Genetics (Cancer)

Conditions

Please note this is not an exhaustive list of all conditions for outpatient services and does not exclude consideration for referral unless specifically stipulated in the Out of Scope section. Condition category legend: (AO) – Adults Only Conditions, (A/P-AFF) – Adult and Paediatric Conditions in AFFECTED Patients, (A/P-UN) – Adult and Paediatric Conditions in UNAFFECTED Patients, (PO) – Paediatric Only Conditions. 

Emergency department referrals

If any of the following are present or suspected, refer the patient to the emergency department (via ambulance if necessary) or seek emergent medical advice if in a remote region.

  • No referrals to emergency relating to clinical genetics

GP Genetics referral advice line

For advice regarding referrals and clinical questions regarding patients that may require referral to Genetics Health Qld please phone (07) 36461686

This advice service is only available between 8:00am and 5:00pm Monday to Friday

Genetic Health Queensland Referral Form

Genetic Health Queensland (GHQ) is a statewide clinical genetics service. They have staff based in most major metropolitan centres across Queensland.

Please note: this is an interactive PDF form and will not open automatically in the following web browsers:

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To download in these browsers:

  • Right click the link
  • Select ‘Save link as” (Chrome & Firefox) or “Save target as” (Edge)
  • Save the form to your desktop (or relevant folder)
  • Open the form on desktop (or where saved)
  • Complete and print form
  • Fax to: 1300 364 952 (Metro North Central Patient Intake Unit)

Out of scope services

Not all services are appropriate to be seen in the Queensland public health system. Exceptions can always be made where clinically indicated. It is proposed that the following are not routinely provided in a public genetic service.

Cancer Genetics

  • Individuals with a personal history of colorectal cancer diagnosed at age ≥ 40 years with loss of MLH1 and PMS2 on mismatch repair immunohistochemistry AND presence of the BRAF V600E mutation in tumour AND have no other personal or family history suggestive of a familial predisposition to colorectal
    cancer or gastrointestinal polyps. For further information please see Colorectal Cancer within Genetics CPC and MMR IHC document on the GHQ website.
  • Individuals with a personal history of colorectal cancer diagnosed at age ≥ 40 years with normal mismatch repair immunohistochemistry AND have no other personal or family history suggestive of a familial predisposition to colorectal cancer or gastrointestinal polyps.  For further information
    please see Colorectal Cancer condition within Genetics CPC and MMR IHC document on the GHQ website.
  • Individuals with a personal history of endometrial cancer diagnosed at age ≥ 50 years with loss of MLH1 and PMS2 on mismatch repair immunohistochemistry AND presence of MLH1 promoter methylation in tumour AND have no other personal or family history suggestive of a familial predisposition to endometrial
    cancer. For further information please see Female gynaecological cancer or tumour condition within Genetics CPC and MMR IHC document on the GHQ website.
  • Individuals with a personal history of endometrial cancer diagnosed at age ≥ 50 years with normal mismatch repair immunohistochemistry AND have no other personal or family history suggestive of a familial predisposition to endometrial cancer.  For further information please see Female gynaecological cancer or tumour condition within Genetics CPC and MMR IHC document on the GHQ website.
  • Individuals with melanoma who do NOT fulfil the following criteria:
    • 2 or more affected first or second degree relatives AND a 4 factor GenoMEL probability of a CDKN2A mutation of ≥20%
    • BAP1 deficiency on immunohistochemistry
  • Individuals who are solely being referred due to a family history of melanoma
  • Individuals who are solely being referred due to a family history of pancreatic cancer who do NOT fulfil one of the following criteria:
    • At least two first degree relatives with pancreatic cancer
    • Three or more relatives with pancreatic cancer, at least one of whom is a first degree relative.
  • Individuals with a family history of cancer who are solely being referred for further assessment and management of a suspected new cancer (e.g. elevated tumour markers, abnormal breast imaging).
  • Individuals at increased risk of cancer who are solely being referred for ongoing management of cancer risk such as surveillance or risk reducing surgery.
  • Individuals solely being referred due to a personal and/or family history of cancer which is unlikely to be associated with a familial cancer predisposition syndrome or increased risk of cancer for unaffected family members.
  • Individuals solely being referred due to a family history of prostate cancer.
  • Individuals who are not residents of Queensland.
  • Individuals solely referred for a family history of bowel cancer who do NOT fulfil one or more of the following criteria:
    • At high lifetime risk of bowel cancer according to NHMRC guidelines (Link)
  • Individuals solely referred for a family history of breast cancer who do NOT fulfil one or more of the following criteria:
    • Fits in the high (substantially increased) lifetime risk category according to iPrevent Tyrer-Cuzick or CanRisk
    • Two first degree or second degree relatives on one side of the family diagnosed with breast or ovarian cancer plus one or more of the following features on the same side of the family:
      • breast cancer diagnosed before the age of 40, bilateral breast cancer, breast and ovarian cancer in the same women, Jewish ancestry, breast cancer in a male relative

Specialists list

Send referral

Hotline: 1300 364 938

Medical Objects ID: MQ40290004P
HealthLink EDI: qldmnhhs

Mail:
Metro North Central Patient Intake
Aspley Community Centre
776  Zillmere Road
ASPLEY QLD 4034

Health pathways

Access to Health Pathways is free for clinicians in Metro North Brisbane.

For login details email:
healthpathways@brisbanenorthphn.org.au

Login to Brisbane North Health Pathways:
brisbanenorth.healthpathwayscommunity.org

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