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Referral Criteria – Other<br />

<strong>Cancer</strong> is common in the general population. Certain<br />

family characteristics may raise concern for hereditary<br />

cancer:<br />

1. Two or more cases of an uncommon cancer in first<br />

and/or second degree relatives<br />

2. <strong>Cancer</strong> that is diagnosed much younger than<br />

usual, where there is another cancer<br />

of the same type, at any age, in a first and/or<br />

second degree relative<br />

3. Clustering of cancer in a family, significantly<br />

above expected for the size of family<br />

Exceptions:<br />

a. Lung – almost always due to personal or secondhand<br />

smoking, or environmental exposure<br />

b. Cervical – almost always due to a viral infection •<br />

If you are uncertain about whether a patient/family may be at risk<br />

for hereditary cancer, please contact 780-407-7333 and speak to the<br />

genetic counsellor or Dr. D Gilchrist.<br />

The Hereditary <strong>Breast</strong> and Ovarian<br />

<strong>Cancer</strong> Foundation Third International<br />

Symposium on BRCA in Montreal in<br />

October 2009<br />

This past fall, over 400 participants<br />

from all corners of the globe<br />

gathered in Montreal for the<br />

Hereditary <strong>Breast</strong> and Ovarian <strong>Cancer</strong><br />

Foundation (HBOC) 3rd International<br />

Symposium on BRCA themed 15 Years<br />

of Progress. Attendees participated<br />

in three days of lectures and<br />

workshops given by over 40 faculty<br />

from around the world. Over one<br />

hundred carriers and their families<br />

had a full day of sessions devoted<br />

to their needs given by international<br />

experts. Topics included: ways to<br />

modify risk; managing menopause;<br />

communicating genetic risk to family<br />

members; the psychological impact<br />

of living with BRCA; an update on<br />

breast reconstruction; and practicing mindfulness. Clinicians,<br />

researchers and genetic counsellors were updated on the<br />

role of PARP inhibitors in treating genetically linked breast<br />

and ovarian cancers; new breast cancer genes CHEK2 and<br />

PALB2; new prevention and screening strategies; and how to<br />

classify patients with newly discovered BRCA1 and BRCA2<br />

gene mutations. Over 90 new research studies were also<br />

presented. Planning is underway for the next meeting in<br />

October 2011. To review full information on the conference,<br />

please go to www.odon.ca/brca .<br />

In some <strong>Canadian</strong> populations, as many as 1 in 40 women<br />

have certain alterations in their basic genetic code,<br />

commonly referred to as BRCA mutations. In the absence<br />

of risk-reducing strategies, these women have as high as a<br />

90 percent lifetime risk of developing breast cancer, and a<br />

40 percent lifetime risk of developing ovarian cancer. BRCA<br />

mutations are inherited, so this change in the genetic code<br />

may be passed from parents to children, putting future<br />

generations at risk.<br />

The Hereditary <strong>Breast</strong> and Ovarian <strong>Cancer</strong> Foundation<br />

(www.hboc.ca) is a community-oriented volunteer driven<br />

<strong>Canadian</strong> charity with a tripartite mission: Awareness,<br />

Action, and Research.<br />

Awareness: HBOC encourages families and their<br />

healthcare providers to become aware of their medical and<br />

disease histories and provides the resources to assess for<br />

hereditary breast and ovarian cancer risk.<br />

Action: HBOC provides women and their families, who are<br />

found to be at risk for hereditary breast and ovarian cancer,<br />

the information and the professional support they need to<br />

cope with and act on their state.<br />

Research: HBOC supports research that evaluates the<br />

outcomes of women with proven genetic risk of breast<br />

and ovarian cancer, as well as evaluation of different riskreducing<br />

modalities. HBOC equally encourages basic<br />

science research related to the genetics of breast and ovarian<br />

cancer.<br />

The Hereditary <strong>Breast</strong> and Ovarian <strong>Cancer</strong> Foundation<br />

seeks to fulfill its mission by working in cooperation with<br />

university or hospital-based programs in cancer genetics. •<br />

For more information, please call 1-514-482-8174, e-mail<br />

info@hboc.ca or visit their website at www.hboc.ca .<br />

Mailing address:<br />

Hereditary <strong>Breast</strong> and Ovarian <strong>Cancer</strong> Foundation<br />

PO Box 434, Snowdon<br />

Montreal, Quebec, H3X 3T7<br />

14 <strong>Network</strong> <strong>News</strong> <strong>Winter</strong>/<strong>Spring</strong> <strong>2010</strong>

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