Hereditary Cancers Flashcards

1
Q

BRCA1

A

Breast Cancer 57%

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2
Q

If family positive for BRCA

A

Test for specific variant

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3
Q

If pt + BRCA

A

Genetic counseling to others
Monthly self-breast exam at 18
CBE twice yearly, annual mammo and MRI at 25
CA 125 and TVUS annually

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4
Q

Risk reduction in BRCA

A

Chemopreventive (tamoxifen - decrease by 62%)
OCPs (60% decr of ov CA by 60^)
Ppx Mastectomy (90% decrease breast ca risk)
Ppx BSO (decr OV CA by 96%, Breast by 50%)

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