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1:07 pm February 23, 2011
| guzdek62
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Hi. My name is Nicole and I am BRCA positive and 31. I had no problem with that diagnosis as I always figured since I was a little girl that I would get Breast cancer. My mom is a survivor at age 37 and is my strength. My grandma and great grandma had breast cancer and died. My grandma died at age 52 following a blood clot from surgery and my greatgrandma died at age 35 from breast cancer and metasticized brain caner. I am not really that afraid of getting cancer itself, it's more of, when it is gonna happen. I was never one to want to do the prophylactic mastectomy prior because I was always very vigilant in my surviellance and knew my mom survived but now some things have come up that are making weigh this decision.
Recently, my MRI showed suspicious areas on both my left and right breast. I was still ok because I figured I knew what had to be done if it was the “C” word. I had breast biopsies done and to my relief they were negative but the radiologist recommened mastecomy.
I found myself now more in turmoil than ever. If it was cancer, I knew what I had to do; now that I don't have it, I don't know what I should do next. I am meeting a breast surgeon next week to discuss my options. I know what I want if I do the surgery but I am more nervous than ever because there is no set path, no right, no wrong. I feel now that since my breasts seem to be changing and even though biopsy came back negative, I am worried they didn't catch “THE” cell that's gonna start it all. Or am I going to need to have biopsies done each year. My cousin was recently diagnosed with cancer and her tumors were right around the spots that were benign a couple years ago.
I am making sure I make the best informed decision I can and finding this website and just knowing it exists is already helping. Also just putting my feelings done right now in these last couple minutes have already helped, so thank you.
I am most interested in post surgical stories. How long did severe pain last? What scars do you still have? Did you make decision with your partner and did they react better or worse than you expected? My husband is on board with the possibility but I wonder how long it will be before we are back to normal, physically and emotionally.
Thanks Again!
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9:19 pm February 23, 2011
| TOBEYRDH
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Hi Nicole,
Welcome to our group…yes..decisions decisions..
Your recovery is dependent on the surgical choices you decide on & so are your scars.
Your best bet is to discuss your options with your surgeon & plastic surgeon.
We here can just share our stories & hold your hand.
I'll be happy to share your post with our community—so hang in there! I'm hugging you!
Be well,
Tobey
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9:39 pm February 23, 2011
| Lyn
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Hi & welcome to our club! If you have read the posts, then you know that I am Tobey's survivor sister. I have HAD breast cancer. Tobey was faced with all that you are facing now after my BRCA Positive test. The only thing I can say is…..you do NOT want to hear the words, You have cancer. As hard as the decision is now to make, it's a no brainer. Do whatever you have to do to prevent it NOW, while you can.
Good Luck, we are here for you,
Lyn
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10:40 pm February 23, 2011
| totallyovarit
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Hi Nicole,
My name is Rachel, I'm 36 and have recently had to deal with the related BRCA issue for ovarian cancer. Same type of family history, mom died in 2008, majority of females on both sides died from ovarian cancer. I have already had a bilateral salpingo oophorectomy (removal of both fall tubes and both ovaries). I am still debating the prophylactic mastectomy as I type. I'm of no use regarding your breast questions, but am a fountain of knowledge regarding your ovaries, which by having a bliateral salpingo oophorectomy is supposed to decrease the risk of breast cancer too. My doctor quoted by 52%, but I can't scientifically stand behind those stats.
I know my surgery has profoundly affected my life. I have been thrown into menopause which has not been fun for me or my poor husband. I am happy to go into detail offline as I'm sure the whole community does not want to hear about my sex life, or lack thereof some weeks.
Anyway, as I said, I have yet to have any breast surgery but I really like this site and I am always willing to listen and bounce around ideas.
Take care of yourself and I look forward to getting to know you,
Rachel
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2:21 am February 24, 2011
| DDuffy
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Hi Nocole!
My name is Dianne and like you, I've always known that I would get it, just not when I would. I thought I was being vigilent and got my mammogram…but the radiologist missed the tumor which was the size of a marble. I found it the next month just in the shower. By the time I had surgery it was the size of a golf ball and two lymph nodes were involved.
Lymph node surgery hurts much more than a mastectomy.
Chemotherapy affects EVERY part of your body.
Menopause comes sooner or later.
If I had been given the choice, I would have chosen to do the surgeries on my terms and in my timing and finding the best doctors available.
But my doctor didn't believe that I was at high risk (I don't have any sisters or aunts), so I was not given the same opportunity as you. The opportunity to possibly avoid the pain that I now live with constantly, the fear of recurrence, the many medications that I now live with and the suffering that my family has been through – two years and counting.
You can read my story here: http://www.caringbridge.org/visit/dianneduffy/journal
And to answer your questions: My husband was totally supportive of the double mastectomy before we ever got the BRCA test results back.
The mastectomy part only had a short amount of pain (about a week), the oopherectomy pain was even less. I had delayed reconstruction so the tissue expander insertion was about the same as the mastectomy, and the “exchange” was a piece of cake after all that.
The amount of scarring will depend a lot on your surgeon. My mastectomy left large scars (regular surgeon), but the reconstruction scars are much lighter (plastic surgeon). If you have a good surgeon he/she will give you techniques that will minimize the scarring.
I hope this helps. Best wishes with whatever you choose.
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6:36 am February 24, 2011
| runalot
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Hi Nicole,
Welcome to Previvors and Survivors. You very brave and have so much strength! Now, thanks to this site, you also have access to the vast experience of others.
This site was a tremedous help to me, it gave me a feeling of personal attention and emotional strength, which only another BRCA+ “sister” could offer. I chose watchful waiting for many years before making the PBM decision. I had TAHBSO at 39 and PBMs at 50.
My biggest fear was pain…. and I had very little pain! After the first surgery it was more like tightness and pressure. In fact, I barely used the pain meds, mostly just Tylenol. Each surgery afterward was easier and with less and less discomfort. Really!
So I would like to underscore, I had almost no pain! For me, I would say it was more like discomfort, but not pain.
Get yourself to the best doctors you can find, depending on where you live. Ask to speak to other patients who have used them, the patients will give you the truth in a language you can trust and relate to. Back in 1969, my mother died of ovarian ca– I was only 11, so I did not have the family support which you have. Luckly I asked my MDs for a patient who had gone through this and they put me in touch with Tobey. She was just starting Previvors and Survivors. She was a lifesaver…without her I am not sure where I would be today.
It might interest you to know the results of my BRCA+ pt survey are very positive.To date I have 73 responses and 17 are below the age of 34. Please take a look and I will be happy to share the results with you, privately… as the survey is still ongoing and my goal is to get to 100.
There is a link on this site or you can click on the link below.
BRCA+ patient survey
Take a look
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7:15 am February 24, 2011
| Lyn
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DDuffy said:
Hi Nocole!
My name is Dianne and like you, I've always known that I would get it, just not when I would. I thought I was being vigilent and got my mammogram…but the radiologist missed the tumor which was the size of a marble. I found it the next month just in the shower. By the time I had surgery it was the size of a golf ball and two lymph nodes were involved.
Lymph node surgery hurts much more than a mastectomy.
Chemotherapy affects EVERY part of your body.
Menopause comes sooner or later.
If I had been given the choice, I would have chosen to do the surgeries on my terms and in my timing and finding the best doctors available.
But my doctor didn't believe that I was at high risk (I don't have any sisters or aunts), so I was not given the same opportunity as you. The opportunity to possibly avoid the pain that I now live with constantly, the fear of recurrence, the many medications that I now live with and the suffering that my family has been through – two years and counting.
You can read my story here: http://www.caringbridge.org/visit/dianneduffy/journal
And to answer your questions: My husband was totally supportive of the double mastectomy before we ever got the BRCA test results back.
The mastectomy part only had a short amount of pain (about a week), the oopherectomy pain was even less. I had delayed reconstruction so the tissue expander insertion was about the same as the mastectomy, and the “exchange” was a piece of cake after all that.
The amount of scarring will depend a lot on your surgeon. My mastectomy left large scars (regular surgeon), but the reconstruction scars are much lighter (plastic surgeon). If you have a good surgeon he/she will give you techniques that will minimize the scarring.
I hope this helps. Best wishes with whatever you choose.
I thought your response, as heartfelt, painfully truthful & frightful as it was, was excellent. Continued good health to you.
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4:07 pm February 24, 2011
| Durlester
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Nicole,
In reading your post I felt as though I was looking in the rear view mirror of my life. When I was your age I was faced with the same dilemma.
My story begins with my mother who was diagnosed in 1962 with breast cancer, at the age of 43. She and her six sisters all had breast, ovarian or fallopian tube cancer. So by the time I was 31 I had already had several mammograms. Although the BRCA test was not available at the time, my doctors encouraged me to have prophylactic mastectomies and oophorectomies, convinced there was a genetic link to the staggering number of malignancies in my family. At 34, after giving birth to my second child, I decided I better not push my luck and had a total hysterectomy including removal of my ovaries. I wasn't comfortable with the limited screening available for ovarian cancer. I mada a different decision about my breasts, deciding to practice active surveillance instead.
In 2001, at the age of 45, I found out that I did indeed have the BRCA2 gene. I will never forget meeting with renowned breast surgeon, Armando Guiliano, who looked me right in the eye and asked me if I would prefer a breast cancer diagnosis someday versus doing something to prevent it now. I remember thinking how arrogant of him to make the prediction that I would get breast cancer. So, I set out to prove him wrong engaging in every healthy lifestyle choice imaginable. As the years went by, I began to foolishly think that I might be spared the same fate as my mother.
Well, I was wrong. In 2009, at the age of 52, I was diagnosed with Stage IIA invasive ductal cancer. It was found on a routine ultrasound, after not showing up on my mammogram, a result of my dense breasts. Although not unexpected it still felt like blunt force trauma. I had convinced myself that by practicing active surveillance any cancer would surely be diagnosed at Stage 0. I later found out that 30% of BRCA carriers who practice active surveillance are not diagnosed until it has migrated to their nodes. Shock and awe! All those years of mammograms, ultrasounds, MRIs for what? Who had I been kidding?
Flash forward to today. My 23 year old daughter recently tested positive for the BRCA2 gene. Although hugely disappointing, she immediately made up her mind as to what she will do when the time is right for her. She refuses to be a sitting duck. In the meantime, she will stagger her MRI, ultraound, and mammogram every three months until she has her prophylatic mastectomies and oophorectomies. Based on our gene, her breast surgeon has advised removal of her breasts by age 30.
Nicole, I pray you will find your peace in this process. I wrote a book about my journey that I recommend you read. Beyond the Pink Moon, A Memoir of Legacy, Loss and Survival intimately chronicles my story. I believe you would gain a lot of insight from my hindsight. The moral of the story (from my perspective): Don't wait to hear the stunning news that you have cancer. Do something now to live a long, active, healthy life.
Many blessings to you!
Nicki Boscia Durlester
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9:13 pm February 24, 2011
| guzdek62
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Thank you everyone for your support and I'm sorry you've all had to be in these situations as well. As for doctors and surgeons, I fortunately have been very lucky through some very unfortunate circumstances of my cousin. Last year she was diagnosed with breast cancer and had a very tough recovery from mastecomy and implants including necrosis, infection and a plastic surgeon who just didn't do a great job. She has been researching more and found a great breast surgeon and plastic surgeon team that will be doing the tram flap procedure on her this summer. These are the doctors I'm meeting next week. If I decide to get the procedure done, I will be looking to do the flap procedure as well and will be having it done in the fall, so I will be able to see how she is recovering and the work the doctors did. My mom also had the procedure done in '89 but so much has changed this then. Thank you all for your stories and links. I'll be sure to check them all out. Thanks again!
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9:50 pm February 24, 2011
| Lyn
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I had the tram flap procedure. If you live on Long Island & would like to meet, I am available to you. I would have no problem “showing” you how I look. I want to share a true story with you….
Last year I went to a Urologist. After he reviewed my medical history, he began asking me questions in regard to my Mastectomy & Reconstruction. I asked him if he wanted to “see”. He said, OK, if I cared to show, sure. LOL
Soooooooo…I showed! He said to me, those aren't yours? I said, they sure are, I paid for them. He blushed, & said, no…..I'm sorry, you know what I mean. I said, yeah, I was teasing. I said to him….no….my plastic surgeon made me them!
I can't BEGIN to tell you what that Doctor did for me.
1. As a man….he looked at my breasts & asked if they were mine. He couldn't TELL they were “made”.
2. As a Doctor, I have to assume, he has seen quite a few breasts…..to ask me that question, was validation that I looked NORMAL.
Ladies….a mastectomy & reconstruction are not the end of the world. God bless these Doctors who are skilled & learned enough to be able to make us whole again.
Don't fear that you will look like a mutant. In MOST cases, you will look far better than you did.
xoxoxo
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12:53 pm March 16, 2011
| guzdek62
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I went to one plastic surgeon last week along with breast surgeon earlier this month. Basically I have to look at all the options but looks like i will be getting a mastectomy and deciding on which type of reconsrtuction. Most likely will be implants though as bilateral Tram will prevent me from carrying a pregnancy. We probably aren't going to have kids but I don't like the options being gone. I also am meeting another surgeon next week to get another opinion and ask him about the Diep procedure. I am most likely not a good candidate because I am too overweight but this way I can have piece of mind for which way I choose to have it done.
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