We are happy to see all patients concerned about their familial cancer risk. This includes patients that have not had cancer themselves.
Genetic testing may affect a patient's treatment choices. Please refer patients with an active cancer early as testing may take 5 weeks and may have an impact on their treatment choices.
Address your referral to Dr Hilda High, Sydney Cancer Genetics. Please include:
- your patient’s cancer history (including age at diagnosis and pathology report if available)
- Reason for the referral +/- family history if known
- patient’s preferred phone number
We see patients throughout Australian but have just one point of contact:
- Fax: (61 2) 9304 0468. This is our preferred method for receiving referrals
- Email: [email protected]
- Post: PO Box 845 Broadway, NSW, 2007, Australia
- To discuss the specifics of your patient’s case or to ask a general question Phone: (61 2) 9304 0438
We are a private practice and do not bulk bill face to face consults.
We are happy to see patients via video Telehealth, even if they live in major cities.
As part of our support of rural and regional patients, all Telehealth consults that meet the MBS 112 criteria are bulk billed.
Also, we bulk bill genetic testing if the patient meets the Medicare criteria.
How to recognise a high risk family history?
Inherited cancer syndromes are not common but being a mutation carrier can significantly increase cancer risk. Much of this risk can be reduced through screening and/or risk reducing surgery. Also, your patient may be at risk of other cancers and their family may also be at risk.
The following family histories are NOT likely to be related to an inherited cancer syndrome:
- 3 relatives with ER+ breast cancer in the 60s or older
- A mix of bladder, lung and throat cancer in the 50s or older
- Melanoma and other skin cancers in the 50s or older
Cancer is common, particularly over the age of 55. The cancers in the families described above are likely to be due to longevity in a large family and/or environmental or lifestyle factors such as smoking or sun exposure. Individuals in these families should follow population-based screening and healthy lifestyle advice.
To aid with referrals, patients can complete a Family History Questionnaire to discuss with you.
Rare cancers and tumours (or rare kinds of common cancers) are much more likely to be associated with a hereditary cancer syndrome, especially if diagnosed <45. In some cases, the pretest likelihood may be 25% or even 50%!
This would include pheochromocytoma, paraganglioma, medullary thyroid cancer, young onset triple negative breast cancer and diffuse gastric cancer to name a few.Read More