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Question:
I am 31 years old with one child. My mother developed breast cancer at age 41 and my older sister was diagnosed with breast cancer at age 37. My mother and my sister were treated with a mastectomy. My Ob/Gyn doctor recommended I have the BRCA gene mutation test to see if I am at higher risk for breast cancer. I had the blood test and it came back positive for the mutation. After consultation with a genetic counselor and talking to my family doctor and an oncologist, I have decided to have a prophylactic double mastectomy and I would like to have the surgery where the nipple is spared. Here is the problem: I went to see a surgeon who told me that my breasts are too big to have a nipple sparing mastectomy. I wear a DD bra. He said the complication rate is higher in women who have large breasts when performing a nipple sparing mastectomy. He has suggested a standard mastectomy on both sides. I have seen the results of a nipple sparing mastectomy and of a standard mastectomy and I like the results of the nipple sparing mastectomy much better. Is the advice that I have been given correct?

Answer: First let me say that I think you were so smart to have the BRCA gene mutation test. I am sorry that the results were.... read more

 


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