Who to refer to the New Zealand Familial Gastrointestinal Cancer Service

If your patient has any of the following:

Two first-degree relatives, or one first-degree relative plus one or more second degree relatives, all on the same side of the family with a diagnosis of colorectal cancer and one such relative:

  • was diagnosed with colorectal cancer aged 54 years or under, OR
  • developed multiple bowel cancers, OR
  • developed an extracolonic tumour suggestive of Lynch syndrome (i.e., endometrial, ovarian, stomach, small bowel, renal pelvis, pancreas or brain)

A pathogenic variant (mutation carrier) of a hereditary gastrointestinal cancer syndrome

One first-degree relative plus two or more first- or second-degree relatives all on the same side of the family with a diagnosis of colorectal cancer at any age

A personal history or one first-degree relative with colorectal cancer diagnosed under the age of 50, particularly where colorectal tumour immunohistochemistry has revealed loss of protein expression for one of the mismatch repair genes (MLH1, MSH2, MSH6 and PMS2)

A family history of Familial Adenomatous Polyposis (FAP), Lynch syndrome or other familial gastrointestinal cancer syndromes

At least one first– or second-degree family member diagnosed with colorectal cancer in association with multiple bowel polyps

A personal family history of gastric cancer which meets the International Gastric Cancer Linkage Consortium (IGCLC)'s guidelines as outlined on page 3

Is a member of a family known to the New Zealand Familial Gastrointestinal Cancer Service

A personal history or one first-degree relative with multiple colonic polyps as per page 10 of Health New Zealand's Update on Polyp Surveillance Guidelines

How to refer to the New Zealand Familial Gastrointestinal Cancer Service

Complete the form to the right, ensuring all mandatory fields are filled in, and email to NZFGCS@adhb.govt.nz

Accessing publically funded health services in New Zealand

The New Zealand Familial Gastrointestinal Cancer Service is funded by Health NZ.

Cllck the following link to check your patient's eligibility.