Also known as: Genetic mutations, Inherited mutations or Genetic testing-cancer
- For example, the BRCA1 and BRCA2 genes are linked with breast cancer, ovarian cancer, and several other cancers, in men and women. Around half of women who inherit BRCA1 or BRCA2 will develop breast cancer by age 70.
- Polyps or growths on the lining of the colon or rectum may be linked to cancer and at times may be part of an inherited disorders.
- Breast (male and female)
- Adrenal gland
- Small intestine
- Renal pelvis
- Liver or biliary tract
- Pituitary gland
- Cancer that is diagnosed at a younger than normal age
- Several types of cancers in the same person
- Cancer that develops in both paired organs, such as both breasts or kidneys
- Several blood relatives who have the same type of cancer
- Unusual cases of a specific type of cancer, such as breast cancer in a man
- Birth defects that are linked to certain inherited cancers
- Being part of a racial group with a high risk of certain cancers along with one or more of the above
- Blood, saliva, skin cells, or amniotic fluid (around a growing fetus) can be used for testing.
- Samples are sent to a lab that specializes in genetic testing. It can take several weeks to get the results.
- Once you get the results, you will talk with the genetic counselor about what they may mean for you.
- You have close relatives (mother, father, sisters, brothers, children) who have had the same type of cancer
- People in your family have had cancer linked to a gene mutation, such as breast or ovarian cancer
- Your family members had cancer at a younger age than normal for that type of cancer
- You have had cancer screening results that may point to genetic causes
- Family members have had genetic tests and had a positive result
- Having surgery
- Changing your lifestyle.
- Starting cancer screenings. This can help you catch cancer early, when it can be treated more easily.
- Is genetic testing right for me?
- What testing will be done? How accurate is the testing?
- Will the results help me?
- How might the answers affect me emotionally?
- What is the risk of passing a mutation onto my children?
- How will the information affect my relatives and relationships?
- Is the information private?
- Who will have access to the information?
- Who will pay for the testing (which can cost thousands of dollars)?
- Are considering genetic testing
- Would like to discuss the results of genetic testing
The genes in our cells play important roles. They affect hair and eye color and other traits passed on from parent to child. Genes also tell cells to make proteins to help the body function.
Cancer occurs when cells begin to act abnormally. Changes in genes (mutations) tell the cells to divide rapidly and stay active. This leads to cancer growth and tumors. Gene mutations may be the result of damage to the body or something passed down in the genes in your family.
Genetic testing can help you find out if you have a genetic mutation that may lead to cancer or that may affect other members in your family. Learn about which cancers have testing available, what the results mean, and other things to consider before you get tested.
Which Cancers May Be Genetic
Today, we know specific gene mutations that can cause over 50 cancers, and the knowledge is growing.
A single gene mutation may be tied to different types of cancer, not just one.
Genetic mutations are linked with the following cancers:
Signs that cancer may have a genetic cause include:
About Genetic Testing
You may first have a an assessment to determine your level of risk. A genetic counselor will order the test after talking with you about your health and needs. Genetic counselors are trained to inform you without trying to guide your decision. That way you can decide whether testing is right for you.
How testing works:
While you may be able to order testing on your own, it is a good idea to work with a genetic counselor. They can help you understand the benefits and limitations of your results, and possible actions. Also, they can help you understand what it may mean for family members, and counsel them as well.
You will need to sign an informed consent form before testing.
What Genetic Testing Can Tell You
Testing may be able to tell you if you have a genetic mutation that is linked with a group of cancers. A positive result means you have an increased risk of getting those cancers.
However, a positive result does not mean you will develop the cancer. Genes are complex. The same gene may affect one person differently from another.
Of course, a negative result does not mean you will never get cancer. You may not be at risk due to your genes, but you could still develop cancer from a different cause.
Your results may not be as simple as positive and negative. The test may discover a mutation in a gene that experts have not identified as a cancer risk at this point. Or you may have a strong family history of a certain cancer and a negative result for a gene mutation. Your genetic counselor will explain these types of results.
There also may be other gene mutations not yet identified. You can only be tested for the genetic mutations we know about today. Work continues on making genetic testing more informative and accurate.
Who Should Consider Testing
Deciding whether to have genetic testing is a personal decision. You may want to consider genetic testing if:
Testing can be done in adults, children, and even in a growing fetus and embryo.
Possible Benefits of Testing
The information you get from a genetic test may help guide your health decisions and lifestyle choices. There are certain benefits to knowing if you carry a gene mutation. You may be able to lower your risk of cancer or prevent it by:
If you already have cancer, testing may help guide targeted treatment.
Questions to Consider Before Testing
If you are thinking about testing, here are some questions you may want to ask your health care provider or genetic counselor:
Before getting testing, be sure you understand the process and what the results may mean for you and your family.
When to Call the Doctor
You should call your provider if you:
American Cancer Society. Genetic testing: what you need to know. Available at: www.cancer.org/cancer/cancercauses/geneticsandcancer/genetictesting/index. Accessed August 28,2015.
National Cancer Institute. BRCA1 and BRCA2: Cancer Risk and Genetic Testing. Available at: www.cancer.gov/about-cancer/causes-prevention/genetics/brca-fact-sheet. Accessed August 28,2015.
National Cancer Institute. Genetic testing for hereditary cancer syndromes. Available at: www.cancer.gov/about-cancer/causes-prevention/genetics/genetic-testing-fact-sheet. Accessed August 28,2015.
Schrader KA, Sharaf R, Alanee S, Offit K. Genetic Factors. In: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, eds. Abeloff's Clinical Oncology. 5th ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2014:chap 12.
- Review date:
- December 07, 2016
- Reviewed by:
- Christine Zhang, MD, medical oncologist, Fresno, CA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
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