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What does BRCA mean?
BRCA (pronounced BRAH-kuh) is short for BReast CAncer susceptibility gene. There are 2 kinds: BRCA1 and BRCA2. Everyone has both types, inherited from each parent. These genes can be normal or have an abnormal change ("mutation").
If you have normal BRCA genes:
They help your body repair damage to your DNA, which suppresses cancer cells
If you have mutated BRCA genes:
They cannot repair damaged DNA properly, which may have increased your cancer risk
Know your BRCA status, then explore your treatment options with your doctor
"Germline" or inherited BRCA mutations may have played a part in your BC. They may also help you and your doctor consider additional treatment options such as targeted therapy, as mentioned in the NCCN Guidelines for Breast Cancer.*
It’s helpful to know your BRCA status at diagnosis. Why? So you and your doctor can consider all your treatment options from the beginning. But you can be tested at any time.
Testing for inherited BRCA mutations isn't complicated†
You just give a blood or saliva sample
Your sample is sent to a lab, where a technician looks for DNA mutations
Your doctor should know your BRCA status within 2 weeks
There's also testing for BRCA mutations that are not inherited ("somatic"). Testing is done on the biopsy of your tumor. It takes more time to get these results. Your doctor should discuss treatment options with you.
Feel informed about your test results through genetic counseling
Your BRCA status may have implications for both you and your family. That's because inherited mutations can be passed down through generations. Getting genetic counseling before and after testing can help you and your family understand and be prepared to handle any implications of test results. Counseling can:
Educate you with information
Provide emotional support
Review federal and state protections against discrimination
Guide you in planning next steps for yourself and your family
Insurance coverage for BRCA testing and counseling
BRCA testing and genetic counseling may be covered by your insurance plan if you have BC. But each situation is unique, so check with your insurance plan. If coverage is an issue, low-cost testing and genetic counseling may be available.
Ask your doctor about BRCA testing – and potential treatment options for your mBC
