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BRCA1 positive - Newly Diagnosed TNBC

Hi, I was aware that at some point I would get breast cancer. My Grandmother lost 3 sisters to it, she passed the mutation down to my dad and his sister. My aunt then died of ovarian cancer 6 months after diagnosis. I have had prior myeomectomy and grew another huge fibroid, so had a complete hysterectomy, including ovaries and fallopian tubes. Super glad I will never get the ovarian cancer part of this mutation. For some reason, I did not know how strongly TNBC is tied to BRCA1. I was shocked it was that type. Also, my Ki-67 is 97. That scares me. I would love to know how many out there have a really high Ki-67 score and how that affected your treatment. I have chosen double mastectomy and going flat. I cannot believe how much negative feedback I am getting for going flat. I am shocked. Everyone assumes you will get implants. I have autoimmune disease too and I do not want anything foreign inside my body. I take Enbrel, Methotrexate, Dupixent, am diabetic, etc. I am scared that all of this will affect my treatment. Will not know until surgery if its in my lymph nodes. Post surgery they will decide if I require chemo. Right now its small but with that score of 97, something tells me not for long. I would love to hear from others that are BRCA1, have co-morbidities, etc. Any responses would help tremendously, I feel strange not knowing anyone else with this. Thanks so much!

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