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.
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|Forum||Questions||Ask a Question|
Questions about Hormonal Therapy.
|Asked||Publicly Submitted Question|
|2/12/2012||44 yo, pre-menopausal, ER/PR +, strong maternal line history of BC, multiple locations in L, suspicious location needing biopsy in R, awaiting more testing (inc. BRCA) and results. Prior to MRI which gave clearer pictures, was diagnosed as DCIS Stage 0. Also, lots of extended paternal-side cancers: ovarian, breast, colon (possibly linked to BRCA).|
I understand that we don't have a full picture yet of my specific cancer diagnosis, but I would like to have some ideas of Pros/Cons of total treatment options before meeting general surgeon. I am considering oophorectomy to avoid hormone therapy b/c of potential birth defect problem (not comfortable with most birth control), or bilateral radical mast. Would I likely need radiation and/or chemo with either choice?
|Replied||JHU's Breast Center Reply|
|2/12/2012||Before a surgeon can provide concrete answers and recommendations, the BRCA testing results need to be back.If you carry a gene or based on genetic counseling it is determined that even if you tested negative for BRCA 1 or 2 you are still likely to have a gene of some kind, then anticipate a recommendation of bilateral mastectomis with reconstruction. And getting ovaries out as well if BRCA positive or thought to carry a gene. Gone are the days of radical mastectomies too. skin sparing and even nipple and areola sparing mastectomy with immediate reconstruction are valid options for most women today. consider coming to us to discuss this more. 443-287-2778. you can have a multidisiciplinary team see you to review all of your options.|
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