Doctor insights on:
Can You Do Prenatal Testing For Breast Cancer
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
Depends: If you have a valid reason to be tested-first degree family members, breast cancer under age of 50, others in family with brca positive test (to name a few)-then it should be covered by your insurance carrier. Depending on your insurance plan and deductible, there may not be any out of pocket cost. ...Read more
Maybe: If in doubt go to a genetics counselor - most cancer centers have one. The consultation is not expensive, but the test itself is. They will ask about your age, the exact numbers of family members affected, their age at diagnosis, whether one or both breasts, their relationship to you (mother, sister, or daughter increase your personal risk), other cancers in the family. Then they can advise you. ...Read more
Depends: Many people have a distant relative who had breast cancer late in life and that is not an indication for brca testing. There are certain criteria like very young breast cancer, male breast cancer, triple negative breast cancer before age 60, and others. Visit your family doc or gyn to see if you need a referral to a genetics health professional for testing. ...Read more
Knowledge is Power: The brca test is a simple (tho, very expensive) blood test to determine if one carries the risk of developing the hereditary form of breast (& ovarian) cancer. Affected people have a 50%chance of passing this on to their children. If the test is (-), this can be very reassuring; if (+), one may choose to be proactive and undergo prophylactic (preventive) mastectomies and oophorectomies. ...Read more
Cheap compared to...: If the diagnosis is missed, the price is your life. Period. If you have a dominant mass in your breast, get seen. We're all trapped in the same dysfunctional health care system, but we're here for those who can pay, and those who cannot. ...Read more
At what age should you be screened for breast cancer or cervical cancer if grandmother and aunt had each at early age in 30s/40s? Brca testing? ;
Early age breast cancer might signal an inherited gene mutation such as the BRCA1 or BRCA2 gene, for which screening would begin around the age of 25. See a geneticist to assess risk for an inherited cancer syndrome.
Cervical cancer screening begins by age 21. Family history may be a sign of shared environmental or lifestyle factors but inherited risk unlikely; tell your GYN the family history. ...Read more
My grandmother had breast cancer and my grandfather passed from sarcoma both before the age of 40 (both dad's side) Would I benefit from BRCA testing?
Yes: Having a second degree relative like a grandmother with breast cancer before the age of 40 is a red flag for possible BRCA. If your grandmother is living then she could be tested. If not, then your mother or father could be tested depending on which side of the family. If they do not have the gene then they cannot pass it on to you. Hope this helps. ...Read more
For significant risk: It is not a routine test for everybody with breast cancer. However, if you have significant risk with more than one family member having breast cancer or ovarian cancer, at younger age especially or multiple other type of cancers in the family- a brca 1 and 2 analysis would be something that routinely be done to rule out breast-ovary hereditary syndrome. ...Read more
3K: Brca comprehensive test offered by myriad is about $3, 000. They have an additional test called bart which used to be charged separately but now is often done as one. Frankly, I don't know if that adds to the cost. These are covered by most insurances if ordered in the right setting. Others labs have developed tests (such as breastnext) for other genes but insurance coverage is not as clear cut. ...Read more
Risk for cancer: If you have a strong family history of breast or ovarian cancer (or less commonly prostate or pancreas), if you had cancer before certain age, or breast cancer with certain characteristics, you may be a candidate for brca testing. Please note that this should be done in a setting of a full risk assessment visit by a trained professional. ...Read more
Start w/affected pt: Pesonal and family risk factors assoc w/brca mutation: muliple fam members, bil breast cancer, male breast cancer, ovarian cancer, ashkenazi jewish heritage (specific founder mutations), diagnosis age <50 (dx age < 60 if er/pr/her2 - or triple negative). Both maternal and paternal history is important. ...Read more
Whom (type specialist) does one see to have genetic testing performed to determine predisposition for breast cancer in the future?
Genetician, oncologi: Genetician /genetic counsellor, oncologist can help you. ...Read more
Defines risk not Rx: Genetic testing (brca) helps to define the risk for future breast and ovarian cancer. If one is diagnosed with breast cancer and is brca positive, then we will recommend additional surgery (remove both breasts and ovaries) to prevent a 2nd breast cancer. For people who do not have breast cancer and test brca positive, we may recommend the same to prevent the cancer diagnosis. ...Read more
What can I do if my mom was diagnosed with breast cancer. Should I think about getting genetic testing?
It depends: Most breast cancers are not genetically passed down to daughters but some are. You need to learn more about genetic breast cancer. Unless your mother has other blood relatives with breast or ovarian cancer, you do not need genetic testing unless your mother had breast cancer before the age of 50 years. However you should take precautions for early detection and get clinical breast examination regu. ...Read more
Can you tell me if given the oppurtunity to get genetic testing for the breast cancer gene should I do it?
Informed decision: No one can tell you if genetic testing is right for you; it is your decision. See a genetic counselor or geneticist to go over all of the pros and cons of genetic testing before you make your decision. The goal of genetic counseling is to help you have all the information you need to make an informed, personal decision. ...Read more
My mom had two types of very aggressive breast cancer. I'm almost 30, would it be wise to ask for genetic testing?
Yes: It depends on other factors, like your mom's age at diagnosis. If she was under 50, and particularly if you have other first-degree relatives with breast cancer (sister, daughter) or ovarian cancer, you may be at risk for carrying the brca gene. Ask for genetic counseling instead of genetic testing, as the type of test you need depends on a more extensive review of your history. Good luck! ...Read more
I have enlarged lymph glands in the groin. Does this warrant further testing? What could cause this? I'm a breast cancer survivor of ten years.
If nedded, bx: The presence of a persistent lesion in the groin should be evaluated. If 1 cm or > and no primary cause, then biopsy should be performed. Many breast cancers are associated with the MMTV virus. This same virus can enter the Wnt-1 gene of the lymphocyte to induce transformation to lymphoma, so that care must be taken not to miss such a lesion. ...Read more
I've been going through testing to see if I have breast cancer and I've been really stressed and just got over the flu. Could this cause a late period?
I have breast cancer in my family. Should I choose the most aggressive treatment? Should I have surgery to remove my healthy breast to keep from getting breast cancer in it? Should I have genetic testing?
Consider all options: Take a deep breath. You have time to decide these things. If your mother, sister, or daughter had breast cancer, you have a higher risk of having a brca mutation. See a genetic counselor. If genetic testing is recommended, do that right away. Those results will help you make decisions about surgery and chemotherapy. My best advice: don't make decisions based on fear! ...Read more
Mother had breast cancer at 54 and grandmother had pancreatic cancer at 70. My insurance won't cover the brca testing. What do I do? It's $4000!
Test Mom First: Brca testing is reserved for women who are at significant risk for the hereditary type of breast cancer. While it is possible that your mom is brca (+), the odds are less than 10% unless she was under 45 at diagnosis, other family members had breast or ovarian ca, had bilateral-or "triple negative" breast ca, etc. Either way, it is best to test your mom first; if she's (-), no need to be tested. ...Read more
My mom had breast cancer, my grand father had collon cancer, my grandmother had lung cancer I had leukemia when should I start testing for the others?
sorry to hear ab what you/your family went through. You need to see a genetic counselor. Most large cancer centers have one. They will do a blood test or a mouth swab to check for cancer genes. Li fraumeni syndrome (and others) need to be ruled-out. When you start testing depends on the age your relatives were when diagnosed/what gene (if any) you have. Please stop smoking. Good luck! ...Read more
How many relatives need to have had breastcancer before you should get genetic testing for the BRCA genes? My mother contracted breast cancer, I am 40
Most breast cancer is NOT due to an inherited risk, but rather occurs by chance. Family history that suggests an inherited risk, such as changes in the BRCA1 gene or BRCA2 gene, include multiple relatives with cancer over more than one generation and younger ages of onset.
If you are concerned about an inherited risk, see a geneticist who can assess your family history. ...Read more
Mothers mom had pancreatic cancer at 72, dad had colon at 87, she had had lobular breast cancer at 54. I've had brca testing- negative. Am I at risk?
Not extra risk: Keep up surveillance like everybody else, and good luck. ...Read more
Same as women.: When a new breast lump is found in either a man or woman, a biopsy is necessary to determine if a cancer is present. Men at high risk for breast cancer can also have mammograms to screen for cancer. ...Read more
See your Doctor: Breast cancer does not usually present with pain. Most women have a mass that is not painful. If you feel something abnormal in your breast, see your physician. They will perform a clinical breast exam and then recommend the appropriate imaging (usually a mammogram or ultrasound). ...Read more
Yes: It is a good practice standard to be offered to any woman. I hope you do self-exam, and comply with mammography national standards. ...Read more
History/blood test: The first step is to get a family history. If the history suggests a hereditary predisposition for breast cancer, blood testing to evaluate for brca1 and brca2 mutations could be done. ...Read more
Occurs when glandular cells lining the milk ducts and lobules of the human breast begin to grow in an unregulated manner. Often curable if found early and treated effectively with surgery, hormonal therapy, chemotherapy and targeted therapy, or a combination thereof. Early detection before the malignancy becomes large enough to be felt depends on mammography/sonography and MRI imaging of the breast ...Read more
Most breast cancers are carcinomas. This is a type of breast cancer. These cancers start in the cells that line organs and tissues. In fact, breast cancers are often a type of carcinoma called adenocarcinoma, which starts in cells that make glands (glandular tissue). Breast adenocarcinomas start in the ducts (the milk ducts) or ...Read more
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