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Beyoncé’s father: Test for chest cancer

It’s not only women who die of breast cancer

- Mathew Knowles Mathew Knowles, founder of Music World Entertainm­ent and Artist Management, has produced and promoted Beyoncé, Solange and Destiny’s Child, among others. He is a partner with medical genetics company Invitae.

This week is the one- year anniversar­y of sharing my cancer diagnosis with the world. As I look back, I’m not afraid to admit I would have made drasticall­y different choices about my health if I knew then what I know now about how we ( and especially Black men) approach our health.

My wife had noticed a couple dots of blood staining our sheets. Having a background in health care technology, I was aware cancer was a possibilit­y. I quickly made an appointmen­t to get a mammogram, then a sonogram and finally a biopsy that confirmed I had Stage 1A breast cancer, or as I believe it should be called, male chest cancer. But we’ll get to that.

From there, I scheduled my mastectomy. While my surgery was only to remove one side, doctors reassured me that if it was necessary to remove both, they’d be able to make that decision during my procedure. My surgery went as planned, and they removed my right breast.

It was only afterward in thinking about my family’s long history of cancer that I decided to take a medical genetic test. And that’s when I learned I had the BRCA2 gene mutation, putting me at a higher risk of breast, prostate and pancreatic cancers and melanoma. If I had known this going into surgery, I would have had the other breast removed, too.

I’m grateful to say I’m cancer- free today and have the knowledge to make important lifestyle choices that hopefully keep me in remission, such as getting a mammogram every six months.

I’m perhaps even more grateful this discovery spurred my kids to take their medical genetic tests to learn their own risks and better inform the decisions they make — my newfound knowledge also became theirs.

Despite having a background in health care tech, an understand­ing of my family history of cancer and relatives who work in health care, none of us considered it would be worthwhile to undergo something as simple and noninvasiv­e as medical genetic testing, which would have shed light on my risk of cancer long before I got it.

Genetic screening can give us a snapshot of our health that allows us to make informed, tailored decisions. Maybe you’re at a higher risk of cardiovasc­ular disease, and this informatio­n helps guide your dietary choices. Or maybe you have a higher risk of cancer that motivates you to make screenings a part of your routine care.

It’s foolish that so few of us take advantage of this informatio­n that’s more affordable and accessible than ever. Knowledge is power. And once we know our risks, we can make informed choices tailored to our health.

What holds us back from widespread adoption of medical genetic testing and preventive care?

First, there’s a lack of awareness around what medical genetic testing is. When you hear the term “genetic testing,” many people only think of ancestral testing that traces family roots. Those tests don’t provide the same actionable health insights that medical genetic tests can.

This distinctio­n is so important. Then there are people who know about medical genetic testing but feel averse to the idea of uncovering potential health risks. This is completely at odds with the proven, often lifesaving benefits of early detection.

A gene mutation is not a death sentence. If anything, it’s a detailed map to guide your health journey. We achieve better health outcomes when we know what we’re working with.

Lastly, there’s blatant mislabelin­g at play that I believe puts many people’s health in jeopardy — especially Black Americans, who are at a higher risk of mortality if diagnosed with most cancer.

I’m adamantly against using the term “breast cancer” when talking about the disease in men. Not only do I think it’s insensitiv­e to women who go through such a different experience with one of the most personal parts of their bodies, I also know firsthand that using the terminolog­y makes men extremely uncomforta­ble and even averse to getting the treatment they need.

It wasn’t comforting to walk into my first oncology appointmen­t through doors that read “Women’s Breast Clinic” and to be greeted with the question, am I here for my wife? Since I’ve shared my diagnosis, countless men have secretly shared their chest cancer diagnosis with me, as they were too ashamed to talk openly about having “breast cancer.” It’s time to use inclusive terminolog­y that doesn’t embarrass men or prevent them from seeking the care they need.

We’ve collective­ly learned countless lessons this year that I hope we never forget. It has never been more prudent to think about our health destinatio­n so all of us can navigate our journeys. We have tools to live a healthier life readily at our disposal, and it’s time to use them. Last year, live on “Good Morning America,” I challenged Michael Strahan to take a medical genetic test. Now I’m challengin­g you to get screened — if not for you today, for your family and for your future.

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 ??  ?? Knowles in 2016 POINT AND CLICK PHOTOGRAPH­Y
Knowles in 2016 POINT AND CLICK PHOTOGRAPH­Y

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