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Genetic Testing

The purpose of genetic testing is to determine if you carry a hereditary risk for cancer so that you can take the most strategic action for your health. The more informed you are about your genetic history, the better equipped you are to advocate for your health and overall well-being. Results from this testing can impact cancer screenings, improve prevention recommendations, and may allow for early detection which can increase success rates. 

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Genetic Testing Consultation

Included:

  • A comprehensive cancer risk assessment 

  • Review of prior screening tests and records

  • Cancer genetic counseling and education 

  • Cancer genetic testing using top-rated commercial labs

  • Carefully tailored surveillance plans for high risk patients 

  • Discussion of results at follow up appointment that may modify treatment in newly diagnosed cancer 

  • Evidence-based prevention strategies 

  • Discussion of implications for family members 

What to Expect

After risk assessment and counseling with Dr. Silverman, you will give your informed consent in writing if you wish to move forward and have testing. Discussion will include:

  • Test accuracy and limitations, and meaning of results to you and/or family

  • Pros and cons and alternatives to testing

  • Screening or treatment decisions that might be based on different test results

  • Possible consent to use results for research purposes

  • Support services, and the right to refuse testing

The most common genetic testing methods use blood or saliva.

Sampling can be done at the office during your visit, or a kit can be sent directly to your home​.

 

Consultation

30 minute $150 (includes follow up visit)

One fee will cover two full visits with the doctor: your pre test and post test counseling sessions.

*Genetic test is a separate cost from the consultation and will be billed to your insurance company through the lab.

Follow Up Visit - Included with Consultation

Post testing consultation time is used to interpret test results and review how results may affect you and/or your family.

Test results are usually back to our office within 1 to 4 weeks. During your follow up visit, you will be given a full copy of the test report, and Dr. Silverman will review how the results relate to your medical care. You can decide to share your results with your referring doctor or any other physician.

  • If you have a positive result, it means that you have a genetic variant (mutation) that is associated with a higher risk of developing cancer. The impact this mutation may have on your overall lifetime cancer risk will be discussed. We will help you review ways in which to lower your potential risk, or adapt your monitoring so that cancers can be diagnosed at earlier, more easily-treated stages. We will also discuss impact on family members and advise who may benefit from testing and when it should be offered.

  • If your test result is negative, the cancer gene mutations you were tested for were not found, and the risk of developing related cancers is reduced. Keep in mind, however, that your overall risk may still be elevated based on medical history, an as yet undiscovered mutation, or other risk factors. How this relates to your risk will be discussed in detail.

  • If the test result shows a Variance of Uncertain Significance (VUS), it means a variant (mutation) was noted, but there is not enough information to determine if the variant (mutation) increases your risk of developing cancer. Over time, updates from the testing labs clarify whether a VUS should be ‘upgraded’ to a ‘positive’ (i.e. cancer-related) mutation, or ‘downgraded’ to a ‘negative’ (i.e. benign, noncancer-related) variant. How to proceed with current medical decision-making will be discussed. Instructions for follow up on genetic test updates will also be provided. 

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