In recent years, several cancer susceptibility genes have been discovered that influence an individual's chance of developing various types of cancer such as breast, colon and thyroid cancer. We know that a change, or mutation, in one of these genes does not conclusively determine that a person will develop cancer, but does increase an individual's chance of developing cancer during his or her lifetime.

To assess a person or family's chance of having a cancer susceptibility gene, board- certified geneticists from University Hospitals of Cleveland and board-certified genetic counselors from Tod Children's Hospital review a patient's family and medical history. Appropriate families are offered the option of genetic testing. The pros and cons of the testing are discussed in detail and the patient/family is encouraged to make a decision that is right for them. When testing is performed, all test results are given to the patient in person during a scheduled follow-up appointment. In addition, we make suggestions for cancer screening based on an individual's history. Our primary goal is to find a method of screening that is medically appropriate and is comfortable for the patient. These recommendations may include such options as increased cancer surveillance or taking chemopreventative agents, such as tamoxifen.

The cancer genetics team at Forum Health is dedicated to providing patients and families state-of-the-art medical care in a caring and supportive environment. It is our hope that through education, concerned families can make informed decisions regarding genetic testing and their history management of their cancer.