October is Breast Cancer Awareness Month… Genetic Testing is an Option for All!

Breast cancer death rates declined 40% from 1989 to 2016 among women. The progress is attributed to improvements in early detection. Source: American Cancer Society

Breast cancer is a disease in which malignant (cancer) cells form in the tissues of the breast. Facts from the National Breast Cancer Foundation:
• In 2022, an estimated 287,500 new cases of invasive breast cancer will be diagnosed in women in the U.S. as well as 51,400 new cases of non-invasive (in situ) breast cancer.
• 65% of breast cancer cases are diagnosed at a localized stage (there is no sign that cancer has spread outside of the breast), for which the 5-year relative survival rate is 99%.
• This year, an estimated 43,550 women will die from breast cancer in the U.S.
• Although rare, men get breast cancer too. In 2022, an estimated 2,710 men will be diagnosed with breast cancer in the U.S. and approximately 530 men will die from breast cancer.
• 1 in 8 women in the United States will be diagnosed with breast cancer in her lifetime
• Breast cancer is the most common cancer in American women, except for skin cancers. In 2022, approximately 30% of all new women’s cancer diagnoses will be breast cancer.
• There are over 3.8 million breast cancer survivors in the United States.
• On average, every 2 minutes a woman is diagnosed with breast cancer in the United States.

Genetic Testing for Breast Cancer
Who Should Be Tested For BRCA?
While BRCA1 and BRCA2 gene mutations may increase your odds of developing breast cancer, your odds of having either mutation are small. An estimated 0.25% of the general population carries a mutated BRCA gene or about one out of every 400 people. For some people, though, the chances of having a BRCA gene mutation are much higher. Genes are inherited, which is why knowing your family history is important when determining breast cancer risks. If one of your parents has a BRCA mutation, you have a 50% chance of inheriting the mutated gene. Odds can also vary depending on a person’s ethnicity. For example, people of Ashkenazi Jewish descent have a 2.5% chance of inheriting a BRCA mutation, or about 10 times the rate of the general population.

Because the overall odds are so low, most experts recommend that only people with a heightened risk get tested for BRCA mutations. Likewise, insurance companies often only cover genetic counseling and testing for individuals who are at high risk. A person could be considered at high risk for BRCA mutations if they have a family history of breast cancer. There are also other gene mutations besides BRCA that could increase the risk of breast cancer. The most prominent of these is PALB2. As with BRCA1 and BRCA2, testing for other genetic mutations is recommended only if you are at high risk for that gene.

Genetic counseling is recommended for those who are interested in being tested for breast cancer gene mutations. You can talk to a doctor about getting a referral to a genetic counselor, who can help determine whether genetic testing would make sense based on family history and risk factors. Since many genetic tests only look for one specific gene mutation, the counselor can often help determine which mutations to test for. The genetic test itself simply involves taking a small sample of blood or saliva, which is sent to a lab for analysis. Results can take several weeks or months.

Dr. Ricardo Martinez
Dr. Ricardo Martinez is an internist in Naples, FL and is affiliated with NCH Baker Hospital. He received his medical degree from Superior Institute of Medical Sciences of Santiago de Cuba and has been in practice 20 years. He also speaks multiple languages, including Spanish. He specializes in hospital medicine, ambulatory care and is experienced in hospice and palliative medicine, bariatric medicine, diabetes mellitus, food allergy, and infectious disease. As of March 16th, 2020, Dr. Martinez has founded Well-Being Medical center in Naples Florida. He is looking forward to providing Medical care within primary care settings and urgent care service throughout the Naples Florida area.

Well-Being Medical Center
239-315-7801
www.well-beingmedicalcenter.org
851 5th Ave. N. Suite 102, Naples, FL 34102

 

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