HomeFamily History & Genetics

Family History & Genetics

Most cancers are not inherited, but about 5–10% are linked to genes passed down in families. Knowing your family history is a powerful tool for prevention.

The Science

What is Hereditary Cancer?

Cancer is caused by genetic changes (mutations) in cells. Most of the time, these mutations happen during a person's lifetime due to aging or environment factors like smoking. These are called acquired mutations and they are not passed to children.

However, sometimes a genetic mutation that increases the risk of cancer is inherited from a parent. This is called a germline mutation. If you inherit this mutation, you have a much higher risk of developing certain types of cancer than the average person.

This does not mean you are guaranteed to get cancer, but it means you need to be proactive with earlier or more frequent screening.

Common Hereditary Cancers

  • Breast & Ovarian Cancer — BRCA1/BRCA2 mutations
  • Colorectal Cancer — Lynch syndrome
  • Prostate Cancer
  • Endometrial (Uterine) Cancer

When Does Family History Matter?

Look out for these "Red Flags" in your family tree.

Young Age at Diagnosis

Cancer diagnosed before age 50.

Multiple Relatives

Several close blood relatives with the same or related cancers.

Multiple Cancers

One family member diagnosed with more than one primary cancer.

Rare Cancers

Unusual cases like breast cancer in males.

Generational Cancers

Cancer in multiple generations (grandmother → mother → daughter).

Should You Get Genetic Testing?

Genetic testing involves a simple blood or saliva test. It can identify specific inherited mutations. However, it is not for everyone. Speak to a genetic counselor if you have any red flags.

What a Genetic Counselor does:

  • Reviews your detailed personal and family medical history.
  • Explains your actual level of risk based on science.
  • Discusses whether a genetic test is useful for you.
  • Helps you understand results and options for prevention or early screening.

At PGIMER Medical Oncology, we maintain a Genetics & Cancer Registry to serve families with hereditary risks.

Know Your Family History

When you know, you can act. Explore screening guidelines that are right for you.