Jul 25, 2021 06:02PM Meggiedb wrote:

I see this is an older forum, but just wondering if anyone out there could comment on the palb2 genetic mutation and a risk reducing mastectomy. I am 60, have known I am palb2 postive for 6 years and have undergone increased surveillance. No sign of BC, but as grandchildren are being born I think it may be time to consider a prophylactic surgery. Palb2 also increases chance of ovarian cancer, and one doctor I saw suggested getting ovaries removed as well.

Palb2 stands for Partner and localizer of brca2 . More is being learned about palb2 all the time, and all is showing a strong connection to BC.

My mom did have advanced bc in 1984. She survived, but only because she was in a clinical trial at the time, and had a mastetectomy, chemo, radiation and tamoxifen.

Thank you for your thoughts and imput.

Jan 13, 2022 06:18AM tbluhm74 wrote:

Greetings! After discovering I had a genetic mutation (ATM mutation) last February 2021, I had choices to make. I learned that I was at higher than average risk of getting breast cancer (15-40%), ovarian cancer (3%) and pancreatic cancer (5-10%). The number that made me most uncomfortable was the risk of breast cancer and I could not imagine a life of screening for this (I am 47 years old). After speaking about options with my healthcare providers, I decided to do a prophylactic mastectomy without reconstruction. Having been a nurse for 20 plus years at the time, I had spent time thinking through personal decisions I may have to make one day. One of the decisions was "What would I do if I got breast cancer?" I had thought I would get a mastectomy without reconstruction if that were to ever happen. I honestly did not think I would ever have to actually make this decision---we do not have breast cancer in our family and my lifestyle has been top notch most of my life. But, alas...

I ended up getting a prophylactic mastectomy without reconstruction on May 17, 2021. I think the biggest decision was thinking through if this was a crazy decision. I had to find my own voice and own values as I processed through this. I had to be articulate with my healthcare team so they would support me. It was helpful that my husband was supportive too. It was helpful that I'm petite and athletic and very small breasted to begin with.

Looking back, I have no regrets. I do not know if there are others out there like me, but I like being flat. I wear a padded bra even with tighter fitting shirts. I think because of my petite size no one even notices. I love when I jog now. I do not have any "extra baggage" bouncing around. It is liberating. With bathing suits I buy frilly tops and once again, no one seems to notice. I am happy that now my risk of breast cancer is lower than average. This feels good. I like that I do not have to do annual MRI's or mammograms. I still have to deal with the other cancer risks but those numbers are smaller and I can deal with that. It was an empowering process to go through. I realize that I do make decisions that are best for me even if they seem crazy.

Thanks for letting me share my story. Let me know if anyone has questions. I am happy to share. I am very happy with my decision.