It is known that prostate cancer runs in families, but it is not known whether other cancers are common in such families. We showed that at least breast, kidney, and nervous system tumors and myeloma occur more often than by chance.
Abstract
Prostate cancer (PCa) has a large familial component, but understanding of its genetic basis is fragmentary. Breast cancers may be associated with PCa, but whether this is true for other tumor types is poorly established. We used a novel approach to study familial associations of any type of cancer with PCa. We assessed the relative risk (RR) for all types of tumors as a function of the number of first-degree relatives diagnosed with PCa. We hypothesized that for a familial association to be real, the RR for a given type of cancer should increase with the number of PCa diagnoses. In families with multiple PCa patients, significantly increased risks were observed for female breast cancer (RR 1.37 for families with three men with PCa), kidney cancer (RR 2.32), nervous system tumors (RR 1.77; RR 2.40 when PCa was diagnosed before age 70 yr), and myeloma (RR 2.44; RR 6.29 when PCa was diagnosed before age 70 yr). Some evidence of association was also found for melanoma (RR 1.82) and endocrine tumors (RR 2.18). The consistency and magnitude of the effects suggest that familial PCa is genetically associated with breast, kidney, and nervous system tumors and myeloma. This suggestion has implications for clinical counseling and design of genetic studies.
First IF there are known bloodline relatives with any cancer contact a Genetic Counselor. (See your Nurse Navigator for referral.) They will judge whether anyone should get Genetic Tested.(simple blood draw. My ins sent an agent to my home)
After testing results counselor will discuss the options based on test results.
If positive for certain mutated genes then alternative treatment is usually covered.
For example PARP inhibitors for BRCA2 mutation.
Genes may be passed on by EITHER mother OR father. (50% chance?)
Having mutated gene can be passed on without having developed cancer from it.
Similar. Mother died of BCa in 1974. I have had PCa and Colon Cancer (and about to be genetically tested - I'm sure I'd test positive for BRCA2) Son has, according to 23 and Me, a 35% chance of PCa. I once heard an onco say that breast cancer and prostate cancer are two sides of the same coin.....
You need to have genetic testing. In addition to Foundation Medicine, which uses a tissue sample from a biopsy or prostate removal, there is a simple saliva test from Color.com you should consider. Genetic counseling for you is essential.
Should you be BRCA2+, which I am, you may very well benefit from having treatment with a PARP inhibitor like Olaparib. I have been on it for over a year, and my PSA has been undetectable. This is what precision medicine is all about.
Hi. Sadly my brother passed away last month from mCRPC. Before he died I tried to have his oncology team do a genetic test on him using the Color (or similar) test kit. A positive test for MSI or BRAC1 or 2 might have shown a different treatment pathway. No interest shown by the Onco team.
Our father died with PCa at 95 years of age. I was diagnosed with GS7 (3+4) in 2012. After PBT in Korea, my PCa is in remission.
I have two sons in their thirties, one has two lovely daughters. I plan on having the Color test in coming months, to pre-warn me of the possible hereditary gene defect that I might carry that possibly might have been passed on to my kids and grandkids. However, I will keep the results to myself until my sons get into their 50's, as I don't want to burden them with unnecessary worry.
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