Hereditary Cancer Management Guidelines
Management guidelines have been developed for several types of hereditary cancer susceptibility. However, guidelines do not exist for all hereditary cancers or all moderate-risk genes. For example, there are no widely accepted guidelines for pancreatic cancer screening. Guidelines do change regularly, so be sure to check for updates prior to using them for patient care.
The following organizations provide guidance for management for individuals at increased and high risk for cancer. Those that provide a guideline for a specific cancer type (breast, colorectal or prostate) are included in the charts below. These same groups, as well as others, may have published recommendations on when to consider genetic testing for hereditary cancer risk.
American Academy of Family Physicians, American Cancer Society, American College of Gastroenterology, American College of Obstetricians & Gynecologists, American College of Physicians, American Society of Clinical Oncology, National Comprehensive Cancer Network, US Multi Society Task Force (includes American College of Gastroenterology, American Gastroenterological Association, and American Society for Gastrointestinal Endoscopy), and US Preventive Services Task Force.
Management Guidelines Based on Genetic or Familial Risk
Breast Cancer
Organization |
Genetic/Hereditary Risk |
Increased/Familial Risk |
American Cancer Society |
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American College of Obstetricians & Gynecologists |
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American Society of Clinical Oncology, American Society for Radiation Oncology, and the Society of Surgical Oncology |
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National Comprehensive Cancer Network* |
Genetic/Familial High Risk Assessment Breast, Ovarian and Pancreatic v.3.2023 |
* The National Comprehensive Cancer Network (NCCN) requires a free registration to access guidelines. These guidelines are frequently updated.
Colon Cancer
Organization |
Genetic/Hereditary Risk |
Increased/Familial Risk |
American Academy of Family Physicians |
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American College of Gastroenterology |
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American College of Obstetricians & Gynecologists |
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American College of Physicians |
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American Society of Clinical Oncology |
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National Comprehensive Cancer Network* |
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US Multi Society Task Force |
* The National Comprehensive Cancer Network (NCCN) requires a free registration to access guidelines
Prostate Cancer
Organization |
Genetic/Hereditary Risk |
Increased/Familial Risk |
American Cancer Society |
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American College of Physicians |
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National Comprehensive Cancer Network* |
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US Preventive Services Task Force |
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* The National Comprehensive Cancer Network (NCCN) requires a free registration to access guidelines
Updated June 2023