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PALB2 Gene Mutations: Cancer Risk

Learn about the cancer risks, screening, prevention and treatment options for people with inherited PALB2 mutations. Stay up to date by signing up for our community newsletter.
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Cancer Risks Associated with Inherited Mutations

People with a PALB2 mutation have a higher risk for several types of cancer. These cancers tend to happen at a younger age than in people without a mutation. 

The risks listed below are estimates based on different research studies. To understand more about your personal risk, we recommend that you speak 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.

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
  • gender
  • specific mutation
  • personal and family health history
  • diet, exercise, lifestyle and other factors

Cancer risk table

Cancer Type

Lifetime Risk with a PALB2 Mutation

Lifetime Risk for General Population

Notes

Breast cancer

35 - 53%

12.5%

Male breast cancer

<1% (0.9%)

0.1%

Risk for 2nd breast cancer diagnosis in women who were previously diagnosed with breast cancer

5 - 8% risk within 10 years of initial diagnosis

More research is needed to confirm this risk. This applies to women who have not had bilateral mastectomy.

Pancreatic cancer

2 -5%

1.7%

Ovarian cancer

3 - 5%

1.3%

Source: NCCN Guidelines: Genetic/Familial High-Risk Assessment: Breast, Ovarian, Pancreatic, Prostate, v. 3, 2025.

Last updated March 24, 2025