High Risk Categories??

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gmr
gmr Member Posts: 26

Hi, I'm 36, never been pregnant, and have been on birth control since I was 16.  When I had my core biopsy the Dr. mentioned that I was in one of the high risk categories because of those things.Honestly, I was so stressed at the time that I didn't listen closely to what he was saying.  My only family history of breast cancer was my great grandmother.  My core biopsy came back as fatty tissue but they ruled it inconclusive because it did not correlate with the findings from the Dr. and the mammo.  I have a 3 cm assymetric, ill-defined, mass showing up on the mammos and the compression view of the mammos.  I am now scheduled for an excisional biopsy on Wed. 4/22.  Any thoughts or advice?

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  • leaf
    leaf Member Posts: 8,188
    edited April 2009

    Yes, there are a big variety of conditions that are thrown in the bucket of 'high risk'. 

    They call people 'high risk' from being on birth control pills to having LCIS to having BRCA.

    Now BRCA positive women can have up to about an 85% lifetime chance of having breast  cancer.  That's one of the biggest numbers I know of.  But the 'additional' risk for being on birth control is relatively small, and goes away fairly quickly after birth controll pills are stopped.

    Yes, being on long term birth control and having no children are risk factors.  

    You can go to http://www.cancer.gov/bcrisktool/ and look at your numbers with and without these factors to see how it changes risk.

    But note that these estimates, even though they may be accurate for  the group of people with those characteristics, it is VERY POOR at predicting YOUR breast cancer risk.  I know that seems odd.  Its a statistical thing. 

    You will probably see that being on birth control for many years does slightly heighten your risk, as does not having children.  I had those risk factors too (until I stopped taking the pill).  

    My grandmother, rather than my greatgrandmother, had breast cancer.  I ended up going to a genetics counselor because this grandmother was a paternal grandmother, and she had only sons.  I was told my risk of the BReast CAncer gene mutation was about 4%.  Only a genetics counselor can really calculate your risk for having a BRCA mutation, but it would be low.  It is thought that only about 15% of women with breast cancer get it due to a hereditary single mutation, such as BRCA.  But unless your family had many, many sons or very few people in each generation, your risk for having BRCA is probably fairly low.

    I know this is very distressing to go through.  But remember 80% of biopsies are benign. We all like to be ready for whatever is ahead of us.  

  • Beesie
    Beesie Member Posts: 12,240
    edited April 2009

    Here's another website with good information about breast cancer risk factors:  http://ww5.komen.org/breastcancer/loweryourrisk.html

    From this same site, here is a risk factors table:  http://ww5.komen.org/BreastCancer/BreastCancerRiskFactorsTable.html

    Good luck with your excisional biopsy on Wednesday.  Hopefully it confirms that all you have is fatty tissue.

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