An estimated 5-10 % of all breast and ovarian cancers are due to an inherited predisposition, representing a rather large number of patients. In Spain 1\13-1\14 women will be diagnosed with breast cancer during their lifetime. Two major breast cancer genes, BRCA1 and BRCA2, have been identified. To date, several hundred pathogenic mutations in these two genes have been published or reported to the Breast Cancer Information Core, BIC database (http:\\www.nhgri.nih.gov\ IntramuralIresearchILab transfer\Bic\index.html). In the present study, 30 Spanish breast and breast\ovarian cancer families (29 from Galicia, NW Spain, and 1 from Catalonia, NE Spain) were screened for mutations in the BRCA1 and BRCA2 genes. The analysis of these genes was carried out by SSCP for shorter exons and direct sequencing in the case of longer ones. Mutations were found in 8 of the 30 families studied (26n66 %). It is important to note that all mutations were detected within the BRCA1 gene : 330 A G, 910I913delGTTC, 2121 C T, 3958I3962delCTCAGinsAGGC, and 5530 T A. The BRCA1 330 A G mutation was found in four unrelated families and accounted for 50 % of all identified mutations.
Since the identification of the BRCA1 and BRCA2 genes (MIMFs 113705 and 600185), more than nine hundred different mutations have been identified in these genes (BIC Database). BRCA1 maps to chromosome 17q21 (Miki et al. 1994) and predisposes to early-onset hereditary breast and ovarian cancer. BRCA2, located at 13q12-q13 (Wooster et al. 1995), also predisposes to earlyonset breast cancer in women, but confers a higher risk of inherited male breast cancer and a lower risk of familiar ovarian cancer compared to BRCA1. Both genes are characterized for their large size and complex genomic structures :