daughter seeking advise
My mother is 51 and has had a history of breast cancer in her family, and was diagnosed with breast cancer about 4 weeks ago, the mass is small and only in one breast but she underwent genetic testing and was found to be positive under the brca1 gene. Now they say she should have her overies out which is no problem but now is the decision for a full mestectomy or lumpectomy...she is undecided but my thought is if it comes back why go through another surgery years later. What is the benefit of lumpectomy vs. mestectomy? And now that we know she is a genetic carrier that question is even harder.
Comments
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Hi Shaz -- the benefit of the lumpectomy is to preserve as much breast tissue as possible. The decision to get a mastectomy can be determined by the type of breast cancer (i.e., lobular has a greater chance of occuring in the other breast), the size of the lump. being able to get clear margins (that's being able to remove the tumor and having cancer-free tissue around it) chance of it recurring in the other breast.
It's hard to predict what will happen in the future -- your Mom could get a lumpectomy and be cancer-free for the rest of her life. Or, maybe she will continue to have a risk. I think she should go with what her doctor recommends. If she goes for the mastectomy she can get a reconstruction at the same time, or get it later, or not at all. Regardless, she should go for what will give her the best health outcome.
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As she has BRCA1, I would suggest considering having a bilateral mastectomy-ie, having both breasts removed. Although this doesn't take away the risk of recurrence completely, it does minimise it substantially.
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Shaz,
I agree with Konakat, your Mom has to decide what is the best course of action for herself, based upon her doctor's recommendation. She needs to research all avenues and make her own decision. My Mom had breast cancer and ovarian cancer, both late in lift onset (70 and 75). I was diagnosed May 20th with DCIS right breast and IDC left breast. Even though genetic testing was negative for me, my decision was to do one surgery and increase my chances of never having to do it again. I had a bilateral with immediate DIEP reconstruction and ooph on July 17th. Going back to work today and feeling good. Still some swelling and tightness, but nothing I can't live with. I wish you and your Mom the best of health, my prayers will be with you both as you make this journey together.
Cathy
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thank you all for the advise. Her surgery is on the 14th so the family will just have to take it one day at a time.
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