Ovarian cancer continues to be the foremost cause of mortality because
of gynecologic malignancies. Surgical and chemotherapeutic advances h
ave been made, yet the cause of ovarian oncogenesis is poorly understo
od. Recognition of the familial clustering has focused investigators i
n the direction of isolating genetic susceptibility loci for ovarian c
ancer. Research on cytogenetic abnormalities have led to the identific
ation of oncogenes and tumor suppressor genes, which have contributed
to a multistep model of molecular oncogenesis. This review discusses h
ow the familial clustering of breast and ovarian cancers, as well as t
he chromosomal alterations and oncogenes identified, have all contribu
ted to our understanding of the genetic factors involved in the develo
pment of ovarian cancer.