Yesterday I was thrilled to go to a screening of In the Family, a documentary about being positive for the genetic mutation linked to breast and ovarian cancer (BRCA). The movie was a compelling story about a young woman who found at age 27 that she had a deleterious mutation, meaning she was at increased risk for these cancers . Joanna has a more than 90% lifetime risk of getting breast cancer, and around a 50% risk of getting ovarian cancer. Unfortunately, there's just no way to know when the shoe will drop.
Joanna spends the film dealing with her issues of being young and single, but also explores other people who may be genetically predisposed to breast and ovarian cancer. So, for example, an unmarried young woman who wants to have children may wait to have an oophorectomy, but that doesn't necessarily mean that a woman who's had children wants to have the surgery. It's intense, and there are horrible side effects. But, as a woman whose breast cancer has metastasized to her brain says, at least it's life.
One of the things that was interesting was the discussion about choices - what to do, when, and when to disclose this information. Should a teenager be tested? What if you don't want to know? What should you do? Are you to blame if you don't take preventive measures? Sharon Terry, from the Genetic Alliance, spoke about this issue as it relates to many other genetic issues, especially in terms of screening of embryos. Why bother screening for Down's Syndrome if folks are going to continue the pregnancy (although I'm sure some preparation could be helpful). Is it useful to know information, like genetic information, on which you cannot act?
With respect to the BRCA mutations, some people do act. In the UK, it's been approved that people can screen embryos with pre-implantation genetic diagnosis for the BRCA mutations that cause breast and ovarian cancer, or the onces that cause colon and other cancers. Other people may screen embryos for other mutations or conditions, including deafness and sex.
OMG, this movie sounds like my life story! So glad I stumbled upon your blog
Posted by: LilSass | June 25, 2008 at 02:27 AM
I think it's a nice way to share experience about health tips and information, so it would be helpful for others who are looking for some information about their issues.
Posted by: Breast Enhancement | June 10, 2009 at 04:15 AM
Hereditary breast and ovarian cancer syndrome is an inherited cancer-susceptibility syndrome marked by multiple family members with breast cancer, ovarian cancer or both; the presence of both breast and ovarian cancer in a single individual; and early age of breast cancer onset..
Posted by: genetic cancer testing | June 27, 2009 at 05:37 AM
Most women’s lifetime risk of breast cancer is about 13 percent, and the risk for ovarian cancer is less than 2 percent. But women with mutations in the BRCA1 or BRCA2 genes may be three to seven times more likely to develop breast cancer and nine to 30 times more likely to develop ovarian cancer than women with unaltered forms of the genes.
Posted by: hereditary breast cancer | July 07, 2009 at 05:26 AM
A woman's risk of breast or ovarian cancer is higher if she has BRCA1 or BRCA2 gene changes. Breast cancer is extremely rare in men but BRCA2 gene changes have been linked to male breast cancer and possibly prostate cancer.
Posted by: hereditary breast cancer | August 11, 2009 at 02:08 AM
Most women’s lifetime risk of breast cancer is about 13 percent, and the risk for ovarian cancer is less than 2 percent. But women with mutations in the BRCA1 or BRCA2 genes may be three to seven times more likely to develop breast cancer and nine to 30 times more likely to develop ovarian cancer than women with unaltered forms of the genes.
Posted by: brca1 mutation | September 11, 2009 at 04:14 AM
hello excellent information about cancer, I have Ovarian Cancer
Posted by: Generic Viagra | September 17, 2009 at 06:20 PM
Excellent post but Women with mutations in BRCA1 or BRCA2 have more than triple the risk of developing breast cancer compared with women in the general population. Not only is their risk higher, but some research shows that breast tumors in these women tend to behave differently than tumors in other women and this issues is very common now days
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Posted by: Movie | November 07, 2009 at 02:13 PM