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BRCA mutations more common than expected in young black women with breast cancer
https://www.facingourrisk.org/XRAY/mutations-in-young-black-women
Full article: http://onlinelibrary.wiley.com/doi/10.1002/cncr.29645/abstract
Most estimates of the percentage of breast cancer patients with mutations in BRCA are based on studies in White women. These researchers found that Black women diagnosed at a young age with breast cancer were twice as likely to have a BRCA mutation than previously reported based on studies in White women with breast cancer diagnosed in the same age categories. This study shows how important it is for all Black women diagnosed with breast cancer before age 50 to speak with their doctor about genetic counseling and testing. (9/29/15)
Expert Guidelines
The National Comprehensive Cancer Network has guidelines on who should undergo genetic counseling and testing. If you have been diagnosed with breast cancer, you should speak with a genetics expert about genetic testing if any of the following apply to you:
- You have a blood relative who has tested positive for an inherited mutation
- You have any of the following:
- Breast cancer at age 50 or younger
- Male breast cancer at any age
- Ovarian cancer at any age
- Triple-negative breast cancer at any age
- Two separate breast cancer diagnoses
- Eastern European Jewish ancestry and breast cancer at any age
- Metastatic breast cancer
- Testing of your tumor shows a mutation in a gene that is associated with hereditary cancer
- HER2-negative breast cancer and high risk for recurrence
- Lobular breast cancer and a family history of diffuse gastric cancer
OR
- You have one or more close family members who have had:
- Young-onset or rare cancers
- Breast cancer at age 50 or younger
- Triple-negative breast cancer
- Male breast cancer, ovarian cancer, pancreatic cancer, or metastatic prostate cancer at any age
- Two separate cancer diagnoses
- Prostate cancer at age 55 or younger or metastatic prostate cancer
The American Society of Breast Cancer Surgeons (ASBrS) released guidelines in 2019 that recommend all women diagnosed with breast cancer have access to genetic testing for inherited mutations in breast cancer genes.
If you are uncertain whether you meet the guidelines above and you are interested in or considering genetic testing, you should speak with a cancer genetics expert.
Questions To Ask Your Health Care Provider
- Will my insurance pay for genetic counseling and testing?
- Can you give me a referral to a genetics expert?
- I was diagnosed with breast cancer at a young age, but I don’t have a family history of breast cancer. Should I still get BRCA testing?
- Will BRCA testing change my medical options?
- If I test positive, are there additional steps I can take to lower my risk for a new cancer diagnosis?
- What will BRCA testing mean for my family?
Open Clinical Trials
Below are clinical trials that include genetic counseling and testing.
Other genetic counseling or testing studies may be found here.
About FORCE
FORCE is a national nonprofit organization, established in 1999. Our mission is to improve the lives of individuals and families affected by adult hereditary cancers.