Mutated genes or disease carriers are hereditary and they increase the probability of one contracting cancer

Hollywood star Angelina Jolie shines the spotlight on Cancer Genetic Testing for Breast Cancer when she underwent a double Mastectomy (the surgical removal of both breasts) after a cancer genetic test revealed that she had high risk of contracting breast cancer. While the necessity of her decision was fiercely debated worldwide, her aunt dies of breast cancer two weeks after her mastectomy made headlines, seemingly reinforcing the importance of a Cancer Genetic Testing.

However, is it really worth the expenses of doing such tests, even acting on the results? Some health experts think that Jolie was being rash, rather than brave and decisive, for a few good reasons.

What is Cancer Genetic Testing?

In some cancers, the risk of obtaining it increases when the body carries genes with some specific properties or mutations. In the case of breast cancer, women with mutations in the genes BRCA1 or BRCA2 are five times more likely to be diagnosed with breast cancer and up to 28 times more likely to be diagnosed with ovarian cancer, according to the National Cancer Institute (NCI). A Cancer Genetic Test helps to identify whether one is a carrier of the mutation. Nevertheless, it should be emphasized that a carrier of the mutation may not necessarily be struck with the cancer in his/her lifetime. The risk is simply higher.

Why some health professionals don’t recommend jumping into it.

Tests are not infallible, and a false positive result, which in the first place, does not confirm the possibility of a cancer regardless of its accuracy, may cause needless surgery, surgery risks, medical expenses and psychological stress. Furthermore, surgery simply reduces, but does not eliminate cancer risk.

Evaluating your personal and family medical history before attempting further tests or action is a more reliable and economical alternative.

The National Cancer Centre Singapore (NCCS) has a specialised Cancer Genetics Service, which includes evaluation of personal medical history and family background, physical examination, specific genetic tests if necessary, education and health planning. The services can also be extended to at-risk family members.

Monitor your condition

Surgery is not the only viable option to reduce your risk of getting cancer. If you are in the high risk group, understand the symptoms, and monitor your health condition. Attend regular health screenings and check ups. Cancer, if any, when detected early, can be treated more easily and at less cost. Some health insurance plans cover medical screenings. AIA’s Wisdom for Women for example, offers free medical check-ups once every 2 years from the 3rd year of the policy.

Above all, lead a healthy lifestyle and keep your spirits up. With today’s medical advances, cancer is no longer an end to life. For some, it may even be a beginning of a new journey!

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