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Chemoprevention and medical practice
The medical community can play an important part in cancer prevention by recognising the multistage nature of cancer development, making all patients aware of factors that increase cancer risk and ways to reduce risk, and identifying patients at high risk of cancer who might benefit from chemopreventive interventions.
Primary care doctors should evaluate cancer risk even for people who seem healthy. A woman's risk of invasive breast cancer, for example, can be calculated by using the breast cancer assessment tool found at http://bcra.nci.nih.gov/brc/questions.htm
Similar assessment tools are not yet available for other cancers, but risk factors for various cancers are outlined at www.cancer.org and provide some basis for assessing a patient's degree of risk for a particular cancer.
Although this approach needs refinement, it allows doctors to develop an individual risk profile for cancer that may help guide preventive interventions, such as chemoprevention, and motivate patients to change their behaviour
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