Genetic Testing - Hereditary Cancer Risk

Genetic research plays an increasingly important role in the diagnosis and treatment of cancer. To help patients and their families understand and evaluate their risk for certain diseases, New York Oncology Hematology offers a comprehensive hereditary risk assessment program, including:

  • In-depth personal and family history
  • Genetic testing, as appropriate
  • Education for patients and their families

Dr. Karen Tedesco is director of NYOH’s Hereditary Risk Assessment Program and many of our Advanced Practice Providers and nursing staff are part of our Hereditary Risk Assessment team. Dr. Tedesco recently completed the City of Hope Cancer Center Intensive Course in Hereditary Cancer Risk Assessment, ensuring NYOH patients have access to the very latest information and testing.

Although hereditary risk assessment and genetic testing cannot predict whether you will actually develop cancer, understanding your risk for developing the disease can help you and your family in making important decisions, including regular screenings that can detect cancer early, when it is most treatable.

To schedule a consultation with a member of the NYOH Hereditary Cancer Risk Assessment team, please call any NYOH office.

Hereditary Risk & Genetic Testing FAQ

What is genetic testing?

Today, tests are available that can detect certain gene mutations. Genetic testing can determine whether you have a hereditary predisposition that may put you at higher risk of developing cancer before any symptoms appear.

How do I know if I need genetic testing?

Although genetic testing cannot predict whether you will actually develop cancer, there are several conditions where a patient’s risk for developing cancer is higher. You may consider genetic testing if you or a family member has had the following:

  • Breast cancer before the age of 50 or male breast cancer
  • Ovarian cancer
  • Uterine (endometrial) cancer before the age of 50
  • Colon and/or rectal cancer before the age of 50
  • Ten or more adenomatous polyps at any age

Why is genetic testing important?

Although genetic testing cannot predict whether you will actually develop cancer, understanding your risk of developing the disease can be an important step in making medical and lifestyle decisions that can help prevent cancer or about getting regular screenings that can detect cancer early, when it is most treatable.

How is NYOH making genetic testing more accessible?

Our goal is to make hereditary cancer genetic testing more accessible, convenient, and easier to understand for eligible patients. As part of this pilot program, patients may have the opportunity to receive additional education and support through a virtual Myriad representative before deciding whether to proceed with testing.

This approach is designed to:

  • Help identify patients who may benefit from hereditary cancer genetic testing based on their personal and family history.
  • Provide patients with convenient access to education about genetic testing without requiring an additional in-person appointment solely for this purpose.
  • Give patients an opportunity to ask questions and better understand the potential benefits, limitations, and possible results of testing before making a decision.
  • Help streamline the testing process for patients who choose to proceed.
  • Provide additional resources and support related to testing, results, and billing/insurance questions.

The decision to undergo genetic testing remains the patient's choice, and NYOH clinicians will continue to be involved in the patient's care and review of genetic testing results.

What happens during the test?

Genetic testing may be completed following a phone consultation/education session in our office with a Myriad representative or an NYOH clinician.

During this consultation, patients will receive education regarding the testing process, potential benefits and limitations, possible results, and other information needed to make an informed decision.

If the patient elects to proceed with testing, a blood sample will be collected at NYOH and submitted to Myriad Genetics for analysis.

What happens after the test?

Once results are available, they will be reviewed with you during follow-up. Based on your results, we will discuss appropriate next steps and cancer risk options, which may include closer medical observation, more frequent testing, preventive surgery, and/or preventive medication.

You will also receive educational resources, information about billing and insurance support, and appropriate contact information for any questions or concerns. As your needs change over time, your care plan may change as well. NYOH’s dedicated team will be with you every step of the way.

Will insurance cover genetic testing?

HIPAA protects patient privacy and prohibits health insurance providers from discriminating based on genetic information. Genetic testing may be covered by health insurance when testing criteria are met. Most laboratories, including Myriad Genetics, can review insurance coverage and eligibility before testing is completed. Myriad and its support team can assist patients with questions about insurance coverage, billing, and available financial assistance options.

To schedule a consultation with a member of the NYOH Hereditary Cancer Risk Assessment team, please call any NYOH office.