Genetics and the multidisciplinary breast center.

The cancer genetics consultation and comprehensive breast centers logically go hand in hand. Breast surgeons may be interacting for the first time with a relatively new class of colleagues-genetics professionals, such as medical geneticists and genetic counselors. This article introduces surgical oncologists to the current applications of genetic counseling in oncology practice through the involvement of genetics professionals on interdisciplinary teams, in case conference, at grand rounds and oncology meetings, and through genetic risk assessment, counseling, and possible susceptibility testing. Surgeons interacting with the cancer genetics specialists have critical roles to play in the organization of cancer genetics programs, recognition of patients and families at increased genetic risk, appropriate referrals for genetic counseling and testing, and management of high-risk families.