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Topic: BRACA Gene

Forum: LCIS (Lobular Carcinoma In Situ) — Just diagnosed, in treatment, or finished treatment for LCIS.

Posted on: Dec 29, 2007 05:48PM

Kitwe wrote:

I have LCIS.  Would it be wise for my 2 daughters to be tested for the BRACA gene.  We have no family history of breast cancer that we are aware of.  My maternal Grandmother died at 50 yrs. from rectal cancer.  Mt paternal Grandmother died at 69 from pancreatic cancer.

Kit Dx 5/27/2010, DCIS, Stage 0, Grade 1, ER+/PR-
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Dec 29, 2007 06:41PM mamaotis wrote:

Hi Suze~

What my breast surgeon told me, was that the first person that should be tested, would be the one diagnosed with breast ca.... Some folks have done some genetic counseling before they've had it done~and I know folks who just don't want to know the answer, so decided to not have it done.  I chose to have the testing, as my mom died in her 40's when I was young...and I don't have any idea where it started--but probably ovarian or uterine is what I've been told.  I also have ovarian ca on my dad's side.  I did it more to see if anything showed up that I could have passed on to my son...so I definitely understand your concern about your daughters~

My surgeon had said that her only recommendation if it was positive, would be BPM; so I knew that up front and was ready to do whatever I needed to do~  Mine came back ok--and glad I had it done~although if insurance hadn't paid for 80% I wouldn't have been able to do it!

I think only you can decide what's best for your situation....after you have all the info regarding family hx and talk to your doc(s) and get his/her recommendation(s).  Good luck!! 

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Dec 29, 2007 08:03PM awb wrote:

Suze---if there is no family history of bc, you may have a difficult time getting the insurance to pay for testing, I'm not sure. While I have "no red flags" for the BRCA gene (family history of ovarian ca or male bc, several primary relatives with premenopausal bc, or ashkenazi jewish heritage), there is something going on in my family. My MGGM had bc, my MGM had colon ca, my mom has had both bc and colon ca, and I was diagnosed with LCIS 4 years ago. So my oncologist has always felt my risk for BRCA is low, but is  leaving it up to me whether or not to be tested. I already take tamoxifen and have had my ovaries out (not by choice--ruptured),  and am very closely monitored by mammos and MRIs, so the only thing left to do would be the BPMs if I was positive. It would have implications for my sisters, daughter, and nieces however. I'm still not sure about it, but I'm considering it. Genetic counseling first is always a good idea.

"I don't know what the future holds, but I know who holds the future" Dx 9/5/2003, LCIS, Stage 0, 0/0 nodes Surgery 9/15/2003 Lumpectomy: Right Hormonal Therapy 10/29/2003 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 4/4/2005 Prophylactic ovary removal Hormonal Therapy 2/27/2009 Evista (raloxifene)
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Dec 30, 2007 02:30AM leaf wrote:

I agree with awb.

There are some family patterns (like no siblings, or only males in a generation) where it may be trickier to determine patterns of inheritance. A board certified genetics counselor (these are usually associated with major institutions or universities) can give you some idea about the risk you have for having a BRCA mutation. I had the initial counseling only, and (in Mar 2006), I opted to self pay for this which was <$400 for the first counseling only. My institution required initial counseling before testing. I think that is an excellent idea. My insurance determined it was not medically necessary for me to be tested, so if I underwent testing, it would be out of pocket.

I opted not to be tested for now as my risk for BRCA is quite low (about 2%). I found the genetic counseling quite helpful, nonetheless.

Most breast cancers are NOT from inherited genetic mutations. Only about 10-20% are associated with genetic mutations. For about 70% of breast cancer cases, the only known risk factor is being a woman.


BRCA mutations are associated with breast cancer (especially premenopausal) , ovarian cancer, male breast cancer, and Ashkenazi Jewish heritage among others.


Classic LCIS.If knowledge can create problems, it is not through ignorance that we can solve them- Isaac Asimov Dx 12/8/2005, LCIS, ER+/PR- Surgery 1/24/2006 Lumpectomy: Left Hormonal Therapy 7/15/2006 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Dec 30, 2007 11:38AM - edited Dec 30, 2007 11:40AM by Kitwe

Thanx mamaotis, awb and Leaf for the information.  I will check out genetic counseling after this next biopsy.

HAPPY HEALTHY NEW YEAR

Kit Dx 5/27/2010, DCIS, Stage 0, Grade 1, ER+/PR-

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