Did your doctors have you do BRACA testing after DCIS Dx.

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samon
samon Member Posts: 100

I had multicentric DCIS six years ago and was never told to have any BRACA testing done.  I had bilateral mx.   I'm not sure if I want it or need the testing done.  What is the normal procedure.   I do not have a family history of breast cancer and I was 40 at diagnosis.   

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  • hope2011
    hope2011 Member Posts: 37
    edited September 2011

    I had no history of breast cancer in my family and was diagnosed with DCIS at 38.  Unfortunately, I tested positive for a BRCA2 mutation.  Even though I'm having a BMX, I have a higher risk of ovarian, prostate and melenoma cancer.  I think having that information is helpful, but I would ask your doctor.  However, don't let this scare you.  I believe it is somewhat unusual.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited September 2011

    Hey Samon,  I too had multicentric, high grade DCIS that was found by a mammogram. Prior to surgery my doctor likes to do an MRI to see if they are missing anything since the two tests show different things.  I insisted he also MRI my right "cancer free" side and low and behold it found cancer in that breast as well, high grade DCIS.  Because I had cancer in both breasts and was under 50, my oncologist did recommend that I get tested for the BRACA gene because breast cancer is linked to other cancers such as ovarian and colon.  I was happy I had the test even though it may have opened a can of worms for not only me but my daughter.  If your insurance will cover it, I would have the test done.  I too didn't have any family history.

  • azul115817
    azul115817 Member Posts: 98
    edited September 2011

    Hi Samon,

    I was also diagnosed with DCIS and had no family history of breast cancer.  However, given my age at diagnosis (44) and since my grandma had ovarian cancer, the genetic counselor recommended that I get tested.  I did, and my results came back negative.  Insurance covered the entire cost of testing.

  • rn4babies
    rn4babies Member Posts: 409
    edited September 2011

    I was dx'd in July with DCIS. I have a VERY strong family hx including my mother, aunt (her sister) at age 41 who also had melanoma, and my sister at age 37. She was BRCA negative and I was negative as well. Dumb luck in our family? I don't think so. ( I also had 3 great aunts with BC one who also had ovarian CA). I was told that it is believed that there are other gene mutations out there that they just haven't discovered yet.

  • CTMOM1234
    CTMOM1234 Member Posts: 633
    edited September 2011

    No family history here either. Diagnosed with DCIS in early 40s after a routine annual mammogram showed a cluster of micro-calcifications (no lump).

    My bs wanted to get a "complete picture" before recommending lumpectomy or mastectomy (or bmx) so had me BRCA tested, along with having an mri on both breasts. Thankfully everything came back fine, but I was mentally preparing myself (as best as one can) for what would be my next steps had the mri or the genetic testing not come back favorably.

  • cycle-path
    cycle-path Member Posts: 1,502
    edited September 2011

    samon, do you have children? If so, that's a possible reason for having testing done. Having had a BMX the benefit to you personally is somewhat limited, but if you were to test positive for BRCA1 or 2 it would be a good thing for your kids (male and female both) to know.

    My aunt had BC but was never tested. Her daughter, my cousin, has been tested and is negative, which tells me that it's not likely I'm positive. My father's family carries another genetic disorder and I was tested for that. Also negative, which was good news for my two kids. 

    In other words, whatever info you have about your own genetic issues can be helpful to other members of your family. 

  • agada
    agada Member Posts: 452
    edited September 2011

    I also have a very high history of breast cancer in the family.  I tested BRCA negative.  Some other part of the chromosome must have a mutation that is allowing for the high rate of  cancer in my family.  You can test negative, not have a family history and still end up with breast cancer. I don't know if my other family members had DCIS or not, but all were caught too late.  One cousin developed ovarian cancer as well. Talk about the BRCA test with your oncologist and see if he/she wants you to have it or tell the doc you would like one if you so desire.

    Agada

  • mom3band1g
    mom3band1g Member Posts: 817
    edited September 2011

    It was reccommended thatt I do the testing but I was neg.  Diagnosed at 39 because I found a lump.  2 of my Dad's 3 sisters have had bc and my Mom's sister died of ovarian cancer.  The geneticist felt there is a genetic component for me but we just don't know all the mutations to look for.  She suggested I have the testing done again in 10 yrs.  I do have a daughter and worry about her.  None of my Aunts were diagnosed as young as me.  (sorry about spelling errors....haven't had all my coffee yet!)

  • Natters
    Natters Member Posts: 361
    edited September 2011

    Like just about everybody else who has written, my DR ordered an MRI of both breasts and recommended the genetic testing to me because of my age at DCIS dx. Although I have one aunt who died of breast cancer at age 40, my (Roman Catholic) family is so damn large that I was not considered to have a strong family history of BC. None of my first degree relatives had BC, but my insurance paid for it because of my age. The test is really expensive (over $3,000 where I live) so hopefully your insurance will pay for it. I made sure to have the test before my scheduled lump because I would have opted for BMX instead if I was positive. Luckily, I was negative. I also wanted to know, as several people mentioned, so that I could tell my sister and niece that they were at greater risk if I tested positive. Finally, one of the recommendations for BRCA+ women is oopherectomy. My genetic counselor told me that if I tested positive, I might be at 80% chance of getting ovarian cancer. 

    So to recap my longwinded post. Reasons for you to get tested if you can:

    (1)  good information for your family to have

    (2) have an ooph or try to monitor yourself for ovarian cancer more closely 

  • shannonW
    shannonW Member Posts: 186
    edited September 2011

    Yes, had the BRCA test d/t age at diagnosis(40yo), and mom of 2 girls. It was recommended by my radiologist, It was negative:)

  • Susan726
    Susan726 Member Posts: 16
    edited September 2011

    Hi Samon,

    I'm 45 and my sister had breast cancer. The genetic counselor took my information and determined that I qualified for the BRCA test, but her analysis determined that my chance of testing positive is 6%. I provided samples by swishing with Scope and expectorating into a plastic container. I'll have the results in 2 weeks. I'm considering a lumpectomy and radiation now, but if the results come back positive I'll be reconsidering my treatment. Ovarian cancer is difficult to detect so this is one measure that I can take to understand my risk.

  • sunshinegal
    sunshinegal Member Posts: 209
    edited September 2011

    Yes, I had BRCA testing done due to my age @ Dx (36) and family history. Insurance covered it. My mom had also been tested, as she had a lumpectomy for Stage I IDC just months before my dx. Both of us came back negative but really I think that just means that our family probably has some genetic abnormality that hasn't been mapped yet.

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