take steps to screen for and possibly prevent cancer entirely.

CHRAP should be considered by any individual with a family history of cancer. CHRAP offers a 60-minute individual consultation with a genetics professional. A detailed family history is taken and validated assessment tools help identify whether a significant risk of an inherited cancer syndrome exists. If appropriate, genetic testing is recommended as part of this program.

 

Proactive Genetic Profile Screening (PGPS)

The field of genetics and the health risks associated with certain genes has expanded in recent years. DNA holds valuable clues to an individual’s health. About one in 20 people carry a significant health-related genetic risk, but most people are unaware.

Proactive genetic profile screening is available for healthy adults without a strong personal or family history of the disease. If you are interested in learning about whether your genes are potentially impacting your health this screening may be appropriate. Through a simple blood test, genomic profiling analyzes more than 100 genes that are well-established indicators of an increased risk of developing hereditary cancers, cardiovascular conditions and other medically important disorders.

Unlike at-home genetic tests such as 23andMe that evaluate only a very small fraction of genetic causes, testing with your health care provider offers a comprehensive analysis of the genes tested. Our program reviews your risk for hereditary disease, identifies lifestyle and environmental factors that can influence your risk, and develops a personalized plan for optimal health.

 

Program Fees

Initial 1-hour consultation $150. One 30-minute follow-up $100

Genetic testing is not included in the cost of the consult. Genetic testing may or may not be covered by insurance. If not covered by insurance, cash pricing will be discussed.