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Re: Familiar risk of breast cancer From: Bernard Cristalli (bcrist@club-internet.fr) Fri May 8 02:54:08 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Re: Pelvic Vein Congestion" Previous message: Robert J. Woolley: "Re: Familiar risk of breast cancer" Maybe in reply to: avaldez@infolnk.net: "Familiar risk of breast cancer" Next in thread: avaldez@infolnk.net: "Re: Familiar risk of breast cancer" avaldez@infolnk.net wrote: > > Dear listmembers! > I need your advice. I have a patient 49 years old with a familiar > risk of breast cancer. Mother died of breast cancer at 56 years old / sister > died of breast cancer at 57 years / sister with late diagnosis of breast > cancer under chemiotherapy right now... Her mamographies show bilateral > dysplasia with a negative biopsie of 2 yeras ago... She is very ansious > about it... > What do you suggest? > 1) Repeat biopsy right now.... > 2) Continue under 6-month mammographies... > 3) Genetic screening... > 4) Profilactic tamoxifen > 5) Profilactic mastectomy > -- How do you see a dysplasia on mamograms? I would do : 1. a genetic screening but you will lack the two dead women on this purpose; 2. do a biopsy if the mamogram shows something needing to be biopsied; 3. If not repeated mamograms; 4. Prophylactic mastectomy: great question -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm Next message: Bernard Cristalli: "Re: Pelvic Vein Congestion" Previous message: Robert J. Woolley: "Re: Familiar risk of breast cancer" Maybe in reply to: avaldez@infolnk.net: "Familiar risk of breast cancer" Next in thread: avaldez@infolnk.net: "Re: Familiar risk of breast cancer"

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