Pediatric Cancer Genetics & Prevention

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Why choose UCSF Benioff Children's Hospitals for pediatric hereditary cancer care?
Up to 20% of childhood cancers are linked to genetic conditions. These conditions (called hereditary cancer predisposition syndromes) are caused by changes in certain genes that increase a person's risk of developing cancer. Genetic changes may be inherited (passed down through families) or occur spontaneously (not inherited).
Having a cancer predisposition doesn't mean your child will develop cancer. However, it does increase their risk, which makes regular monitoring and early detection especially important.
At UCSF Benioff Children's Hospitals, we provide specialized care for young people and families with an increased risk of cancer. Our team focuses on proactive surveillance so we can identify cancer as early as possible, when treatment is most effective. Research shows that actively screening patients with genetic cancer risks leads to improved survival rates.
Why choose UCSF Benioff Children's Hospitals for pediatric hereditary cancer care?
Up to 20% of childhood cancers are linked to genetic conditions. These conditions (called hereditary cancer predisposition syndromes) are caused by changes in certain genes that increase a person's risk of developing cancer. Genetic changes may be inherited (passed down through families) or occur spontaneously (not inherited).
Having a cancer predisposition doesn't mean your child will develop cancer. However, it does increase their risk, which makes regular monitoring and early detection especially important.
At UCSF Benioff Children's Hospitals, we provide specialized care for young people and families with an increased risk of cancer. Our team focuses on proactive surveillance so we can identify cancer as early as possible, when treatment is most effective. Research shows that actively screening patients with genetic cancer risks leads to improved survival rates.
Pediatric cancer clinical trials
We offer one of the largest selections of early-phase clinical trials in Northern California, including studies for children with genetic syndromes.Comprehensive program
Our team provides genetic counseling, genetic testing and individualized screening recommendations to help families better understand and manage their cancer risk.Family-centered care
Pediatric oncologists, genetic counselors, advanced practice providers, nurses and patient navigators provide compassionate support for patients and families.Pioneering research
We partner with cancer institutions around the world to advance research and improve care for children with hereditary cancer syndromes.
Who our program helps
Our program supports children who:
Do not have cancer, but carry a hereditary cancer-related gene mutation
Have a family history of cancer or tumors associated with a hereditary cancer syndrome
Have been treated for cancer, but have an increased risk of cancer recurrence or developing a second type of cancer due to a hereditary cancer syndrome
Have cancer that may be linked to a genetic syndrome
Our team has deep expertise in cancer predisposition syndromes, including:
Beckwith-Wiedemann syndrome
Constitutional mismatch repair deficiency (CMMRD) syndrome
DICER-1 syndrome
Down syndrome
Familial adenomatous polyposis (FAP)
Li-Fraumeni syndrome
Neurofibromatosis
How our hereditary cancer program helps
Our experts give your family support and guidance every step of the way so that you can make informed, confident decisions. We provide:
Comprehensive review. We review each child's medical and family history.
Genetic counseling. Our counselors help you understand the benefits and limitations of genetic testing and how a diagnosis may affect your child or other family members.
Advanced genetic and genomic testing. This specialized testing identifies any inherited cancer risk.
Screening recommendations. We provide individualized, age-appropriate screening recommendations and prevention strategies.
Referrals. We connect you to specialists with expertise in hereditary cancer syndromes.
Advanced treatments. Children may be eligible for targeted therapies, immunotherapies and clinical trials, when appropriate.
Testing for cancer predisposition syndromes
Your genetic counselor explains which tests are recommended and helps you coordinate your appointments. We offer:
Genetic testing. Germline genetic testing analyzes DNA from healthy cells using a blood or saliva sample. It helps us identify genetic changes you were born with that increase your cancer risk.
Genomic testing. Genomic testing looks at DNA from tumor cells. We use the UCSF500 Cancer Gene Panel, one of the most advanced and comprehensive genomic tests available. If testing shows cancer is linked to a genetic syndrome, it can help guide treatment decisions.
Providers

Nicola Cadenas, MS
Genetic Counseling
Jennifer Michlitsch, MD
Pediatric Hematology-Oncology
Cheryl Peretz, MD
Pediatric Hematology-Oncology
Arun Rangaswami, MD
Pediatric Hematology-Oncology
Awards & achievements
Related conditions & treatments
Conditions
- Abnormal Genetic Test Results
- Beckwith-Wiedemann Syndrome
- Cancer Genetics
- Cancer Syndromes
- DICER1 Gene
- Down Syndrome
- Familial Polyposis
- Gorlin Syndrome
- Hereditary Cancer Risk
Treatments
- Cancer Immunotherapy
- Cancer Prevention
- Cancer Screening
- Clinical Trials
- Genetic Cancer Risk Assessment
- Genetic Counseling
- Genetic Testing
- Genomics
- Hereditary Cancer Gene Panel






















