Jessica (aged 32) is BRCA1 positive, which is known to greatly increase the risk for breast and ovarian cancer. She was tested because her mother, who had ovarian cancer, was BRCA1 positive. Jessica has decided to have both of her ovaries removed because she believes that, in her family, being BRCA1 positive increases the risk for ovarian cancer only. How should a genetic counselor respond to Jessica's statement?

Question

Quizplus · Accepted Answer

Clarifying misconceptions is a responsibility that can be met while still being nondirective. Jessica can still choose to have only her ovaries removed, but she does need to know her risk for breast cancer in order to come to an informed decision. Encouraging her to have a mastectomy is directive rather than nondirective. Only Jessica can determine whom in her family to inform.

Jessica (Aged 32) Is BRCA1 Positive, Which Is Known to Greatly