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A genetic test for hereditary breast and ovarian cancer
Dr. Fisher now offers genetic testing
for breast and ovarian cancer. Many people don't realize that about
10% of breast and ovarian cancers are hereditary-that is, they are
due to a mutated (altered) gene passed on from parent to child.
You don't actually inherit cancer, but rather you inherit a
higher risk of developing it.
If there's a pattern of breast and/or ovarian cancer
in your family, you can reduce your risk. You many benefit from
learning more about your own risk. Current cancer research shows
that early detection-along with proactive medical care-has been
proven to help reduce cancer risk, and save lives.
You could have an inherited risk if:
you were diagnosed with breast cancer before the age of 50 and/or
ovarian cancer at any age
you have close family members (mother's or father's side) diagnosed
with breast cancer before the age of 50, ovarian cancer at any age,
or male breast cancer at any age.
Two specific genes called BRCA1 and BRCA2 play a big
role in preventing breast and ovarian cancers. normally, these genes
act like brakes that help stop abnormal cell growth. However, alterations,
or mutations, can occur in these BRACA genes. When this happens,
the genes do not work as they should, and there is a loss of control
on cell growth. Certain groups of cells can grow at an abnormally
fast rate, and cancer may develop.
Some important facts and figures
Women with a BRCA mutation have:
-- a 33%-50% risk of developing breast cancer
by age 50 and a 56%-87% risk by age 70
-- a 27%-44% chance of developing ovarian
cancer by age 70
Certain mutations of the BRCA genes are more common among
people of Ashkenazi jewish descent (Central or Eastern European)
Half of all women with a hereditary risk of beast and ovarian
cancers inherited the risk from their fathers, not their
mothers.
BRCA mutations also increase the risk for other cancers
in both men and women, including up to a 6% risk for male
breast cancer
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BRACAnalysis® test results may enable you and your family to
make more informed choices and decisions.
A
woman who discovers she carries a BRCA mutation can decide whether
to start screening earlier in life or to reduce her risk by using
measures such as medications or surgery.
A
woman already diagnosed with cancer can take proactive steps to
try to prevent a second cancer. Her healthcare provider may also
use the information to make treatment decisions. For example, to
help determine whether surgery is needed.
A
woman with a family history may also find out she is NOT carrying
the gene mutation.
Individuals
with family histories of breast or ovarian cancer may want to know
whether they carry a mutation that could be passed down to their
children.
Some Frequently Asked Questions
Q: What is the testing process like?
A: After meeting with your doctor or other trained healthcare
provider, you will need to sign an informed consent form and provide
a small blood sample. Your blood sample will be shipped directly
to Myriad. Results can be obtained from your healthcare provider
in about 2 weeks.
Q: Will my health insurance pay for the BRACAnalysis®
test?
A: Most health insurance plans pay for BRACAnalysis®. In fact,
more that 90% of tests receive coverage, and the average reimbursement
is greater than 90%.
Q: Can my health insurance company refuse
coverage based on the results?
A: No. The Federal Health Insurance Portability and Accountability
Act of 1996, as well as legislation in most states, protects
patient privacy and prohibits health insurance discrimination based
on genetic information.To date, there are no documented cases of
health insurance discrimination as a result of genetic testing for
hereditary breast and ovarian concerns.
Q: Will anyone else know the results of my
test?
A: No. Your test results are strictly confidential. Myriad only
releases test results to the healthcare provider who ordered the
test. Even when insurance plans pay for testing, the insurer does
not receive the results. Under no circumstances will Myriad give
patient results to any party other than the ordering healthcare
provider without the written consent of the patient.
Q: How can I get more information about cancer
risk assessment and BRACAnalysis®?
Please talk with your Dr. Fisher, a genetic counselor, or other
healthcare provider. You can also call Myriad at 1-800-4-MYRIAD,
or visit the website at www.myriadtests.com.
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