Breast and ovarian cancer

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It is not intended to give a comprehensive overview of breast and ovarian cancer genetics on these pages; instead links are provided to relevant websites for further information.  

Breast cancer is a common disease and it is likely that at least 1 in 9 women in the UK will develop it during their lifetime, so it is not unusual for a patient to have one or two relatives who have developed breast cancer by chance. Ovarian cancer is less common, with 1 in 48 women developing ovarian cancer during their lifetime.

The development and progression of both breast and ovarian cancers can involve several factors, such as environmental, lifestyle, reproductive, and genetic factors.

A significant family history

  • Breast and ovarian cancers that have occurred in a family are more likely to be significant if:
  • There is more than one case of breast cancer on the same side of the family
  • The cancers were diagnosed at a young age (e.g. before the menopause)
  • The people who have had breast cancer are closely related (first and second-degree) blood relatives of the patient - such as mother, aunt, grandmother, sisters.
  • A close relative of the patient has had bilateral breast cancer.
  • The patient is of Eastern European and/or Jewish descent.

Cancer susceptibility genes:

Two dominant breast cancer susceptibility genes have been identified to date: BRCA1 and BRCA2. The identification of other cancer susceptibility genes is the subject of ongoing research.

Mutations in BRCA1 and BRCA2 only account for less than 2% of all breast cancers. Although the absolute numbers are small, it is important to identify susceptible individuals because of the high risk of developing tumours.

                                      

Tumour associations

BRCA1

  • Breast and ovary
  • Lower risk: prostate

BRCA2

  • Breast and ovary
  • Stomach, pancreas, prostate, thyroid

Lower risk: Hodgkin's lymphoma, gallbladder (influenced by mutation)

     



This page was last modified on Thu Oct 01 2009