Genetic Testing for Cancer
Genetic testing can be useful for people with certain types of cancer that seem to run in their families. Predictive genetic testing is the type of testing used to look for inherited gene mutations that might put a person at higher risk of getting certain kinds of cancer. This type of testing might be advised:
- For a person with a strong family history of certain types of cancer, to see if they carry a gene mutation that increases their risk. If they do have an inherited mutation, they might want to have tests to look for cancer early, or even take steps to lower their risk. An example is testing for changes in the BRCA1 and BRCA2 genes (which are known to increase the risk of breast cancer and some other cancers) in a woman whose mother and sister had breast cancer.
- For a person already diagnosed with cancer, especially if there are other factors to suggest the cancer might have been caused by an inherited mutation (such as a strong family history or if the cancer was diagnosed at a young age). Testing might show if the person has a higher risk of some other cancers. It can also help other family members decide if they want to be tested for the mutation.
- For family members of a person known to have an inherited gene mutation that increases cancer risk. Testing can help them know if they need tests to look for cancer early, or if they should take steps to try to lower their risk.
Cancer Panels
There are two types of panels available for cancer genetic testing:
- Full Cancer Panel
- Comprehensive Cancer Panel
Full Cancer Panel
The Full Cancer Panel helps you to determine your patients’ risks for hereditary cancer by assessing high and moderate penetrance genes. This panel allows for precision screening for the most common cancer predisposition syndromes through customizable and preset panels.
28 Genes:
APC, ATM, AXIN2, BARD1, BMPR1A, BRCA1, BRCA2, BRIP1, CDH1, CHEK2, EPCAM, MLH1, MRE11, MSH2, MSH6, MUTYH, NBN, PALB2, PMS2, POLD1, POLE, PTEN, RAD50, RAD51C, RAD51D, SMAD4, STK11, TP53 –
The Cancer Panel can be divided into the following panels:
Breast Cancer Focus Panel
14 Genes:
ATM, BARD1, BRCA1, BRCA2, BRIP1, CDH1, CHEK2, MRE11, NBN, PALB2, PTEN, RAD50, STK11, TP53
Colorectal Cancer Focus Panel
16 Genes:
APC, AXIN2, BMPR1A, CHEK2, EPCAM, MLH1, MSH2, MSH6, MUTYH, PMS2, POLD1, POLE, PTEN, SMAD4, STK11, TP53
Endometrial Cancer Focus Panel
10 Genes:
BRCA1, BRCA2, EPCAM, MLH1, MSH2, MSH6, PMS2, POLD1, PTEN, TP53
Ovarian Cancer Focus Panel
16 Genes:
ATM, BARD1, BRCA1, BRCA2, BRIP1, EPCAM, MLH1, MRE11, MSH2, MSH6, NBN, PMS2, RAD51C, RAD51D, STK11, TP53
Prostate Cancer Focus Panel
10 Genes:
BRCA1, BRCA2, CHEK2, EPCAM, MLH1, MSH2, MSH6, NBN, PMS2, TP53
Comprehensive Cancer Panel
The Comprehensive Cancer Panel goes beyond typical hereditary cancer risk screening to include additional cancer predisposition genes. Fully customizable panels allow for maximum flexibility to meet your patients’ needs. These panels are a diagnostic tool for patients with non-specific, personal or family cancer histories.
122 Genes:
AIP, ALK, APC, ATM, ATR, AXIN2, BAP1, BARD1, BLM, BMPR1A, BRCA1, BRCA2, BRIP1, BUB1B, CASR, CDC73, CDH1, CDK4, CDKN1B, CDKN1C, CDKN2A, CEBPA, CHEK2, CTC1, CYLD, DDB2, DICER1, DIS3L2, DKC1, EGLN1, EPCAM, ERCC1, ERCC2, ERCC3, ERCC4, ERCC5, EXT1, EXT2, EZH2, FANCA, FANCB, FANCC, FANCD2, FANCE, FANCF, FANCG, FANCI, FANCL, FANCM, FH, FLCN, GALNT12, GATA2, GPC3, GREM1, HOXB13, HRAS, KIF1B, KIT, LZTR1, MAX, MC1R, MEN1, MET, MITF, MLH1, MLH3, MRE11, MSH2, MSH6, MUTYH, NBN, NF1, NF2, NHP2, NOP10, PALB2, PDGFRA, PHOX2B, PMS2, POLD1, POLE, POLH, POT1, PRKAR1A, PRSS1, PTCH1, PTEN, RAD50, RAD51C, RAD51D, RB1, RECQL4, RET, RUNX1, SDHA, SDHAF2, SDHB, SDHC, SDHD, SLX4, SMAD4, SMARCA4, SMARCB1, SMARCE1, STK11, SUFU, TERC, TERT, TINF2, TMEM127, TP53, TSC1, TSC2, TYR, VHL, WRAP53, WRN, WT1, XPA, XPC, XRCC2
The Comprehensive Cancer Panel can be divided into the following panels:
Breast Cancer Comprehensive Panel
18 Genes:
ATM, BARD1, BRCA1, BRCA2, BRIP1, CDH1, CHEK2, MRE11, NBN, NF1, PALB2, PTEN, RAD50, RAD51C, RAD51D, STK11, TP53, XRCC2
Colorectal Cancer Comprehensive Panel
19 Genes:
APC, AXIN2, BMPR1A, CHEK2, EPCAM, GALNT12, GREM1, MLH1, MLH3, MSH2, MSH6, MUTYH, PMS2, POLD1, POLE, PTEN, SMAD4, STK11, TP53
Endometrial Cancer Comprehensive Panel
10 Genes:
BRCA1, BRCA2, EPCAM, MLH1, MSH2, MSH6, PMS2, POLD1, PTEN, TP53
Fanconi Anemia Comprehensive Panel
17 Genes:
BRCA2, BRIP1, ERCC4, FANCA, FANCB, FANCC, FANCD2, FANCE, FANCF, FANCG, FANCI, FANCL, FANCM, PALB2, RAD51C, SLX4, XRCC2
Gastric Cancer Comprehensive Panel
14 Genes:
APC, BMPR1A, CDH1, EPCAM, KIT, MLH1, MSH2, MSH6, NF1, PDGFRA, PMS2, SMAD4, STK11, TP53
Hematologic Malignancy Comprehensive Panel
16 Genes:
ATM, BLM, CEBPA, EPCAM, GATA2, HRAS, MLH1, MSH2, MSH6, NBN, NF1, PMS2, RUNX1, TERC, TERT, TP53
Melanoma Comprehensive Panel
09 Genes:
BAP1, BRCA2, CDK4, CDKN2A, CHEK2, MITF, PTEN, TP53, RB1
Nervous System / Brain Cancer Comprehensive Panel
26 Genes:
ALK, APC, ATM, DICER1, EPCAM, HRAS, LZTR1, MEN1, MLH1, MSH2, MSH6, NF1, NF2, PHOX2B, PMS2, PRKAR1A, PTCH1, PTEN, SMARCA4, SMARCB1, SMARCE1, SUFU, TP53, TSC1, TSC2, VHL
Ovarian Cancer Comprehensive Panel
17 Genes:
ATM, BARD1, BRCA1, BRCA2, BRIP1, EPCAM, MLH1, MRE11, MSH2, MSH6, NBN, PMS2, RAD51C, RAD51D, SMARCA4, STK11, TP53
Pancreatic Cancer Comprehensive Panel
22 Genes:
APC, ATM, BMPR1A, BRCA1, BRCA2, CDK4, CDKN2A, EPCAM, FANCC, MEN1, MLH1, MSH2, MSH6, NF1, PALB2, PMS2, SMAD4, STK11, TP53, TSC1, TSC2, VHL
Paraganglioma-Pheochromocytoma Comprehensive Panel
11 Genes:
FH, MAX, NF1, RET, SDHA, SDHAF2, SDHB, SDHC, SDHD, TMEM127, VHL
Prostate Cancer Comprehensive Panel
11 Genes:
BRCA1, BRCA2, CHEK2, EPCAM, HOXB13, MLH1, MSH2, MSH6, NBN, PMS2, TP53
Renal / Urinary Cancer Comprehensive Panel
27 Genes:
BAP1, CDC73, CDKN1C, DICER1, DIS3L2, EPCAM, FH, FLCN, GPC3, MET, MITF, MLH1, MSH2, MSH6, PMS2, PTEN, SDHA, SDHB, SDHC, SDHD, SMARCA4, SMARCB1, TP53, TSC1, TSC2, VHL, WT1
Sarcoma Comprehensive Panel
26 Genes:
APC, BLM, CDKN1C, DICER1, EPCAM, FH, HRAS, KIT, MLH1, MSH2, MSH6, NBN, NF1, PDGFRA, PMS2, PRKAR1A, PTCH1, RB1, RECQL4, SDHA, SDHB, SDHC, SDHD, SUFU, TP53, WRN
Thyroid Cancer Comprehensive Panel
07 Genes:
APC, CHEK2, DICER1, PTEN, PRKAR1A, RET, TP53

