Should preventative surgery be done in BRCA2 patients?

Question

Hello doctor,

I just found out I am breast cancer gene 2 (BRCA2) positive. My mom, aunt, and grandma all had breast cancer, and I feel like I am sitting on a time bomb. I am 35 and planning to have kids soon, should I get preventative surgery first? I have heard about some medications that might help reduce the risk. Also, does exercise make a difference? Should I stop taking birth control? My cousin went vegan and practices meditation, does that stuff work? I need help sorting through all these options.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I can understand your concern. Risk-reducing mastectomy is a surgery that can significantly reduce breast cancer risk. However, it is a personal decision, and you should discuss the pros and cons with your healthcare provider. Salpingo-oophorectomy, which involves removing the ovaries and fallopian tubes, can reduce ovarian cancer risk. This surgery is usually recommended after childbearing is complete. Certain medications, such as Tamoxifen (Nolvadex, Soltamox) or Raloxifene (Evista), may help reduce breast cancer risk through chemoprevention. However, these medications have potential side effects and may not be suitable for everyone.

Regular exercise has been shown to reduce breast cancer risk, and it is recommended to aim for at least 150 minutes of moderate-intensity exercise or 75 minutes of vigorous-intensity exercise per week. While there is no specific anti-cancer diet, a balanced diet rich in fruits, vegetables, and whole grains can help support overall health. Some studies suggest that a vegan diet and stress-reducing practices like meditation may have health benefits, but more research is needed to confirm their impact on cancer risk. The impact of hormonal birth control on breast cancer risk is complex. It is important to discuss your options with your healthcare provider to determine the best choice for you.

I hope this helps.

Thank you.