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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

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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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

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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

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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

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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.

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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

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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

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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

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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

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Kenneth Offit

,” Dr. Offit stated at the outset of his talk. Currently, NCCN does not endorse routing multiplex testing outside of a research setting, and/or intensive genetic counseling regarding risks and benefits. The 2017 NCCN Clinical Practice Guidelines in