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As of April 2020, some medical treatments related to hereditary breast and ovarian cancer syndrome (HBOC) have been approved for insurance coverage. This applies to those who have been diagnosed with breast cancer, ovarian cancer, fallopian tube cancer, or peritoneal cancer and meet certain conditions.
HBOC is a hereditary cancer syndrome caused by the presence of a congenital pathogenic variant (a genetic change that causes disease) in the BRCA1 or BRCA2 gene. HBOC is known to increase the risk of developing breast cancer, ovarian cancer (including fallopian tube cancer and peritoneal cancer), pancreatic cancer, and prostate cancer in women, as well as breast cancer in men. If you are found to have HBOC, you can undergo special screening (surveillance) and risk-reducing surgery tailored to your constitution.
In addition, because some genetic information is shared among blood relatives, if you have a pathogenic genetic variant, your siblings, children, and parents may also have the same predisposition. This may lead to cancer prevention and early treatment for blood relatives, so if you are diagnosed with HBOC, we recommend that you receive genetic counseling (at your own expense).
Our hospital offers genetic testing, genetic counseling, risk-reducing surgery after diagnosis, and a follow-up system. Furthermore, if blood relatives of a patient diagnosed with HBOC wish to undergo genetic testing, they can receive the test at our hospital (self-pay treatment). Even if you do not meet the conditions for insurance coverage, you can receive genetic counseling and BRCA1/2 gene testing if you wish, although this will be at your own expense.
| item | insurance* | own expense |
|---|---|---|
| Pre- and post-test genetic counseling | – | ○ |
| BRCA1/2 genetic testing | ○ | ○ |
| Diagnosis in relatives | – | ○ |
| Risk-reducing salpingo-oophorectomy | ○ | ○ |
| Risk-reducing mastectomy | ○ | ○ |
| Follow-up after HBOC diagnosis | ○ | ○ |
For insurance coverage, a doctor must determine whether or not you meet the conditions. Patients who are not currently receiving treatment at our hospital should consult with their current hospital, prepare a referral letter, and make an appointment at our hospital.
