High-Risk Screening & Genetics Clinic Scope of Services

 

NOTE: The information below was presented at the Feb. 12, 2025 Primary Care Provider meeting by Lindsay Canning, ARNP. Here are the VIDEO and SLIDES.

 

How do I place a referral to the High-Risk Screening & Genetics clinic?

Use Epic referral#: REF626 – “Genetics Referral – Adult High Risk.”

Which conditions does the High-Risk Screening & Genetics clinic see?

Our providers see patients to discuss genetic testing for hereditary cancers, neurogenetic disorders, and cardiogenetic disorders. Our providers also follow and manage patients who are at high risk for breast cancers.

Hereditary Cancer/High Risk Screening Indications

Personal History of:

Acute Lymphoblastic Leukemia Acute Myeloid Leukemia Adrenal Cancer Ampullary Cancer Aplastic Anemia Atypical ducal hyperplasia of the breast Biliary Tract Cancer Brain Cancer Breast Cancer Colorectal Cancer Endometrial Cancer Gastric Cancer Keratocanthoma Myelodysplastic Syndrome

Ovarian Cancer Pancreatic Cancer Paraganglioma Parathyroid Adenoma Pheochromocytoma Prostate Cancer Renal Cell Carcinoma Sarcoma Sebaceous Adenoma/Carcinoma Small Intestine Cancer Thyroid Cancer Urothelial Cancer Uveal Melanoma >10 colon polyps

Family History of:

• Known hereditary cancer mutation in the family
• Pancreatic, male breast, metastatic prostate, or ovarian cancer at any age
• Individuals diagnosed with cancer under age 50
• Multiple relatives with the same or related types of cancers
  
  

Neurogenetic/Cardiogenetic Indications

Personal or Family History of:

Aortic aneurysm under age 50 Arrhythmia Ataxia Cardiomyopathy Dystonia Epilepsy Familial hypercholesterolemia Familial/Idiopathic pulmonary arterial hypertension

Familial or early-onset dementia Familial or early-onset Parkinson’s Hemiplegic migraine Leukodystrophy Multiple relatives with heart defects Neurocutaneous disorders Neuromuscular disorders Neuropathy Young onset strokes

What is offered at a High-Risk Screening & Genetics Appointment?

•  Review of patient’s family history and personal medical history
• Discussion of different genetic testing options and types of results
• Detailed follow up for any positive or abnormal genetic test results
• Long term management for patients at high risk of breast cancer
  
  

What conditions do not have informative genetic testing available?

• Multifactorial conditions, such as type 2 diabetes, heart disease, Alzheimer’s, etc.
• Ehlers-Danlos syndrome, hypermobility type
• Autoimmune disease (multiple sclerosis, type 1 diabetes, etc.)
  
  

Who are the providers at the High-Risk Screening & Genetics clinic?

• Lindsay Canning, ARNP
• Thia Riewe, ARNP
• Hayley Cain McCaughan, CGC
  
  

What is the contact information and where is the High-Risk Screening & Genetics clinic located?

The clinic is located inside the Medical Arts Building at the main VMC campus at 4033 Talbot Road S, Suite 470, Renton WA 98055. The High-Risk Screening & Genetics clinic is inside of the Breast Center.

Phone: 425-690-367      Fax: 425-690-9677