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* Note: Words Printed above from May 13, 2013 Tribune Review article-
Right Spiral-
Surgery From A1
"Women are becoming more
aware of the (genetic) testing
that's available, and doctors
are becoming more aware of
the risk factors that make a
woman prone to have a genetic
defect," Pahya said. "It's an
education process."
Genetic testing for breast
cancer has been available
for about a decade, but has
become popular only in the
past five years, physicians
said. They sais a blood test
costing roughly $3,000 identi-
fies the gene defect, which
can raise the lifetime risk of
breast cancer to 80 percent or
higher.
And while high profile cases
such as Jolie's encourage test-
ing, doctors said, new and bet-
ter reconstruction methods
make breast removal less
traumatic.
"Not only do we have the abil-
ity to reconstruct the breast,
but we can save pretty much
all the skin," McGuire said.
"The breast looks essentially
the same on the outside."
Amisha Upadhyay, 30, of
Regent Square, underwent a
voluntary double mastectomy
last week and doesn't have a
regret, she said. Diagnosed
with a BRCA gene mutation,
she didn't want to be sur-
prised anymore after cancer
appeared in one of her breasts
when she was 29.
"I did not want to go through
that process again," Upadhyay
said. "If I can take a step to
take control of this process. I
will do that. It's a no-brainer."
Insurance companies gener-
ally provide partial payments
for mastectomies and recon-
struction for women who face
LEFT WORD SPIRAL:
strong genetic odds of breast
cancer but have not been
diagnosed with the disease,
industry, representatives said.
The federal Affordable Care
Act requires insurers to cover
genetic screening for women
with a known risk factor, such
as a family history of breast
cancer.
For them especially, Jolie's
disclosure is a boon to aware-
ness, said Pat Halpin- Mur
phy, founder of the non-profit
Pennsylvania Breast Cancer
Coalition. Breast removal can
reduce their cancer risk to the
single digits.
Halpin-Murphy doesn't
want the news to panic women
unnecessarily. She said BRCA
genes are cited in only 5 per-
cent of female breast cancer
cases. The rest appear to have
other causes.
"For those women who do
have a mother or a grand-
mother who died of breast
cancer, it is important that
they talk to their doctor about
the possibility of genetic test-
ing," said Halpin-Murphy, a
breast-cancer survivor.
She and her sister did not
get genetic tests because they
don't have a family history of
the disease, she said.
At Allegheny General Hos-
pital in the North Side, Dr.
Shivani Duggal said she wor-
ries some women will misin-
terpret Jolie's message and
demand blood work regard-
less of their family histories and
other risk factors.
"That would not be ideal,"
said Duggal, who works in
breast oncology. These tests
are warranted in the high risk
populations."
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