Surfside, Florida · Physician-Ordered

Empower Screening.

Hereditary Cancer Risk · Physician-Ordered Screening

A physician-ordered hereditary cancer screening analyzing 47+ genes linked to breast, ovarian, colorectal, pancreatic, and other inherited cancer syndromes. Results reviewed with a board-certified MD in person or via telehealth. Joint Commission-accredited facility, 9445 Harding Ave in Surfside.

47+
Cancer Genes Screened
ER MD
Physician-Ordered
2-3 wk
Results Turnaround
JC
Joint Commission Accredited
Quick Answer

What is Empower hereditary cancer screening?

In one paragraph
Empower is a physician-ordered, blood-or-saliva genetic test from Myriad Genetics that analyzes 47+ genes associated with hereditary cancer syndromes. A positive result identifies an inherited mutation that elevates lifetime risk for cancers including breast, ovarian, colorectal, pancreatic, endometrial, prostate, gastric, and melanoma. Results are reviewed with a TrufaMED board-certified physician and an action plan is built around the finding.
Cancer Categories Screened

What This Screening Detects.

Empower’s panel covers the most clinically actionable hereditary cancer genes recognized by NCCN guidelines. Below are the gene families and the cancers they influence.

Breast & Ovarian Syndrome
BRCA1, BRCA2, PALB2, CHEK2, ATM, BARD1, BRIP1, RAD51C, RAD51D
Lynch Syndrome (Colorectal/Endometrial)
MLH1, MSH2, MSH6, PMS2, EPCAM
Polyposis Syndromes
APC, MUTYH, STK11, BMPR1A, SMAD4
Diffuse Gastric / Lobular Breast
CDH1
Li-Fraumeni Syndrome
TP53 (multi-cancer risk: breast, sarcoma, brain, adrenocortical)
Cowden / PTEN Hamartoma
PTEN (breast, thyroid, endometrial, melanoma)
Pancreatic Cancer Predisposition
BRCA1, BRCA2, PALB2, ATM, CDKN2A, STK11
Melanoma Predisposition
CDKN2A, BAP1, MITF
Clinical Performance

Myriad Empower · by the numbers.

Empower is built on Myriad MyRisk, the most published hereditary-cancer panel in the United States with more than two decades of laboratory validation. Performance figures below come directly from Myriad’s technical specifications and peer-reviewed literature.

48
Genes Sequenced
A guideline-aligned panel covering the 11 most clinically actionable hereditary-cancer syndromes — including all NCCN-recommended high- and moderate-penetrance genes.
Source: Myriad MyRisk technical specifications
99.9%
BRCA Analytical Accuracy
Concordance rate against reference samples for BRCA1 and BRCA2 sequencing — the cornerstone genes of Hereditary Breast & Ovarian Cancer Syndrome.
Source: Myriad analytical validation studies
<1%
VUS Rate (BRCA1/BRCA2)
Industry-low rate of Variants of Uncertain Significance — 0.3% for BRCA1 and 0.7% for BRCA2 — meaning fewer ambiguous results to manage.
Source: Myriad VUS rate publications
~14 days
Lab Turnaround
Typical time from when the sample is received in the Myriad laboratory to a finalized report delivered to the ordering physician.
Source: Myriad provider documentation
11
Cancer Types Mapped
Each variant is correlated to one or more of 11 cancer sites: breast, ovarian, colorectal, uterine, skin, pancreatic, gastric, prostate, renal, lung, and endocrine.
Source: Myriad MyRisk gene table
Lifetime
Variant Reclassification
Myriad continuously re-evaluates variants and issues amended reports at no cost when a VUS is later reclassified — a meaningful safeguard for long-term patients.
Source: Myriad Lifetime Reclassification Commitment
What We Look For

Cancer types & relevant genes.

A pathogenic variant in any of the genes below dramatically elevates lifetime risk for the corresponding cancer site. Identifying that variant earlier allows our physicians to build a personalized surveillance plan, recommend risk-reducing options, and offer cascade testing to first-degree relatives.

Breast & Ovarian (HBOC)

BRCA1, BRCA2, PALB2, CHEK2, ATM, BARD1, RAD51C, RAD51D

Hereditary Breast & Ovarian Cancer Syndrome — the most common indication for hereditary cancer testing, with lifetime breast-cancer risk reaching 70% in BRCA1 carriers.

Colorectal & Uterine (Lynch)

MLH1, MSH2, MSH6, PMS2, EPCAM

Lynch Syndrome — the leading cause of inherited colorectal cancer; carriers benefit from colonoscopy starting in the 20s and gynecologic surveillance.

Polyposis Syndromes

APC, MUTYH, STK11, SMAD4, BMPR1A

Familial Adenomatous Polyposis (APC), MUTYH-Associated Polyposis, Peutz-Jeghers, and Juvenile Polyposis Syndrome.

Pancreatic

BRCA1, BRCA2, PALB2, ATM, CDKN2A, STK11, MLH1

Pancreatic-cancer susceptibility genes overlap heavily with HBOC and Lynch — one reason a single multi-gene panel is more efficient than gene-by-gene testing.

Melanoma

CDKN2A, CDK4, BAP1

Familial atypical multiple-mole melanoma (FAMMM) syndrome — warrants enhanced dermatologic surveillance and ocular screening.

Li-Fraumeni / Cowden

TP53, PTEN

Multi-system cancer predisposition syndromes affecting breast, brain, soft-tissue, adrenal, thyroid, endometrium, and other sites.

Hereditary Diffuse Gastric

CDH1

CDH1-associated hereditary diffuse gastric cancer; carriers may consider risk-reducing total gastrectomy plus annual breast MRI.

Renal, Prostate, Endocrine

VHL, FH, MET, MEN1, RET, SDHx

von Hippel-Lindau, hereditary leiomyomatosis, hereditary papillary renal, MEN1, MEN2, and paraganglioma/pheochromocytoma syndromes.

After a Positive Result

What changes when we find something.

A positive Empower result is not a diagnosis — it is information. Acted on early, that information meaningfully reduces your future cancer risk through four pathways our physicians coordinate.

Enhanced Surveillance

Earlier and more frequent imaging — for example, annual breast MRI alternating with mammogram for BRCA carriers, or colonoscopy every 1–2 years starting at age 20–25 for Lynch carriers.

Risk-Reducing Options

Where appropriate and personally chosen, prophylactic surgery (mastectomy, salpingo-oophorectomy, gastrectomy) or chemoprevention can lower lifetime cancer risk by 90% or more.

Cascade Testing for Family

First-degree relatives have a 50% chance of carrying the same variant. Identifying the variant in one family member opens the door to focused, lower-cost testing for parents, siblings, and children.

NCCN-Aligned Care Plan

Our physicians follow National Comprehensive Cancer Network (NCCN) Guidelines ® for hereditary cancer management — the same evidence-based protocols used at major academic cancer centers.

Who qualifies? NCCN guidelines support hereditary cancer testing for anyone with a personal or family history of: breast cancer before age 50, ovarian or pancreatic cancer at any age, triple-negative breast cancer, male breast cancer, three or more relatives with the same or related cancers, Ashkenazi Jewish ancestry with any breast or ovarian cancer in the family, or a known pathogenic variant in a relative.

The Process

How It Works.

From consult to action plan, every step is physician-led.

1
Physician Consult
Meet with a TrufaMED MD in person or via telehealth. We review personal and family history, confirm clinical eligibility, and order the test.
2
Sample Collection
Blood draw or saliva kit at our Surfside clinic. Sample shipped to Myriad’s Joint Commission–accredited, CLIA-certified lab the same day.
3
Lab Analysis (2-3 weeks)
Myriad analyzes 47+ genes using next-generation sequencing plus large-rearrangement detection. Variants are classified per ACMG guidelines.
4
Results & Action Plan
We sit down with you to interpret results, refer to a board-certified genetic counselor when indicated, and coordinate enhanced surveillance, risk-reducing options, or family-cascade testing.
Candidates

Who Should Consider.

Hereditary cancer screening is appropriate for adults with personal or family histories that suggest an inherited risk pattern. Common indications include:

Family History of Cancer
Multiple relatives with breast, ovarian, colorectal, pancreatic, or prostate cancer, especially on the same side of the family.
Diagnosed Before Age 50
Personal or family cancer diagnosis before age 50 is a strong indicator of hereditary risk.
Ashkenazi Jewish Ancestry
Roughly 1 in 40 Ashkenazi Jewish individuals carries a BRCA1 or BRCA2 founder mutation.
Multiple Primary Cancers
An individual diagnosed with two or more primary cancers, or bilateral cancers (both breasts, both kidneys).
Known Family Mutation
A first- or second-degree relative has tested positive for a known cancer-predisposition gene.
Triple-Negative Breast Cancer
Personal history of triple-negative breast cancer diagnosed at any age.
Male Breast Cancer
Any male breast cancer diagnosis in the patient or immediate family.
Pancreatic or Ovarian Cancer
Any personal history of pancreatic or epithelial ovarian cancer.
Differentiation

Why TrufaMED for Empower Hereditary Cancer Screening.

Why patients choose TrufaMED for Empower screening:

47+ hereditary cancer genes, physician-ordered and physician-reviewed.

Physician-Ordered, Not Direct-to-Consumer
Every Empower test is ordered, interpreted, and acted on by a board-certified MD. You are not handed a raw report and left to figure it out.
Joint Commission-Accredited Facility
TrufaMED is the only Joint Commission-accredited urgent care in Florida, the same accreditation hospitals carry.
Genetic Counselor Coordination
When a positive or VUS result requires deeper interpretation, we coordinate referral to a board-certified genetic counselor.
Insurance Navigation
Most major insurance plans cover Empower when NCCN clinical criteria are met. Our team handles benefits verification and prior authorization.
Results Reviewed In Person or via Telehealth
Results visits are scheduled with the same physician who ordered the test. No anonymous result portal.
Family-Cascade Testing Plan
A positive result becomes a roadmap for first-degree relatives. We help organize and coordinate cascade testing across the family.
Pricing & Process

Pricing & Coverage.

Insurance: Most major insurance plans cover Empower when NCCN clinical criteria are met (personal or family history, ancestry risk, prior cancer diagnosis). Our team verifies benefits and obtains prior authorization before the sample is collected.

Self-pay: Available for patients without coverage or who prefer not to use insurance. Call (305) 537-6396 for a current self-pay quote. Payment plans available.

What is included: Physician consult, test order, sample collection, lab analysis, results review visit, and coordinated genetic-counselor referral when indicated.

Your Physicians

Physician-Led.

Every order, interpretation, and follow-up is delivered by a board-certified MD.

Dr. Uri Gedalia, MD
General Surgeon · Chief Medical Officer
Dr. Gedalia is a board-certified general surgeon and the Chief Medical Officer of TrufaMED. He oversees clinical protocols including hereditary cancer screening interpretation and the integration of genetic risk into surgical and surveillance decision-making for our patients.
Dr. Shane D. Naidoo, MD
Medical Director · Emergency Medicine
Dr. Naidoo is a board-certified emergency-medicine physician and TrufaMED’s Medical Director. He leads day-to-day physician operations, results-review visits, and coordinates downstream specialist referrals when genetic screening identifies elevated risk requiring further workup.
Visit Us

Visit Us in Surfside, FL.

TrufaMED Urgent Care & Concierge Medicine
9445 Harding Ave
Surfside, FL 33154
Hours: 9 AM – 9 PM, 7 days a week
FAQ

Frequently Asked Questions.

Does insurance cover Empower hereditary cancer screening?

Most major insurance plans cover Empower when NCCN clinical criteria are met, including a qualifying personal or family history of cancer. Our team verifies benefits and obtains prior authorization before any sample is collected. Coverage varies by plan, so we confirm in writing before proceeding.

What happens if I test positive for a BRCA1 or BRCA2 mutation?

A positive result indicates elevated lifetime risk, not a current cancer diagnosis. Your TrufaMED physician builds a risk-management plan that may include enhanced imaging surveillance (breast MRI, transvaginal ultrasound), risk-reducing medication, surgical risk reduction options, and coordinated referrals to oncology and genetic counseling. We also help organize cascade testing for first-degree relatives.

Do I need genetic counseling before or after testing?

Pre-test counseling can be performed by your TrufaMED physician for straightforward indications. Post-test counseling with a board-certified genetic counselor is strongly recommended for any positive result or variant of uncertain significance. We coordinate that referral.

How long until I get results?

Results typically return from Myriad in 2 to 3 weeks from the date the sample is received. We schedule your results visit as soon as the report is signed out.

What does a ‘variant of uncertain significance’ (VUS) result mean?

A VUS is a genetic change whose clinical impact is not yet established. It is not treated as a positive result and does not change clinical management. Variants are reclassified over time as more data accumulates, and we re-contact patients if a VUS is reclassified.

Is the sample blood or saliva?

Either, depending on the panel and patient preference. Most adults at our Surfside clinic provide a blood sample drawn by a licensed provider during the visit. Saliva kits are available for select circumstances.

Can I get tested if I have already had cancer?

Yes. In fact, many guidelines recommend germline testing for any patient with a personal history of breast, ovarian, pancreatic, colorectal, or prostate cancer, regardless of family history or age at diagnosis. Results may inform treatment decisions, surveillance for second cancers, and cascade testing for relatives.

Does my whole family need testing?

Not initially. The first step is testing the person most likely to carry a mutation, typically the family member with the youngest cancer diagnosis. Once a specific mutation is identified, single-site testing for relatives is much less expensive and almost always covered by insurance.

How is my genetic data protected?

Myriad is HIPAA-compliant and does not share identifiable data with third parties without consent. Federal law (GINA) prohibits employers and health insurers from using genetic test results to discriminate. GINA does not extend to life, disability, or long-term care insurance, which is something we discuss before testing.

Is there a difference between Empower and direct-to-consumer ancestry tests?

Yes, substantial. Direct-to-consumer ancestry tests typically genotype only a handful of common variants, often missing 90%+ of clinically actionable mutations. Empower uses full-gene sequencing plus large-rearrangement analysis, classified per ACMG criteria, with physician-grade reporting suitable for medical decision-making.

Can I be tested while pregnant?

Yes. Hereditary cancer testing is safe during pregnancy and is sometimes prioritized when a pregnant patient has a strong family history. We coordinate timing of any results-based interventions with your obstetrician.

What if I cannot make it to the Surfside clinic?

Telehealth consultations are available statewide for the consult and results visits. Sample collection requires either an in-person visit to our Surfside clinic or a saliva kit shipped to your residence.

Ready to get started?

Speak with a TrufaMED physician about whether empower hereditary cancer screening is appropriate for you.

Genetic screening results require physician interpretation. TrufaMED physicians review every result with you and coordinate any recommended follow-up care, including genetic counselor referral. Screening is not diagnostic — a positive result indicates elevated risk or carrier status, not a current disease state, and confirmatory testing may be indicated. Empower is a Laboratory Developed Test offered by Myriad Genetics under CLIA certification. Myriad is the laboratory partner; testing is ordered and interpreted by your TrufaMED physician.