With cancer cases projected to rise by 77% to 35 million by 2050, understanding genetic predisposition has become increasingly important. In India, where one in nine people is projected to face a cancer diagnosis, genetic testing offers a proactive approach. By identifying inherited risks, individuals can take preventive steps, undergo early screenings, and explore treatment options that improve outcomes, suggests Dr Bhavna Bansal, senior consultant and HOD, of histopathology at Oncquestlaboratories.
Genetic Testing: Definition, Who Should Consider, And More
As per Dr Bansal, genetic testing is the process whereby an individual is put through tests in order to assess their DNA and recognize the mutations of certain particular genes, which are known to make that specific individual susceptible to certain hereditary conditions, including cancers. These tests look for mutations in genes, including breast, ovarian, colorectal, and prostate cancers. While this is not a diagnosis of cancer, it helps to provide valuable insight into medical decisions to be made in the future.
Who Should Consider Genetic Testing?
Not everyone should get genetic testing, but it is highly recommended for those such as the following:
• A family history of cancer, particularly if several relatives already had it.
• A personal history of cancer diagnosis at a very young age.
• A gene mutation that is known in the family, for instance, BRCA1 or BRCA2, linked with breast or ovarian cancers.
• Backgrounds with ancestors known to have a high number of mutations in genes known to be related to any form of cancer.
6 Benefits of Genetic Testing
There are several benefits of learning about one's genetic risk of developing any form of cancer:
1) Early Detection and Prevention
Primarily asymptomatic, high-risk carriers have periodic screening or preventive measures, lifestyle changes, or even prophylactic surgery.
2) Personalized Treatment Plans
Genetic screening and diagnosis lead to the administration of treatment in the case of a person suffering from the disease as it significantly increases effectiveness.
3) Family Awareness
If one has a cancer gene mutation, the other family members are most likely at risk and would, therefore, motivate testing and prevention measures for the relatives.
Limitations and considerations.
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4) Not All Cancers Are Genetic
The reasons for most cancers are more environmental than genetic mutations.
5) Psychological Consequences
Learning that one has a relatively high genetic risk of cancer is not easy; it usually requires genetic counselling to help them in such emotionally difficult and challenging moments.
6) Insurance and Privacy Concerns
Many people worry that the results of their genetic tests will determine the nature of their future and past insurance plans and affect their medical privacy.
Impact Of Genetic Testing On Diagnosis, Treatment
A positive test result for a hereditary cancer mutation permits the healthcare provider to tailor screening and treatment plans. Increased surveillance through mammograms, MRIs, or colonoscopies could lead to cancer detection at its earliest and most treatable stage. In certain cases, targeted therapies such as a PARP inhibitor make for a reasonably effective treatment option for BRCA mutation carriers.
In the case of those without an identified mutation, genetic testing provides reassurance and sets the stage for standard screening recommendations. The decision whether or not to pursue genetic testing ultimately rests on individual risk factors, family history, and personal choices.
"Consulting a genetic counsellor or healthcare provider would aid in determining if genetic testing is useful for one based on the individual's and family history. In the war against cancer, knowledge is power and genetic testing provides that all-important knowledge," wraps up Dr Bhavna Bansal.
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