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In the late 1960s, hereditary cancer expert and medical
oncologist, Henry T. Lynch, M.D., and his colleagues at Creighton University
began studying hereditary breast cancer prone families. Dr. Lynch identified
ovarian cancer as an integral component with breast cancer in these families
and provided the first description of what is now known as Hereditary
Breast/Ovarian Cancer (HBOC) Syndrome. Nearly forty years later, an
extensive study of women at high risk for developing breast/ovarian cancer
has shown that the preventive removal of the ovaries (prophylactic
oophorectomy) reduced by 56 percent the risk of developing breast cancer in
women who carry the BRCA1 mutation. For women who are carriers of the BRCA2
mutation, the risk was reduced by 46 percent. The risk reduction was greater
if the oophorectomy was performed on patients under age 40. The results of
the international study, in which Dr. Lynch is a co-author, are published in
today’s Journal of Clinical Oncology.
Dr. Lynch was one of the first physicians in the world to recommend
prophylactic mastectomy and oophorectomy as a management option for high
risk patients. "Through our comprehensive family histories and the BRCA1 and
BRCA1 gene mutation we are able to identify the patients who are at very
high risk of developing breast or ovarian cancer, and offer them another
means of prevention," said Dr. Lynch. "Prophylactic surgery is one option in
the tool chest, which has now been shown to have significant results in
reducing the breast cancer risk."
Dr. Lynch is professor of medicine, chairman of Preventive Medicine at
Creighton University, and the holder of the Charles F. and Mary C. Heider
Endowed Chair in Cancer Research. |