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Book a consultationPillar 3 · inherited risk, for you and your family
Where Signature reads the tumour, Heritage reads you: the inherited changes that can raise cancer risk for you and your blood relatives.
01Inherited risk
Heritage looks at the inherited changes you were born with, the ones that can raise cancer risk for you and your blood relatives.
Is this part of a pattern the family should know about?
Three generations of one family
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An inherited change can shape treatment, because some cancers with germline changes respond to specific drugs. It also shapes future screening.
Finding a variant lets relatives choose testing, earlier screening and prevention. One test can protect a whole family.
Knowing risk in advance turns cancer care from reactive to proactive.
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| Heritage Core | Heritage Adhoc | |
|---|---|---|
| What it is | A broad hereditary-cancer panel | A focused test for one known variant |
| Best when | You want a full inherited-risk assessment | A family variant is already known |
| Who it helps | You, and through you your family | Relatives of someone with a known variant |
| Price | ₹50,000 index test | ₹35,000 per family member |
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No result without support.
Inherited risk is sensitive. It touches family, children and difficult feelings. Every Heritage test includes genetic counselling through KPCIRC, before and after: to help you decide what you want to know, to explain results plainly, and to plan next steps.
You are never handed a life-changing result and left alone with it.
What a genetic counselling session is actually like
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₹50,000 index test, then ₹35,000 per family member
Cascade testing for relatives checks for the specific variant found, so it is more focused and costs less. Confirmed at your consultation, with counselling included.
Research and evidence
Multi-gene germline panels repeatedly find inherited risk that would otherwise be missed.
Inherited risk is common, and often unexpected
Among 10,975 cancer patients tested with a broad germline panel, 10.3% carried a pathogenic variant, and many would not have been predicted from personal or family history alone.
Landry KK, et al. JCO Precision Oncology, 2024.
Panels find actionable variants across the board
In a large colorectal cohort, 14.2% carried a pathogenic germline variant, with actionable findings across every age, ancestry and panel size.
Multigene panel study, JCO Precision Oncology, 2022.
Guideline criteria miss carriers
When testing is restricted to guideline criteria, roughly half of carriers can be missed, which argues for broader testing.
Beitsch PD, et al. Journal of Clinical Oncology, 2019.
These independent, peer-reviewed studies describe the class of technology we use. They are shared for education. They are not results for any individual and not a promise of benefit.
Being clear about our limits
| Term | What it means |
|---|---|
| Germline | An inherited change, present from birth and passable to children. |
| Somatic | A change that arises in the tumour during life. Not inherited. |
| Pathogenic variant | A change known to be disease-causing. Here, one that raises cancer risk. |
| VUS | Variant of uncertain significance, a change whose meaning is not yet clear. |
| Penetrance | How likely a carrier is to actually develop the cancer. |
| Cascade testing | Testing blood relatives for a known family variant. |
Heritage is a genomic (DNA-based) test for use by qualified healthcare professionals. It supports clinical judgement, it does not replace it, and it must be read alongside your full clinical history and applicable guidelines.
Regulatory status (India). Registration of our genomic tests as in-vitro diagnostic (IVD) medical devices with CDSCO is in progress, with the IVD class pending. Sequencing and variant calling are done by an accredited laboratory partner (CAP-accredited, ISO 15189) following ACMG/AMP/ASCO/CAP guidelines and a CE-IVD certified variant database. The OnKommon interpretation engine is provided for research and decision-support use. Marketing follows the Drugs and Magic Remedies (Objectionable Advertisements) Act, 1954.
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