Genetic counseling plays a key role in the BRCA1/BRCA2 and hMLH1/hMSH2/hMSH6 testing process. The initial genetic counselling encounter will determine the appropriateness of the test by collecting a detailed family history and determining the likelihood that the family has a BRCA1/BRCA2, hMLH1/hMSH2/hMSH6 mutation. Once the test is offered, then genetic counselling discussions center around the possible test results, implications of the patient and other relatives, and risk and benefits of

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... ng. The goal of this pre-test genetic counseling session is to ensure that patients have sufficient information with which to make a decision about being tested. At results disclosure, individuals can learn their results along with information about cancer risks and medical management options. Follow-up genetic counseling services can provide continued support and help arrange consultations with other medical care providers as needed. All clinical BRCA1/BRCA2; hMLH1/hMSH2/hMSH6 testing programs should include pre- and post-test genetic counseling.