Table 4.

Cases at Moderate or High Genetic Risk for Cancer*

Cancer TypeGenetic RiskCriteria↑ Risk Noted by PCP
Breast-ovarianHighIndex patient with bilateral breast CA, onset <40 yearsNo
Breast-ovarianHighSDR with both breast and ovarian CANo
BreastModerate1 FDR and 1 SDR, sum of ages <118 yearsYes
ColonHigh1 FDR with CRC <50 years and 1 FDR with CRC and 1 SDR with CRCNo
ColonHighSDR with CRC and SDR with endometrial CA and SDR with ovarian CANo
ColonHigh3 SDRs with CRCYes
ColonHighFDR with pancreatic CA and 2 SDRs with endometrial CANo
ColonModerate2 FDRs with CRCYes
ProstateModerateFDR <60 yearsNo
MelanomaHighIndex patient with multiple primary melanomasNo
  • * As determined by Hampel et al criteria.5

  • PCP, primary care physician; CA, cancer; FDR, first degree relative; SDR, second degree relative; CRC, colorectal cancer.