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Genetic Testing
I've posted this quite a few times in the Genetics and Cancer forums... with zero (0) responses. So, I'm asking this question, here, with the hope that someone can offer me some insights.
This question is for anyone who has knowledge and/ or experience regarding genetic testing (counseling). My recent mammogram returned with benign findings... However, due to extensive family history of Cancer, including Breast and Ovarian Cancer; and, given my own history of developing abnormal yet non-cancerous growths in my breast, the radiologist’s recommendation was for me to undergo genetic testing. On the other hand, my lifelong family physician questions the value of this approach, “… knowing that [I] will not be having children.” I’m somewhat inclined to agree with my doctor... and forgo testing. However, my mother (whose two sisters died of Breast Cancer) is pushing for it... and, my sister, who is an Ovarian Cancer survivor also feels that I should go for it. Before I make a decision as to which way to go with this, I’d like to know the insights and opinions (pros and cons) of anyone who has had... or know of anyone who has had... genetic testing.
Thank you in advance.
This question is for anyone who has knowledge and/ or experience regarding genetic testing (counseling). My recent mammogram returned with benign findings... However, due to extensive family history of Cancer, including Breast and Ovarian Cancer; and, given my own history of developing abnormal yet non-cancerous growths in my breast, the radiologist’s recommendation was for me to undergo genetic testing. On the other hand, my lifelong family physician questions the value of this approach, “… knowing that [I] will not be having children.” I’m somewhat inclined to agree with my doctor... and forgo testing. However, my mother (whose two sisters died of Breast Cancer) is pushing for it... and, my sister, who is an Ovarian Cancer survivor also feels that I should go for it. Before I make a decision as to which way to go with this, I’d like to know the insights and opinions (pros and cons) of anyone who has had... or know of anyone who has had... genetic testing.
Thank you in advance.
You raise an excellent point... especially, about getting or not getting the "all clear." Either way, the information really wouldn't change what I'm doing or plan on doing as far as lifestyle choices. About the only thing that I can see changing might be the speed in which I do things. If I don't get the all clear, I'll most likely move, with lightening speed, on fulfilling those dreams and fantasies that have yet to be fulfilled.
Thank you for sharing your thoughts.
Thank you for sharing your thoughts.
If the risk was heart disease or stroke, and stopping eating animal fats and improving exercise would prevent the problem, that would be one thing. But I'm not sure exactly what good it would do to know for sure about your genes for cancer, since you are already well sensitized to the risk and know what to look for, and cancer doesn't strike like a bolt of lightning and suddenly lay you out on the sidewalk. Maybe if you got an "all clear," it would be good not having to worry, but is that worth how you would feel getting a "not all clear?" It's not like even that message would tell you absolutely what to expect. Carrying a gene for something doesn't always mean getting it. My guess is, with your family history of cancer, you probably already do most things you would do if you got a positive indicator on genetic tests, such as keep your will updated and insurance in effect. Would there be something you would do that you aren't doing now?
Yes, and that's another thing that's been kicking around my mind. I've often wondered if this information, in the hands of my insurance company, could work against me and be used to deny me coverage. In an ideal world it wouldn't be a concern; but, we don't exactly live in an ideal world.
Thank you, teko
Thank you, teko
I question a procedure like this in this day and age because, if insurance companies find out you are vulnerable to disease genetically, it will give them excuses to not provide medical coverage based on pre existing conditions. I would be very very wary of this without knowing all the repercussions of it. Besides, it is what it is and what can you really do about it anyways?
... no doubt about those children that I never had being mine, lol!
Anyway, you give some interesting insights... all of which I've already weighed and considered. And, you're right about whether or not I opt for testing... it probably won't change my approach to health care... or, for that matter, affect my overall outlook on life.
Thanks for your thoughts.
Anyway, you give some interesting insights... all of which I've already weighed and considered. And, you're right about whether or not I opt for testing... it probably won't change my approach to health care... or, for that matter, affect my overall outlook on life.
Thanks for your thoughts.
Swampy says, if you have genetic testing you might find out if your children are really yours.
Okay, on to a more serious response. In most cases genetic testing just says what might happen, not what will. You already know you might get cancer, and your family history suggests some likely spots. So in this case, it may not add to what you already know.
And -- suppose that it shows you don't have a gene for breast cancer. Would you stop having mammograms? Probably not.
Suppose it shows you do have it. Would you get mammograms more frequently? Probably not.
However, there are people for whom knowledge is comfort. You may be one of these people. It may also give you the reason you need to get regular screenings.
Okay, on to a more serious response. In most cases genetic testing just says what might happen, not what will. You already know you might get cancer, and your family history suggests some likely spots. So in this case, it may not add to what you already know.
And -- suppose that it shows you don't have a gene for breast cancer. Would you stop having mammograms? Probably not.
Suppose it shows you do have it. Would you get mammograms more frequently? Probably not.
However, there are people for whom knowledge is comfort. You may be one of these people. It may also give you the reason you need to get regular screenings.
I still say to go for it. Though it might depend on what you can handle emotionally, as some people will become overwhelmed and don't handle it well. It's nice to know exactly what you're dealing with and knowing what is more likely, when looking at genetics. Then you're one step ahead of the game. A lot of it is a psychological game with yourself. Those who keep themselves more upbeat, having a better chance of/longer survival rates. My friend Amy has a horrible genetic condition in which her heart muscles don't work properly(can't remember the name of the condition), but she has surpassed all expectations. She refuses to let any of it get her down and I admire her for that.
... it seems a bit defeatist; but it's a valid perspective.
The way I see it, I can't change my genetic makeup. And, the radiologist didn't 'sugar coat' anything when he looked me in the eye... and pretty much, straight out, said that it isn't a matter of if I ever get Cancer... but, when. So, I suppose that the theory behind testing is to be able to make informed decisions based on statistical probabilities.
I can somewhat relate to that depressed feeling... but, I'm no where near waiting to die. Caught in its earliest stages, Cancer is 100% curable. I just hate feeling like I'm some kind of walking time bomb. There are times when I also think that ignorance is bliss.
Thank you for your straightforward response.
The way I see it, I can't change my genetic makeup. And, the radiologist didn't 'sugar coat' anything when he looked me in the eye... and pretty much, straight out, said that it isn't a matter of if I ever get Cancer... but, when. So, I suppose that the theory behind testing is to be able to make informed decisions based on statistical probabilities.
I can somewhat relate to that depressed feeling... but, I'm no where near waiting to die. Caught in its earliest stages, Cancer is 100% curable. I just hate feeling like I'm some kind of walking time bomb. There are times when I also think that ignorance is bliss.
Thank you for your straightforward response.
My bil had genetic testing and found out he huntingtons. Instead of living his life he is now in a depression and waiting to die. Sometimes I think we are better off not knowing certain things.
I'm leaning in that direction... apparently, not many people have had genetic testing as I have yet to receive any firsthand testimonials; hence, the non-responsiveness. Thank you for your up-beat and optimistic input... "i"
I don't have experience with genetic testing, though I do think you should go forward with it for your own health and wellbeing. It can give you more knowledge peace of mind about your health. Plus it'll make your family feel better if you do, your mother and sister would feel much better if you did. that's just my opinion, good luck!
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