BRCA2 + with major family history

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dsmitzy
dsmitzy Member Posts: 9

Hello, I have tested positive for BRCA2 and have an extreme family history of breast cancer. I am 39 years old. I am going to MDAnderson tomorrow to discuss my options with a breast and a ovarian cancer specialist. I am looking for advise on questions I should ask these specialists. Any advise would be greatly appreciated. The more information, the better.

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  • Carlatap
    Carlatap Member Posts: 96
    edited January 2013

    Hello dsmitzy, I'm sorry you have to go through this, especially so young. I too have tested positive for the BRCA2 mutation, along with my sister, and my 2 daughters who are 24 and 26. They see a specialist, and are getting tested every 6 months with an ultra sound and blood work. They've been encouraged to see a dermatologist as well. Since I found out after having my 2nd diagnosis of breast cancer when I was 50, I decided to have my ovaries and fallopian tubes removed and to have a mastectomy with reconstruction 2 years ago. My sister did the same. So far so good.... You will want to get options concerning how you want to follow up with this diagnosis. whether to have surgeries or to have bi annual check ups. When I went to genetic counseling, I was told that I had an 86% chance of getting breast cancer again in my life time  or ovarian cancer. My paternal grandmother had both. This is why I chose the surgeries. My daughters wish to have their children first before going on with the surgeries which they know are in their future. We all take one day at a time. I hope this is helpful.

    Be strong,

    Carla

  • dsmitzy
    dsmitzy Member Posts: 9
    edited January 2013

    Carla, thank you and best wish for you and your family.

  • Moderators
    Moderators Member Posts: 25,912
    edited January 2013

    Hi Dsmitzy,

    In addition to the helpful advice Carla gave, the main Breastcancer.org site offers information on What to Do if Your Genetic Test Results are Positive.

    We hope this helps, and best of luck to you!

    --The Mods

  • dsmitzy
    dsmitzy Member Posts: 9
    edited January 2013

    Thank you, Moderators. That was very helpful.

  • howhm02l
    howhm02l Member Posts: 147
    edited January 2013

    I also BRCA2+. I am 42. Based on family history, I was being very closely monitored and had DCIS on left side detected by routine MRI. Then Iwas tested for the gene. I had BMX in August and will have tubes and ovaries removed in the next couple of months.



    As far as questions go, I would ask about whether they reccommend full hysterectomy or just tubes and ovaries. You did note nation whether you had children. If not, you will want to ask questions about fertility issues. In addition, you will want to discuss the side effects is surgical menopause, whether you can take hormones or not, etc.



    If you have not been to the fORCE website, I would highly recommend it. In addition, there is an organization called BRIGHT PINK, which is for young wen who are high risk for breast and ovarian cancer. Finally, there is a great closed group on Facebook called BRCA Sisterhood. You can ask to be added.



    Heather

  • dsmitzy
    dsmitzy Member Posts: 9
    edited January 2013

    Thank you so much, Heather! 

     I am being referred to a surgeon for a mastectomy and reconstruction.

    As far as the ovaries go, I need time to consider my options. I am done having children,but I am fearful of menapause. I am being told that taking hormone is not an option for me.

    I am feeling overwhelmed with all the information and decisions that have to be made. I am also feeling guilty for being so darn emotional when I should be grateful that I have a choice.

  • dsmitzy
    dsmitzy Member Posts: 9
    edited January 2013

    Thank you, Heather!  I truly appreciate your help.

  • Patsycan
    Patsycan Member Posts: 9
    edited January 2013

    Carlatap,

    i have seen a lot of people post that they were told they had a specific, e.g. 86%, chance of getting BC due to their gene status.  I was given a range of 50 - 85%. I was just wondering if my councellor was being conservative or why I got a range and most others I see have specific numbers?

  • J9W
    J9W Member Posts: 395
    edited January 2013

    What they are given is a probability number as opposed to a 'real' specific number. Probability numbers all have some type of variance so you're being given a range is more realistic than being given a specific numbers.  It's just statistics.

  • Lexie_Ann
    Lexie_Ann Member Posts: 34
    edited January 2013

    i was tested in 98 at 24 years old. i was getting bloodwork and ultrasounds done every six months until i moved to NC diffrent ins rules. What did MDanderson say

  • bethintn
    bethintn Member Posts: 3
    edited January 2013

    I am a bit unusual. I am 38.  My mother didn't have breast cancer, neither did my grandmother on either side. My dad's family has NO history of BC/Ovarian at all. My mom's sister died of breast cancer last year and my 33 year old cousin developed ovarian cancer, her mother is 65 and has never had breast/ovarian. No one on her dad's side had it all. The geneticist says that it has to come from my maternal grandmother. THe ovarian cancer my cousin developed was not due to BRCA. She is overweight and the ovarian cancer she had the pathologist said you find in overweight individuals so it was just a chance her doctor did a BRCA test. My first cousin is BRCA2 positive. The geneticist evalutated our family history and determined my grandmother HAD to have the gene but she never developed  cancer but neither my cousins mother. What are my chances? She said 25%. My mom refused testing. She is 72 and has severe COPD. She would not be a good candidate for prevenative treatment. I have already told the breast doctor I would go ahead with the double mascectomy and ovarian removal if I came back positive. Any thougths or feedback. How odd is it that our grandmothers and mothers never had cancer but yet the offspring does. Yes we have 1 aunt that died from it and 3 great aunts but shouldn't this BRCA be more expressive, meaning shouldn't our mothers have this? Our mom's also have other risk factors such as heavy smokers. This coupled with a BRCA gene would mean almost a guarantee that they would develop cancer. I will know February 7th. 

  • SelenaWolf
    SelenaWolf Member Posts: 1,724
    edited January 2013

    The nasty thing about the BRCA gene mutation is its unpredictibility.  Not everyone who has the mutation will develop breast cancer.  Doctors cannot predict which BRCA+ individuals will develop cancer and which will not.  They can only give you a probability based on your family history.  That's why decision-making can be so difficult.

  • dsmitzy
    dsmitzy Member Posts: 9
    edited January 2013

    Lexie Ann, the specialists at MD Anderson recommended a double mastectomy along with removal of my ovaries and fallopian tubes. Just waiting for the surgical referral to talk about the other choices we will have to make.

  • MiniMacsMom
    MiniMacsMom Member Posts: 595
    edited January 2013

    DsMitzy:  Dr Wagner at MDA did my Mastectomy revision and will to my other side MX when things settle down.  I really appreciate being an MDA patient.  I am 29 now BRCA 2 pos was the first in my family DXed and now chasing it up the line.  My mom who is the carrier out of my two parents does not have BC or OC at 61.  She just scheduled her OOPH.  You are in the BEST hands at MDA.  I'm sure whoever your surgeons end up being will be great. 

    The problem with BRCA is that I think your mutation can make a difference.  But since miriad doesn't have to release the statistics on mutations vs occurance then the risk range becomes so broad.  :( 

  • Dawnie
    Dawnie Member Posts: 21
    edited January 2013

    dsmitzy, I too have the BRCA gene & a strong family history

    Mom has Stage IV diagnosed in the last couple years. She had a mastectomy in 1986 with chemo & was cancer free. until5 years ago she was diagnosed with rectal ca - went through heck - had a bone scan & they found breast cells on her tailbone....so rectal ca saved or at least prolonger her life. She is currently receiving chemo.

    Maternal grandmother had breast ca & her aunts all had breast or ovarian ca

    Paternal grandfather had breast cancer.

    My mom, uncle & cousin have all tested + for BRCA2

    I had my mammogram last week & was called back for more testing (which is typical) as I have dense tissue. Had the diagnostic mammogram (ouch) and an ultrasound. They said I have cysts (not unusual) but one needs to be aspirated......this is a first. She also commented about my milk ducts & I must have had several children & breast fed. Fact is I had one child & did not breast feed as I didn't produce any milk.

    Now, of course, I am worried. I get tested every 6 months between MRI's, mammograms & ultrasound and this is the first time they ever mentioned cysts or anything that needs aspiration. I have continued with my OBGYN and never seeked out more specialized care, but now am thinking I should consider MDAnderson.

    Just felt the need to vent & release some of my hysteria!!! Sorry for the long post

  • dsmitzy
    dsmitzy Member Posts: 9
    edited January 2013

    Dawnie, I am so sorry you are going through all this. No need to apologize for venting. I totally understand. Our family histories sound very similar.



    I am meeting with a surgeon at MDAnderson on Monday. So far, they have been great. They take their time and explain things so that I understand. They answer all my question. (and I have tons of questions.)



    I, personally, have opted for a double mastectomy and removal of my ovaries and fallopian tubes. I would obsess and worry constantly otherwise.



    I wish you all the best. Hugs!

  • Pseago
    Pseago Member Posts: 1
    edited February 2013

    I am 57 and BRCA2 +..found out about a year and a half ago. I have three Sisters and we all 4 r BRCA2 +, along with my Mom.  My maternal Grandmother died of BC. My Sister, Linda, at age 40 was diagnosed with stage 2 very aggressive BC , which she is a 15 year survior. My Mother was diagnosed with BC two years ago but passed away in Sept. 2012 of a lung disease.  My Sister, Becky, age 53 was diagnosed June 2012 with BC and just finished her Chemo. She had both breast removed a month after she found out she had cancer and has not yet had reconstuction surgery.

    In early Oct. 2012, Linda, age 56 had mastectomy with DIEP .. 28 hours of surgery in two days. The Dr. could not get blood flow to one of the flaps, so she ended up with just one breast done. Very disappointing. I can not decide what to do, but I know I need to DO SOMETHING FAST.  I feel like a sitting duck!

    I do not think I want the implants or the surgery that Linda had. I`m thinking of maybe just getting the ovaries out now and worry about the rest later. Linda keeps telling me though if I were to decide later to get the mastectomy with DIEP, that any kind of surgery to my stomach might mess up the chance of having DIEP. I just am so confused, I truly don`t know which way to go. 

    Also, we all are trying to deal with the death of my 52 year old sister, Karen, who was murdered by her ex in late Oct. 2012, 8 weeks after my Mother`s death...two weeks after Linda`s 28 hour surgery....and Becky was in the middle of her treament of BC.  2012 was not a Good year for our Family...Looking forward to God`s Blesssings in 2013.  

    I have been researching a clinic in Miami.  Miami Breast Center, has anyone else heard of it? I would love to know more about this procedure. Maybe talk to someone that had been there and had this done....It sounds so much less invasive that the others. Didn`t mean to post so long...I`m like Dawnie...just needed to vent..but also looking for answers.  

  • turtlegirl25
    turtlegirl25 Member Posts: 9
    edited February 2013

    I am in the same boat as you right now but I am BRCA 1 +.  I am 34, have 2 kids and am looking to do the surgery.  It wasn't even a question for me because I am a CT/Mri tech and I see cancer every day.  I don't want to get breast ca and I think being proactive is a good way to go.   Going from a 87% chance to a less than 4% if you have bil mastectomies.  I am still searching for a dr. that will do my surgery.  I have an appt with a breast surgeon today, so hopefully I can have more answers for you later.  It is a very stressful decision to make, but in the end, I think its worth it!

  • dsmitzy
    dsmitzy Member Posts: 9
    edited February 2013

    I have been going to MDAnderson in Houston, Tx. I will be having a prophylactic bilateral mastectomy with immediate reconstruction on March 15th.  It all became very real when I met with the plastic surgeon.  I know this is the right decision for me, but it seems so drastic when, at this moment, I am completely healthy. 

  • farmerlucy
    farmerlucy Member Posts: 3,985
    edited February 2013

    Ladies - FYI http://www.coloradocancerblogs.org/take-the-tubes-but-leave-the-ovaries-salpingectomy-an-evolving-option-for-young-women-at-high-risk-for-gynecologic-cancers/

    take-the-tubes-but-leave-the-ovaries-salpingectomy-an-evolving-option-for-young-women-at-high-risk-for-gynecologic-cancers

  • RachelWhit
    RachelWhit Member Posts: 1
    edited February 2013

    Dsmitzy I was diagnosed with BC in May 2011...I was 41 years old, so it was suggested that I get genetic testing done. I was adopted at birth but was reunited with biological mother & her family in 1999. My biological grandmother died of breast cancer 4 years after I met her. I am BRCA 2+. I also have been a patient at MD Anderson & feel that it is a great place. I've had a double mastectomy, total hysterectomy & I'm almost done with reconstruction. The surgeries weren't east but making the decision was the hardest part for me. Like you I felt healthy & kind of felt like I was mutilating my body. I gathered tons of info & researched until I came to a decision that fit me. I don't regret anything I chose to do & have peace of mind. You have to do what is right for you. I wish you the best & know that MD will take great care of you.

  • dsmitzy
    dsmitzy Member Posts: 9
    edited February 2013

    Thank you, RachelWhit!

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