Re: Gyn:  Genetic Testing for BRCA

From: DoctorJoe@aol.com
Thu Nov 13 19:05:13 2008


In a message dated 11/13/08 7:19:18 PM, garrys@mindspring.com writes:

> What advice would you give this patient?
>
> 51 YO P2002
> Stage II Left Breast Cancer (Infiltrating Ductal) at age 35; S/P
> lumpectomy, chemo and RT in 1993, alive and well.
>
> Her mother had the exact same cancer, same location, treatment and
> outcome at age 53; she is alive and well.
>
> A maternal aunt had a ductal CIS in the same location found by
> mammography at age 53; treated, alive and well.
>
> A maternal uncle had prostate cancer at age 53; he has been treated and
> is alive and well.
>
> The 51 YO was BRCA 2 positive (tested around age 38) and underwent a
> prophylactic LAVH-BSO at 40.
>
> She is the only family member that has undergone testing.
>
> What would you advise her 21 YO nulliparous daughter?
>

What would be different in this girl if you did or did not test? She's obviously at pretty significant risk for cancer in a couple of decades. She'll have to be closely followed. What would testing make you do more or less?

Joe P.

p://toolbar.aol.com/moviefone/download.html?ncid=emlcntusdown00000001)





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