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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Prophylactic Mastectomy Without Reconstruction Advisable?

Is I am 61 yr old female with extensive maternal history of breast & ovarian cancer. Recently was genetically tested for BRCA2. Results positive. Have been advised by 5 different Dr s to go with protocol, hysterectomy & mastectomy/reconstruction. My issue is the reconstruction. I have already had ovaries & tubes removed. Leaving the uterus because of my anatomy, recovery etc. Went through menopause @ age 40. Did not do hormone replacement. I suffer from anxiety & don t think I can deal with every 6 months of screening. Know not a lot of research of women over 60 having mastectomy being the best course but cannot deal w/stress of waiting. I have had 2 abnormal benign lumps, biopsies & nowhave marker in R breast. Also have had high WBC counts for the last eight years & am on a 4 month observation blood work. No difinitentive answers. Not high enough for bone marrow testing but yet something is going on. My choice after 6 months of research is to have prophylactic mastectomy with no reconstruction. Thoughts or advice ?
Tue, 7 Aug 2018
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General Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I suppose the reconstruction part is merely cosmetic, to my knowledge this does not affect risk of cancer. Bilateral mastectomy without reconstruction seems like a good choice.

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.
Dr. Anders Mark Christensen
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Is Prophylactic Mastectomy Without Reconstruction Advisable?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I suppose the reconstruction part is merely cosmetic, to my knowledge this does not affect risk of cancer. Bilateral mastectomy without reconstruction seems like a good choice. Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Dr. Anders Mark Christensen