||Genetic Counseling
Genetic Counseling 2018-03-29T10:26:06+00:00

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. Any patient with a personal or family history of cancer meeting NCCN guidelines or a 5% risk or greater of a mutation is eligible for genetic counseling and possible testing.

Please note: If you previously have tested negative for BRCA1 or BRCA2, you may be a candidate for additional genetic testing. Current testing protocols include panels with dozens of cancer genes.

Genetic Counseling family session

Questions or to Make an Appointment

Call our genetic counseling office
(585) 758-7041

Personal and/or family history of cancer suggestive of a hereditary syndrome include:

  • Breast cancer 45 or younger
  • Premenopausal breast cancer
  • Male breast cancer
  • Ovarian cancer
  • Multiple relatives on the same side of the family with breast, uterine, prostate, colon or pancreatic cancers
  • Ashkenazi Jewish descent and at least one relative diagnosed with an appropriate cancer
  • Rare cancers
  • Young age of diagnosis (<50)
  • Relative with positive results for any hereditary cancer gene

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 Tamoxifen)


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 two to three weeks. However some test results take much longer.

Jessica Salamone, CGCJessica M. Salamone, ScM, CGC

Ms. Salamone attended Rochester Institute of Technology where she received a Bachelor of Science in Biotechnology in 1999. She received a Master of Science in Genetic Counseling in 2002 from the National Institutes of Health / Johns Hopkins University Genetic Counseling Training Program and became a Board Certified Genetic Counselor in 2005.

Before joining EWBC, Ms. Salamone worked at the University of Rochester Medical Center for 10 years where she provided genetic counseling to patients in a variety of clinical settings including reproductive, pediatric and cancer genetics. Ms. Salamone is also adjunct faculty at Rochester Institute of Technology, where she teaches medical genetics and introductory genetic counseling courses.

Jessica Salamone, CGC from EWBC speaks at National Genetics Conference, March 2018 and participates on national panel

2015 Rochester Business Journal Medical Professional Honoree

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

2018 Dates at 5:30pm
Main Lobby Brighton Office
Monday, April 9
Monday, June 11
Monday, August 13
October 9 (TUESDAY! As Monday is Columbus Day)
Monday, December 10

Please sign up at 585-442-2190, ext 6070.

The Genetics and Cancer Risk Assessment Office at EWBC is starting a support group for women and men affected by any hereditary cancer syndrome.

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 2018 (Mondays)
January 22
March 26
May 21
July 23
September 24
November 26

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

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. The majority of appropriate patients pay $0.

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.