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Genetic screening for breast cancer should be carried out by family doctors so that women who have lost relatives to the disease do not have to wait to be referred to a specialist, a senior American doctor said yesterday.
Funmi Olopade, Professor of Medicine at the University of Chicago Medical Centre, said that there was no longer any good reason for restricting tests for the BRCA1 and BRCA2 genes to a specialist oncology setting, as GPs now had enough information about the testing to advise women.
Women who carry either gene have an 80 per cent lifetime risk of developing breast cancer, and many who have a family history of the condition opt for genetic testing so that they can reduce their risk through screening, or by having a preventive mastectomy.
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I think this article is missing the point. Breast cancer has risen 80% since 1971. Even women with faulty BRCA1 and BRCA2 genes have a significantly higher risk now than 40 years ago. The gene pool has not changed in this time. This shows the causes must be environmental, including diet. The Vegetarian & Vegan Foundation has published a review of the scientific evidence that clearly shows that meat and dairy foods are linked to an increased risk of this disease while plant foods (fruit, vegetables and whole grain foods) are associated with a lower risk. Changing the diet can help both prevent and overcome breast cancer. This information should be available to all women - and men, among whom breast cancer is increasing too.
Dr Justine Butler, Bristol, UK