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Familial Cancer Service The Familial Cancer Service provides genetic counselling and risk assessments for individuals with a personal and/or family history of cancer. We provide surveillance recommendations and may offer genetic testing where appropriate. Categories for Appointment Clinical description Category 1 - Urgent Timeframe for Appointment For cases where more urgent assessment and/or genetic testing is required to inform treatment or eligibility for participation in clinical trials Category 2 - Routine All other Emergency N/A Urgent appointment should be discussed by calling 9594 2009 ~3-6 months Immediate via Emergency Department Eligibility Criteria Blood relative of a known carrier of a high risk cancer predisposition gene (e.g. BRCA1, BRCA2) An individual or a close relative diagnosed with breast and/or ovarian cancer before 40 years of age Triple negative breast cancer (TNBC) under 50 years of age Male breast cancer Two or more family members (on the same side of the family) diagnosed with breast or ovarian cancer at any age Personal or family history of breast or ovarian cancer and Ashkenazi Jewish ethnicity Serous ovarian cancer at any age An individual or a close relative diagnosed with bowel cancer before 50 years of age Abnormal Mismatch Repair Immunohistochemistry (MMR-IHC) on tumour Two or more family members (on the same side of the family) diagnosed with bowel, uterine or ovarian cancer at any age An individual with multiple bowel polyps (10 or more) Several family members having developed the same type of cancer or diagnosed with cancers of different types Exclusions A solitary case of breast cancer over 50 years of age or bowel cancer over 55 years. Moderate risk breast and bowel cancer families may be managed by GP. Please refer to guidelines (breast cancer: FRA-BOC, bowel cancer: cancervic.org.au). Clinic Information 1 x Friday afternoon per month (Frankston Hospital) Level 3 Consulting Suites Frankston Hospital (enter via main entrance) • Additional appointments are available at Monash Medical Centre (MMC) Clayton and Moorabbin clinics (both held weekly), as well as an outreach clinic in Moe held every 3 months Peninsula Health- GP liaison Unit 2015 Contact details Phone: 9594 2009 Fax: 9594 6046 Email: [email protected] Minimum Referral Information Required (Please note, cannot be processed if minimum information is missing) Referral must be addressed to Dr Marion Harris, Monash Health Familial Cancer Centre Referring practitioner name, provider number and signature. Date of referral Period for which referral is valid (if different to standard referral validity) Patient’s name, address, date of birth, Medicare number and phone number. Clinical details and reason for referral. Relevant medical history including cancer histopathology Relevant family history Medications Results of all recent and relevant investigations Other Information Online resources Health professionals and patients: EVIQ Cancer Treatments on-line www.eviq.org.au (search for cancer genetics, free registration) Breast cancer risk assessment o Health professionals: Familial Risk Assessment-Breast and Ovarian Cancer (FRABOC) www.canceraustralia.gov.au (search “FRABOC”) o Patients: www.canceraustralia.gov.au (search “risk calculator” and select “your risk and breast cancer) Bowel cancer risk assessment o Health professionals and patients: www.cancervic.org.au (search “bowel cancer risk calculator”) Peninsula Health- GP liaison Unit 2015