Cancer Care

Scheduling Your Consultation

The first step is to obtain a referral from one of your physicians. After your referral is received, you will be contacted by Jete Imwalle, Program Assistant. Jete will ask you to complete a questionnaire documenting your personal medical history and your family cancer history. Once your questionnaire is returned, Ms. Imwalle will go over any questions and discuss insurance coverage for genetic services. She will then schedule your consultation.

Your Cancer Genetic Risk Evaluation

Your initial visit (approximately 90 minutes) is a consultation with our genetic counselor, Kathleen Mott. Ms. Mott will review your personal and family history in detail. She will explain how this information is used to assess your risk of developing cancer and whether genetic testing is recommended for you or another family member. If genetic testing is recommended, Ms. Mott will describe possible test results and the implication of test results for you and your family members. Following the information and education about hereditary cancer and genetic testing, you will decide whether you want to undergo testing. Genetic testing is a personal decision….it is never required.

If genetic testing is not appropriate, Ms. Mott will explain why. She will provide individualized medical management recommendations based upon your risk evaluation.

Genetic Testing

If testing is suggested and you are ready to proceed, you will be asked to supply a small blood or saliva sample to obtain your DNA. Your sample will be collected on site and then sent to a specialty laboratory. The laboratory will analyze your sample looking for mutations (alterations) in your DNA. Depending on the number of genes analyzed, and insurance requirements, test results arrive on average, in two to four weeks. When results become available, you will return to have a second meeting with Ms. Mott (30-60 minutes depending on the result). During this visit, your results will be explained, questions answered and specific medical management recommendations provided. Examples may include increased cancer screening exams (i.e., breast MRI, more frequent colonoscopies), risk-reducing medication and in some cases, consideration of preventive surgery.

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