Encourage your patients to collect their ancestry and cancer family history, including for second- and third-degree relatives if possible. They should collect the type of cancer and age at diagnosis if possible, and update the family history every one to two years.
Review your patient’s past medical history and family history to determine if she would benefit from genetic counseling and possibly genetic testing.
Use risk assessment tools to determine which patients could benefit from a referral to a genetic counselor.
If you suspect your patient is at high risk for any hereditary cancer, refer him or her to a genetic counselor.
If your patient is at high risk for breast and ovarian cancer due to a BRCA gene mutation, consideration should be given to prophylactic surgery, enhanced surveillance, and/or chemoprevention.
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