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More than 4,000 Malaysians
were diagnosed with breast
cancer in 2003. The vast
majority of these were
women, although breast
cancer does occur in men.
Breast cancer is now the
most common female cancer in
Malaysia and accounts for
30% of all new cancer cases
in women. For women, the
lifetime risk of developing
breast cancer is 1 in 19.
Most of the women who get
breast cancer are past their
menopause, but almost 2,000
diagnosed each year are
under 50 years old.
CARIF has identified
new genetic changes
in breast cancer genes in
Malaysians
Research in Caucasian women
has shown that if you have a
very strong family history,
there may be a faulty gene
in your family that
increases your risk of
breast cancer. However,
before CARIF started
analysing these two breast
cancer genes (BRCA1 and
BRCA2) in the Malays,
Chinese and Indians, there
was very little data about
Malaysians.
CARIF, in
collaboration with
Universiti Malaya, has
conducted the most
comprehensive analysis on
BRCA1 and BRCA2 in Malays,
Chinese and Indians. To
date, we have identified 48
alterations (18 in BRCA1 &
30 in BRCA2), of which 24
have not been found in
Caucasian women and instead,
appear new and unique to
Malaysians. Our data
suggests, for the first
time, that the risk profile
in Asians is significantly
different from that in
Caucasians. We are using
this data to develop
guidelines for genetic
testing for the breast
cancer genes (BRCA1 and
BRCA2) and to develop an
Asian-specific risk
prediction model for breast
cancer. We are also
conducting research to
identify better ways to
detect and diagnose cancer
earlier.
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