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Concerns about Breast Cancer Family History
Questions on genetics, family history & breast cancer.
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AskedPublicly Submitted Question
4/18/2017Hello
I am a 64 yo Caucasian woman who had a benign needle core biopsy last September. The results were benign. This past February I developed a painful lump in the same breast. A 3D mammogram and U/S were done which showed dense tissue and they could not rule out cancer. Therefore I underwent an U/S guided biopsy which also came back as benign. The radiologist insisted that there is discordance and recommended surgical excision which was performed and results were as follows:
A. LEFT BREAST MASS, EXCISIONAL BIOPSY
--- HYALINIZED FIBROADENOMATOUS CHANGES WITH CALCIFICATIONS
--- BIOPSY SITE CHANGES
B. LEFT BREAST, ADDITIONAL LATERAL MARGIN, EXCISION
--- BENIGN FIBROFATTY BREAST TISSUE
C. LEFT BREAST, ADDITIONAL INFERIOR MARGIN, EXCISION
--- BENIGN FIBROFATTY BREAST TISSUE

What do you think my next step should be? I know the results are benign, however, should I pursue any genetic testing? to note MY MOTHER HAS BREAST CANCER AT AGE 64, MY AUNT AT AGE <50, AND AUNT HAD OVARIAN CANCER AT AGE 75. Family history is strong for me therefore I am wondering if I should have the BRCA tests. And if I do it and its positive should I pursue prophylactic mastectomies? Also, how often should I have a mammogram? what about an MRI? I know its a lot of questions...I am in desperate need of answers, I appreciate all your help.
RepliedJHU's Breast Center Reply
4/18/2017genetics evaluation makes good sense. Given the pathologist confirmed that the original biopsy site was contained within the surgical specimen then it would seem safe to assume that there wasn't cancer. Based on how high risk you are determined to be, based on genetics consultation, then how often to have imaging and what kind can be determined.

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