Hereditary Cancer Program
Risk Assessment

Should You Consider a Cancer Risk Assessment?

A cancer risk assessment could provide you with more information about your cancer risk, and can guide you to appropriate management of those risks. To determine if a cancer risk assessment is right for you, we have developed the following guidelines.

You are likely to be appropriate for a cancer risk assessment if you have a history of:

  • A family member with a known pathogenic or likely pathogenic variant in a cancer gene
  • Specific cancers, such as:
    • Breast cancer
      • Especially for those diagnosed at a young age (under 50), with triple‑negative breast cancer, or multiple primary or male breast cancers
    • Ovarian, fallopian tube, or primary peritoneal cancer
    • Pancreatic cancer
    • Prostate cancer
      • Metastatic, high‑risk, or very high‑risk localized prostate cancer.
    • Colorectal cancer or Endometrial cancer
      • Especially with features suggestive of Lynch syndrome (e.g., early onset, multiple Lynch‑related tumors, abnormal MMR/IHC or MSI‑H).
    • Gastric and other GI cancers
      • Gastric cancer with certain features or family history or in the setting of polyposis or multiple related tumors.
  • Colon polyposis
  • A strong, patterned family history (even if personally unaffected) of certain cancer or tumors:
    • Multiple relatives with the same or related cancers
    • Early‑onset cancers in the family (under 50)
    • Clustering of hallmark hereditary patterns
    • Suspicious small families or limited information