Genetic
Genetic
The genetics encompasses clinical genetics consultations and the genetics laboratory. It participates in the clinical and biological diagnosis of hereditary (rare diseases) and acquired (cancer) , with the aim of confirming or ruling out a diagnosis and adapting the care provided to the patient and their relatives. It also participates in the genetic characterization of tumors and the monitoring of disease progression.
The genetics encompasses clinical genetics consultations and the genetics laboratory. It participates in the clinical and biological diagnosis of hereditary (rare diseases) and acquired (cancer) , with the aim of confirming or ruling out a diagnosis and adapting the care provided to the patient and their relatives. It also participates in the genetic characterization of tumors and the monitoring of disease progression.
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Consultations & Team
Prenatal genetics
Dr Nicolas Gruchy, Dr Arnaud Molin, Dr Manon GodinConsultation hoursYou must send us your request by mail or email, including the referral letter from your doctor or specialist, and possibly the results of any genetic tests already performed on your relatives. We also need your contact information so we can get back to you (Last name, First name, date and place of birth, email and postal address, mobile phone number).Postnatal genetics
Dr Arnaud Molin, Dr Aline Vincent, Dr Sacha Weber, Dr Alexia Bourgois, Dr Andreea ApetreiConsultation hoursYou must send us your request by mail or email, including the referral letter from your doctor or specialist, and possibly the results of any genetic tests already performed on your relatives. We also need your contact information so we can get back to you (Last name, First name, date and place of birth, email and postal address, mobile phone number).Genetic counseling
Mr. Yann Troadec, Ms. Camille ThéardConsultation hoursYou must send us your request by mail or email, including the referral letter from your doctor or specialist, and possibly the results of any genetic tests already performed on your relatives. We also need your contact information so we can get back to you (Last name, First name, date and place of birth, email and postal address, mobile phone number).Psychology
Consultation hoursnot specifiedGenomics Track
Ms. Noëlya PlanchardConsultation hoursnot specified
Service composition
- 2 university lecturers · hospital practitioners
- 5 hospital practitioners
- 2 university hospital assistants
- 1 specialist assistant
- 2 genetic counselors
- 1 senior health executive
- 1 healthcare manager
- 1 psychologist
- 1 engineer
- 16 laboratory technicians
- 5 medical-administrative assistants
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Missions and Activities
Missions
The consultation
The genetics department is a university hospital service that meets the needs of the population of Normandy, for which it is one of the regional resources. It is a partner of the Rouen-Caen University Hospital Federation “personalized medicine”.
- The consultation : The clinical genetics team will see symptomatic or asymptomatic patients for diagnostic or genetic counseling purposes. These patients are referred either by doctors due to a suspected genetic disorder, or by their relatives when a genetic disease is known to run in the family.
Genetic consultations aim to diagnose genetic diseases and provide genetic counseling, that is, to inform patients about the nature of their disease, its consequences, the likelihood of developing or transmitting it, and ways to prevent or treat it. In certain circumstances, investigations may be extended to other family members to inform affected relatives, detect undiagnosed affected relatives, or identify healthy carriers.
The clinical genetics service therefore conducts consultations:
- Postnatal diagnosis: intellectual disability, autism, cardiogenetics, neurogenetics, ophthalmogenetics, malformation syndrome, mitochondrial diseases, etc.
- Prenatal diagnosis
- Genetic counseling (consultations for relatives)
- Monitoring patients with rare genetic diseases
Multidisciplinary: Marfan syndrome, Rendu-Osler-Weber disease, etc.
To make an appointment
You must send us your request by mail or email to the secretariat with:
- the referral letter from the attending physician or specialist,
- more or less the results of genetic analyses already carried out on your relatives.
We also need to know your contact details in order to get back to you (Name, Surname, date and place of birth, email and postal address, mobile phone number).
How to prepare for your genetics consultation
The geneticist or genetic counselor you will meet needs precise information about your personal and family history. Therefore, be sure to bring the following documents to your appointment:
- Administrative documents (national identity card, health insurance card, supplementary health insurance card, family record book for minor children…),
- Medical documents (health record, x-rays, letters, elements of medical files, biological reports…).
If any family members have or have had difficulties (disability, intellectual impairment, learning difficulties, cancer, malformation, heart disease, or other illness), please try to find out the name of the disease and any test results (ideally the name/surname/date of birth of the affected patient, the name of the center and the name of the doctor who is treating him/her).
You are here for a medical genetics consultation
Various situations may lead you to consult a geneticist. You will be seen by a doctor from the team accompanied by a medical student or a genetic counselor.
For children and pregnant women, the presence of both parents is recommended. The consultation can be conducted jointly with the psychologist and lasts approximately one hour.
What happens during your first consultation?
We will ask you for information about your medical and family history. A family tree will be drawn up with you, including the medical history of your relatives (parents, siblings, children, uncles, aunts, cousins and grandparents).
A medical examination may be carried out.
We may ask for your written permission to take photographs. In some cases, photographs are an essential part of your medical record. They are confidential and will be kept solely in your medical file within the genetics department.
Genetic testing may be offered during your consultation. These tests will be explained to you, and if you agree to them, you will be asked to sign a consent form necessary for them to be carried out.
And after the consultation?
The tests are performed using a blood sample, for which fasting is not required, and which will be taken immediately after the consultation. Further assessments, including additional tests (X-rays, blood work, etc.), may be recommended.
A letter will be sent to you and to the various healthcare professionals involved in your care, as requested.
Obtaining test results can take several months. As soon as we receive them, you will be notified, and a follow-up appointment can be scheduled.A space for discussion, listening, and psychological support is also available. A meeting with the psychologist is possible, for yourself or your loved ones, at any time.
Please do not hesitate to contact us if you require any further information:
02 31 27 25 69The Laboratory
Analyses
The laboratory team is mobilizing to carry out cytogenetic and molecular genetic analyses applied in the context of hereditary diseases and the genetic characterization of tumors (malignant hematological disorders and solid tumors) for diagnostic, prognostic and theranostic purposes.
The laboratory is linked to the hospital platform for cancer genetics (GENECAN) and the nucleic acid sequencing platform. Somatic activity is integrated within the MOCAE federative structure.
The genetics laboratory has authorization to examine a person's genetic characteristics.
Cytogenetic sector
He applies conventional cytogenetic techniques and molecular cytogenetic techniques in the field of constitutional anomalies, but also for oncohematology and oncogenetics, for the search for chromosomal anomalies in tumor pathology.
Key analyses
- Karyotypes
- hybridization in situ (FISH),
- CGH-array micro-rearrangement search
These techniques are applied in constitutional cytogenetics and onco-hematological cytogenetics, from prenatal (amniotic fluid and trophoblast biopsy), postnatal (blood) and onco-hematological (bone marrow, lymph nodes).
Molecular sector
analyses are involved (molecular genetics of cancers) :
1- Constitutional genetics
- database Orphanet
- Analyses related to the CRMR : Phosphocalcic metabolism abnormalities
- Cystic fibrosis gene study CFTR) : activity linked to the Cystic Fibrosis Resource and Competence Centre (CRCM) of Caen,
- Fragile X syndrome (FRAXA locus study) : premature ovarian insufficiency and intellectual disability,
- Hemochromatosis (HFE gene study),
- Léri-Weill dyschondrosteosis (study of the SHOX gene),
- Female pseudohermaphroditism (study of the aromatase gene),
- Aromatase excess syndrome (study of aromatase gene expression),
- Allelic quantification and detection of uniparental monosomy and disomy,
- BankDNA
2- Somatic genetics (cancer)
- Bronchopulmonary cancer, melanoma, GIST (search for activating mutations and resistance mutations on a gene panel).
- The laboratory has set up the search for mutations onDNA , particularly for lung cancer (ATC).
- Molecular characterization of hematological malignancies (myeloid hematological disorders, B-cell lymphomas) by NGS
Nucleic acid sequencing platform
- The laboratory hosts the nucleic acid sequencing platform for all the laboratories in the biology department.
- The next-generation sequencing (NGS) allows the study of gene panels involved in certain rare diseases for which the laboratory is a national reference; it also allows the analysis of coding regions of the genome: the exome.
This platform is under the responsibility of Nicolas Richard, Guenaëlle Levallet, François Gravey and Nadia Coudray, engineer.
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Reference centers, expertise & platforms
Expert CenterCenter page Rare Disease Competence CenterCenter page Rare Disease Reference CenterCenter page Rare Disease Competence CenterCenter page Rare Disease Competence CenterCenter page Rare Disease Competence CenterCenter page Rare Disease Competence CenterCenter page Rare Disease Reference CenterCenter page PlatformCenter page StructureCenter page StructureCenter page The PEMR Normandy
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Teaching and research
Education
The genetics department also participates in the training of medical, pharmacy, and genetic counseling students, medical and biology specialty interns, and contributes to the medical training of specialists and postgraduate teaching.
Research
Hospital activity is extended by research activity at the University of Caen Normandy, mainly within the BioTARGen team.
Medical biology laboratory
Locate / contact the service
Genetic
BBR Access · Public
Access to the Côte de Nacre
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Laboratory Service
Biology Building · Research
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Level :
1
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GPS access:
BBR · Public
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Parking:
Parking 2
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Consultations
Mother-of-Pearl Coast Tower
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Level :
1
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GPS access:
Côte de Nacre
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Parking:
Parking 2
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