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Take ovaries out too? Cancer in family Take ovaries out too? Cancer in family

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Unread 01-12-2001, 03:20 AM
ovaries or not

HI, my opinion ( and I have done lots of thinking and research) I am 37 and am having a TAH in two weeks, I am also a breast cancer survivor of 3 years. No family history what-so-ever. I was just the lucky one. Anyway I had a hard time about the ovary thing as well; mainly because I was concerned about ovarian cancer. Doctors gyn and my oncologist state if I keep them I will be watched very carefully, and that because of my age I should keep them. If I were older 45+, he said they would take them out. If you do choose to take them out, be careful of the hormone replacement therapy. That is one this I know a breast cancer patient cannont have (my tumor thrived on the estrogen in my body), that is why my menses cannot be treated via hormones and uterus must come out, long story, but will be glad when it is over. Thats just what I know of the situation. Mine are staying because of my age...
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Unread 01-12-2001, 05:30 PM
A response to POOKERA and denised

I think the genetic testing you are referring to BRCA1 and BRCA2 which is mostly done for breast cancer risk. There is a downside to having this testing done that one needs to consider--- are you prepared for the results? Before ever considering something like that I would strongly encourage access to counseling. Places that do this type of testing can offer same. If its positive, what will you do with this information? Can you live with the news if its positive? What is the % of false positives at the center where this is to be done?
I have never had this testing done nor have I ever had breast cancer. I am presenting this as a consideration only. Scientific testing isn't without its downside and something like this requires really careful thought as the implications and ramifications could be horrendous unless the person is psychologically prepared properly.

As for denised' response, given her history I would give careful thought to having both tubes and ovaries removed. You have already had one primary tumor. Don't risk the "not knowing". There is no known screening tool for ovarian cancer. NONE. By the time a woman is symptomatic, the cancer is typically wide-spread and the survival odds drop dramatically. Still, its an individual choice. I personally would want to be alive in 15-40 yrs so I would opt for peace of mind. This is especially the case since she can't take HRT and the "natural" hormonal supplements have been proven not to convey the protection to the heart, bones and brain long term.
Unread 01-13-2001, 07:31 PM
Take ovaries out too? Cancer in family

I would vote for removal, although the decision is yours, but since you are asking for opinions...I have lots of those!! My aunt had a hyst for fibroid tumors, left ovaries. Six years later she was diagnosed with ovarian cancer. Unfortunatly by the time they discovered it..during testing for another suspected problem, it was too far advanced and she passed away 6 wks later. My aunt had several other medical problems, had heart surgery,etc and was watched very closely by dr.`s...but they didn`t pick this up in time. Just my opinion, but I would not want to have this thought in my head. It is clear that it is already a valid concern of yours. If you leave them now and a yr down the road want them removed will your surgeon do it then for you? I would ask these questions as well, just so you can be at peace with whatever you decide.

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