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Genetic Counseling
Genetic counseling involves a discussion of your personal and/or family history of cancer. Sherry Grumet, Board Certified Genetic Counselor assists patients and their families in understanding complex scientific concepts in terms you understand. For more information please speak with your Physician. |
Location And Directions... |
The Trinitas Comprehensive Cancer Center is located at our Williamson
St. Campus.
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What is Genetic Counseling?
Genetic counseling is the process of helping people understand and adapt to the medical, psychological and familial implications of genetic contributions to disease. This process integrates:-
Interpretation of family and medical histories to assess the chance of disease occurrence or recurrence.
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Education about inheritance, testing, management, prevention, resources and research.
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Counseling to promote informed choices and adaptation to the risk or condition.
What is a Genetic Counselor?
Genetic counselors are health professionals with specialized graduate degrees and experience in the areas of medical genetics and counseling. The American Board of Genetic Counseling certifies genetic counselors through board exams and accredits genetic counseling training programs. The National Society of Genetic Counselors is the professional membership association.
Who should be referred for genetic counseling?
It is important to remember that there are many different cancer syndromes. The types of cancer and ages of onset of cancer observed in the patient and their family are what determine which genes should be tested. In general, if a person is diagnosed with cancer <50, diagnosed with a rare cancer, multiple primary cancer, and/or has an unusual amount of cancer in their family (which can’t be explained by exposure or advanced age), a referral to a genetic counselor is indicated.
The most common cancers seen for genetic evaluation are breast, ovarian, colon and uterine cancer.
An assessment for hereditary breast and ovarian cancer is indicated when the patient has a personal and/or family history of:-
Breast or ovarian cancer <50
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Male breast cancer
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Ashkenazi Jewish ancestry with personal or family history of breast or ovarian cancer
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3 or more breast cancers, any age
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Bilateral breast cancer
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2 or more ovarian cancers or breast and ovarian cancer
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Known mutation in ANY family member
An assessment for hereditary colorectal cancer is indicated when the patient has a personal and/or family history of:
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Colorectal or endometrial cancer <50
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2 or more colorectal, endometrial, ovarian, gastric or urinary tract cancers
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Multiple colorectal polyps
What is the benefit of genetic counseling and testing?
In many cases, patients overestimate their cancer risk. Genetic counseling can help put their risk into perspective and provide them with appropriate screening and prevention guidelines to discuss with their physicians.
Genetic testing may identify a family at substantially increased risk to develop cancer. Specialized screening methods, more frequent screening and cancer prevention methods have been shown to improve survival rates.
Does insurance pay for genetic testing?
YES, most insurance plans do pay for genetic testing when medically indicated. Each insurance company (including Medicare) has a personal/family history criteria which needs to be met to obtain approval. Many labs also have a charity care program for low income, uninsured patients.
What about insurance discrimination?
The Genetic Information Nondiscrimination Act of 2008 (GINA), is a federal law designed to prohibit the improper use of genetic information. The Act prohibits group health plans and health insurers from denying coverage or charging that person higher premiums based solely on a genetic predisposition to developing a disease in the future. The legislation also bars employers from using individuals' genetic information when making hiring, firing, job placement, or promotion decisions. This law does not protect against life insurance discrimination.
Interpretation of family and medical histories to assess the chance of disease occurrence or recurrence.
Education about inheritance, testing, management, prevention, resources and research.
Counseling to promote informed choices and adaptation to the risk or condition.
Genetic counselors are health professionals with specialized graduate degrees and experience in the areas of medical genetics and counseling. The American Board of Genetic Counseling certifies genetic counselors through board exams and accredits genetic counseling training programs. The National Society of Genetic Counselors is the professional membership association.
Who should be referred for genetic counseling?
It is important to remember that there are many different cancer syndromes. The types of cancer and ages of onset of cancer observed in the patient and their family are what determine which genes should be tested. In general, if a person is diagnosed with cancer <50, diagnosed with a rare cancer, multiple primary cancer, and/or has an unusual amount of cancer in their family (which can’t be explained by exposure or advanced age), a referral to a genetic counselor is indicated.
The most common cancers seen for genetic evaluation are breast, ovarian, colon and uterine cancer.
An assessment for hereditary breast and ovarian cancer is indicated when the patient has a personal and/or family history of:
-
Breast or ovarian cancer <50
-
Male breast cancer
-
Ashkenazi Jewish ancestry with personal or family history of breast or ovarian cancer
-
3 or more breast cancers, any age
-
Bilateral breast cancer
-
2 or more ovarian cancers or breast and ovarian cancer
-
Known mutation in ANY family member
An assessment for hereditary colorectal cancer is indicated when the patient has a personal and/or family history of:
-
Colorectal or endometrial cancer <50
-
2 or more colorectal, endometrial, ovarian, gastric or urinary tract cancers
-
Multiple colorectal polyps
What is the benefit of genetic counseling and testing?
In many cases, patients overestimate their cancer risk. Genetic counseling can help put their risk into perspective and provide them with appropriate screening and prevention guidelines to discuss with their physicians.
Genetic testing may identify a family at substantially increased risk to develop cancer. Specialized screening methods, more frequent screening and cancer prevention methods have been shown to improve survival rates.
Does insurance pay for genetic testing?
YES, most insurance plans do pay for genetic testing when medically indicated. Each insurance company (including Medicare) has a personal/family history criteria which needs to be met to obtain approval. Many labs also have a charity care program for low income, uninsured patients.
What about insurance discrimination?
The Genetic Information Nondiscrimination Act of 2008 (GINA), is a federal law designed to prohibit the improper use of genetic information. The Act prohibits group health plans and health insurers from denying coverage or charging that person higher premiums based solely on a genetic predisposition to developing a disease in the future. The legislation also bars employers from using individuals' genetic information when making hiring, firing, job placement, or promotion decisions. This law does not protect against life insurance discrimination.
