Myth #13: Everyone who has a positive BRCA 1 or BRCA 2 test result will get breast cancer.

FALSE. While women with a positive BRCA test have a much higher chance of breast cancer, it does not guarantee the development of the disease.

About 12 percent of women in the general population will develop breast cancer sometime during their lifetime.  For women who have inherited a harmful mutation in BRCA1 or BRCA2, that number is much higher.  There is a lot of controversy about the exact rate, but it appears to be up to 5 times higher than for women without the mutation.

A positive test result generally indicates that a person has inherited a known mutation in the BRCA1 or BRCA2 gene and has an increased risk of developing certain cancers. However, a positive test result provides information only about a person’s risk of developing cancer. It cannot tell whether an individual will actually develop cancer or when. A couple different health management options are typically offered to those with a positive BRCA test. These options include more frequent screening tests, surgery (prophylactic mastectomy), or drugs (“chemoprevention”) to reduce the risk of breast cancer. However, there is no strong eveidence that any of these options actually reduce the number of deaths from breast cancer. Women with a BRCA gene mutation must carefully weigh the benefits and risks of these health management options.

Conversely, testing negative for the gene does not mean one will never develop breast cancer. 90-95% of women who develop breast cancer do not have a BRCA inherited gene mutation.

 
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31 Myths and Truths about Breast Cancer

1
Myth #1: Monthly breast self exams save lives
2
Myth #2: Mammograms can only help and not harm you
3
Myth #3: MRI is better than mammography because it finds more cancer
4
Truth #4: When breast cancer shows up on a mammogram, it may have been in your body for 6-10 years
5
Truth #5: Breast cancer mortality rates are declining
6
Myth #6: Mammograms prevent breast cancer
7
Truth #7: We don’t know how to prevent breast cancer
8
Myth #8: Most women with breast cancer have a family history of the disease
9
Myth #9: Men don’t get breast cancer
10
Truth #10: Risk of breast cancer increases with age
11
Truth #11: Most people think they have a higher risk of breast cancer than they actually do
12
Myth #12: Everyone's breast cancer is the same
13
Myth #13: Everyone who has a positive BRCA 1 or BRCA 2 test result will get breast cancer
14
Truth #14: The mortality rate from breast cancer is higher for African American women than for Caucasian women
15
Myth #15: In terms of survival, removing the entire breast is better than just cutting the cancer out and getting radiation
16
Myth #16: There are drugs that can prevent breast cancer
17
Myth #17: Once diagnosed with breast cancer, it’s very important to make treatment decisions immediately
18
Myth #18: Second opinions are only for treatment options. Once I know I have breast cancer, I can get a second opinion on how to treat the disease
19
Truth #19: Hormone replacement therapy (HRT) increases your risk of breast cancer
20
Myth #20: With new treatments we can now cure breast cancer
21
Truth #21: You should question your doctor
22
Myth #22: If I am not a scientist, then I won’t be able to understand breast cancer research
23
Truth #23: Your tax dollars fund a significant amount of breast cancer research
24
Myth #24: My Senators and Members of Congress have no role in what happens in breast cancer
25
Myth #25: The media accurately reports breast cancer science
26
Myth #26: All breast cancer research is good because it moves us toward prevention and a cure
27
Myth #27: Breast cancer survivors are too close to the issue to participate in how research money is spent
28
Truth #28: Less than 3% of adult cancer patients participate in clinical trials
29
Truth #29: I can educate myself
30
Truth #30: I can influence what happens in Washington D.C. about breast cancer
31
Truth #31: I can make a difference