Core IM | Internal Medicine Podcast #138 Incorporating Cancer Genetics into Your Practice: Lynch Syndrome and Beyond!
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Oct 25, 2023 Learn about the importance of genetic counseling and incorporating Lynch syndrome into clinical practice. Discover the challenges and reclassification in genetic testing, the role of general internists in managing hereditary disorders, and the impact of GINA on insurance coverage. Explore prevention and treatment options for Lynch syndrome, and the need for primary care providers to have knowledge about genetic testing.
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Lynch Syndrome Prevalence Insight
- Lynch syndrome affects about 1 in 279 people, comparable in prevalence to inflammatory bowel disease.
- Most clinicians likely have patients with Lynch syndrome but may not recognize them, indicating underdiagnosis.
Referral Criteria for Genetic Counseling
- Refer patients with pancreatic adenocarcinoma or colorectal cancer diagnosed before age 50 for genetic counseling.
- Also refer anyone with mismatch repair deficient tumors of any kind for genetic evaluation.
Family Focus of Genetic Counseling
- Genetic counselors focus not only on the patient but also on the family to identify risks.
- Even patients with end-stage cancer may feel empowered knowing their family can benefit from genetic insights.