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Genetic counselling for colon cancer in Hyderabad | CION Cancer Clinics

Genetic counselling for colon cancer in Hyderabad starts with the oncologist treating you. At CION, your medical oncologist checks your tumour reports and family history and arranges counselling and testing through our genetics partners when it is needed. Most people with colon cancer do not qualify, and that is a relief rather than a loss. This page explains who should ask, how the referral works and what to bring. At CION Cancer Clinics in Hyderabad, our oncologists explain colon cancer in plain words and plan care around you and your family.

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Medically reviewed by Dr. Naresh GunduConsultant Medical Oncologist · MBBS, DNB (Internal Medicine), DM (Medical Oncology, AIIMS) · last reviewed October 2026, next review due October 2027
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The short answer

Where can I get genetic counselling for colon cancer in Hyderabad?

Start with the oncologist treating the cancer. At CION, your medical oncologist reviews your family history and tumour reports, and arranges genetic counselling and testing through our genetics partners when it is needed. Most people with colon cancer do not need it, so the first step is a quick check of whether you qualify.

What genetic counselling actually is

It is a conversation, usually before and after a genetic test. A genetic counsellor or a doctor trained in cancer genetics draws your family tree, asks who had cancer and at roughly what age, and explains what a test can and cannot show. You decide whether to go ahead only after you understand what the answer might mean for you and your relatives.

Why it is not just a blood test

A genetic report can be confusing on its own. The same gene name can mean very different things depending on the exact fault. Counselling makes sure the right person is tested first, the right genes are checked, and the result is explained in a way your family can act on. For the full picture of inherited risk, see is my colon cancer hereditary.

Counselling does not commit you to a test. Many people decide, after talking it through, that they do not need one.

Who should ask

Should I ask for a genetic counselling referral?

These are the situations in which oncologists most often suggest a referral. One of them is usually enough to ask the question.

Colon cancer at a young age

Being diagnosed before fifty raises the chance that an inherited fault is involved. Many young patients are now offered counselling as routine, whatever the family history looks like, because a fault can appear for the first time in one person.

A tumour test that shows MMR deficiency

Your tumour is usually checked for mismatch repair (MMR) proteins or MSI, a sign the cell's spelling-check system has failed. An abnormal result can point towards Lynch syndrome, though many such tumours turn out not to be inherited.

This tumour test is not a genetic test of you. It only tells your doctor whether one is worth doing.

A large number of polyps

Many polyps found at colonoscopy, in one sitting or over the years, can be a sign of a polyposis syndrome such as FAP or MUTYH-associated polyposis. Your colonoscopy report usually records how many were found and of what type, so bring it with you.

A pattern in the family

Several relatives on one side with colon, womb, ovarian, stomach or urinary tract cancers is a pattern counsellors look for. So is one person with two separate cancers.

Also ask if

  • A relative already has a known gene fault
  • Relatives were diagnosed young
  • You are unsure and want it checked

Not sure whether this applies to you?

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From first call to result

How does the referral work through CION?

Your oncologist checks if you qualify

Your medical oncologist reads your tumour reports and your family history. If your case is complex, the tumour board looks at it too. This check usually happens at an ordinary clinic visit and needs no extra appointment.

The first counselling session

The counsellor draws your family tree, explains which genes are worth checking, and talks through what each result could mean. You then decide whether to test.

A blood sample goes to the laboratory

The person who has cancer is usually tested first. The sample goes to an accredited genetics laboratory, and results take some weeks. Ask at this visit how you will be contacted when the report is ready.

The results session

The result is explained in person or by phone. If a fault is found, you get a family letter and a plan for relatives. Read more about genetic testing after a diagnosis.

Before you go

What should I bring to the first appointment?

  • Your colonoscopy, biopsy and surgery pathology reports
  • Any MMR, MSI, KRAS or BRAF tumour test results
  • A list of relatives with cancer, on both sides, with rough ages
  • Any genetic report a relative already has
  • A family member who knows the older generation well
  • Your questions, written down in Telugu or English

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Side by side

Why test with counselling rather than on your own?

Test with counselling Test ordered on its own
The right person in the family is tested first A well relative may be tested with nothing to look for
The gene panel fits your family pattern Genes may be missed or tested needlessly
An uncertain result is explained calmly An uncertain result can cause needless alarm
Relatives get a letter and a clear next step The family is left to work it out alone

Being straight with you

What this page cannot tell you

It cannot tell you whether you need a genetic test. That depends on your tumour results, your age at diagnosis and your family tree, and only someone who has seen all three can answer it. It also cannot interpret a genetic report you are already holding.

What it costs

The cost of germline testing is quoted separately and varies by laboratory and by how many genes are checked. Testing a relative for a fault already found in the family is usually simpler than the first test. Insurance cover for genetic tests varies between policies, so ask your insurer before testing. Do not assume a government scheme such as Aarogyasri or Ayushman Bharat covers it; ask the scheme desk.

Who this does not apply to

If you were diagnosed at an older age, your tumour test was normal and no one else in the family has had a related cancer, counselling is unlikely to change anything for you. Close relatives should still follow the screening advice on screening for siblings and parents.

Not sure if you qualify? Describe your family history on the helpline and we will tell you honestly.

Questions we are asked

Common questions about genetic counselling

Do I need a referral letter for genetic counselling?

It helps. A referral from your oncologist means the counsellor already has your tumour reports and knows why you are coming. At CION, your medical oncologist makes that referral once your reports have been reviewed, so you do not need to find a genetics service yourself.

Can I have counselling if I do not have cancer?

Yes, if there is a strong family history or a known fault in a relative. Testing works best when the relative who had cancer is tested first. If that is not possible, a counsellor can still assess your risk and plan your screening.

Is the session available in Telugu?

Ask for it. Genetics involves new words, and it is easier in the language you think in. Bringing a family member who speaks both Telugu and English also helps, and they can carry the message back to relatives who could not come.

Can counselling be done by phone or video?

Often, at least in part. The family history conversation and the results discussion can sometimes happen remotely, which helps families in district towns. The blood sample still has to be taken at a centre or a laboratory collection point.

Does a normal genetic test mean my family is safe?

No. It means no known fault was found in the genes tested. Your relatives may still need earlier screening because of the family history itself. Your counsellor will tell you what screening each relative should have.

Will my result change my own treatment?

Sometimes. A Lynch syndrome result may affect the extent of surgery discussed and how often you have colonoscopy afterwards. MMR deficiency in the tumour can also open up immunotherapy in some situations, whether or not the fault is inherited.

Who else in my family should come for counselling?

If a fault is found, parents, brothers, sisters and adult children usually come next. Each can be tested for that exact fault. Our page on telling your family about inherited risk covers how to start that conversation.

How do I start if I live outside Hyderabad?

Call the CION helpline and describe your reports and family history. We can tell you whether a referral is worth making, arrange it if it is, and plan the visits so a family travelling from a district needs as few trips as possible.

Your Specialists

Meet CION's colon cancer specialists. Bring your colonoscopy, scan or biopsy report.

Our surgical and medical oncologists plan colon cancer care together: which operation, whether chemotherapy is needed, and the follow-up that comes after.

Dr. Naresh Gundu
Medical Oncologist

Dr. Naresh Gundu

MBBS, DNB (Internal Medicine), DM (Medical Oncology)

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Dr. C. Raghavendra Reddy
Medical Oncologist

Dr. C. Raghavendra Reddy

MBBS(Gold Medal), DNB(General Medicine), DM(Medical Oncology)(Gold Medal)

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Dr. Bharati Devi Gorantla
Medical Oncologist

Dr. Bharati Devi Gorantla

MBBS, MD(General Medicine), DM(Medical Oncology)(Adyar,Chennai), ECMO, MRCP SCE(UK)

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Dr. Owais Mohammed
Medical Oncologist

Dr. Owais Mohammed

MBBS, MD (General Medicine), DrNB (Medical Oncology), ECMO, MRCP SCE (Medical Oncology) (UK)

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Dr. T. Raghavender Reddy
Medical Oncologist

Dr. T. Raghavender Reddy

MBBS, DM (Medical Oncology), MD (Radiation Oncology)

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Dr. N. Kiranmayee
Medical Oncologist

Dr. N. Kiranmayee

MBBS, DM (Medical Oncology), MD (Internal Medicine)

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Dr. Muralidhar Muddusetty
Surgical Oncologist

Dr. Muralidhar Muddusetty

MBBS (AIIMS), MS (Surgery) (AIIMS), DNB (Surgical Oncology), MRCS (Edinburgh)

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Dr. Mohammed  Imaduddin
Surgical Oncologist

Dr. Mohammed Imaduddin

M.B.B.S, MS (General Surgery), M.Ch (Surgical Oncology)

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Accreditation and empanelment

  • NABH
  • NABL
  • ISO 9001:2015
  • ArogyaSri empanelled
  • CGHS accepted
  • ECHS accepted
  • EHS accepted
  • Major cashless insurers

Paying for it

Insurance, schemes and payment

What you actually pay usually differs a great deal from the sticker figure.

AarogyasriEmpanelled. Bring the card and a referral where you have one.
CGHS / ECHS / EHSAccepted at CION centres for eligible treatment.
Cashless insuranceMost major insurers are empanelled. Pre-authorisation is handled by our desk.
Self-payItemised estimate given before treatment starts. No EMI scheme exists.

Where to find us

Our centres in and around Hyderabad

Addressed by landmark, because that is how this city navigates. One helpline books a consultation at any of these centres, and your team will tell you where each test and operation takes place.

CION Ameerpet

Beside Blue Fox Hotel, Satyam Theatre Road

Begumpet SR Nagar Punjagutta
CION Kukatpally

Opposite Big Bazaar, Mumbai Highway

KPHB JNTU Bharat Nagar
CION L.B. Nagar

Anu Arcade, next to L.B. Nagar Metro station

Vanasthalipuram Nagole Hayathnagar
CION Tolichowki

Inside Premier Hospital, Khader Bagh Road

Mehdipatnam Attapur Rethibowli
CION Masab Tank

Mahavir Hospital, AC Guards, Lakdikapul

Lakdikapul Khairatabad Basheer Bagh
CION Banjara Hills

Road No. 12

Jubilee Hills Madhapur Film Nagar
CION Kompally

Suchitra Circle, NH-44

Suchitra Circle Alwal Dundigal
CION Balanagar

Balanagar Main Road

Balanagar Fatehnagar Moosapet
CION Siddipet

Lohith Sai Hospital, Shivaji Nagar

Gajwel Husnabad Dubbaka
CION Sangareddy

X Roads, Pothreddipalle

Narayankhed Zaheerabad Patancheru

Sources

  1. National Cancer Institute — Genetic Testing Fact Sheet
  2. NICE — Molecular testing strategies for Lynch syndrome in people with colorectal cancer
  3. Cancer Research UK — Risks and causes of bowel cancer
  4. American Cancer Society — Colorectal Cancer Risk Factors

This page is general information, not a prescription. Do not change or stop any treatment based on what you read here. If anything is worrying you, contact your own treating team — or call our helpline and we will help you reach the right specialist.

Talk to us

Not sure whether you qualify for genetic counselling?

Describe your tumour reports and who in your family has had cancer, and we will tell you honestly whether a referral is worth making. If it is, we arrange the counselling and plan the visits around your travel. One helpline serves every CION centre.

Call 1800 202 8726

Speak to an oncologist

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Colon Cancer Topics

Browse CION’s colon cancer guide — symptoms and screening, tests and staging, treatment decisions, diet and daily life, cost and care in Hyderabad. Tap any topic to read more.

Symptoms and early signs

Colon cancer symptoms: the complete list, and what usually causes them Early signs of colon cancer, and what usually explains them Do I have colon cancer? How to think about your symptoms Blood in stool: what it usually means, and when to get it checked Bright red or dark blood in the stool: what the colour tells you Is blood in the stool always piles? Piles vs colon cancer: how doctors tell them apart Fissure, fistula or something else: the benign causes of bleeding Blood only on the toilet paper: what it usually means Blood mixed into the stool: what it usually means and what to do Black, tarry stools: what melena means and when to act Mucus in stool: what it usually means and when it matters Change in bowel habit: when is it a warning sign? New constipation in an adult: what causes it and when to worry Diarrhoea that will not settle: could it be colon cancer? Alternating constipation and diarrhoea: what it usually means Narrow or pencil-thin stools: what they usually mean Feeling you have not emptied fully: is it tenesmus, and is it serious? Abdominal pain and colon cancer: where is it felt, and when does it matter? Bloating and gas: when they point to the colon A lump you can feel in the abdomen: what it usually is Unexplained weight loss: when is colon cancer the reason? Tiredness and iron-deficiency anaemia: could the colon be the cause? Why low haemoglobin in a man needs investigating Nausea, vomiting and bowel obstruction: what the symptoms mean When bowel symptoms are an emergency, and when they can wait How long should you wait before seeing a doctor about bowel symptoms? Which doctor should you see for bowel symptoms? What will the doctor ask and examine for a bowel symptom? Does a normal examination rule out colon cancer? Colon cancer symptoms in young adults, and why they get missed Colon cancer symptoms with no bleeding at all Can colon cancer be silent, with no symptoms at all? Symptoms that can suggest colon cancer has spread A bowel symptom diary to take to your appointment

Causes and risk factors

What causes colon cancer, and why there is rarely one answer Colon cancer risk factors you can change, and what each one is worth Colon cancer risk factors you cannot change, and what to do about them Red meat and colon cancer: how much does it really raise the risk? Does processed meat raise your risk of colon cancer? Does a low-fibre diet cause colon cancer? Alcohol and colon cancer: how much does drinking raise the risk? Smoking and colon cancer: how the risk works and what stopping changes Obesity, belly fat and colon cancer: what the link really means Does sitting all day and not exercising raise colon cancer risk? Does type 2 diabetes raise your risk of colon cancer? Inflammatory bowel disease and colon cancer risk: what it really means Colonoscopy surveillance in long-standing colitis: how often, and why Previous polyps: what they mean for your future colon cancer risk A previous cancer and your risk of a second colon cancer Age and colon cancer: how your risk changes over a lifetime Is colon cancer hereditary, and what does it mean for your family? Family history of colon cancer: what it means for your risk Gut bacteria and colon cancer: what is known and what is not Does antibiotic use raise the risk of colon cancer? Radiation to the abdomen and the risk of bowel cancer later Does the Indian diet raise or lower colorectal cancer risk? Does spicy food cause colon cancer? Does constipation cause colon cancer, or is it a warning sign? Can piles turn into colon cancer, or raise your risk? Reducing your own colon cancer risk: what actually works Does aspirin prevent colon cancer, and should you take it? Do calcium and vitamin D really prevent colon cancer?

Screening

Colon cancer screening: who needs it, when, and how it is done Why screening works for colon cancer, and who it is for At what age should colon cancer screening start? Should colon cancer screening start at 45 or 50? Colon cancer screening tests compared: which one should you choose? FIT test explained: what the home stool test can and cannot tell you How to do a FIT stool test at home, step by step A positive FIT result: what happens next A negative FIT result: what it does not rule out FOBT vs FIT: how the two stool blood tests differ, and which to choose Stool DNA testing: what it finds and whether it suits you in India Screening colonoscopy: what happens, step by step How often should you have a screening colonoscopy? Sigmoidoscopy as a screening test: what it checks and what it misses CT colonography: what a virtual colonoscopy can and cannot do Colon capsule endoscopy: the camera pill, explained Can a blood test screen for colon cancer? Is a CEA blood test a screening test for colon cancer? Average-risk vs high-risk colon cancer screening: which pathway are you on? Screening when a parent or sibling had colon cancer: when to start Screening in Lynch syndrome and polyposis families Colon cancer screening with inflammatory bowel disease When should colon cancer screening stop? What does colon cancer screening cost in Hyderabad? Is colon cancer screening covered by insurance or Aarogyasri? Why so few Indians get screened for colon cancer Overcoming embarrassment about bowel screening and colonoscopy Colon cancer screening for women and men: what is different? Health check packages: do they include bowel screening? How to convince a parent to get screened for colon cancer

Treatment by stage

Colon cancer treatment options, explained stage by stage How your colon cancer treatment plan is decided Treatment for stage 1 colon cancer: what to expect Treatment for stage 2 colon cancer: surgery first, then a careful decision Treatment for stage 3 colon cancer: surgery, then chemotherapy Treatment for stage 4 colon cancer: how the plan is decided The tumour board: who decides your colon cancer treatment? Does surgery always come first for colon cancer? When is chemotherapy given before colon cancer surgery? Do you need chemotherapy after colon cancer surgery? The stage 2 dilemma: do you need chemotherapy after surgery? Three months or six months of chemotherapy after colon cancer surgery? How soon after colon cancer surgery should chemotherapy start? ctDNA testing after colon cancer surgery: can a blood test guide chemotherapy? Which chemotherapy regimen for which situation in colon cancer? When is targeted therapy added for colon cancer? Why does tumour side change the drug choice in colon cancer? When is immunotherapy an option for colon cancer? Is radiation ever used for colon cancer? Treatment when you are not fit for colon cancer surgery Colon cancer treatment in elderly patients: why age alone does not decide Colon cancer treatment alongside diabetes, heart or kidney disease Refusing or delaying colon cancer treatment: what happens How quickly does colon cancer treatment need to start? Clinical trials for colon cancer in India: how they work and how to find one Getting a second opinion on your colon cancer treatment plan Questions to ask before starting colon cancer treatment

Metastatic and advanced disease

Metastatic colon cancer: what it means and what can still be done Colon cancer that has spread to the liver: what it means When colon cancer in the liver is curable by surgery Who is eligible for liver surgery when colon cancer has spread? Conversion chemotherapy: shrinking liver spread so surgery becomes possible Ablation for colon cancer that has spread to the liver Colon cancer that has spread to the lungs: what it means and what can be done Peritoneal spread in colon cancer: what it means Colon cancer that has spread to the bones: what it means and what is done Colon cancer that has spread to the brain In what order is stage 4 colon cancer treated? First-line, second-line and third-line treatment for colon cancer When colon cancer treatment stops working: what comes next Maintenance treatment and chemotherapy breaks in stage 4 colon cancer Chemotherapy rechallenge in colon cancer: going back to a drug that worked Managing bowel obstruction in advanced colon cancer: the options and how to choose Fluid in the abdomen with colon cancer: what ascites means Liver failure and jaundice in advanced colon cancer How pain is controlled in advanced colon cancer Living well with stage 4 colon cancer: what it looks like day to day Deciding when to stop active treatment for colon cancer Palliative care alongside colon cancer treatment: what it is and when to ask Advance care planning in colon cancer: putting your wishes on record End of life with colon cancer: what to expect and how to help
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