The prophylactic masectomy club

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  • CateM
    CateM Member Posts: 39
    edited December 2015

    I had shoulder pain after my DTI reconstruction so I don't think it's only reserved for those who have DIEP. BN said the shoulder pain is from the position you are in when in surgery. My surgery was 7.5 hours and after confirming my breasts were gone, I apparently asked this question dozens of times while in recovery, my first grumble was that my right shoulder was really painful. It is still uncomfortable now and especially when I wake in the morning, guess it doesn't like being in one position for very long.

    I had nipple sparing BMX and I have sensation in one nipple and BOTH react to cold, in fact my left nipple is hypersensitive. My right nipple has some collected blood in it at the moment so she's being stubborn but I'm sure she will join the party soon.

  • Marg64
    Marg64 Member Posts: 64
    edited November 2015

    I got mine on Tuesday.

  • Marg64
    Marg64 Member Posts: 64
    edited December 2015

    i had a prophylactic MX with DIEP after a tumor was discovered on my right breast. All my first degree female relatives had breast cancer.

    Before, I'd think: Maybe I'm the one who won't get breast cancer. My sisters are younger than me. I passed four biopsies already.

    I went to the OR still haunted: Maybe I was the one that cancer would pass over. And amputating healthy breasts.

    I was in the hospital for six days. Six days later, I was readmitted for a complication.

    Pathology of the left breast tissue showed extensive LCIS and other atypical hyperplasia. It wasn't detected on mammo, US or MRI.

    So I am the one who didn't get breast cancer. But the above is what it took.


  • Mominator
    Mominator Member Posts: 1,575
    edited December 2015

    Marg64, I'm glad to see you are doing well.

    My mom had DCIS. She had a lumpectomy, followed by radiation and Tamaxofin.

    I'm a little confused. Doesn't LCIS mean Lobular Carcinoma in Situ?

    Like you, I was mourning amputating (supposedly) healthy breasts. But if your pathology showed extensive LCIS and other atypical hyperplasia, I think you're the one who stopped breast cancer before it had a chance to become invasive.

    Is the bilateral Mx enough, or do you need any further treatment?

    I just noticed that all your first degree female relatives were dx'd with bc. but are BRCA negative. I've heard that from many other people as well. There are about 13 genes that have been directly linked to breast cancer: BRCA1, BRCA2, PALB82, STK11, etc. I suspect that there are other genes that just haven't been identified yet.

    I hope you are recovering well.

    Best wishes, Mominator

  • Mominator
    Mominator Member Posts: 1,575
    edited December 2015

    Welcome to the Prophylactic Mastectomy Club!

    My mother was diagnosed with DCIS at age 62. She had a lumpectomy, followed by radiation and Tamaxofin. All was fine.

    At age 79, she was diagnosed with ILC, Stage III. She had a lumpectomy and SNB. Her tumor was 5.3 cm, and a total of 11 nodes were positive. Mom was not a candidate for chemo. She was treated with radiation. Her doctors refer to keeping her cancer in check.

    Only after the second diagnosis did I learn that mom is BRCA2 positive. She forgot to tell me. I live in another state, 300 miles away from my mother and siblings. My sister is BRCA negative.

    My grandmother died of ovarian cancer at age 48. She was an only child. My mother has two sisters, who are younger than her by a few years, but there is no cancer in them. My uncle is getting tested for BRCA because he has a daughter. All my other cousins are male.

    I tested positive for the BRCA2 mutation. (I also have a Variation of Unknown Significance on STK11.) According to my genetic counselor, I have between 60 to 87% risk of breast cancer and 40 to 44% risk of ovarian cancer. Considering the amount of cancer in just my mother and grandmother, I decided to have the prophylactic mastectomies and prophylactic Salpingo-oophorectomy (Fallopian tubes and ovaries).

    My surgery was November 11, 2015. I got my pathology report. Everything removed was benign. However, there were many areas of hyperplasia in both my breasts. I feel that I had surgery before my breasts had a chance to turn cancerous.

    I have a son and two daughters. Eventually we will need to test them. I especially worry about my daughters.

  • greenbeantrees
    greenbeantrees Member Posts: 2
    edited January 2016

    Glad I found this. I found out I was positive for the CHEK2 gene this spring. Due to family history I had a hysterectomy/oophorectomy in August and then in November had a bilateral mx with TEs. Had some complications and had one TE removed due to a crazy infection. While everything was going smoothly I was ok. Now that I have one TE and am looking at 6-10 months to have the other replaced, I am feeling discouraged. Haven't gotten path back, so I don't know if I dodged anything. I sometimes have doubts that I did the right thing. Anyone else?


  • mustlovepoodles
    mustlovepoodles Member Posts: 2,825
    edited January 2016

    I had a lumpectomy in Aug 2015, which revealed IDC. Only after the LX did we find out that I have not one, but two gene mutations which probably caused my cancer (PALB2 & Chek2.) There are 32 cases of cancer in my 1st & 2nd generation relatives, including 5 just in my family of origin! And two of those are BC!!

    Although my breast surgeon now considers me "cured" because she cut out the tumor, my MO doesn't feel that I'm in the clear just yet. I'm finishing up chemo now and I'll be having BMX sometime late Jan-Feb, followed by oophorectomy, possible hysterectomy later in the year.

    I'm really glad that my doctor ordered the genetic testing. I don't know why it never occurred to me to look into it. My 20-something adult children are being tested now, since they have a 50% chance of inheriting one or both (or neither) of the aberrant genes. Of my 4 siblings, only one has sought testing and she is negative. I dearly hope that my children are, as well.

  • Mominator
    Mominator Member Posts: 1,575
    edited January 2016

    greenbeantrees: I'm sorry that it has been a bumpy road for you. I think you did the right thing in your prophylactic surgery.

    I looked at it this way: for BRCA2, chance of ovarian cancer is 40-44% and chance of breast cancer is 60-87%, compared with about 7% and 12% for non-genetic mutation population. (You may have similar numbers for your CHEK2 gene.) So did I want to have surgery before or after a cancer diagnosis?

    Hopefully all of us prophylactic mastectomy club members will have good pathology reports. You should know that in approximately 10% of prophylactic patients, occult (hidden) cancer is found. That happened to one of the ladies on another thread. Her tumors were 2mm and 6mm, they were found microscopically.

    Good luck to you,

    Mominator

  • Linny50S
    Linny50S Member Posts: 7
    edited February 2016

    I had my sentinel nodes mapped before surgery and they took 3 from each side without additional incisions. The tested negative..I felt that if I am being proactive with prophylactic mastectomies I should have my nodes checked also.

  • Linny50S
    Linny50S Member Posts: 7
    edited February 2016

    I have a very strong family history of breast cancer and tested positive for NBN mutation. All of my maternal aunts (2) and my mother had breast cancer and later died. I had my mother bank her blood in case another gene mutation was discovered (she did not have BRAC). Her blood tested positive for the NBN mutation. All of my maternal cousins (4) have/have had breast or prostate cancer, linked to NBN and 2 cousins were tested and found to be NBN positive. My youngest sister is also NBN positive. My younger brother tested negative. My younger brother has had colon cancer at age 54 and my younger sister died of colon cancer at 55.I had a prophylactic bilateral mastectomy on Sept. 9, 2015 with reconstruction started. It is now Feb. 28, 2016 and I have to wait until March 24th for my implants, due to having to have my expanders replaced because of a leak and not loosing my drain tubes until Dec. 29th! I do not regret the mastectomy but I hate the pain and discomfort of these expanders. Reconstruction is not for the faint of heart.

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