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Genetic Counseling for Cancer Risk

Kelli and her dog, Bailey, taking a break while getting the new office ready.

Meet Our Newest Team Member:  Kelli Swan - Genetic Counselor

Kelli Swan graduated from Westmont College in Santa Barbara, California with a BS in Neuroscience.  Following her undergraduate degree, she graduated with a Masters of Science in Genetic Counseling from Northwestern University in Chicago, Illinois.  Her thesis was entitled "Current BRCA Testing Practices among Obstetricians and Gynecologists."  While at Northwestern, Kelli also pursued a Masters of Arts in Medical Humanities and Bioethics.  Kelli holds a special interest in identifying individuals who may be at higher risks of developing cancer and helping them use genetic information to be proactive with their health. 


Genetic counseling is the process of using family history and personal history information to determine individual cancer risks and make appropriate cancer screening recommendations based on these risks.  Often this process involves offering genetic testing to identify hereditary cancers that may be present in the family.  

 

Hereditary Cancers:

It is estimated that 5-10% of all cancers are considered to be inherited. That is, individuals within a family may inherit a predisposition to develop a certain type of cancer. This inherited factor is called a gene. Inheriting an altered (or mutated) gene is what may predispose a person to develop a certain type of cancer.

Features of Hereditary Cancers:

  • Breast cancer before age 50
  • Bilateral (both breasts) breast cancer or two primary breast cancers
  • Two or more breast and/or ovarian cancers in the family
  • Male breast cancer
  • Jewish ancestry and a family history of breast or ovarian cancer
  • Colorectal cancer before age 50
  • Endometrial cancer before age 50
  • A history of 20 or more non-cancerous colon polyps
  • Two ore more related cancers within a family
    • Breast/Ovarian
    • Pancreatic/Melanoma
    • Colon/Endometrial
  • A known cancer gene mutation in the family

 

If several of these "hereditary" features are present, it may increase the likelihood that a gene mutation is present in your family and we encourage you to discuss genetic counseling and testing with your physician. 

Genetic Testing

Genetic testing looks for mutations within specific genes. Having a gene mutation indicates that a person is at increased risk of developing a particular type of cancer. For individuals who have had cancer, this test result may indicate an increased risk for another cancer.  Genetic testing can be helpful in guiding the medical management decisions patients and their family members choose to make. For instance, carriers of a particular gene may choose to have more aggressive screening tests done on a regular basis. Or, they may consider other options that may lower the risk of cancer. It may also provide cancer risk information to family members.

Genetic Counseling

Deciding to pursue genetic testing can be a personal decision. By meeting with a genetic counselor, patients and their families have an opportunity to consider all the aspects of genetic testing. This can include information about the inheritance of cancer genes, the medical facts of a particular type of cancer, the risk of cancer associated with a particular gene, and all the available options.

A meeting with a genetic counselor provides:

•·                     a detailed family history and risk factor assessment

•·                     counseling about the pros/cons of testing

•·                     a review of possible cancer management strategies

•·                     information about cancer screening guidelines and preventive options

•·                     emotional and psychosocial support

If the decision is made to proceed with genetic testing, the individual gives his or her written consent before a blood test is done. Results are usually available within 3-4 weeks. The genetic counselor then meets with the patient to discuss the results and its implications.

How to set up an appointment or get more information

Our genetic counseling program does require a physician referral.  Please ask your physician to fill out the genetic counseling referral form and fax to 303.425.8171 or contact our genetic counselor at 303.425.8191 for help in obtaining the referral or to get additional information. 

Contact Information

Kelli Swan, MS, Genetic Counselor

Email: swank@exempla.org 






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