patients or their families can be applied. National guidelines regarding referral to genetic counseling and testing for patients with cancer have evolved over time. The NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) for Genetic
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Carlos H. Barcenas, Maryam N. Shafaee, Arup K. Sinha, Akshara Raghavendra, Babita Saigal, Rashmi K. Murthy, Ashley H. Woodson, and Banu Arun
Rebecca A. Vanderwall, Alison Schwartz, Lindsay Kipnis, Catherine M. Skefos, Samantha M. Stokes, Nizar Bhulani, Michelle Weitz, Rebecca Gelman, Judy E. Garber, and Huma Q. Rana
of CFH 5 ; however, genetic counseling is labor-intensive and requires a highly skilled workforce. 6 Ways to streamline CFH collection and assess validity have relied on outdated family history collection tools. 7 Novel electronic tools are in
Grace E. McKay, Anna L. Zakas, Fauzia Osman, and Amanda Parkes
germline variants. 7 Given the known association of sarcomas with several genetic syndromes, including Li-Fraumeni syndrome (LFS), 8 , 9 consideration for genetic counseling is recommended for all AYA patients diagnosed with sarcoma. 10 , 11 Since 2015
Deborah Cragun, Anne Weidner, Ann Tezak, Brenda Zuniga, Georgia L. Wiesner, and Tuya Pal
testing for hereditary cancer risk with pretest and posttest genetic counseling (GC) is endorsed by several national organizations 12 – 15 and is a requirement for a breast center to become accredited. 16 Since 1996 ASCO has provided guidance on standard
Robert Pilarski
, . The current state of cancer genetic counseling access and availability . Genet Med 2016 ; 18 : 410 – 412 . 10.1038/gim.2015.98 26248009 32. Cohen SA , Nixon DM . A collaborative approach to cancer risk assessment services using genetic
Christos Vaklavas, John R. Ross, Lisle M. Nabell, Andres Forero, Martin J. Heslin, and Tina E. Wood
the original diagnosis. The patient was offered genetic counseling and testing. Discussion Sporadic Cancer Versus Hereditary Syndromes Several features in this case support the consideration of genetic counseling despite the negative family
Amanda M. Cook, David F. Keren, Lynn McCain, Lee F. Schroeder, Kara Milliron, Sofia Merajver, Diane Harper, Philip Zazove, Janice Farrehi, Susan Ernst, and Jasmine Parvaz
patients identified were not previously identified by their healthcare providers as being at increased risk and are now able to access genetic counseling and can take steps to reduce their cancer risk.
Deborah J. MacDonald, Kathleen R. Blazer, and Jeffrey N. Weitzel
subsequent visit; the physician uses evaluation and management codes to bill for visits. At Good Samaritan Medical Center in Arizona, an APN with board certification in genetic counseling provides cancer risk counseling and administers the program with
Suzanne M. Mahon
.Arg2520*). Figure 1. Truncated pedigree. Roman numerals refer to generation; arabic numerals refer to members within a generation. The arrow represents the proband, who is the first person to seek genetic counseling in a family. Men are represented by
Mary B. Daly, Jennifer E. Axilbund, Saundra Buys, Beth Crawford, Carolyn D. Farrell, Susan Friedman, Judy E. Garber, Salil Goorha, Stephen B. Gruber, Heather Hampel, Virginia Kaklamani, Wendy Kohlmann, Allison Kurian, Jennifer Litton, P. Kelly Marcom, Robert Nussbaum, Kenneth Offit, Tuya Pal, Boris Pasche, Robert Pilarski, Gwen Reiser, Kristen Mahoney Shannon, Jeffrey R. Smith, Elizabeth Swisher, and Jeffrey N. Weitzel
applying these guidelines to individual families. Furthermore, these guidelines were not developed as a substitute for professional genetic counseling. Rather, they are intended to help health care providers identify individuals who may benefit from cancer