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Cancer: Genetics or Lifestyle, What Really Matters?

ditinjau oleh dr. Devi Elora - KALGen Academia Team
06 May 2026
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Have you ever felt worried about cancer risk because it runs in your family? Or maybe you’ve wondered if your daily habits might actually play a bigger role? So, what really matters more, genetics or lifestyle?

Understanding the Source

Cancer doesn’t come from a single cause. In general, it can be grouped into two main types: hereditary (inherited) and sporadic (not inherited). Sporadic cancer is the most common type, developing over time due to a combination of aging, environmental exposure, and everyday lifestyle habits. As we age, our cells can accumulate damage or mutations, which may eventually lead to cancer. This type usually appears later in life, doesn’t run in families, and can vary between individuals. In other words, the risk is similar to the general population and not directly “passed down.”

On the other hand, hereditary cancer occurs due to genetic mutations passed from parents to children at birth. This means a person already carries certain genetic changes that can increase the likelihood of cancer developing earlier. Hereditary cancer is often linked to cases where cancer appears at a younger age, occurs in multiple family members, or involves more than one type of cancer in the same individual.

Even so, hereditary cancer only accounts for a small portion of cases. Most cancers are sporadic (around 70–90%), while only about 5–10% are truly caused by inherited genetic factors.

The Role of Genes in Cancer Risk

Gene mutations are changes in DNA that control how cells grow, divide, and repair themselves. These changes can happen naturally over time or be triggered by external factors such as radiation, chemicals, or lifestyle habits like smoking.

Under normal conditions, genes help keep cells functioning properly. But when certain genes are altered, especially those responsible for controlling cell growth, cells can grow uncontrollably and potentially become cancerous. These mutations can occur after birth or be inherited from parents.

In some cases, inherited gene mutations can increase the risk of certain cancers. One of the most well-known examples involves the BRCA1 and BRCA2 genes, which are linked to breast and ovarian cancer. However, having a gene mutation does not mean someone will definitely develop cancer, it simply increases the risk. Cancer typically develops over time and is influenced by multiple factors, including environment and lifestyle. In this sense, genes act more as a risk factor rather than a certainty.

The Role of Lifestyle and Environment

Beyond genetics, cancer risk is also strongly influenced by factors we can control, our lifestyle and environment. Everyday habits such as smoking, excessive alcohol consumption, unhealthy diets, and lack of physical activity have all been linked to a higher risk of various cancers.

For example, smoking can damage DNA and is a leading cause of lung cancer, while excessive exposure to ultraviolet (UV) radiation increases the risk of skin cancer. Poor air quality can also contribute to cancer risk, even though it may not always be within an individual’s control.

It’s important to understand that the impact of lifestyle on cancer develops gradually, not instantly. Damage builds up over time due to repeated habits, such as high-fat diets, physical inactivity, or excessive alcohol intake. In fact, studies suggest that around 42% of cancer cases are linked to lifestyle factors that can actually be modified.

The good news is that because these factors are changeable, the risk of cancer can be reduced. Simple steps like quitting smoking, maintaining a balanced diet, staying physically active, and protecting yourself from harmful exposures can play a major role in prevention.

Know the Red-flags!

Not all cancers are hereditary, but there are certain signs that should raise awareness. Suspicion may arise if cancer develops at a relatively young age (for example, under 50). A strong family history, such as multiple relatives with the same or related cancers, can also be an important indicator.

Risk may be higher if cancer occurs more than once in the same person, involves multiple cancer types, or appears across several generations. While these signs don’t always mean the cancer is inherited, they do suggest a higher level of risk. In such cases, consulting a doctor or considering genetic testing can help provide a clearer understanding.

Conclusion

Cancer risk is not determined by a single factor, but rather a combination of genetics, lifestyle, and environment. Genetic mutations can increase susceptibility, but they are not a guarantee. At the same time, daily habits play a major role in shaping risk over time.

That’s why understanding where your risk comes from is so important. It allows you to take the right steps for prevention and early detection in a more informed and proactive way.

KALGen Innolab, as a diagnostic laboratory, is committed to supporting cancer prevention and early detection through comprehensive testing services. With advanced diagnostic technology and a team of experienced professionals, KALGen Innolab provides a range of laboratory tests to support cancer screening and risk assessment. Early detection through the right testing plays a key role in improving treatment outcomes. Consider genetic testing at KALGen Innolab to better understand your personal risk from an early stage.

References

American Cancer Society. (n.d.). Is cancer hereditary? Retrieved May 5, 2026, from https://www.cancer.org/cancer/risk-prevention/genetics/is-cancer-hereditary.html

Cancer Research Institute. (n.d.). Why do we get cancer? How our lifestyles impact our risk. Retrieved May 5, 2026, from https://www.cancerresearch.org/blog/why-do-we-get-cancer-how-our-lifestyles-impact-our-risk

Cancer Research UK. (n.d.). Family history and inherited cancer genes. Retrieved May 5, 2026, from https://www.cancerresearchuk.org/about-cancer/causes-of-cancer/genetics-and-cancer/family-history-and-inherited-genes

Facing Our Risk of Cancer Empowered. (n.d.). Inherited mutations and cancer. Retrieved May 5, 2026, from https://www.facingourrisk.org/info/hereditary-cancer-and-genetic-testing/hereditary-cancer/inherited-mutations-and-cancer

Maryland Oncology Hematology. (n.d.). Role of genetic mutations in cancer development. Retrieved May 5, 2026, from https://marylandoncology.com/role-of-genetic-mutations-in-cancer-development/

Mayo Clinic Proceedings: Innovations, Quality & Outcomes. (2024). Lifestyle factors and cancer risk (full text). Retrieved May 5, 2026, from https://www.mcpiqojournal.org/article/S2542-4548(24)00008-0/fulltext

National Cancer Institute. (n.d.). Genetic testing for inherited cancer susceptibility syndromes. Retrieved May 5, 2026, from https://www.cancer.gov/about-cancer/causes-prevention/genetics/genetic-testing-fact-sheet

University of California, San Francisco. (n.d.). What is hereditary cancer? Retrieved May 5, 2026, from https://brca.ucsf.edu/what-hereditary-cancer

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