Ask an Expert is a free question-and-answer service about breast cancer and breast health that is available on weekends. If you'd like to ask a question or comment, please visit us again on Saturday or Sunday. In the meantime, please search the existing topics using the search tool at the top of the page. It's quite possible that one of our many existing topics already addresses your question.
If you would like a consultation with a breast specialist at the Johns Hopkins Avon Foundation Breast Center, call 443-778-2778. It is possible to get an appointment for a second opinion within a few days of contacting us.
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|Forum||Questions||Ask a Question|
|Concerns about Breast Cancer Family History
Questions on genetics, family history & breast cancer.
|Asked||Publicly Submitted Question|
|11/14/2010||Hi I am 46. I had breast cancer 7.5 years ago, an aggressive one which even though small had spread to 7 nodes. I have the BRCA1 gene confirmed 5 years ago and had my ovaries removed 4 years ago. I am being persuaded to have a double mastectomy by my surgeon and also a genetic doctor. I am scared. How do I know they will get all the breast cells? I thought close surveillance would be enough but they are saying that it is not and that another aggressive tumour could easily escape through the net. What is your opinion on all this?|
|Replied||JHU's Breast Center Reply|
|11/14/2010||risk of local recurrence is around 25-40% for women with a breast cancer gene in the breast where lumpectomy was performed. The other breast also carries a 20-40% risk of getting a new primary breast cancer in it. so they are trying to reduce your risk of course by recommending bilateral mastectomies (with reconstruction i hope!) Though technically impossible to literally remove every breast cell you have, your risk of recurrence drops to 1%. that's a nice low number! from a reconstruction perspective, don't rely on implants--- due to having had radiation your options will now be DIEP flap, S-GAP and TUGs. you are welcome to come our way if you want to pursue this further. just call 443-287-2778.|
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