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7 Health Matrix 135 (1997)
How Are Jewish Women Different from All Other Women?: Anthropological Perspectives on Genetic Susceptibility Testing for Breast Cancer

handle is hein.journals/hmax7 and id is 141 raw text is: HOW ARE JEWISH WOMEN
DIFFERENT FROM ALL OTHER
WOMEN?
Anthropological Perspectives on Genetic Susceptibility
Testing for Breast Cancer
Nancy Press, Ph.D.!
Wylie Burke, M.D., Ph.D.t
Sharon Durfy, Ph.D.
IN 1994, WHEN THE FIRST GENE was found whose
mutations predispose some women to breast and ovarian can-
cer, researchers stressed that mutations in this BRCA1 gene
probably accounted for no more than five percent of all breast
cancers' and that these were cancers in women from very
high-risk families.2 Yet, the idea of population-based testing is
implicit in much of the media coverage of this discovery and
has been kept alive by reports that commercial enterprises are
gearing up to make testing available in the near future directly
to women or through their primary care providers Policy
t Medical Anthropologist and Associate Professor in the Department of Psychiatry and
Biobehavioral Sciences of U.C.L.A.
it Associate Professor and Director in the Women's Health Care Center of the University
of Washington.
ttt Research Assistant Professor in the Department of Medical History and Ethics of the
University of Washington.
1. See Yoshio Miki et al., A Strong Candidate for the Breast and Ovarian Cancer Sus-
ceptibility Gene BRCA1, 266 SCIENCE 66, 66 (1994) (explaining the positional cloning methods
used to discover the BRCA1 gene).
2. See generally D.F. Easton et al., Genetic Linkage Analysis in Familial Breast and
Ovarian Cancer: Results from 214 Families, 52 AM. J. HUM. GENEICS 678, 678 (1993)
(analyzing the inherited component of breast and ovarian cancer in a study of families); Kevin
Davies, Further Enigmatic Variations, 378 NATURE 762,762 (1995).
3. See generally Natalie Angier, Scientists Identify a Mutant Gene Tied to Hereditary
Breast Cancer, N.Y. TIMEs, Sept. 15, 1994, at Al (announcing the discovery of BRCAI gene);
Elyse Tanouye, Gene Testing for Cancer to be Widely Available, Raising Thorny Questions,

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