Collecting a Family’s Cancer History: What You Should Ask

Learning about cancer diagnoses of extended family — and the details of their conditions — is a conversation everyone should have.

7:00 AM

Author | Michelle Jacobs, M.S., C.G.C.

Talking to your family about hereditary cancer

We get a lot of traits from our parents — height, eye color, perhaps a few personality quirks — but we can also inherit certain health conditions.

MORE FROM MICHIGAN: Subscribe to our weekly newsletter

Although the majority of cancers are sporadic, meaning that these illnesses occur because of noninherited factors such as age or environmental risk factors, about 5 to 10 percent of cancers have a hereditary component and run in families.

Which is why, if you have a history of cancer in the family, there are a few keys pieces of information to collect from your first-, second- and third-degree relatives.

The conversation, which could occur around the winter holidays when extended families tend to gather, should include the following questions:

  • Who had cancer?

  • What type of cancer did they have, or in what organ did the cancer originate?

  • How old were they when that cancer was diagnosed? (An approximate age will do if the exact date isn't available.)

  • Did anyone have multiple cancer diagnoses?

  • Has anyone had genetic testing?

Such dialogue can help you identify red flags for inherited cancers.

Among the potential warning signs:

  • Multiple family members being diagnosed with the same or related types of cancers

  • Relatives diagnosed with cancer at a young age (for common cancers such as breast and colon, this typically is considered age 50 or younger; benchmarks vary for other cancer types)

  • Relatives with more than one type of cancer

  • Someone in the family diagnosed with a rare cancer, such as ovarian

Genetic testing and other steps

Even if your family does not meet the red flags listed above, knowing your family history information is important to your health care.

SEE ALSO: How Family Genetic Testing Can Save Lives

A thorough review is key, because noncancerous health issues could be signs of trouble.

Some inherited cancer conditions can manifest as benign tumors. Tumors that can be clues to inherited risk include pheochromocytomas and paragangliomas.

If someone in your family has been diagnosed with many (20 or more) precancerous colon polyps known as adenomas, this also may indicate an inherited cause.

Once you have gathered this information, talk to your doctor about whether it would be beneficial to see a genetic counselor — or you can contact a genetic counselor in your area directly.

If anyone in your family has previously been diagnosed with a genetic condition through genetic testing, a genetic counselor can help order testing for you for the same condition.

If no genetic condition has been identified in the family, a genetic counselor will perform a full personal and family history assessment and discuss what blood-based genetic testing may be appropriate for you or your family.

Counselors also can provide information about additional cancer screenings that may be suitable. You can search for a genetic counselor near you through the National Society of Genetic Counselors, or call 734-763-2532 to make an appointment with the University of Michigan Cancer Genetics Clinic.

Even if you decide not to pursue genetic testing, be sure to share your family's health information with your doctor and ask whether you may qualify for any additional cancer screening based on your family history. Cancer screening saves lives.


More Articles About: Preventative health and wellness Cancer and Genetics Genetic Testing genetic counseling Cancer: Help, Diagnosis & Treatment
Health Lab word mark overlaying blue cells
Health Lab

Explore a variety of health care news & stories by visiting the Health Lab home page for more articles.

Media Contact Public Relations

Department of Communication at Michigan Medicine

[email protected]

734-764-2220

Stay Informed

Want top health & research news weekly? Sign up for Health Lab’s newsletters today!

Subscribe
Featured News & Stories chicken with soup in hand hot drawing
Health Lab
Less than half of parents think they have accurate information about bird flu
With soaring egg prices and ongoing bird flu headlines, many parents are uncertain about the risks and facts surrounding the virus, a national poll suggests.
person with stomach pain purple and grey coloring and at home stool test
Health Lab
When to use an at-home colorectal cancer screening test instead of a colonoscopy
What to know about an at-home colorectal cancer screening test versus a colonoscopy.
gun with lock on it with key there gun is in black and background yellow and lock is white
Health Lab
New Michigan laws make storing firearms safely more important than ever
New safe gun storage laws for Michigan highlight the need for keeping firearms locked up and separate from ammunition to prevent injury and death including suicide.
two Black women standing next to eachother, one in a pink tank top, one in long sleeve purple shirt, with yoga purple matts
Health Lab
Using culture to encourage exercise can help close a cancer survival gap – and improve quality of life 
Angela Fong, Ph.D., an assistant professor of applied exercise science at the University of Michigan School of Kinesiology and a member of the University of Michigan Health Rogel Cancer Center, says a variety of factors can contribute to a lower five-year survival rate of cancer among members of racialized and historically marginalized groups.
Mature forest on fire
Health Lab
Wildfires: How to protect your lung health in poor air quality
With raging wildfires affecting air quality, experts say protecting your lung health is key.
child looking at family outside of kitchen area
Health Lab
Encouraging spirituality in teens without forcing participation
Among parents who plan to attend religious services this holiday season, nearly half would insist their teen join even if they didn’t want to, a poll suggests.