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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

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and requires a highly skilled workforce. 6 Ways to streamline CFH collection and assess validity have relied on outdated family history collection tools. 7 Novel electronic tools are in

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

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

, . 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

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

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.

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

.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

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