(Ivanhoe Newswire) -- Researchers know the BRCA gene mutation runs in
families and increases a woman's risk of ovarian and breast cancer. Now, a new
study shows a woman's risk of the disease due to the mutation may be
underestimated in cases where two circumstances are true.
The first circumstance is being a victim of early onset breast cancer – which
is linked to the genetic form of the disease. The second circumstance is having
a "limited family structure" with no ovarian or breast cancer history. That
refers to a woman having a family with less than two females who lived to age 45
or older in each lineage and didn't have breast or ovarian cancer. Having family
members with the cancers is a major factor in current prediction models. But
women with small families without a disease history could still be at risk for
the genetic form – it might just not run in their family because there aren't
many family members to potentially get it.
In this new study, out of the City of Hope in Durante, Calif., family
structure was limited in 153 studied cases – 50 percent. BRCA gene mutations
were detected in 13.7 percent of participants with limited family structure
compared to 5.2 percent in "adequate" family structure. The researchers were
quoted as saying, "… The databases of currently available probability models
should be reanalyzed and limited family history recoded as a separate variable."
Today, genetic testing is available for women at risk for the BRCA mutation.
Many women who test positive for it choose to have their ovaries removed and
undergo mastectomies as preventive measures. As Sofia Merajver, M.D., (who was
not involved in this new study) explained to Ivanhoe, "It might not be possible
to prevent every cancer, but I think we will get to the point … that we will be
able to control every cancer."
If a woman has a first-degree relative with the BRCA mutation she has a 50
percent chance of also having it. Having the mutation puts a woman at a 50 to 85
percent risk of breast cancer and a 16 to 50 percent risk of ovarian cancer.
SOURCE: The Journal of the American Medical Association,
2007;297:2587-2595; Ivanhoe interview with Sofia Merajver, M.D.