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I Am A Breast Cancer Survivor, Aged 35 Now.Had Cancer

Posted on Sun, 15 Sep 2019

Question: I am a breast cancer survivor, aged 35 now.Had cancer last year T2N0M0, grade 1.My cancer is hormone receptor positive and i am on tamoxifen 20 mg per day.I am also BRCA 2 positive, however I have no family history of breast cancer.Although my father had colon cancer and my grandfather had throat cancer.I had modified radical mastectomy of my left breast.I wanted to know that is it necessary to get my other breast removed or i can chose surveillance over it.I am not willing to have mastectomy again.I want to get my left breast reconstructed.Kindly suggest

Follow up: Dr. Bhagyesh V. Patel (0 minute later)

I am a breast cancer survivor, aged 35 now.Had cancer last year T2N0M0, grade 1.My cancer is hormone receptor positive and i am on tamoxifen 20 mg per day.I am also BRCA 2 positive, however I have no family history of breast cancer.Although my father had colon cancer and my grandfather had throat cancer.I had modified radical mastectomy of my left breast.I wanted to know that is it necessary to get my other breast removed or i can chose surveillance over it.I am not willing to have mastectomy again.I want to get my left breast reconstructed.Kindly suggest

Answered by Dr. Bhagyesh V. Patel (1 hour later)

Brief Answer:
prophylactic mastectomy not routinely required in opp. normal breast.

Detailed Answer:
Hello and welcome to Ask A Doctor services.
I have read your query and here is my advise.

* As per my surgical experience, routine surgery of opposite breast removal
is not mandatory in a patient with BRCA 2 positive cancer in another
breast who is on Tamoxifen.

* Regular surveillance with oncologist follow up, mammography and self
breast examination is best recommended for normal opposite breast.

* So far as reconstruction of operated part is concerned, best modalities
are available in various directions as autologus graft, skin grafts, flap
procedures and prosthetic implants depending upon the individual case
need.
It is best recommended to discuss with plastic surgeon in details regarding
the reconstructive part as physical examination is a must for that.

Wish you best health ahead.
Regards.

Thanks.
Dr Bhagyesh ( MS consultant surgeon )

Above answer was peer-reviewed by : Dr. Kampana

Answered by Dr. Bhagyesh V. Patel (0 minute later)

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Bhagyesh V. Patel (1 hour later)

Sir
I heartfully thank you for your genuine advice.Actually i am in great fear after testing brca2 positive.I read that chances of reccurence are high in opposite breast also, so i was fearful.My oncologist here also suggested same thing as suggested by you.I am continously worried after being brca positive.Fear of reccurence has overpowered by decision making ability.But after your advice i feel better and i will chose surveillance instead of prophylactic sugery

Follow up: Dr. Bhagyesh V. Patel (0 minute later)

Answered by Dr. Bhagyesh V. Patel (9 minutes later)

Brief Answer:
be positive attitude matters a lot mam.

Detailed Answer:
Hi
Thanks for the follow up.

* First of all let me congratulate you for winning in the battle against cancer
of breast.

* Secondly, keep positive attitude as it matters for your overall well being as
well as immune response against the microbes in the circulation.
A negative temperament with stress dampen your immune response to
fight against any pathology in the body without your knowledge.

* So just involve more in your likelihood activities, focus on healthy diet,
continue medications, regular follow up with your doc for best future
results.

Wish you a great day ahead.
Do feel free to discuss further regarding the same anytime.

Thank you.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Answered by Dr. Bhagyesh V. Patel (0 minute later)

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bhagyesh V. Patel (4 hours later)

Thank you sir for your emlowering words.It will be highly appreciated if you could suggest any good plastic surgeon dealing in breast reconstruction at XXXXXXX

Follow up: Dr. Bhagyesh V. Patel (0 minute later)

Thank you sir for your emlowering words.It will be highly appreciated if you could suggest any good plastic surgeon dealing in breast reconstruction at XXXXXXX

Answered by Dr. Bhagyesh V. Patel (34 minutes later)

Brief Answer:
follow up .

Detailed Answer:
Hi
Thanks for the follow up.

Sorry to say but I have all known contacts in my native state XXXXXXX so far as all faculties of surgery are concerned, but I would try my best for your case to help to find out the one needed by you in XXXXXXX .

Thank you.

Above answer was peer-reviewed by : Dr. Yogesh D