Genetic test came back--I am NOT a carrier!

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swg
swg Member Posts: 461
edited October 2017 in Just Diagnosed

I'm so relieved.

I was ready to get a bilateral masectomy if the result was positive.

So..I'm wondering what other ramifications does that have? Does this mean I might not need chemo?

I'm wondering what the experience is with others who have ER+/PR+ HE2 - tumors with no genetic markers.

Comments

  • Meshell5324
    Meshell5324 Member Posts: 54
    edited October 2017

    Hi swg- I'm glad your test came back negative. In my case the mammoprint came back low risk. That was the deciding factor for no chemotherapy, also grade 1 and no apparent lymph node involvement.

  • swg
    swg Member Posts: 461
    edited October 2017

    Awesome. I guess I won't know about lymph node involvement til after my sentinel biopsy that will take place w/my lumpectomy.

  • GreenEyes81
    GreenEyes81 Member Posts: 389
    edited October 2017

    Your tagline nearlly matches mine. I see in another post you had an MRI, did they find any more spots? My genetic testing came back negitive as well....how ever I met with my MO after surgery. Biggest mistake I made.....I have a VERY strong family history and with the type of cancer...mine is genetic. They just do not know what gene mutation caused it. I would just really recommend looking at the whole picture, not just the genetic testing. Genetics is a very new science they are learning from everyday.

    I did not end up having chemo, my oncodx was 15. No radiation because I choose a mastectomy as well. Depending on the size of your tumor, they may still recommend radiation since you are able to do a lumpectomy. Most likely, chemo will really come down too if they don't find anything bigger and if your lymph nodes are clear.

    Good luck!

  • swg
    swg Member Posts: 461
    edited October 2017

    I did have an MRI, and yeah, they found a potential spot on my left breast, and a 2nd one on my right. On Thursday they did a US guided biopsy. The left spot looked so small, the doctor said we wouldn't need to do a biopsy on it, if the right one caused me a lot of pain..WHICH IT DID. Ugh.

    So now I am waiting for the biopsy results on the 2nd spot, on the right breast. It's not in the same quadrant or even near where the known tumor is. So if it's cancer, I suspect a lumpectomy will be otu of the question.

  • GreenEyes81
    GreenEyes81 Member Posts: 389
    edited October 2017

    Yes, my 3 spots were spread out. Being multi focal ment no lumpectomy.

  • swg
    swg Member Posts: 461
    edited October 2017

    So, you only got a masectomy in the one breast? Did you get reconstruction?

  • GreenEyes81
    GreenEyes81 Member Posts: 389
    edited October 2017

    My surgen refuses to considered immediate recon. There are too many chances of complications, VERY long surgery and if you have chemo/rads it can ruin the immediate recon. I am flat on one side and considering a left masectomy in January. Then follow with recon in March when both sides are "level" playing fields.

    I will add, the plastic surgen I met with also highly discouraged me to have any type of immediate recon. He gentaly showed pictures of complications and how difficult it is to have symmetry. For me, I would rather wait and have a better chance of being "equal" on both sides. lol There are a lot of horror storries of plastic surgery, I have to wonder if some is due to eagerness of patience and doctors.

    If I could do anything differently, I would have slowed down and had both sides done at teh same time. But, somethings have happened since and I can see it is working out as I need it to for insurance purposes.

    Are you sceduled for surgry yet?

  • swg
    swg Member Posts: 461
    edited October 2017

    No..I'm waiting on the results of a biopsy I got on Thursday. My MRI showed a potential SECOND tumor in the same breast as the first. :(

    Prior to the MRI results, we were planning a lumpectomy. If this tumor is cancerous, though, I am considering bilateral mastectomy with immediate reconstruction.

    I make my living as a model and an actress, so it's crucial my breasts look symmetrical and even.'

    What were the complications you were told about with immediate reconstruction? My surgeon feels it's best to not make someone go under anesthesia multiple times and to have breasts when they wake up from surgery.

  • TaRenee
    TaRenee Member Posts: 464
    edited October 2017

    The bad thing with genetic tests like BRACA is that it only tests for known markers. BC is a strong trait in my family and yet all of us who were tested had negative results. We also did the Mammoprint on the tumor and that was actually the deciding factor for chemo treatment for me. So just know that genetics are only as good as the science behind it. When I was diagnosed I knew what I was going to do. Genetic testing was only done to see if there was a link/marker that they could use to help define treatment.

    My Surgical oncologist was ready to do a single MX but I wanted to do both, and given my family history, she agreed with me. Thankfully, I did not have to go through IV Chemo, however I was prepared to do that if necessary. I have been on Tamoxifen for almost a month now and that decision was almost completely based on the Mammoprint results.

    I had immediate recon, my SO and PS are both advocates of “less is best” when possible when it comes to surgeries. So I had BMX with TE placement. I’m small so the expansion is taking a while, but it is progressing. I will say that I am not symmetrical or even pretty at this point. That’s now what the TE are for. So if you do end up in the same place I am, understand that these first weeks/months are about expansion, not about pretty. It’s not easy, but I have total faith in my PS that it will be right in the end.

    Best of luck in your test results and treatment.

  • swg
    swg Member Posts: 461
    edited October 2017

    Thanks for your reply. Yeah..it's hard for me. I can be out of work for the time it takes to recover, but no longer. I just can't afford it :( I need to talk to my surgeon about this but I'm wondering how the breasts look with implants..they put them in right away, don't they?

    As for the genetic testing, I have considered that maybe there's a genetic component they don't know about yet. My sister had breast cancer, too. She's doing ok now tho.

  • GreenEyes81
    GreenEyes81 Member Posts: 389
    edited October 2017

    The quickest recovery, from my understanding is expanders. You get them filled every week or two---I plan to go slowly as I hope this avoids feeling tightness/uncomfortable durning the process. Plan on 50 cc's each fill ( I think)...so a D can take 3-5 months to fill. Once they are full or to the size you want then you have "exchange" surgury where they cut out the expanders and replace with the actualy implant.

    There are a ton of other types of plastic surgery, just don't know much about the others. Good luck.

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