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BRCA1: Cancer Risks
People with an inherited mutation in the BRCA1 gene have an increased risk for certain types of cancer. Learn about the cancer risks associated with BRCA1 mutations.

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Cancer Risks Associated with Inherited Mutations

People with a mutation have a higher risk for several cancers. These cancers tend to happen at a younger age than in people without a mutation. The risks listed below are estimates based on different large studies. To understand more about your risk, we recommend that you consult with a genetics expert who can look at your personal and family history of cancer and help you decide on a plan for managing your risk. Note that when we use "men" and "women" we are referring to the sex you were assigned at birth.


Breast cancer 

Cancer Type

Lifetime Risk with a BRCA1 Mutation

Lifetime Risk for General Population

Notes

Breast cancer in women

65% 

12.5%

Risk for 2nd breast cancer diagnosis in women who were premenopausal at the time of 1st diagnosis

33% risk within 10 years of initial diagnosis

Applies to women who have not had bilateral mastectomy

Risk for 2nd breast cancer diagnosis in women who were postmenopausal at the time of 1st diagnosis 

12% risk within 10 years of initial diagnosis

Applies to women who have not had bilateral mastectomy 

 Male breast cancer

0.2-1.2%

0.1%

Source: NCCN Guidelines: Genetic/Familial High-Risk Assessment: Breast, Ovarian, Pancreatic, vs. 3 2024


Gynecologic cancer 

Cancer Type

Lifetime Risk with a BRCA1 Mutation

Lifetime Risk for General Population

Notes

Ovarian, fallopian tube and primary peritoneal cancers  

40-60%

1.3%

Endometrial cancer

Less than 5%

3.1%

BRCA1 mutations have been linked to a rare but aggressive type of endometrial cancer.

Source: NCCN Guidelines: Genetic/Familial High-Risk Assessment: Breast, Ovarian, Pancreatic, vs. 3 2024


cancer 

Lifetime Risk with a BRCA1 Mutation

Lifetime Risk for General Population

Notes

Prostate cancer  

Up to 26%

12

People with an inherited BRCA1 mutation may be more likely to develop an aggressive type of prostate cancer.

Source: NCCN Guidelines: Genetic/Familial High-Risk Assessment: Breast, Ovarian, Pancreatic, vs. 3 2024


Pancreatic cancer 

Lifetime Risk with a BRCA1 Mutation

Lifetime Risk for General Population

Pancreatic cancer  

5%

1.5%

Source: NCCN Guidelines: Genetic/Familial High-Risk Assessment: Breast, Ovarian, Pancreatic, vs. 3 2024


Risk graphs

Graph of lifetime risk for breast cancer in women with a BRCA1 mutation       

       Graph of lifetime risk for prostate cancer in men with a BRCA1 mutation

       Graph of lifetime risk of ovarian cancer in people with a BRCA1 mutation

       Graph of lifetime risk for pancreatic cancer in people with a BRCA1 mutation


Other cancers

Research on how mutations in the  gene affect cancer risk is ongoing. Genetics experts often look at a person’s family history of cancer to help people with  mutations understand their risk for additional cancers.

It is important to note that cancer risks are estimates over the course of a person's lifetime. Your lifetime risk and risk over the next five years will vary depending on:

  • current age
  • sex assigned at birth
  • specific mutation
  • personal and family health history
  • diet, exercise, lifestyle and other factors
Last updated June 21, 2024