Genetic testing

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I believe that over 93 different gene mutations have been identified to cause or perpetuate myeloma, with 12 in particular being associated with almost all known myelomas, hence the idea that there are 12 subtypes of the disease. 

Has anyone had genetic testing? (Outside of clinical trials)

I have had a second cancer since diagnosis, and one that is strongly associated with one particular gene mutation which can, but rarely, causes myeloma.  I am keen to have genetic testing as people with myeloma who have this gene have been known to respond to a couple of drugs not usually effective with myeloma.  (My hunch is that I have an unusual gene involved as my myeloma presentation is unusual, not involving lytic lesions or infections, but possibly involving autoimmune responses. )

I have been referred to an NHS genetics dept but from reading their referral guide, doubt whether I will qualify for an NHS service as familial cancers, though they could be genetically linked, have occurred in family members over the age of 50.

Has anyone sought private genetic testing, if so, what was your experience? 

  • Hi Jane,

    I thought I would acknowledge your post even though I can’t really help unfortunately, if only so that your post is bumped back to the top of the page in the hope that someone spots it.

    The only thing I would add is that for me, I’m sure there must be some explanation for why I got myeloma, even if I don’t know it yet. There is no history of cancer in my family and the brochures are pretty open in saying getting it in your 30s is extremely rare. So something pretty catastrophic must have gone wrong. In a way, I really hope it’s nothing to do with genes, as I hate the thought of passing it on to my kids. For the time being, I’m happy to bury my head in a period of remission, but maybe I will come back to genetic testing for some answers if/when I relapse.

    All the best

    Greg

  • FormerMember
    FormerMember

    Hi Jane

    Have you made any progress on this?  I haven't any personal experience on this but was at a meeting recently where some ladies there had had private genetic testing done which is recognised by consultants.

    These ladies were breast cancer patients (I have leukaemia) who were very well educated on the subject.

    Anna

  • I was given an appointment with the genetics dept at the hospital where I am being treated and I felt 'listened to'. However they felt unable to test me on NHS, saying this is an area of increasing understanding, basically I'm a few years ahead of time in terms of request. (They offered testing to my brother though, which may have strengthened my probability or otherwise, but he lives in USA) However my haemo oncologist has said he will arrange testing when I relapse, at the time I have my next bone marrow biopsy.  Whatever mutation I have, my next treatment will be the NICE prescribed one anyway so there will be time for testing. This perfectly deals with my personal concern so I'm afraid I haven't looked into paying for genetic testing.

    Best wishes

    Jane

    Jane

  • FormerMember
    FormerMember in reply to janef123

    Ok, glad you have had your concerns answered and was listened to.

    Actually the NHS has launched the Genomics Medicines Service which is now live, so you are not that ahead of your time. However at the moment the only people eligible are children with cancer and adults with acute leukaemias.  It is a very new service and ultimately they are aiming to offer it to every body diagnosed with cancer.  As you can imagine this is a massive undertaking and will take its time to be offered to everyone.  I've been to several meetings with NHS and Macmillan about it so know it is out there.  However now available to everyone yet as they are in the process on upskilling the work force and putting the infrastructure in place to cope with the demand for testing. 

    From what this lady was saying a lot of people go down the private testing route through personal choice due to their family history and wanted to know about their genetics.