Onco-genomics

Case Studies

Clinical Genomics Case Study Library

A structured case-based learning resource for physicians, pathologists, fertility specialists and oncologists.
Category: Case Studies · Document ID: OGI-PHY-008 · Version 1.0 · Reviewed August 2026

Clinical use note

This resource supports professional decision making but does not replace current specialty guidelines, multidisciplinary review, the validated scope of the exact laboratory assay, or patient-specific clinical judgement.

Case studies

Case 1: High-risk NIPT

Clinical question: High-risk trisomy screening.

Learning focus: Screening versus diagnosis, counselling, ultrasound and diagnostic confirmation.

Case 2: IVF with sickle-cell risk

Clinical question: Couple at risk of an affected child.

Learning focus: Molecular confirmation, PGT-M work-up, embryo biopsy and prenatal confirmation.

Case 3: Hereditary breast/ovarian cancer

Clinical question: Early-onset or familial cancer.

Learning focus: Germline testing, pathogenic variants, VUS, cascade testing and surveillance implications.

Case 4: Tumour profiling

Clinical question: Advanced malignancy with potential biomarker-linked therapy.

Learning focus: Specimen adequacy, somatic actionability, germline clues and tumour-board integration.

Case 5: Digital pathology consultation

Clinical question: Remote expert review of histopathology.

Learning focus: Slide quality, scanning validation, diagnostic concordance and escalation to glass-slide review.

Case 6: Complex kinship

Clinical question: Relationship testing where a close relative is an alternative hypothesis.

Learning focus: Pedigree accuracy, likelihood ratios and the need for additional informative relatives.

Need to discuss a complex case?

Our clinical genomics team supports test selection, result interpretation and multidisciplinary case review.

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