Cancer Risk Assessment & Genetic Counseling

Although we proactively screen our patients for hereditary breast cancer risk at EWBC, our genetic counselor is available to meet with patients at risk for any hereditary cancer syndrome.

Over the past several years, advances in the field of cancer genetics have given patients the opportunity to determine their predisposition to certain cancers, including breast cancer, to help initiate proper medical management. Although multiple risk factors for breast cancer are known, personal and family history of cancer are key elements impacting cancer risk.

The goal of our Cancer Risk Assessment and Genetic Counseling Program is the early detection and/or prevention of breast and other cancers. Should you have any questions regarding your cancer history, please contact our genetic counseling office at: (585) 758-7041.

Genetic testing & breast cancer community presentations 

How to schedule an appointment

Organizations that may be helpful

EWBC Hereditary Breast & Ovarian Cancer Support Group

Jessica Salamone, EWBC Genetic Counselor is honored by Rochester Business Journal 

Genetic testing & breast cancer community presentations

If you have questions regarding your risk status and wonder if you are an appropriate candidate for genetic testing for the breast cancer genes, please come to an information session. 

Monday, April 10th
Monday, May 8th
Monday, June 12th
Monday, July 10th
Monday, August 14th
Monday, September 11th
Tuesday, October 10th 
Monday, November 13th
Monday, December 11th
Please sign up at 442-2190, ext 6070.

Who should consider having a breast cancer risk assessment?

  • Breast cancer risk assessment is beneficial if you have a personal and/or family history of cancer suggestive of hereditary breast cancer, including:
  • Breast cancer younger than 50 years of age (i.e. premenopausal)
  • Male breast cancer at any age
  • Ovarian cancer at any age
  • Multiple relatives on the same side of the family with breast, ovarian and/or pancreatic cancer
  • Ashkenazi Jewish ancestry 
  • Other rare cancers

Why consider genetic counseling and testing?

If you have a personal and/or family history of cancer, you may want to understand the implications of this history for both yourself and your family members. By learning if you have a hereditary predisposition to breast cancer, you will have the opportunity to discuss your personalized cancer risks with your health care providers to develop a customized medical management plan, which may include:

  • Increased breast cancer surveillance, including mammography, clinical breast examination and breast MRI Preventative surgery (i.e. risk-reducing mastectomy and/or oophorectomy) and/or
  • Chemoprevention (drugs used to reduce cancer risk, such as Tomoxifen)

These interventions can lead to the early detection and/or prevention of cancer.

What happens during a genetic counseling appointment?

A genetic counseling appointment takes approximately 30 to 60 minutes. During this time, our board certified genetic counselor meets with the patient and obtains a detailed personal and family history of cancer. After performing a personalized breast cancer risk assessment, she determines a patient’s eligibility for additional breast cancer services, including breast MRI and/or genetic testing. For patients who are candidates for genetic testing, the genetic counselor will discuss risks, benefits and limitations. She will also answer any questions patients have regarding their personal and/or family history of cancer so patients can decide if testing is right for them. If the patient chooses to pursue genetic testing after this discussion, informed consent is obtained.Either a blood draw or mouthwash sample is then collected and sent to the laboratory for testing. Results are typically available in approximately three to four weeks. However some test results take much longer.

Does insurance pay for genetic testing?

Most insurance companies cover genetic testing. Our genetic counselor and staff will help preview guidelines of each patient's particular insurance provider to determine if testing will be covered. If necessary, prior authorization will be obtained.

To schedule an appointment

To schedule an appointment (Brighton location only), please call our genetic counseling office at (585) 758-7041. Please have your insurance information available and be prepared to discuss details regarding your personal and family history of cancer (with particular attention to specific types of cancer diagnoses and ages of onset). A staff member will being the process with a brief intake.

For Additional  Information these organizations will be helpful:

Myriad Genetic Laboratories
American Cancer Society
Be Bright  Pink
Facing Our Risk of Cancer Empowered (FORCE)

EWBC Hereditary Breast & Ovarian Cancer Support Group

The Genetics and Cancer Risk Assessment Office at EWBC is starting a support group for women and men affected by BRCA1 or BRCA2. 

A diagnosis of Hereditary Breast and Ovarian Cancer Syndrome can be life-altering.  By creating a safe and confidential environment where your questions and concerns can be answered, we hope to benefit you and your loved ones.  It is our hope that by offering a regular, on-going time for discussion and support, we will form a community that helps each individual along their journey. There will be opportunities for both you and your loved ones to participate.

Dates for 2017
January 23, March 27, May 22, July 25th, September 25th and November 27th

For more information, please call our Genetic Counseling department at 585-758-7041. 

This page is intended as an educational resource only. It is not a substitute for professional care. Please see your physician if you have any concerns about your own health.