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Questionnaire identifies women at risk of inherited breast or ovarian cancer

A simplified way for patients to report and update their family medical histories could help identify women who have inherited genetic mutations that increase their risk for breast or ovarian cancer. In the November issue of the journal Cancer, researchers from the Massachusetts General Hospital (MGH) Cancer Center report how a questionnaire completed by women coming to the center for mammograms can detect those at increased risk, which could signal the need for further screening and preventive therapies and allow earlier diagnosis. The study is receiving early online release.

"In order to identify patients at high risk, physicians must take thorough family histories and then accurately interpret that information, something that can be difficult since many nuances can determine risk," says Kevin Hughes, MD, of the MGH Surgical Oncology Division, the study's senior author. "In addition, family history can change over time if a patient's relatives develop cancer. We need an easier way to both update data and reevaluate each patient's situation."

Previous research has shown that about 20 percent of women who develop breast or ovarian cancer have family histories that suggest they may have inherited a mutation that would put them at elevated risk. In comparison, the family histories of only 3 to 6 percent of women who had not developed those cancers indicate elevated risk. The current study was designed to further investigate the extent to which women with these mutations are not being identified and to evaluate a less labor-intensive method of collecting and analyzing family history information.

During the eight-month study period, about 14,000 women who came to the Avon Breast Evaluation Center at MGH completed a questionnaire on their family history of breast or ovarian cancer, whether they had developed any tumors and related factors. The information was gathered either with written questionnaires scanned into a computer or on handheld
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Contact: Sue McGreevey
smcgreevey@partners.org
617-724-2764
Massachusetts General Hospital
26-Sep-2005


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