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Reducing Deaths from Breast and Ovarian Cancer by Genetic Screening

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  • DNA testing and regular screening are essential for women with a family history of cancer, as they significantly reduce mortality from breast and ovarian cancers.
  • The prevalence of hereditary cancer gene mutations in Asian populations calls for tailored screening guidelines and personalized healthcare approaches.
  • The global conversation around genetic testing, spurred by public figures like Angelina Jolie, highlights the importance of awareness and proactive health management in cancer prevention.

The fight against cancer, knowledge is power. For women, particularly those with a family history of the disease, genetic testing has emerged as a beacon of hope, illuminating the path to early detection and prevention. The recent findings from Singapore underscore the importance of DNA testing and regular screening in reducing mortality rates for women with hereditary cancer genes.

The Silent Threat Within: Understanding Hereditary Cancer Genes

Cancer can be a shadowy predator, often striking without warning. However, for some, the risk is etched into their very DNA. Mutations in hereditary cancer genes, such as BRCA1 and BRCA2, significantly increase the likelihood of developing breast and ovarian cancers. These mutations do not discriminate by age, making it imperative for women to undergo DNA testing to uncover any hidden threats.

Associate Professor Joanne Ngeow from NTU’s Lee Kong Chian School of Medicine emphasizes the gravity of this situation. "We found that one in 150 Singaporeans carry a genetic mutation associated with hereditary breast ovarian cancer syndrome, putting them at risk. This number is quite high," she reveals. The implications of these findings are profound, as they offer a clearer picture of cancer risks among Asian populations and pave the way for more personalized medical interventions.

The Power of Prevention: Regular Screening Saves Lives

The adage 'prevention is better than cure' has never been more relevant. For women with mutated cancer genes, annual screenings are a critical line of defense. While mammograms are a proven tool in detecting breast cancer, they are typically recommended biennially for women over 50. This protocol, however, may not suffice for younger women with genetic predispositions, who could benefit from more frequent screenings.

The impact of regular screening is not to be underestimated. It can lead to the early detection of cancer, which is often the difference between life and death. The Singapore Cancer Registry Annual Report (2021) revealed that breast cancer accounted for 30% of all cancer cases among women from 2017 to 2021, and 17.3% of cancer deaths. Ovarian cancer, too, has shown a worrying increase in incidence. These statistics are a clarion call for proactive measures.

The Angelina Jolie Effect: A Spotlight on Genetic Testing

Hollywood icon Angelina Jolie's decision to undergo a preventive double mastectomy after discovering her BRCA1 mutation brought global attention to the potential of genetic testing. Her bold move underscored the importance of taking charge of one's health and the role of DNA testing in preventing cancer.

In Singapore, the National Precision Medicine Programme's study of 10,000 women's genetic makeup has been a milestone in understanding hereditary breast ovarian cancer syndrome. This comprehensive approach to precision medicine is not just about treating diseases but preventing them before they take hold.

Embracing a Future of Tailored Healthcare

The journey towards a cancer-free future is paved with the stones of genetic research and precision medicine. By embracing DNA testing and regular screening, women can take control of their health and significantly reduce their risk of mortality from breast and ovarian cancers. This proactive stance is not just a personal choice but a societal imperative, as we strive for a healthier, more informed population.

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