Counseling is required before undergoing genetic testing for breast cancer. During this educational counseling session, a health care provider will fully explain the benefits and risks of genetic testing and answer any questions you may have.
You will also be required to sign a consent form prior to participating in genetic testing. The form is an agreement between you and your health care provider, showing that you have discussed the tests and understand how the test results might affect you and your family.
Each year in the United States, close to 250,000 women learn they have breast cancer. As they deal with their diagnosis, they are also asked to make daunting decisions about how to best fight their disease.
New patients facing treatment need to understand their options, and that means learning all they can about their cancer, says breast cancer surgeon Lee Gravatt Wilke, MD.
Wilke, who is an assistant professor of surgery at Duke University Health System and a board member of the NavigateCancer...
Here are some questions to consider when thinking about genetic testing:
Am I prepared to cope with the result? Are my family members also prepared, including my children and my spouse?
What are my goals for testing?
How would I use my test results? What will I do differently if the results are positive, or if they are negative?
Whom will I share my results with?
Would a positive test result change relationships with my family?
What Happens During Genetic Testing?
You'll need to obtain a family pedigree to determine if there is a cancer development pattern within your family. A family pedigree is a chart that shows the genetic makeup of a person's ancestors, and is used to analyze inherited characteristics or diseases within a family.
After outlining the family pedigree, a blood test will be performed to determine if you have a breast cancer gene. Keep in mind that the vast majority of breast cancer cases are not associated with a breast cancer gene. In addition, scientists do not know all of the genes that can cause breast cancer, so doctors can only test you for the known genes.
When someone with a cancer diagnosis and a family history of the disease has been tested and found to have an altered BRCA1 or BRCA2 gene, the family is said to have a "known mutation." If an association between the development of breastcancer and a breast cancer gene is made, then all family members willing to participate in genetic testing are asked to give a sample of blood. For many people, knowing their test results is important because this information may help to guide future health care decisions for themselves and their families.