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.
- Breast cancer genetics (A/P-AFF)
- Colorectal or small bowel cancer genetics (A/P-AFF)
- Dermatological cancer or tumour (A/P-AFF)
- Endocrine cancer or tumour (A/P-AFF)
- Family history (A/P-UN)
- Female gynaecological cancer or tumour (AFF)
- Gastric cancer genetics (A/P-AFF)
- Gastrointestinal polyps (not cancer) genetics (A/P-AFF)
- Haematological malignancy genetics (A/P-AFF)
- Individual who has undergone mainstreamed, research or private genetic testing for cancer predisposition genes
- Musculoskeletal or soft tissue or cancer: Relating to Cancer Genetics (A/P)
- Neurological or ocular tumour or cancer (A/P-AFF)
- Paediatric or adolescent and young adult (AYA) cancer genetics (PO-AFF)
- Pancreatic or biliary tract tumour or cancer (A/P-AFF)
- Respiratory or Oropharyngeal tumour or cancer (A/P-AFF)
- Untested blood relative of a person with an identified mutation in a cancer predisposition gene (A/P-UN)
- Urological tumour or cancer (A/P-AFF)
- Breast cancer genetics (A/P-AFF)
- Colorectal or small bowel cancer genetics (A/P-AFF)
- Dermatological cancer or tumour (A/P-AFF)
- Endocrine cancer or tumour (A/P-AFF)
- Family history (A/P-UN)
- Female gynaecological cancer or tumour (AFF)
- Gastric cancer genetics (A/P-AFF)
- Gastrointestinal polyps (not cancer) genetics (A/P-AFF)
- Haematological malignancy genetics (A/P-AFF)
- Individual who has undergone mainstreamed, research or private genetic testing for cancer predisposition genes
- Musculoskeletal or soft tissue or cancer: Relating to Cancer Genetics (A/P)
- Neurological or ocular tumour or cancer (A/P-AFF)
- Paediatric or adolescent and young adult (AYA) cancer genetics (PO-AFF)
- Pancreatic or biliary tract tumour or cancer (A/P-AFF)
- Respiratory or Oropharyngeal tumour or cancer (A/P-AFF)
- Untested blood relative of a person with an identified mutation in a cancer predisposition gene (A/P-UN)
- Urological tumour or cancer (A/P-AFF)
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