Genetic Counseling

We offer participants and their families genetic counseling, risk assessment, and appropriate genetic testing for hereditary cancer syndromes such as Hereditary Breast and Ovarian Cancer Syndrome, hereditary colorectal cancer and other cancer susceptibility genes, including gene panel, whole exome and full genome sequencing of patient and tumor DNAs. Research also continues to identify new genes implicated in increased cancer risk and participants may also be eligible for certain research studies.

We strive to tailor information to the individual concerns of each patient, based on medical and family history. There is the opportunity for close collaboration, medical follow-up and psychological support through our cancer programs.

Who should consider Genetic Counseling?

Genetic counseling is appropriate for anyone who has a personal and/or family history of breast, ovarian, colorectal, uterine, pancreas, stomach or more rare cancers. It is especially important if you have:

• Breast cancer diagnosed before the age of 50
• Colorectal or uterine cancer diagnosed before the age of 50
• Multiple colorectal, stomach or small intestinal polyps.
• Ovarian cancer at any age
• Pancreas cancer before age 50.
• Rare tumor types (e.g. sarcomas, renal)
• Two or more primary cancers including colorectal, breast and other
• Close relatives with breast cancer before the age of 50 and/ or ovarian or pancreatic cancer at any age
• Close relatives with colon and/or endometrial (uterine) cancer at a younger age
• A close male relative with breast cancer
• Ashkenazi Jewish ancestry
• Previously negative genetic testing: you may be eligible for new testing options.

Genetic Counseling and Testing

Genetic counseling involves the evaluation of the family history to help assess potential genetic factors that may increase an individual’s risk for cancer. Often, genetic testing is possible to help provide more accurate risk assessments and guide appropriate screening/surveillance plans. Individual concerns related to cancer risk are discussed.

• Current information on the familial patterns of cancer and specific genes that are known to play a role in cancer susceptibility will be discussed as well as the benefits, risks, and limitations of genetic testing.
• Genetic testing can be elected to detect mutations in cancer susceptibility genes that increase the risk of certain types of cancer. Most genetic tests require a blood sample.
• Participants will also learn about cancer screening guidelines and prevention options which can aid in the formation of a personalized management program.

Multidisciplinary Care

NewYork-Presbyterian’s multidisciplinary approach ensures that the best specialists in various disciplines are able to work together to provide optimal and individualized care for each patient. Should your family or personal history indicate an increased risk for cancer, referrals to support organizations, social work, or other healthcare providers can also be provided.