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Post by chrispeas on Dec 4, 2021 19:26:44 GMT
Back story In 2019 my sister was in a bike accident during a triathlon and fractured her clavicle. During the X-rays they spotted a suspicious shadow. Further testing revealed she had breast cancer. Stage 3 invasive carcinoma and left supraclavical lymph node. Double negative HER 2 +. Her last mammogram was less than a year from that finding. So in 2020 she did chemo, radiation and had a double mastectomy without reconstruction. She’s doing great now. At the end of 2020 her twin decided to do the gene testing and it turns out she was positive for the BRCA1 gene. So the twin that had the cancer, my other sister and I all tested positive as well. My mom tested negative so we think it’s from my dad, but he passed over 30 years ago from cancer. There is no history of breast or ovarian cancer in the family. The twin that did the gene testing has since had a prophylactic mastectomy with reconstruction and a complete hysterectomy. They did find a rare cancer in her Fallopian tube. Serous tubal interaepithelial carcinoma. Can’t imagine what would have happened if she hadn’t had the surgery. My other sister and I are considering going down the same path. I’m just curious if there’s anyone here on the board that has tested positive for the BRCA1 gene without having cancer and did prophylactic surgeries or are considering. I’d love to hear your stories and advice. Thank you
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Post by scrapmaven on Dec 4, 2021 19:35:34 GMT
I fully support you having the prophylactic surgery. It's a lifesaving endeavor. Do what you need to do to live a long, happy life.
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Post by colleen on Dec 4, 2021 19:44:09 GMT
I tested positive for BRCA2 in 2006. Huge history of breast cancer in my family so not surprised. I had a prophylactic double mastectomy, plus ovaries and tubes removed, and reconstruction — all in one surgery. I’m very glad I did it. I had a Diep flap reconstruction - used stomach fat instead of implants and would recommend it.
If you have any questions feel free to ask here or pm me.
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Post by Linda on Dec 4, 2021 21:08:59 GMT
my SIL died from lung cancer and had previously had breast and uterine cancer. Her daughters tested - one was positive, one was negative. MIL was tested before she died - she was negative. Her sister died from breast cancer but was negative for the gene. So like you - the gene came from FILs line. His mother died of cancer fairly young but I'm not sure what kind...I have a suspicion though.
SIL and DH had five other siblings (total of 7). 2 BILs died from lung cancer. 1 SIL is also dead. I'm not sure if the other two siblings have tested yet - I know DH is dragging his feet.
Niece who was positive has had a hysterectomy (including ovaries). She was planning a mascectomy but breast cancer was found before she had it - she has since had one. I know she's a huge proponent of testing and prophylactic removal of breasts, uterus, and ovaries. One of her daughters has tested negative. Not sure on the other.
One of my nephews (son of a deceased BIL) also tested positive - his daughters will be testing soon.
((((Hugs))))
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melissa
Pearl Clutcher
Posts: 3,912
Jun 25, 2014 20:45:00 GMT
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Post by melissa on Dec 4, 2021 21:10:46 GMT
My genetics are unknown as I haven’t been tested since 2006 and we have many more things to test for now including rearrangements of the BRCA gene.
I had a prophylactic bilateral salpingoophorectomy (tubes and ovaries). Had a bilateral mastectomy as well but I was in the middle of breast cancer treatment at that time.
Men are just as likely to carry a mutation and BRCA is more than just breast and ovarian cancer. You actually do have a family history as your have a first degree relative. Did your dad die from a BRCA a related cancer like pancreatic or prostate cancer?
You may want to talk to a genetic counselor. There is an organization called FORCE (Facing Our Risk of Cancer Empowered) which is focused on “previvors” who are people with a genetic predisposition to cancer. They can be a great source of information and support as well.
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Post by tenacious on Dec 4, 2021 21:17:38 GMT
Sorry for the dumb question, but, does the preventative mastectomy always include removal of the nipple?
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quiltz
Drama Llama
Posts: 6,698
Location: CANADA
Jun 29, 2014 16:13:28 GMT
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Post by quiltz on Dec 4, 2021 21:36:37 GMT
chrispeas Yes, I was tested and positive for BRCA1 early this year. It was passed from my grandfather to my mom & 2 of her sisters (all died for and/or breast, ovarian or uterine cancer). My grandfather passed in WW2 so we don't know anything of his medical history. My grandmother lived until 82 and didn't have cancer. My aunt died in 1985 from ovarian cancer (very hard to detect) and it was from some dna that the labs were able to determine that she was positive for BRCA1. Her eldest daughter, my cousin A, had breast cancer and then had genetic testing done. She had the BRCA1 gene. My cousin B, (youngest sister to cousin) was tested in 2020 and had the BRCA1 gene and since had a prophylactic mastectomy with reconstruction and a complete hysterectomy. My other aunt died from breast cancer but she didn't tell anyone, as she was quite reclusive. I don't know if my female cousin C has had testing done or not. They live very far away. My mom had the BRCA1 gene and had ovarian cancer and melanoma cancer. We were able to test her dna after she passed from tissue samples that the lab had. I had my dna tested and I also have the BRCA1 gene. I previously had a complete hysterectomy when I was 32 due to many ovarian issues and also had a complete hysterectomy. I had a prophylactic double mastectomy, with a latissimus dorsi flap in July. It was because my cousin A, that I was tested. Her insurance covered my dna testing by Ambry Genetics. This genetic place was trying to build a "family tree", so I didn't have to pay for any of that. The gene testing at Hamilton (ON) Juravinski Hospital was not able to complete the "entire sentence" of the BRCA1 mutation and I insisted that the blood be sent to Irvine, CA to be tested. I was very disappointed in the Ontario Medical system. That is another long story. I ended up going to Roswell Park Cancer Center in Buffalo, NY & had to pay out-of-pocket. I was seen in early May and had surgery mid July. My sister has not been tested as yet. She is older than me. My adult son has not been tested yet and it is up to him if he chooses to do so. My brother has not been tested. My niece (she is an MD) has not been tested yet. Cousin A has 3 dd, all were tested. 2 were positive for the BRCA1 gene. Those two have both had prophylactic double mastectomy and complete hysterectomy. They are both finished having children and after seeing their mother suffer so badly, this really wasn't a choice. Sorry for the novel. If you have any questions, please PM me.
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quiltz
Drama Llama
Posts: 6,698
Location: CANADA
Jun 29, 2014 16:13:28 GMT
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Post by quiltz on Dec 4, 2021 21:37:43 GMT
Sorry for the dumb question, but, does the preventative mastectomy always include removal of the nipple? No, the nipple can remain depending on the kind of mastectomy and reconstruction that a person chooses.
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Post by Zee on Dec 4, 2021 21:43:32 GMT
My close childhood friend lost her mother to breast cancer and her sister also had it, so she decided to get tested and she was positive.
She also had a recent suspicious mammogram and a biopsy showed pre-cancerous cells so she decided to go with mastectomy and reconstruction. I think that was a wise option.
I had breast cancer but do not have the BRCA gene and I'm the first that I know of in my family to have breast cancer.
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kimi
Full Member
Posts: 196
Aug 11, 2020 21:47:04 GMT
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Post by kimi on Dec 4, 2021 22:40:31 GMT
I was dx'd with breast cancer in 2016. I was also double negative, Her2+. This is a very aggressive cancer and less common -- less than 5% of all breast cancers are ER-/PR-/Her2+.
My oncologist told me to get the "Cancer Heredity test" from color.com. It test for BRCA as well as other genes. And the test is pretty reasonable -- about $250. (I have some family history of cancer, but not alot so I don't think my health insurance would cover the more costly, extensive DNA tests.)
I have the test and will complete it soon. I don't know if anyone in my family has had DNA testing so I'm curious to see my findings.
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RedSquirrelUK
Drama Llama
Posts: 6,732
Location: The UK's beautiful West Country
Aug 2, 2014 13:03:45 GMT
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Post by RedSquirrelUK on Dec 5, 2021 0:05:39 GMT
With no family history of breast cancer, I was not eligible for genetic testing. 3 weeks ago my mother, 87, also had a breast cancer diagnosis. Mine were HER2-/ER+/PR+ and HER2+/ER+/PR+. Hers is HER2-/ER+/PR-. She is having genetic testing. I wanted a double mastectomy but they wouldn't let me. If they find a gene, I wonder if I would then be allowed testing/mastectomy of the other side?
Mum is having a lumpectomy next week, with a week of radiotherapy in the new year. It was found very early, luckily. I hope and pray that she'll be OK.
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Post by shamrock on Dec 5, 2021 0:39:38 GMT
I don’t have a family history, but if I did I’d get tested. If I’d had cancer I’d also get tested.
A good friend had breast cancer when we were in our 20s. She was BRCA negative. A couple years, she was about 40, ago her oncologist (who she kept seeing yearly) told her of a new genetic marker. I don’t remember it’s designation but it links breast, colon and another cancer. Since she’d already had the sequencing done it was easy to look for. She was positive for that. Immediate colonoscopy was done. She had colon cancer, very early stage. That discovery led to more testing of course. They found she had a different type of breast cancer than she’d had almost 20 years before. Again that was found in a very early stage. If she hadn’t kept yearly checking with her oncologist and been tested for BRCA and the newer, she’d never have found the colon or breast cancer. She’s doing so well and in remission.
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Post by mollycoddle on Dec 5, 2021 0:54:43 GMT
I fully support you having the prophylactic surgery. It's a lifesaving endeavor. Do what you need to do to live a long, happy life. This.
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Post by mollycoddle on Dec 5, 2021 0:59:44 GMT
chrispeas Yes, I was tested and positive for BRCA1 early this year. It was passed from my grandfather to my mom & 2 of her sisters (all died for and/or breast, ovarian or uterine cancer). My grandfather passed in WW2 so we don't know anything of his medical history. My grandmother lived until 82 and didn't have cancer. My aunt died in 1985 from ovarian cancer (very hard to detect) and it was from some dna that the labs were able to determine that she was positive for BRCA1. Her eldest daughter, my cousin A, had breast cancer and then had genetic testing done. She had the BRCA1 gene. My cousin B, (youngest sister to cousin) was tested in 2020 and had the BRCA1 gene and since had a prophylactic mastectomy with reconstruction and a complete hysterectomy. My other aunt died from breast cancer but she didn't tell anyone, as she was quite reclusive. I don't know if my female cousin C has had testing done or not. They live very far away. My mom had the BRCA1 gene and had ovarian cancer and melanoma cancer. We were able to test her dna after she passed from tissue samples that the lab had. I had my dna tested and I also have the BRCA1 gene. I previously had a complete hysterectomy when I was 32 due to many ovarian issues and also had a complete hysterectomy. I had a prophylactic double mastectomy, with a latissimus dorsi flap in July. It was because my cousin A, that I was tested. Her insurance covered my dna testing by Ambry Genetics. This genetic place was trying to build a "family tree", so I didn't have to pay for any of that. The gene testing at Hamilton (ON) Juravinski Hospital was not able to complete the "entire sentence" of the BRCA1 mutation and I insisted that the blood be sent to Irvine, CA to be tested. I was very disappointed in the Ontario Medical system. That is another long story. I ended up going to Roswell Park Cancer Center in Buffalo, NY & had to pay out-of-pocket. I was seen in early May and had surgery mid July. My sister has not been tested as yet. She is older than me. My adult son has not been tested yet and it is up to him if he chooses to do so. My brother has not been tested. My niece (she is an MD) has not been tested yet. Cousin A has 3 dd, all were tested. 2 were positive for the BRCA1 gene. Those two have both had prophylactic double mastectomy and complete hysterectomy. They are both finished having children and after seeing their mother suffer so badly, this really wasn't a choice. Sorry for the novel. If you have any questions, please PM me. Oh my goodness. Your family has been through so much. {hugs}
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Post by scrapmaven on Dec 5, 2021 1:35:51 GMT
I don’t have a family history, but if I did I’d get tested. If I’d had cancer I’d also get tested. A good friend had breast cancer when we were in our 20s. She was BRCA negative. A couple years, she was about 40, ago her oncologist (who she kept seeing yearly) told her of a new genetic marker. I don’t remember it’s designation but it links breast, colon and another cancer. Since she’d already had the sequencing done it was easy to look for. She was positive for that. Immediate colonoscopy was done. She had colon cancer, very early stage. That discovery led to more testing of course. They found she had a different type of breast cancer than she’d had almost 20 years before. Again that was found in a very early stage. If she hadn’t kept yearly checking with her oncologist and been tested for BRCA and the newer, she’d never have found the colon or breast cancer. She’s doing so well and in remission. I wonder if your friend tested positive for the BLM gene? My sister tested positive for this gene. As a result I'm going to have a genetic counseling appointment and will undergo a series of genetic tests. We share the same parents, but oddly enough our results could be different.
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Post by iamkristinl16 on Dec 5, 2021 1:39:08 GMT
chrispeas Yes, I was tested and positive for BRCA1 early this year. It was passed from my grandfather to my mom & 2 of her sisters (all died for and/or breast, ovarian or uterine cancer). My grandfather passed in WW2 so we don't know anything of his medical history. My grandmother lived until 82 and didn't have cancer. My aunt died in 1985 from ovarian cancer (very hard to detect) and it was from some dna that the labs were able to determine that she was positive for BRCA1. Her eldest daughter, my cousin A, had breast cancer and then had genetic testing done. She had the BRCA1 gene. My cousin B, (youngest sister to cousin) was tested in 2020 and had the BRCA1 gene and since had a prophylactic mastectomy with reconstruction and a complete hysterectomy. My other aunt died from breast cancer but she didn't tell anyone, as she was quite reclusive. I don't know if my female cousin C has had testing done or not. They live very far away. My mom had the BRCA1 gene and had ovarian cancer and melanoma cancer. We were able to test her dna after she passed from tissue samples that the lab had. I had my dna tested and I also have the BRCA1 gene. I previously had a complete hysterectomy when I was 32 due to many ovarian issues and also had a complete hysterectomy. I had a prophylactic double mastectomy, with a latissimus dorsi flap in July. It was because my cousin A, that I was tested. Her insurance covered my dna testing by Ambry Genetics. This genetic place was trying to build a "family tree", so I didn't have to pay for any of that. The gene testing at Hamilton (ON) Juravinski Hospital was not able to complete the "entire sentence" of the BRCA1 mutation and I insisted that the blood be sent to Irvine, CA to be tested. I was very disappointed in the Ontario Medical system. That is another long story. I ended up going to Roswell Park Cancer Center in Buffalo, NY & had to pay out-of-pocket. I was seen in early May and had surgery mid July. My sister has not been tested as yet. She is older than me. My adult son has not been tested yet and it is up to him if he chooses to do so. My brother has not been tested. My niece (she is an MD) has not been tested yet. Cousin A has 3 dd, all were tested. 2 were positive for the BRCA1 gene. Those two have both had prophylactic double mastectomy and complete hysterectomy. They are both finished having children and after seeing their mother suffer so badly, this really wasn't a choice. Sorry for the novel. If you have any questions, please PM me. Oh my goodness. Your family has been through so much. {hugs} I’m curious what other genetic markers they look for, and what you do if you have them? My moms dad died of brain cancer when he was 50. His only sibling also died of cancer (not sure what kind) when she was young as well. Their dad had three kinds of cancer throughout his life. My mom is one of 6 kids. One of her sisters had two different tumors at a young age (not sure if they were cancer) and my mom has had polycythemia Vera (a blood cancer) for at least 15 years. She also had lung cancer. I don’t know if this would all be something genetic testing could detect (different susceptibilities) but it makes me worry a little. None of her other siblings have had health issues yet, though.
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quiltz
Drama Llama
Posts: 6,698
Location: CANADA
Jun 29, 2014 16:13:28 GMT
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Post by quiltz on Dec 5, 2021 2:33:40 GMT
I’m curious what other genetic markers they look for, and what you do if you have them? My moms dad died of brain cancer when he was 50. His only sibling also died of cancer (not sure what kind) when she was young as well. Their dad had three kinds of cancer throughout his life. My mom is one of 6 kids. One of her sisters had two different tumors at a young age (not sure if they were cancer) and my mom has had polycythemia Vera (a blood cancer) for at least 15 years. She also had lung cancer. I don’t know if this would all be something genetic testing could detect (different susceptibilities) but it makes me worry a little. None of her other siblings have had health issues yet, though. Genetic testing can be done for many different markers. I was only tested for the BRCA1 as this was the one that was concerning and this was the only test that would be covered by insurance due to circumstances. You would need to talk to your PCP and then have them refer you to genetic testing. The process can be long and very expensive.
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Post by zztop11 on Dec 5, 2021 3:44:03 GMT
I have the gene as well as many in my family. One sister had prophylactic surgery years ago before gene testing was available. There is tons of information I can PM you at a different time if you like. My 2 granddaughters are sleeping over so can’t write it all out now. You need to see a genetic counselor. They can stear you through all sorts of stuff. Please use a large cancer center not a small local hospital. Take care of this sooner than later. Please PM me any time.
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Post by zztop11 on Dec 5, 2021 3:45:57 GMT
By the way, men need to be tested also. This gene is linked to prostate cancer. Also pancreatic.
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Gennifer
Pearl Clutcher
Posts: 4,996
Jun 26, 2014 8:22:26 GMT
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Post by Gennifer on Dec 5, 2021 3:49:54 GMT
How does one go about getting tested for this?
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Post by pjynx on Dec 5, 2021 4:10:01 GMT
Very strong family occurrence of breast cancer on my moms side. So I’ve been tested. I’m negative. Amazingly, My aunt who has had 3 separate occurrences of breast cancer (and survived) tested negative for it. Another aunt and uncle have had breast cancer as well. I don’t know if they were tested for it or not.
Pam
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Post by paigewh on Dec 5, 2021 6:30:40 GMT
I was tested in 2016 before my hysterectomy. Long story short- My insurance would NOT cover just the BRCA test (my aunt had ovarian and breast cancer), but they would cover the MyRisk that has a huge panel of genetic cancer. I tested negative for BRCA, but positive for P16 (Melanoma/Pancreatic Cancer syndrome) and MUTYH (a colon cancer gene, but not a severe). Having this test literally saved my life. Just this year I have had four severely atypical moles that had to have wide excisions. The last one was one molecule away from Melanoma in SITU. I also have yearly pancreatic cancer screenings. If I had BRCA, I would 100% have the surgery. Unfortunately with the mutations I have, there is no surgery, just constant dr visits and feeling like a sitting duck. I highly recomend genetic cancer screening to everyone! ❤️
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Post by paigewh on Dec 5, 2021 6:32:53 GMT
How does one go about getting tested for this? If I remember correctly, you and I are in the same state the U/Huntsman has an AWESOME genetic cancer center. Myriad Genetics is also at the U. It's the testing I had done.
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craftykitten
Pearl Clutcher
Posts: 4,304
Jun 26, 2014 7:39:32 GMT
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Post by craftykitten on Dec 5, 2021 11:35:03 GMT
I highly recommend genetic sequencing. I have no family history of cancer at all, but after my second cancer diagnosis I was put into a trial project in the UK that found I have the TP53 mutation, which is a huge predisposition to all cancers. Because of that, I got early screening that found a tiny brain tumour that was treated very early before I even noticed any symptoms.
Knowledge is power. If I had known about this gene before my diagnosis, my life would be so different. I have metastatic disease that’s going to kill me….and maybe we could have prevented it. I’ll never know, and we did the best with the knowledge we had. But if you have the opportunity to do something before you get a diagnosis then I highly recommend it.
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Post by zztop11 on Dec 5, 2021 12:40:14 GMT
Sorry for the dumb question, but, does the preventative mastectomy always include removal of the nipple? There are many different procedures that can be done. It's best to talk with your doctor who can recommend a plastic surgeon for the reconstruction. (I have not had real nipples for over 35 years. But I have my life.)
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Post by zztop11 on Dec 5, 2021 12:41:14 GMT
Tenacious ~ There are no dumb questions where this is concerned. Please ask anything and everything that concerns you.
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Post by elaine on Dec 5, 2021 14:44:17 GMT
Sorry for the dumb question, but, does the preventative mastectomy always include removal of the nipple? There are many different procedures that can be done. It's best to talk with your doctor who can recommend a plastic surgeon for the reconstruction. (I have not had real nipples for over 35 years. But I have my life.) Yes. Although I will add that if one has a predisposition to develop breast cancer, my oncologists recommended removal of the nipples, as those count as breast tissue and also have a likelihood to develop cancer. Both of mine are gone, along with both breasts, because I had multiple tumors in my left breast and my cancer had a high likelihood of recurrence. They can actually construct new non-functional nipples with skin, but I have opted to just live without them. Maybe I’ll have some tattooed on at some point, but my last reconstruction surgery was just in January, and my horizontal scars are very visible. A nipple tattooed in the middle of them would look odd at this point. Because I am Ashkenazi Jewish - genetically - my medical center immediately tested me for the BRCA mutations, as there is a higher likelihood of carrying the genes if one is Ashkenazi. I am lucky that I’m not a carrier. My sister was going to get tested if I carried the genes, but hasn’t now that I don’t. There isn’t a history of cancer in my family.
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Gennifer
Pearl Clutcher
Posts: 4,996
Jun 26, 2014 8:22:26 GMT
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Post by Gennifer on Dec 5, 2021 17:37:49 GMT
How does one go about getting tested for this? If I remember correctly, you and I are in the same state the U/Huntsman has an AWESOME genetic cancer center. Myriad Genetics is also at the U. It's the testing I had done. You do remember correctly! Can I just set up an appointment, or is this something that you need a referral?
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Post by paigewh on Dec 5, 2021 18:20:47 GMT
If I remember correctly, you and I are in the same state the U/Huntsman has an AWESOME genetic cancer center. Myriad Genetics is also at the U. It's the testing I had done. You do remember correctly! Can I just set up an appointment, or is this something that you need a referral? My doctor did the testing, but I went to the U on my own after I found out about results. I'm glad I did because they do the testing for Pancreatic cancer. Very best of luck!
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Post by chrispeas on Dec 5, 2021 21:24:30 GMT
Thank you for responding and sharing your stories. And as I start seeing specialist I will reach out to all of you that have left that door open to me. I found out in July through Color. That is what the twin used and we all piggy backed off her and got special rates. I think I’ve just kinda put this whole thinking about doing something about it thing off. It’s actually something that I constantly think about so I jumped the first hurdle and reached out to my doctor who sent me for a breast MRI. Which thankfully came back clean. I then made an apt for a consult for a hysterectomy and now I have an US scheduled for the 14. So it looks like this surgery is moving forward. Don’t have a date yet. I reached out to a breast oncologist who said someone would call back to make an apt. I guess it’s good that I already had my MRI (11/11) cuz they want the reports and scans plus my last two mammograms. It’s just scary to think about the breast surgery part. My dad died of lung cancer. My sister that had the breast cancer was told it wasn’t from BRCA 🤷♀️
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