Clinics

UT Kids - Pediatric Pulmonology

Robert B. Green Campus - Downtown

Overview

The goal of UT/CTRC Cancer Genetics and High Risk Screening is to identify patients who have a genetic predisposition to specific cancers where medical interventions have been shown to be beneficial in improving outcomes.

This is a multidisciplinary program and operates in partnership with The University of Texas Health Science Center at San Antonio, UT Medicine, the Cancer Therapy & Research Center (CTRC), and the University Health System. Its physicians and medical professionals:
  • Provide comprehensive cancer risk assessments
  • Identify patients with hereditary cancer syndromes
  • Educate patients and loved ones
  • Coordinate genetic testing
  • Interpret test results for patients and their medical providers
  • Recommend medical interventions that may improve outcomes



Providers

Pediatric Pulmonology


Pediatric Pulmonology


Pediatric Pulmonology


Pediatric Pulmonology


Pediatric Pulmonology


Pediatric Pulmonology




Phone Numbers

Phone: 210-358-5437
Fax: 210-358-9687
Referral Fax: 210-358-9970

Clinic Location

Robert B. Green Campus - Downtown
903 W. Martin St , 4th Floor
San Antonio, Texas 78207
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Care Provided

Our doctors strive to promote healthcare, and provide family-centered patient care that encompasses diagnosis and effective interventions for genetic disorders related to malignancy. A small percentage of individuals have a hereditary predisposition to specific cancers. Identification of individuals with a hereditary disposition for specific cancers may provide for medical interventions that result in better outcomes.

 An individual may particularly want genetic counseling if:
  • There is a personal history of cancer, particularly at a young age
  • There is a family or personal history of breast cancer before age 50
  • There is a family history of ovarian cancer
  • There is a family or personal history of multiple endocrine neoplasia (MEN)
  • There is a family history of colorectal cancer before age 50
  • He or she has had more than one cancer in his or her lifetime
  • There is a known hereditary cancer syndrome in the family
 Genetic Counseling

Genetic counselors assist patients with a personal or family history of cancer to provide genetic risk assessment and identification of hereditary cancer syndromes, coordinate genetic testing, provide education regarding future cancer risks, screening and prevention options, and provide supportive psychosocial counseling for individuals and family members with hereditary cancer syndromes. During a patient's initial appointment, the staff will discuss these topics and whether genetic testing may be appropriate. Genetic testing is not for everyone. However, genetic counselors will help a patient determine whether it is the right option for themselves or their family.

 For patients who proceed with genetic testing, we will send a blood or saliva sample for laboratory analysis. The staff will provide the patient with:
  • A comprehensive explanation of the results, including their implications for the patient and the family members
  • Risk-reduction options for the future
  • Information about whether additional testing is recommended
  • Specific referrals to appropriate office at UT Medicine and the CTRC

Common Hereditary Cancer Syndromes

 Below is a list of common inherited genetic mutations resulting in cancer where treatment or interventions can reduce or potentially prevent the occurrence of cancer. Options to reduce cancer risk include screening, chemoprevention, and prophylactic surgery.  BRCA1/BRCA2 mutations (Breast/Ovarian Cancer Syndrome) — Increased risk of breast and ovarian cancer and other cancers
  1. PTEN mutations (Cowden Syndrome) — Increased risk of breast and thyroid cancer
  2. P53 mutation (Li-Fraumeni Syndrome) — Increased risk of breast and other cancers
  3. CDH1 mutation (Diffuse Hereditary Gastric Cancer Syndrome) — Increased risk of gastric cancer and lobular cancer of the breast
  4. STK11 mutation (Peutz-Jeghers Syndrome) — Increased risk of breast and other cancers
  5. RET mutation (MEN 2) — Increased risk of medullary thyroid cancer and pheochromocytoma
  6. Familial Adenomatous Polyposis Syndrome (FAP) — Increased risk of colorectal cancers and other cancers
  7. Lynch Syndrome - Hereditary Non-polyposis Colon Cancer (HNPCC) — Increased risk of colon cancer, endometrial and other cancers

About the Program
The Cancer Genetics and High Risk Cancer Screening Center became the first comprehensive adult clinical cancer genetic program in San Antonio at the Cancer Therapy & Research Center (CTRC) in 2013.

The program owes much of its existence to a large grant from the Cancer Prevention and Research Institute of Texas (CPRIT). The grant, awarded to Dr. Gail Tomlinson, a pediatric hematologist-oncologist at the UT Health Science Center, was designed to bring genetic testing to the South Texas region and its patients. Counselors in the genetics programs are funded by the grant. One goal of the grant was to establish the program, which is housed at the CTRC. Dr. Ismail Jatoi, Chief of Surgical Oncology and Endocrine Surgery at the UT Health Science Center, helped establish the program at its current location. The University Health System has provided administrative funds.