The benefits of a model of interval comprehensive assessments (MICA) in hereditary cancer Syndromes: Hereditary diffuse gastric cancer (HDGC) as an example.

•Ability to work with a family, however remote from our Creighton university location.•Collaborative opportunities through members of the family who have worked so hard on behalf of identifying patients who would benefit from the CDH1 mutation testing and our recommendations, if positive, to undergo prophylactic total gastrectomy.•Follow-up opportunities for countless other hereditary cancer-prone families.