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Cancer Genetics Service for Wales (CGSW)
The Cancer Genetics service for Wales (CGSW) is part of the All Wales Medical Genetics Service (AWMGS). It was established with funding from the National Assembly for Wales and Macmillan Cancer Relief in early 1999 to respond to the increasing demand for information and clinical care for women and men at risk of cancer because of a family history. Its remit is to assess the risk of cancer based on a patient's reported family history and work with the relevant specialists to recommend further screening strategies where appropriate.
5 - 10% of cancers of the breast, ovary and colon are due to an inherited predisposition. Individuals who meet the referral criteria and who may therefore be at a significantly increased risk of developing cancer can also be referred to the CGSW. Our remit is to assess the risk of cancer based on the reported family history, to work with the relevant specialist clinicians and recommend screening strategies where appropriate. The referral criteria suggest who may be at a significantly increased risk of an inherited form of cancer.
Process: On receipt of a referral
We aim to reassure this group that, on the information given, their risk is not significantly raised above that of the general population, so extra surveillance is not recommended. They should continue standard health awareness and screening as for the general population.
We aim to facilitate or coordinate ongoing management between primary care and appropriate specialist clinicians(e.g. local breast or colorectal surgeons) or screening organisations (e.g Breast Test Wales). Patients maybe referred directly by the Cancer Genetics Service or we will suggest an appropriate referral route for the GP. In some cases laboratory investigations may be recommended to help clarify a patient's risk status.
In addition to suggesting the involvement of other specialist clinicians and recommending appropriate surveillance,this group will be seen in the Cancer Genetics clinic and genetic testing may be offered in some families.
An appointment in the Cancer Genetics clinic offers
More information about the Cancer Genetics Service for Wales (CGSW) can be found within the CGSW Information leaflet.
Last updated: 02/03/2010