Bulletin

   
Bulletin Number
        4381
Date
        February 1, 2002
Direct inquiries to

         Ministry of Health
         Processing Office


(address below)
Distribution

 Physicians, Hospitals, Clinics, Laboratories

Subject     

Ontario Physician’s Guide to Referral for Patients with a Family History of Cancer to a Familial Cancer Genetics Clinic or Genetics Clinic

The Ministry of Health and Long-Term Care is pleased to continue to support services for patients who may have a predisposition to hereditary breast, ovarian and colorectal cancers.

Most breast, ovarian and colorectal cancers occur sporadically in families and the cause is either unknown or associated with one or more risk factors. In a minority of cases (5-10% overall), cancer is associated with a strong hereditary factor, which greatly increases the risk of developing a malignancy.

Individuals considered to be at increased risk for an inherited cancer can be referred to a Familial Cancer Genetics Clinic or Genetics Clinic. Upon referral, services such as genetic counselling, assessment, education and surveillance recommendations are available to individuals and families. Referrals may be made both for individuals with cancer and those without cancer.

 Please note that:

·       THE FAMILY HISTORY WILL BE ASSESSED BY THE GENETICS CLINIC TO EVALUATE WHETHER A GENETIC COUNSELLING APPOINTMENT IS INDICATED. 

·       GENETIC TESTING MAY OR MAY NOT BE OFFERED IN THE COURSE OF A GENETICS CONSULTATION.

One or more of the risk factors listed below from an individual’s personal or family history may suggest an increased risk for hereditary cancer. A pertinent family history may be found either on the maternal or paternal sides of the family, but should be on the same side of the family. It is likely that this guide will be modified, as new scientific information arising from advances in the field of genetics becomes available. Referrals for other hereditary cancer syndromes not addressed by this document may be made to your local genetics centre.  A list of clinics is attached for reference to this bulletin.

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L4M 3P2
Hamilton
119 King St. W
P.O. Box 2280, Stn. A
L8N 4C8
Kenora
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P9N 1X9
Kingston
1055 Princess St.
P.O. Box 9000
K7L 5A9
Kitchener
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N2A 3Z8
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N6A 1B7
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P.O. Box 7020, Stn. A
L5A 3M1
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P1B 9S9
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Exec. Tower, Oshawa Centre. 419 King St. W.
P.O. Box 635 L1H 8L4
Ottawa
Fuller Building
75 Albert Street
K1P 5Y9
Owen Sound
981 2nd Avenue E.
N4K 2H5
Peterborough
550 Lansdowne St. W.
K9J 8J8
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59 Church St 3rd Floor
L2R 3C3
Sarnia
452 Christina St. N.
N7T 5W4
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Roberta Bondar Place
70 Foster Dr., Ste. 100
P6A 6V4
Sudbury
199 Larch St.,
Suite 801
P3E 5R1
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435 James St. S. ,
Suite 113
P7E 6T1
Timmins
38 Pine St. N., Ste. 110
P4N 6K6
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2195 Yonge St.
P.O Box 1700 Stn. A
M5W 1G9
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N8X 1K1
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P.O. Box 48
Kingston, ON
K7L 5J3