HEREDITARY BREAST CANCER

It occurs as a result of mutation (disorder) in the BRCA-1 and BRCA-2 genes. interest. Breast cancers that develop as a result of such a genetic disorder constitute approximately 10% of all breast cancers. Hereditary breast cancers may have characteristics such as appearing at a young age (before menopause), developing cancer in both breasts, and developing ovarian cancer along with breast cancer.

BRCA- While the risk of developing breast cancer in women with mutation in the 1 gene is 85% and the risk of ovarian cancer is 45%, in those with BRCA-2 gene mutation, the risk of breast cancer is 84% ​​and the risk of ovarian cancer is 76%. These rates increase even more if there is a mutation in both of them.

  • HOW TO DIAGNOSE:

BRCA-1 and BRCA-2mutation is diagnosed by genetic testing.

  • WHO SHOULD HAVE BRCA-1 and BRCA-2 TESTED:
  • If two people from first degree(mother, sister, daughter) relatives have breast cancer and one of them got sick under the age of 50
  • From first or second degree relatives (grandmother, aunt, aunt) if three or more of you have breast cancer
  • If you have a relative in your family who has both breast and ovarian cancer
  • If your first-degree relative has cancer in both breasts
  • If there is male breast cancer in your family
  • In this case, genetic counseling is required regarding which genetic tests should be performed.

    • BRCA-1 and PRECAUTIONS TO BE TAKEN IN THOSE WITH BRCA-2 DISORDER:
  • Drug protection: The use of estrogen-suppressing drugs such as tamoxifen or raloxifene reduces the risk of developing breast cancer by 50%
  • Preventive surgical procedures: The risk of breast cancer can be reduced by 95% by surgery performed by protecting the bilateral skin of the breasts, evacuating the breast tissue inside and placing a silicone prosthesis in the same session. It is also recommended to remove bilateral ovaries in pre-menopausal patients.
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