Do BC survivors have higher risk of ovarian, uterine, cervical cancer?

Posted by lilacs777 @lilacs777, Aug 20 12:03pm

How many of you decided / were told to get a full hysterectomy (ovaries, tubes, uterus, cervix) because you're now higher risk for cancer of these organs after having BC? I'm finding conflicting info on this. I will have ovaries/tubes done since I need to be on an AI but I've heard that removing uterus and cervix may just be 'extra' surgery. But I dont want to keep them if I need to worry about increased uterine or cervical cancer risks either.

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@lilacs777

I'm not sure if one is really better than the other, they're both nasty drugs but some women feel better on one vs the other (kinda like one AI vs another AI). However, its important to check with your insurance b/c some only cover one or the other, some will cover both drugs, but given how expensive it is, you want to make sure its covered first. I also found that some doctors only offer either lupron or zoladex simply b/c thats the only one they usually stock in their office.

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Thank you for this information. I really appreciate it.

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@lilacs777

My path report only lists the hormone receptors, they said they wont do genetic/somatic mutation testing on the tumor, not sure why. I thought the genetic mutations in the tumor itself may influence recurrence but they told me only the genetic mutations I was born with would influence recurrence. I've been looking for some solid research / info about whether or not having a hormone receptor BC influences if you're higher risk for a gyn cancer but I can't find much. Amer cancer society says a family history of colon cancer can raise your risk of uterine cancer but I had a gyne onco tell me thats false, which seems odd.

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From the tumor they do Oncotype DX test. That test will determine the % of re-occurance and the behavior of the tumor, and whether you are ER positive or negative HERs positive or negative and what treatment will work. That test is vital. The genes test is another test that is vital for the surgeon. For example my surgeon did not do my surgery until I got my genetic test done because that would help him decide what type of surgery I would have. Meaning if he needed to remove my ovaries and both breasts vs to lumpectomy (in my case) so those tests are vital. I am not really sure about your specific situation. That would depend on your specific situation that. But overall those tests are viral to decide what type of treatment you need.

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I went from supposed to have AC every 3weeks to a genetic test showing BRCA2 and moved to once a week 2 chemo drugs and then AC every 3 weeks. Hospitals are different, but i agree the biopsy was the first determinant and the genetics test the 2nd. 2 days from the start of my treatment it changed. One day later i started with the new treatment.

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