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Table 3 Testing for BRCA Pathogenic Variants in Accordance with NCCN Guidelinesa in All Patients

From: Adherence to National Comprehensive Cancer Network Guidelines for BRCA testing among high risk breast Cancer patients: a retrospective chart review study

 

Total in risk group, n

Patients testedb, n (%)

Genetic testing resultc, n (%)

No Pathogenic Variant

Any Pathogenic Variants

BRCA1 Pathogenic Variant

BRCA2 Pathogenic variants

BRCA1 and BRCA2 Pathogenic Variants

Unknown

All Patients

Total patients included in the study

410

384 (93.7)

Risk groups based on NCCN guidelinesd

Personal history of male breast cancer

20

18 (90.0)

12 (66.7)

6 (33.3)

4 (22.2)

2 (11.1)

0 (0.0)

0 (0.0)

Women with at least one close blood relative with aBRCA1orBRCA2pathogenic variant

68

68 (100.0)

15 (22.1)

53 (77.9)

34 (50.0)

14 (20.6)

5 (7.4)

0 (0.0)

Women diagnosed with breast cancer at age ≤ 45

150

141 (94.0)

95 (67.4)

43 (30.5)

31 (22.0)

8 (5.7)

4 (2.8)

3 (2.1)

Women diagnosed at age ≤ 50 with

 An additional primary breast cancer

12

12 (100.0)

4 (33.3)

6 (50.0)

4 (33.3)

2 (16.7)

0 (0.0)

2 (16.7)

 At least one close blood relativee with breast cancer at any age

115

109 (94.8)

60 (55.0)

48 (44.0)

34 (31.2)

10 (9.2)

4 (3.7)

1 (0.9)

 At least one close blood relative with prostate cancer (Gleason score ≥ 7)

38

33 (86.8)

21 (63.6)

12 (36.4)

8 (24.2)

4 (12.1)

0 (0.0)

0 (0.0)

Women diagnosed at age ≤ 60 years with

 Triple negative breast cancer

102

98 (96.1)

58 (59.2)

39 (39.8)

33 (33.7)

4 (4.1)

2 (2.0)

1 (1.0)

Women diagnosed at any age with

 At least one close blood relative with breast cancer diagnosed at age ≤ 50 years

148

139 (93.9)

84 (60.4)

54 (38.8)

38 (27.3)

12 (8.6)

4 (2.9)

1 (0.7)

 At least two close blood relatives on the same side of the family with breast cancer at any age

164

152 (92.7)

93 (61.2)

57 (37.5)

39 (25.7)

13 (8.6)

5 (3.3)

2 (1.3)

 At least one close blood relative with ovarian cancer at any age

116

108 (93.1)

65 (60.2)

42 (38.9)

28 (25.9)

12 (11.1)

2 (1.9)

1 (0.9)

 At least two close blood relatives on the same side of the family with pancreatic and/or prostate cancer (Gleason score ≥ 7) at any age

59

54 (91.5)

42 (77.8)

12 (22.2)

9 (16.7)

3 (5.6)

0 (0.0)

0 (0.0)

 At least one close male blood relative with breast cancer

18

14 (77.8)

8 (57.1)

6 (42.9)

4 (28.6)

2 (14.3)

0 (0.0)

0 (0.0)

 Ashkenazi Jewish or ethnic groups associated with founder mutations

74

72 (97.3)

41 (56.9)

31 (43.1)

19 (26.4)

10 (13.9)

2 (2.8)

0 (0.0)

Women with a personal history of ovarian cancer

18

18 (100.0)

7 (38.9)

11 (61.1)

7 (38.9)

3 (16.7)

1 (5.6)

0 (0.0)

  1. Abbreviations:BRCA Breast Cancer Gene, NCCN National Comprehensive Cancer Network
  2. a National Comprehensive Cancer Network. Genetic/Familial High-Risk Assessment: Breast and Ovarian. BRCA1/2 Testing Criteria.
  3. b The proportion was calculated out of number of patients in each risk group.
  4. c The proportion was calculated out of number of patients who were tested in each risk group.
  5. d Patients can be in more than one risk group based on their personal and family cancer history.
  6. e Close blood relative was defined as mother, father, sisters, brothers, daughters, sons, grandmothers, grandfathers, granddaughters, grandsons, half-siblings, aunts, uncles, nieces, nephews, great-grandmothers, great-grandfathers, great-granddaughters, great-grandsons, great-aunts, great-uncles, and first cousins.