The test will examine one or more of your genes to check for hereditary cancer-related mutations. Types include:
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Genetic counseling is the first step in genetic testing for cancer risk. Trained genetic counselors typically discuss:
In genetic testing for cancer, healthcare providers typically collect a sample of your blood or saliva that they send to a laboratory. At the lab, technicians look for changes in your genes. The technicians then send the test results to your provider.
There are at-home tests where you collect your saliva and mail it to a lab for genetic testing. But they don’t always provide a complete and accurate picture of how your genes relate to cancer risk. Also, your healthcare provider is bound by a law called the Health Insurance Portability and Accountability Act (HIPAA) to protect your privacy. The companies that sell at-home tests don’t have to follow the same law.
This is why it’s important to speak to a provider or genetic counselor to learn whether you need a genetic test and, if so, which type of test you need.
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Most people receive their test results within two to three weeks. While giving blood takes little time, the technicians may need days or weeks to complete a thorough test analysis.
Genetic test results for cancer risk fall into three broad categories:
A genetic counselor will review your test results with you. If your results are positive, you might discuss:
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If your results are negative or VUS, you may still need more frequent check-ups with your provider or follow-up testing. For example, your provider may contact you if additional research identifies a link between a VUS and a specific inherited cancer.
What comes next depends on your unique health history and test results.
Genetic tests can reliably find hereditary mutations that may increase your cancer risk. Genetic testing for cancer risk can help:
This type of genetic testing may cause psychological distress (like anxiety and guilt) and affect family relationships. For example, learning that a mutation runs in your family may feel like an unpleasant burden to bear.
Talking with a genetic counselor can help with processing feelings like these. It can help you communicate more effectively with family members about steps they may need to take to assess their health risks.
In a way, genetic testing for cancer may be a mixed bag. Knowing that you carry a cancer-related mutation can empower you to make choices that help reduce your cancer risk. And it can help your healthcare providers tailor your care to catch cancer early. But genetic testing can also affect family relationships by creating anxiety, fear and tension.
Genetic counselors understand how genetic testing can affect your life and your family dynamics. This is why it’s so important to connect with an expert before testing and afterward.
Cleveland Clinic offers the latest cancer genetic counseling and testing to help you understand your cancer risk and make the most of your health.

Last reviewed on 11/07/2024.
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