Ask an Expert: View a Question

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 443-997-8282. 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!.

ForumQuestionsAsk a Question
Concerns about Breast Cancer Family History
Questions on genetics, family history & breast cancer.
851 This functionality is disabled from time to time due to volume.

AskedPublicly Submitted Question
10/24/2017I had a right mastectomy Dec 2015 and Anastrozole since. 8mm ER 98% PR 98% HER neg. KI67 10%. OncotypeDX 12, one micromet. I had wanted a bilateral but surgeon wouldn't do it. No first degree relatives w/BC but Mother's sister age 48 deceased (BC), Mother's Mom DX with visible large BC tumor (in nursing home) in her late 80's, Two of Mother's Aunts mid-late 50's deceased (BC), Mother's first cousin age 32 deceased (BC), Mother's first cousin age 37 then other breast age 40, Mother's second cousin age 57. Two Mother's first cousins (brothers) prostate cancer in age 40's. My father had two sisters with breast cancer in their late 60's. Surgeon in 2015 felt my BC was random because my mother didn't get cancer. My genetic counselor (all results negative) told me to interpret negative results very cautiously. I want to seriously revisit removing my other breast and am interested in an opinion at Johns Hopkins. However, I have heard that Medicare seldom covers prophylactic surgery. Advice?

Surgeon in 2015 believed my BC was random because my mother didn't get BC.
RepliedJHU's Breast Center Reply
10/25/2017It is very understandable that you would want to consider removal of the other breast. come to us. 443-997-1513. your family history is very significant. i can understand why the genetics counselor said to consider the neg gene testing cuatiously.

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.

The contents of this portion of the website cannot be used as a substitute for a consultation with your doctor or other healthcare provider. It also may not represent the opinions of other Johns Hopkins professionals. It is a free service performed on volunteer time and intended to provide feedback to questions posted by consumers however should not be used as a directive or instructions to now follow. Seeing your own medical provider is always important in getting your needs and questions addressed. In the majority of cases, a clinical examination, review of pathology slides and xrays, along with other medical information is needed to truly provide a consultative service. If you wish to receive a formal consultation with our physicians please call 443-997-8282 for surgical appointments and 410-955-8964 for medical or radiation oncology appts. For breast imaging, call 410-955-4100.


© The Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Health System, All rights reserved.