Metastatic breast cancer in pleural field.

Women with faults in BRCA genes are more likely to develop breast cancer if they are exposed to chest X-rays before they are 30, according to a study published in the BMJ online today.

BRCA genes help repair DNA damage 鈥 damage which can be caused by exposure to radiation like X-rays. Women with faults in these genes are less able to repair damage caused by radiation.

Douglas Easton

探花直播international study, part-funded by Cancer Research UK,听 looked at almost 2,000 women with BRCA faults in the Netherlands, France and the UK between 2006 and 2009 to see if variations in their DNA increased the risk of breast cancer after exposure to low doses of radiation.

It found that women under 30 with BRCA faults who were exposed to chest X-rays and other radiation procedures were 43 per cent more likely to develop breast cancer, compared with women with the same faults who were not exposed. But, this increased risk did not apply to procedures carried out in women over 30.

Around two per cent of breast cancers are caused by BRCA faults, and women with these faults have a 45 to 65 per cent chance of developing the disease.

In the UK, women with BRCA faults are only screened for breast cancer after they are 30, and with a procedure called MRI that does not expose them to radiation.

Study author, Professor Douglas Easton, a Cancer Research UK scientist at the 探花直播 of Cambridge, said: 鈥淏RCA genes help repair DNA damage 鈥 damage which can be caused by exposure to radiation like X-rays. Women with faults in these genes are less able to repair damage caused by radiation, so they are at a greater risk of developing breast cancer. It鈥檚 important that these women and their doctors are aware of this.鈥

探花直播study was led by the 探花直播 of Cambridge in the UK, in association with 探花直播Institute of Cancer Research and 探花直播Royal Marsden NHS Foundation Trust, St Mary鈥檚 Hospital and Addenbrookes Hospital.

Dr Julie Sharp, senior science information manager at Cancer Research UK, said: 鈥淭his research highlights that young women with a faulty BRCA gene are potentially more sensitive to low doses of radiation and doctors need to be aware of these risks when considering procedures using X-rays. In the UK younger women are already screened using MRI scans rather than mammograms to avoid these risks 鈥 but this isn鈥檛 the case in all countries yet.鈥


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