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.
We hope you find the information helpful!
|Forum||Questions||Ask a Question|
|Concerns about Breast Cancer Family History
Questions on genetics, family history & breast cancer.
|Asked||Publicly Submitted Question|
|2/1/2011||My 29-yr old wife is a BRCA1 carrier, her mother is not but had breast cancer at 38. Her sister, a BRCA1 carrier, had breast cancer at 31. My wife recently had a fibroadenoma. In isolation, this does not increase her risk of breast cancer. However, in conjunction with her family history, does this increase her risk of cancer?|
|Replied||JHU's Breast Center Reply|
|2/1/2011||Being BRCA positive trumps the diagnosis of this benign mass. If however the biopsy had shown LCIS or Atypical cells then it would increase her already genetically known risk a little higher. It's important to have a thoughtful discussion together about what steps if any she wants to pursue to reduce this high risk due to the genetic factor. With her sister having been diagnosed young, the concern would be that she might too... so time to visit with a genetics counselor and talk about options and how each option can reduce risk to a certain degree, from taking tamoxifen to doing bilateral mastectomies with reconstruction. important to pay attention to ovarian cancer risk as well.|
Please note: This service is not intended to provide primary medical advice concerning specific medical care or treatment. Ask an Expert is a free service operated by health care professionals at the Johns Hopkins Avon Foundation Breast Center. Due to the volume of questions and their complexity, there are times when medical oncologists, surgeons, radiation oncologists or oncology nurses are consulted for their input. These individuals volunteer their time for this service and will respond as soon as they are able. Please do not post or send the same question to us in multiple locations or categories.