From: Genet Med. 2011 Dec;13(12):998-1005. doi: 10.1097/GIM.0b013e318226fc15.
Follow-up of carriers of BRCA1 and BRCA2 variants of unknown significance: variant reclassification and surgical decisions. Murray ML, Cerrato F, Bennett RL, Jarvik GP. (Division of Medical Genetics, Department of Medicine, University of Washington, Seattle, USA.)
Abstract
PURPOSE:
Approximately 5-10% of patients who undergo genetic testing of BRCA1 and BRCA2 receive a variant of unknown significance (VUS) result. The ambiguous nature of a VUS may increase difficulty in patient understanding and decision making regarding risk reduction and surveillance options, including cancer risk-reducing surgeries. VUS reclassification to benign or deleterious may occur in time; however, clinical decisions may need to be made expeditiously, and some patients may pursue irreversible treatments before VUS reclassification.
METHODS:
We reviewed the surgical decisions of 107 women postdisclosure of a BRCA VUS result counseled at our institute between 1998 and 2009.
CONCLUSION:
Among women receiving a BRCA VUS result at our center, 11 of 107 (10.3%) pursued cancer risk-reducing mastectomy and 22 of 107 (20.6%) pursued cancer risk-reducing bilateral salpingo-oophorectomy. Reclassification of VUS occurred up to 9 years after testing, and 5 of 22 (22.7%) women followed up for 8 or more years continue to have a VUS result. We discuss considerations for providers of genetic services to discuss with patients who receive a VUS result.
http://www.ncbi.nlm.nih.gov/pubmed/21811163From: Genetic Epidemiology 2011
Assessment of Rare BRCA1 and BRCA2 Variants of Unknown Significance Using Hierarchial Modeling.
http://skiweb.mskcc.org/WeCare/Publication/2010_2011Published/6-Capanu%20et%20al%20BRCA%20Hierarchical%20variants%202011.pdfGrateful for today..........Judy
Edited by Grateful for today - Jun 03 2013 at 10:32pm