Need advice 23 brac1+ and brac2+

bhope23
bhope23 Member Posts: 14

Hello, I'm 23 and Brca1+ and Brca2+. I'am considering having my breasts removed and reconstructed. My mother died at 30 from BC. Although, I'm afraid I'm to young to think about surgery just yet. I don't know if I should be careful and just do my mri's.. I'm married and want to have a family within the next few years. Do I get that out of the way before surgery? Are there any younger people out there who have done this surgery? I would also like to know if anyone has had this sugery and there thoughts. Just looking for some guidance.

Comments

  • Emily2008
    Emily2008 Member Posts: 605
    edited January 2009

    So sorry for your crummy genes Frown !  I'm BRCA 2 pos, so I can relate.  I get tons of help and encouragment from the FORCE website: facingourrisk.org, which is specifically for those of us with genetic and heredity issues.  It's all so scary, I know, but just educate yourself as much as possible.  You'll know what the right thing is to do and when to do it.

    Feel free to PM me with any questions.

  • runalot08
    runalot08 Member Posts: 163
    edited January 2009

    Bhope,

    I am older than you (33) so my decisions are based on different things.  Unless you want to breast feed then as far as children go you would not need your real boobs.  Honestly, I breastfed both of my kids for 3-4 months each.  However, they would have survived even if I hadn't.  That is a personal choice.  While some say that it is the best for the child I do not think that it means you love them less or can not bond with them as well if you bottle feed.  Being there for them through out their lives is the most important thing.  Then... when they are older they will appreciate you being around more than they felt begrudged about not getting booby when the kid down the block says he did.

    One thing to share which I am hoping your Dr. did also is that since you are so young you would have dense breasts.  The MRI is the best way as far as everyone says.  So if you do not do the mast keep up with the MRI's. I think they are not 100% accurate but probably one of the best there is out there for dense tissue.

    Also if you go to the main forum index and scroll down to community support there is a link for young women w/ breast cancer.  You could post your question in there and they may give you lots of help.  Just let them know that you do not have cancer then state your problem with questions.  I hope this helped or they can give you help.  Either way it is your choice but are boobs actually needed for parenting? ...no.  Keep your chin up and do all your homework you will find the right answer for you.

    Vickie

  • PSK07
    PSK07 Member Posts: 781
    edited January 2009

    bhope - you probably want to look at the website for FORCE (facingourrisk.org), which is an organization for women at high risk for breast and/or ovarian cancer.

    I also read a book this past summer - Pretty is What Changes - which is by a woman who, like you,  had a mother die from BC, had the gene mutation, and had to make the hard decisions you are facing.

    Best and take care.

  • whippetmom
    whippetmom Member Posts: 6,920
    edited January 2009

    It breaks my heart that a 23 year old young woman should have to make such a weighty decision.  I am so sorry you lost your mother at such a young age. 

    I agree with runalot08 referable to her comment regarding children and breastfeeding - whether it is something you will want to do.  Interestingly, Dr. Susan Love's website has an article regarding trials which supported that breastfeeding reduced the risk for BRCA+ woman.  I was just discussing this with my niece, who is your age.  Here is the link to the website:

    http://www.dslrf.org/mwh/content.asp?L2=1&L3=7&SID=130&CID=410&PID=42&CATID=0

    You have your whole life ahead of you and we know you will make the decision you can live with.  You are asking the important questions, investigating, researching - and the FORCE website Emily mentioned is an excellent resource.

    I would request/demand nothing short of an MRI every year though, and I would ask to be assigned to either an oncologist or breast specialist who can schedule you for bi-annual breast evaluations.  This means that every six months, a breast specialist is palpating your breasts to check for lumps, changes - anything which might need further diagnostic evaluation. 

    God bless you!

  • brst26
    brst26 Member Posts: 155
    edited January 2009

    bhope23,

    Wow, that is a lot to decide.  I was diagnosed with breast cancer at age 26 (back in July of 2007)...I eventually tested for the gene, which all of my doctors were treating me as if I were positive anyways due to my family history, age, and being triple negative (which are all hallmark signs of being BRCA 1/2+.  I am BRCA 1+.  I decided to not do anything differently...and just to have my MRI, BSGI (breast specific gama imaging), and Mammograms opposite each other every 6 months.  I really think that it is a personal choice...and really nobody can tell you what's best for you.  Ultimately, you have to do what feels right to you.

    I am very sorry to hear that your mother passed away at such a young age.  I hope that you are able to make a decision that gives you peace of mind.  If you have any questions, please feel free to ask.  God bless you!

    -Abbey

  • momodent
    momodent Member Posts: 4
    edited February 2009

    Hi- I'm really sorry to read this, and can't keep from writing a little about myself.. I'm BRACA 2, as you might know that's the easiest of the two types to cure if you end up with breast cancer. I also lost my mother when I was young; she was 35, I was 8. I was diagnosed with BC when I was 30, soon after I stopped breast feeding my first, and only, child. Al the women in my family who have been ill wit BC have been diagnosed after pregnancy. I must say there is no doubt for me that the double mastectomy (I removed one breast preventatively) was a relief. In any case the choice of removing breasts must be weighed against all the difficulties of treatment, even though they were to find the tumors early. Having to undergo chemo and hormonal treatment took years out of my life and out of the quality of my relations to my daughter and husband. I am 33 now, and lost the option of giving my daughter a sibling, because I have to wait until 5 years after the diagnosis. I don't know if I would feel safe against the enourmous flow of estrogen during pregnancy later either, I've been told that my pregnancy most likely kick started my cancer. I had two tumors sized 2 cm, found them myself. I have been screened every 6 months since i was 18. I don't mean to scare you, and everyone's story is different. I do think though, that the knowing that you are safe from BC when you start your family is worth a lot. And- I know several womenwho have bought breast milk to provide their baby with the advantages it provides. All my best wishes for you! 

  • cathyl123
    cathyl123 Member Posts: 2
    edited February 2009

    Please try the website for BRCA positive and high risk individuals. It is www.facingourrisk.org (FORCE). I am positive for the BRCA 1 mutation and have been to FORCE's 3rd annual conference in Florida last year after having breast cancer. I am much older than you (48 now) and have 2 teenage daughters. I do worry about their futures if they test positive. At the conference, I met young women who were in your situation, and they can help connect you to someone to talk with if you email or call them. I am an outreach coordinator for them in my area. They are having another conference this May, so if you are interested, you can find the info on their website. You could also ask the genetic counselor at your place of testing if they can help you find someone your own age that is BRCA 1/2 to talk with.

  • tami48
    tami48 Member Posts: 533
    edited February 2009

    My 23 year old daughter is BRCA2+, as are my 2 nieces (ages 24 & 27).  They have chosen to do surveillance.  I'm also BRCA2+. 

    I agree with cathy123 and go to www.facingourrisk.org.   I have received so much useful information from that site.

    Take care,

  • Mutd
    Mutd Member Posts: 148
    edited February 2009

    Positive in both genes? It is very unusual. Are you absolutely sure that you read your test results correctly?

     I would recommend FORCE website too, they also have message board and lots of sisters with first hand experience with mutations, surveillance, and reconstruction

  • Robby
    Robby Member Posts: 126
    edited February 2009

    I also recommend FORCE but you should probably seek genetic counseling and a breast oncologistto discuss these issues with, if you haven't done so already.  Genetic counselors can be found at:

     http://www.nsgc.org/ 

  • bhope23
    bhope23 Member Posts: 14
    edited February 2009

    Thank you all so much for sharing your thoughts and stories with me. It means a lot. I look forward to see my new post.

    I just today went in for an MRI Doctors say this will be a good baseline and is the best imaging for my tissue and yes mutd I'm sure my test were read correctly. It's true the more information I gather the better I feel. Although, I still don't know how or when i will decide what to do.

  • Daudine
    Daudine Member Posts: 221
    edited February 2009

    I am 38 and BRCA-1 positive. My mother died from a second breast cancer at 64, first one at 51. My aunt died at 42 of breast cancer another one at 38 from lung cancer, an uncle at 51 from colon cancer.

    I had my ovaries removed last March and I had bilateral mastectomy with reconctruction last May though I have no cancer. My chances were too high (90% breast cancer and 65% ovarian cancer). I don't regret anything though it was a hard road to take.

  • CarynRose
    CarynRose Member Posts: 149
    edited February 2009

    I know of at least 2 other 'young' BRCA+'s who will be at the FORCE conference in Orlando.  I think conversations amongst yourselves, as well as with the experts who will be there will be incredibly valuable to you.

    Cheers

    Caryn

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