New guidelines advise more women to consider testing for breast cancer gene risk
were published in the Journal of the American Medical Assn. Private insurers follow the task force’s recommendations on what preventive care to cover.Advertisement
Consider a patient who had a tumor removed in one breast in her 40s a decade ago, when genetic testing wasn’t as common. A BRCA test still could reveal if she has an increased risk for ovarian cancer, or faces a higher-than-usual risk for another tumor in their remaining breast tissue, said task force member, an internal medicine specialist at UCLA. The test could also alert her daughters or other relatives to a potential shared risk.
“It’s important to test those people now,” Mangione said. “We need to get the word out to primary care doctors to do this assessment and to make the referrals.” Cancer groups have similar recommendations for BRCA testing, and increasingly urge that newly diagnosed patients be tested too, because the inherited risk can influence choices they make about surgery and other treatment.
Identifying BRCA mutation carriers “can be lifesaving, and should be a part of routine medical care,”
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