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BRCA1 and BRCA2 testing: what it means for you

Waiting on test results can feel like one more hard thing, for you and the people who love you. Here's what the BRCA1 and BRCA2 test looks for and how it can help your care team pick the treatment most likely to work for you.

ℹ️ General information to help you and your loved ones talk with your care team, not medical advice. Read our disclaimer.

Matters most in: Breast cancer, Ovarian cancer, Prostate cancer

The quick guide

What the test looks for: Changes (mutations) in the BRCA1 or BRCA2 genes, which normally help repair damaged DNA. A change can be inherited and in every cell (germline, tested with blood or saliva) or found only in the tumor (somatic, tested on tissue).

Why it matters

BRCA changes raise the risk of breast, ovarian, prostate and pancreatic cancer. If you have cancer, a BRCA change can make the tumor sensitive to PARP inhibitors. An inherited change also matters for your family, who can choose to be tested.

Treatments it can point to

Only your care team can say which treatment fits you. Drug approvals depend on cancer type, stage and prior treatment.

Tissue vs. blood testing

Blood or saliva for inherited changes; tumor tissue for changes in the cancer only. Genetic counseling before and after testing is recommended.

Most tests use a piece of tumor tissue from a biopsy or surgery. Some can also use a blood sample (a 'liquid biopsy') that looks for tumor DNA floating in the blood. Blood tests are easier and faster, but they can miss a change that a tissue test would find, so a negative blood test is often followed by a tissue test.

❓ Questions you and your loved ones can ask

Written by the Cancer Side Effects Guide team from FDA labels and leading cancer centers. Not medical advice. · Last updated: October 15, 2026 · How we write

Not medical advice. This page is general information to help you talk with your care team. It can't replace advice from your doctor or nurse. If you have a fever of 100.4°F (38°C) or higher during treatment, or any symptom that worries you, call your care team now. In an emergency, call 911.

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