Medical Genetics: Genetic Testing for Cancer Risk
Genetic tests can help predict your risk for some kinds of cancer. They can help you make healthcare choices based on your cancer risk. They can also tell you if you have cancer-risk related genes that could be passed on in your family. But no genetic test can tell you for sure whether you'll get cancer.
You can get genetic testing by working with your healthcare provider. And there are companies that sell genetic test kits you can use at home. Learn about genetic testing before you have it done. Know what you can and can't expect this testing to tell you. Most experts advise working with a genetic counselor. He or she can talk with you about the pros and cons of testing before it's done.
Who should be tested?
Should you be tested for genes that can show cancer risk? The American Society of Clinical Oncology (ASCO) advises it if:
You have a personal or family history that may be linked to a genetic cause of cancer
The information you'll learn from a genetic test is useful. It can show a specific gene change that's been studied.
The test results will help with diagnosing, treating, or managing a cancer in you or family members at risk for cancer
- Genetic counseling will be done before and after genetic testing
About home test kits
Home test kits can be confusing. Some of them don't always give useful or even valid results. They may give you information that won’t help you prevent or treat any disease. Instead, they may just worry you. If you decide to buy a home test kit, make sure to tell your healthcare provider. Plan to talk about the results with him or her. Your healthcare provider can help you:
Understand the results of the test
Compare the test results with family history and other factors
Get follow-up care if needed
Explain when there are no follow-up care options for certain results
Also check out the company offering the tests. Is a "free" test linked to product purchases from the company? Must you commit to a customized diet or supplement plan that's based on your results? Understand if and how they might use your results, too. Will they be shared with anyone? Protect your privacy.
Making the choice to be tested
It’s a big decision to have genetic testing. It can cause relief or stress. For example, a negative test result in a family with a known gene problem may give you a lot of relief. You may feel better about your personal cancer risk and the risk to your children. This can help you avoid unneeded medical procedures. A positive test result can help you prevent or manage a disease. It may help you make decisions about your cancer screening plan. It may also help you take steps to lower your cancer risk.
But getting your genetic test results can be confusing and stressful. A negative result may lead you to think you don’t have a higher risk for a certain kind of cancer. But you may have a higher risk because of other factors. Or the test results may be unclear. You could have a mutation that hasn't been linked to cancer. This can be frustrating. It could even lead to wrong health decisions.
Getting genetic counseling
It’s very important to fully know what the tests may or may not tell you before you have them. You should also know the costs and if your insurance will pay for testing.
Before you decide to have genetic testing, talk with a genetic counselor. He or she can take you through pre-test and post-test counseling. He or she can tell you about the medical, social, and legal issues that can be linked to the results. To find a genetic counselor, talk with your primary healthcare provider. Or reach out to your local hospital system.
March 22, 2019
Richard LoCicero MD,Kim Stump-Sutliff RN MSN AOCNS,Lu Cunningham