genetic testing

i am 58, they are testing me not because of family history altho i have several cancers on both sides but because i am triple negative. it will benefit me and my children.

Generally the genetic counselors will suggest genetic testing for someone who has not had breast cancer but has a family history of the disease, or for a younger woman who has had bc.  Even with the bilateral mastectomy, if you are positive for one of the genetic mutations, even the "variants of unknown significance", you have a higher risk of developing other cancers, specifically related to the genetic mutations you are diagnosed with.

If you have children, then it would be beneficial for them to know, if they so desire to have that information.  If you're considering it and you can get referral to see a genetic counselor, then you should meet with one and discuss it with them.  They can give you tons of information.  I have done research with the head of genetics counseling where I go to school and she's fabulous to talk to.  It's really very specific to each individual's family history, personal history and desire of information.  Some people don't want to know that they're at risk for other cancers potentially.

For example, if you test positive for BRCA2, they would most likely recommend you to look into having a hysterectomy/oopherectomy if you haven't had one already.

Hope that helps. 

To locate a certified genetics counselor ...

http://www.nsgc.org/FindaGeneticCounselor/FindaGeneticCounselorbyUSZipCode/tabid/69/Default.aspx



Best wishes, marcia

I'm not Marcia, but a genetic counselor will start by asking you to put together (and send to them before your first appointment) family tree-type information, including causes of death, health conditions affecting family members, and ethnic heritage information.  Then they will analyze the information you've provided, together with your medical records, looking for clues to genetic syndromes which may affect you and your family. Based on that information & analysis, they will discuss the possibilities with you, and (possibly) suggest testing to you. They will discuss with you what the effect would be of either a positive or a negative result, so that you can make an informed decision about whether or not you want genetic testing.

I'm not saying that your oncologist couldn't do all of this, but most of them refer patients to a genetic counselor, whose job is to keep up-to-date on genetic syndromes and the various tests which can assist patients.

BTW, I believe you can submit a sample for BRCA testing with a note that you only want the sample analyzed if they can confirm your insurance coverage. And the (only) lab that does that testing is very good at getting testing coverage approved.

HTH,

LisaAlissa

So sorry I didn't get back to this thread until now,Winter!

LisaAlissa is right on the money with her explanation of the benefits of Speaking with. Certified Genetics Counselor.

I really got a lot out of my sessions with them ( have spoken with a number of CGCs over the years) I find them to be extremely compassionate as well as being current on the latestgenetics information pertaining to breast cancer. CGCs can specialize in many different areas and it is important to see one that has chosen cancer genetics,specifically hereditary breast and ovarian cancer, to glean the best information.

My very best wishes for a positive outcome no matter what you decide,

Marcia

One step at a time, winterstorm.  Do you have a family history of BC or OVCA??  U have taken care of your breasts so, nothing further is warranted. Your genetic testing results can determine if ur high risk for ovarian ca. If so, a BSO with/without a hysterectomy would be recommended. Good luck to u for negative results!!

Yes, your niece can benefit. I've been told that everyone inherits two BRCA genes (one from each parent), so it's not possible to tell in the abstract, whether you got the damaged gene from your mother or your father.  It won't be dispositive for either your niece or your cousins if your test is negative, but it could be useful in ruling things out in their future. So talk to your genetic counselor.  When you meet to get your results, you should discuss not only the effect on you, but whether you should disclose to your family.  

If you have a positive test result, that may encourage them to undertake genetic testing themselves.  When the lab is looking for an already-identified mutation, the testing costs are substantially less.

HTH, 

LisaAlissa 

etc: spelling