Preventative Mastectomy

I am very curious on peoples opinions on this. My mother was diagnosed with stage 4 ovarian cancer about 18 months ago. She underwent a genetics test which reveals a faulty gene palb2. All children have been asked to be tested for this gene mutation but prior to this I had to have a consultation. During this consultation it was mentioned that if my results come back positive I would be offered a double mastectomy and removal of my ovaries. I'll be honest I was a bit horrified by the thought and it was not something I was expecting. I just thought they would want to give me regular screening. My chances of getting cancer in my life time with this gene mutation can be as high as 64%. When it was first mentioned my amediate reaction was I don't think that will be necessary. But then I keep thinking about my mum and all other cancer patients out there and if they would have been given this option knowing what they know now would they have taken it? I am getting ahead of myself and I don't have my results back yet and it may not be something I have to consider but it's really playing on my mind and I just wondered what everyone's opionions were on the matter and if it's something they would consider themselves. 

  • Hello Kez37

    I'm sorry to hear about your Mum's diagnosis and all that you have been through as a family since then. 

    It's perfectly natural that you will have some questions, concerns, and worries ahead of receiving your genetic testing results. It's a normal part of the process. At the moment you're facing a whole vault of "what ifs"  and until you have the results and talk those through with the genetic counsellor you're bound to have a wide range of thoughts and emotions. 

    Even after you receive your results you may feel conflicted about things. If, and at this point, it is still an "if",  you have a genetic high risk of developing cancer, the choice to have surgery or not will be yours. If you decide not to go down that route at this point then yes the genetics service will most likely offer you regular screening. And the option to have any suggested surgeries will still be available at a later date. 

    People react differently to these kinds of results and it is very much a personal decision about how you proceed from there. But there's no rush to make your choices. The genetics counsellor will talk things through with you and there's lots of support available to help you make the right choices for you. 

    I hope that whatever the results are, you feel supported and reassured by those around you. 

    Bets wishes, 
    Jenn
    Cancer Chat moderator