Background: Information about how genetic testing is used in the NICU and how it changes clinical management is limited. In addition, genetic testing strategies are rapidly evolving, and having a baseline understanding of our current testing strategies and their clinical utility is important. Among infants admitted to children’s hospitals NICU, about 10-30% have a congenital [...]

Case Presentation: A 54-year-old woman with a history of uterine fibroids developed six weeks of progressive abdominal swelling and unintentional weight loss. Initial supportive care at an outside clinic failed to relieve symptoms. A month later, abdominal CT scan demonstrated extensive peritoneal carcinomatosis with bulky retroperitoneal adenopathy, moderate intra- and extrahepatic ductal dilatation, featureless pancreas, [...]