Mastectomy without genetic test?

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Papillon1
Papillon1 Member Posts: 308
Mastectomy without genetic test?

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  • Papillon1
    Papillon1 Member Posts: 308
    edited June 2013

    I am waiting to find out if I can have tests to see if I have a DNA mutation resulting in increased odds of bc. My mother has metastatic bc, her mum died the same way. There is ovarian and bc on my fathers side too.

    I know so few bc are actually hereditAry. but I also know that some people may inherit tendencies towards certain things such as bc, and these aren't things the can test for. I am aware the genetic testing s are not definitive. There are more hereditary tendencies and things out there tha they can't test for.

    Basically, whatever the result of any tests, if they offer it me, I want a mastectomy. Has anyone else ever done this? I am not sure wha the health insurance will make of it..



    I don't see the point in keeping my breasts...they have done their jobs, fed my three children and if there is a chance they may kill me why keep them? I just can't find a good enough reason to keep them...

    The genetic oncologist team I saw have said that whatever the outcome of tests etc I would be offered increased screening. I am not comfortable with this approach - wait for the cancer to come and then take action. Why not take action now?



    I have discussed this with my husband and have thought about it a lot.

    I wonder if I will meet opposition from the medical world?...



    Just wondered if there is anyone in the same boat out there?

  • MelissaDallas
    MelissaDallas Member Posts: 7,268
    edited June 2013

    Papillon, it would be better for your mom to be tested first since she already has cancer. If she is positive the test can be offered to you at a greatly reduced price. You should really see a genetic counselor, because there are other familial syndromes that predispose you to breast cancer also. That way if your Mom is negative the counselor might have some other things she would want to look into.



  • Papillon1
    Papillon1 Member Posts: 308
    edited June 2013

    hi Melissa,
    thanks for replying.
    Even if mum is tested, there is bc on my fathers side too...

    I have already met with the genetic oncologist counsellor and had my initial consultation. They are fact finding now regarding my family tree and the cancers within it. So they ma ask for my mother to be tested. But I feel so strongly..impatient in fact. It's the chance of a a cancer spreading that scares me. I just don't want to give anything that chance....I want to get it before it gets me...I guess seeing my mother struggle through stage 4 bc is having a massive impact on me. I am scared...and don't want to spend my life looking over my shoulder...I feel the op would help me..

  • MelissaDallas
    MelissaDallas Member Posts: 7,268
    edited June 2013

    I understand. I had a rather rare form of ovarian cancer two years ago. Both my Dad's mom & sister had colon cancer, then I was diagnosed with LCIS. Interestingly, the type ovarian cancer I had doesn't up my BC odds very much. They were actually more concerned that I have Lynch Syndrome than BRCA. I was tested for BRCA, PTEN & CHEK2 gene variants but am negative for all. You just know that in time they are going to find more genetic triggers that they don't know about yet.

  • mkkjd60
    mkkjd60 Member Posts: 583
    edited June 2013

    Dear pap, I know exactly how you feel. My mom lost her battle with bc last Monday. It was absolutely horrific to watch. She suffered so. My mom was tested for brac and was negative. Aside from 1 of her aunts who also died of bc at age 76 I don't have much of a family history of bc. And my mom was 73 when she passed. I rotate Mammos and MRI every 6 months. I am 53. in spite of the surveillance, I am terrified of this disease. I like you would like to head all this off at the pass and get rid of them. I'm tired of thinking of bc. I've spent years researching, taking mom all over searching for treatments. Mom died in my fathers arms as I held her hand. Something I will never forget. I get what you're saying. I don't really need these breasts and they feel like my enemies. There is something to be said for mental freedom, living without feeling that the blade will drop any second. Please let me know what you decide. I will be entertaining a similar choice soon.

  • zogo
    zogo Member Posts: 20,329
    edited July 2013

    Hi Ladies, I can relate to your fears. I was diagnosed with ALH and had an aunt and her daughter that both died at 45 of BC. My insurance would not pay for the brca test, but after TONS of research and much deliberation, I opted for PBMx and DIEP flap surgery. Ironically, insurance paid for the surgery.  It has been over two years and I will probably go through one more reconstruction when I lose some more weight.  I thought I was in a great place with total peace of mind, then at my very first colonoscopy they found cancerous polyps. I didn't need any treatment except close follow up.  I'm going in tomorrow for a sigmoidoscopy and we keep a close watch on it.

    In reading your situations, it is so clear to me that I would do it again if given the choice. The peace of mind was worth all the struggles and scars. If you have any questions, please let me know. All my best to you... 

  • BlueSky5
    BlueSky5 Member Posts: 46
    edited June 2013

    Yes, I understand and in the same boat of needing PBMX. I have an extensive family history - almost everyone on one side of my family has had breast, ovarian or prostate cancer. Yet none of the relatives who have had cancer will be BRCA tested.  Or if they have they will not admit to it or share the results. I have risk factors that increase my odds of BC even if I did not have this extensive family history. So I should have PBMX and then eventually oophorectomy. I am not that attached to my breasts but I dread the very long surgery and the stress leading up to general anesthesia and the 4 to 6 week recovery.  I need to keep reminding myself it is better than dying from cancer at a young age. 

  • tersteec
    tersteec Member Posts: 1
    edited June 2013

    Hi everyone,

    I too have an extensive family history of breast cancer; my mom, grandmother, aunt and my mom's two 1st cousin's (all on my mom's side) and my father's sister.  All got breast cancer in their 50's.  Treatments ranged from lumpectomy to mastectomy's and from radiation to chemo.  So far no one has died.  I have been vigulant about taking care of myself and undergoing mammograms, ultrasounds and MRI.  Yesterday I had surgery to remove intraductal papillomas.  I have had bloody discharge from my nipple for a year.  Doctor told me once he was in, he removed the ones close to the nipple, but there were periphial ones as well he removed.  I see him next week to get the pathology results. 

    Pap, I completely agree with you in terms of a double mastectomy.  I am of the mind to be proactive and preventative instead of waiting to hear the 'C' word and then reacting to such with treatment.  I have already decided that if my results next week are in any way pointing towards a cancerous future, I will be requesting a double mastectomy.  My doctor is in full agreement.  Although I know this also includes removal of the ovaries.  I feel this route is much healthier for me as it is easier to recover from surgery than go through surgery followed by months of chemo and radiation. 

  • vmudrow
    vmudrow Member Posts: 846
    edited June 2013

    I had PBMX three years ago - was diagnoised with ALH - so insurance paid for it.  A question to ask your surgeons is if you would be able to have nipple/skin sparing surgery - that's what I had and I was very happy with the whole process. 

  • shorfi
    shorfi Member Posts: 791
    edited June 2013

    I'm apologizing in advance because I am not sure where to post this.



    I was diagnosed again with breast again on 6/19/13 with DCIS. I had SNB on June 21,2013 and it was negative...much to my relief. I am now seeing the plastic surgeon on July 9th for consultation and will be scheduled to have a bilateral mastectomy with immediate reconstruction.



    Initially I had just had breast MRI one week prior to all this and an ultrasound, mammogram as well as ultrasound needle core biopsy was ordered. Needless to say I was petrified. When the results came back on the 19th I was a mess. I had already scheduled an appointment with my breast surgeon about having a mastectomy and the results that she gave me in the office only confirmed my decision to go ahead with this surgery.



    I have been so tired of waiting for the other shoe to drop...and it did. I want to experience the freedom from worrying all the time about breast cancer. Of course I realize that it is not 100 percent, but the anxiety from all the scans, mammograms, tumor, follow up doctor appointments leaves me feeling anxious all the time. Mentally I'm tired, but feel like I'm in a good place now because I am going to do this. I have the full support from my wonderful husband and of course my breast surgeon.



    I just needed to vent and also if you ladies have any opinions or suggestions I do welcome them. Thank you in advance.

  • glorianna
    glorianna Member Posts: 92
    edited June 2013

    Hi,

    Just as you - I wish to do masectomy now. I have very dense breasts. All imaging have missed areas.

    Where do I get a surgeon. Now!

    Take care, a worried 47 yr old woman with ex ovarian tumor

  • zogo
    zogo Member Posts: 20,329
    edited July 2013

    Glorianna, I find it curious that in your several posts on this site over the last couple of days that you state your age as 46 in one, 47 in another and 48 in a third post. ??

  • glorianna
    glorianna Member Posts: 92
    edited July 2013

    Hi, I am 47 yrs. I will try to be correct in future. I just had more pre-cancer pathlogy reports. Sorry.

  • Beesie
    Beesie Member Posts: 12,240
    edited July 2013

    Breast pathology reports from additional breast biopsies?  What type of pre-cancers? 

  • glorianna
    glorianna Member Posts: 92
    edited July 2013

    Hi,

    Dear Beesie, how are you doing?  I have different pathology results from colonoscopy, and colons not being biopsied.

    I have sort of given up right now, tonight with a tumor marker in blood...   I will get back about this later.

    Wish you  the best....

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