Probably not. This can increase the risk for some breast cancers and endometrial cancer. Having a family history does not help. However, low dose hormone replacement therapy may be possible. It would be wise to see your doctor to be sure.
Estrogen & breast CA. Oh such a tough decision! If you have two first degree relatives with breast cancer (sister, mother) you should probably consider stopping. However, if you have osteoporsis or significant heart disease in youself or family this has to be considered. Which is greater risk ca or heart/bones? Than factor in how bad you feel when you don't take estrogen...See what I mean?
How much estrogen gets into system using vaginal estrogen. Family history of breast cancer but not me.?
Varies. Per the med insert: Premarin (conjugated estrogens) Vaginal Cream should not be used if you have unusual vaginal bleeding, have or had cancer, had a stroke or heart attack, have or had blood clots or liver problems, have a bleeding disorder, are allergic to any of its ingredients. This is due to significant absorption thru the vaginal mucosa which is dose dependent. Not the same risk for someone with family history only.
No different. The treatment for the primary diagnosed cancer is the same as for any other breast cancer. Additional decisions/interventions are based on the presumed increased risk of a second or subsequent breast cancer (i.e. Mastectomy instead of breast conservation and prophylactic contralateral mastectomy). Talk with your doctor to quantify your risk and discuss appropriate options.
Surgery.. If you get it surgery. Www. Drlugo. Com.
Reconstruction. Brca 1 and 2 patient should consider undergoing bilateral mastectomies and possibly gyn surgery as well. The great news about prophylactic mastectomies for high risk patients is that incisions can be hidden in the infra mammary fold and implants placed immediately after mastectomy (no need for expanders) in most patients. Recon should be highly aesthetic and possibly improve the overall look.
Breast Cancer. Patients who are found to be brca 1, 2 or bart should be counseled on their risk of breast cancer. If they choose to undergo unilateral or bilateral mastectomies they should have immediate reconstruction. Depending on the patients lifestyle, body and expectations I help them create their reconstructive plan with their own fat, implants, flaps or some combination of these techniques.