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Does cancer run in the family? It depends.
With some forms, a higher likelihood of acquiring the cancer runs in the
family, if not the disease itself. Let's examine this more closely.
As an example, breast cancer is a form of the disease which which relatives
have a higher chance of getting it if someone else in the family got it.
In some instances, this increased risk could be because of a genetic mutation.
Two examples of mutation are BRCA1 and BRCA2. These cause a higher
risk of breast cancer. A woman with this mutation has around a 60
percent lifetime risk of getting breast cancer. A woman with one
of these mutations also has a higher risk of getting ovarian cancer.
The mutation is transmitted genetically to offspring in what is called
an "autosomal dominant model." Put simply, this means the child
of a carrier of a BRCA mutation has a 50 percent chance of acquiring the
same mutation.
Unlike people who carry well-known mutations such as BRCA 1 or BRCA2,
these people don't appear to have evidence of genetic differences / alterations
which increase the likelihood of breast cancer. The raised chance
of breast cancer among these women could be linked with a group of genes,
not just a single genetic mutation. The genetic alterations together
as a group might have an increased tendency to develop breast cancer.
We also can't easily dismiss environmental factors among these people.
The role of these factors is hard to quantify, and how much of the raised
risk is because of common factors in the environment is hard to determine.
If one woman has a mother, daughter or sister who was diagnosed with breast
cancer, this woman's chance of developing it is 1.7 times grater when
compared to others in the general population. But if the relative
with breast cancer had developed the disease before menopause, the woman's
risk rises to 3-fold. This illustrates just how difficult it is
to determine what is a hereditary risk and what is environmental.
We can see something similar in colon cancer. Some specific genetic
mutations raise a person's risk of developing colon cancer dramatically.
One noted example is a mutating APC gene. If someone carries this
particular mutation, this person will have nearly a 100 percent chance
of getting colon cancer in his or her late adulthood.
This APC gene
is transferred via an autosomal dominant model. This simply means
that offspring of the carrier will have a 50 percent chance of inheriting
the same mutation, and thus a greatly increased chance of developing colon
cancer. Unfortunately, most instances of colon cancer are not with
genes which can be tested. But we can say without qualification
that a colon-cancer diagnosis in any individual increases the chances
of colon cancer developing among is close family. Just as with breast
cancer, this isn't because of any single genetic factor, but because of
interacting among a group of genes and several environmental factors such
as eating habits.
So what we conclude is that some predisposition toward developing some
cancers are transferred genetically. However, in many cases the
reason one family produces several people with cancer could also have
to do with similar habits and environments.