Best Docs Network Magazine 2014 Volume 2 - Edition 1 | Page 11

identified by first name only to protect her place several months after the mastectoprivacy, decided to be tested a year after my. Candidates usually have stage III or her mother passed away from breast can- IV cancer and those using radiation thercer. To her surprise she apy can achieve the best tested BRCA positive. cosmetic results at a She decided to underlater date. The time off go a mastectomy, or allows the chest to heal the removal of a breast as much as possible afINCREASED CANCER or part of a breast, and ter the radiation. RISKS ASSOCIATED with immediate reconstrucBRCA1 & 2 Once a candidate has tion, which reduced the option to undergo WOMEN her risk by 97 percent. Breast Cancer breast reconstruction, “I knew for myself that I wanted to take care of my four children,” Michelle explained. “I did not want to walk in my mother’s footsteps. I wanted to change history for my family and for my three girls.” Fallopian Tube Cancer Peritoneal Cancer Ovarian Cancer there are several options to choose from. Some techniques may MEN be less painful and proBreast Cancer vide a quicker recovery Prostate Cancer Pancreatic Cancer for the patient. For example, The DIEP Flap procedure, or the Deep Inferior Epigastric Perforator Flap proMichelle’s proactive choice to get tested cedure, is currently the most advanced for BRCA, go through a mastectomy and surgical technique and allows patients to reconstruction gave her the opportunity heal faster. Unlike other procedures, the DIEP Flap procedure is beneficial because to see her kids grow up. patients are able to preserve all of the abDespite early detection some women dominal muscles. During the DIEP Flap will still need to have a mastectomy or procedure, only skin and fat from the ablumpectomy – the removal of a tumor and domen are removed – similar to a tuma small amount of normal tissue around my tuck. By keeping the abdominal musit. Fortunately, medicine has evolved so cles, the patient will experience less pain, quickly in recent years that there are now maintain their core strength, and have a numerous types of breast reconstruction faster recovery. procedures. These techniques can recreate a more natural looking and feeling breast and areola. 85% of breast There are two kinds of breast reconstruction: Immediate and Delayed. Immediate reconstruction is performed at the same time as the mastectomy. The advantages include keeping natural breast tissue, less scarring as well as nipple-sparing mastectomy which preserves the nipple and areola. The patient wakes up from the surgery without the experience of having a flat chest. Women with Stage I or II are typically candidates for immediate breast reconstruction. Since PRMA has had such renowned success they have patients fly in from all over the country to receive their care. Erica, another PRMA patient who will be identified by first name only to protect her privacy, initially had her breast reconstruction in Alaska, but she had limited options and was not pleased with her results. Erica explains, “I had breast implants. They were not setting properly and they were shaped funny.” Because she was not able to go to a breast reconstruction specialist in Alaska, she was in a constant state of discomfort. After doing some research online, Erica learned about the DIEP Flap reconstruction technique at PRMA. Soon after, she flew to San Antonio to reconstruct her breasts. “The entire staff at PRMA changed my life and my outlook on myself,” says Erica. “My self-image is higher now than what it was before I walked through these doors.” If you do end up testing positive for BRCA1 or BRCA2, it is important to be screened for breast cancer on a regular basis. Luckily, Dr. Chrysopoulo and the surgeons at PRMA know the most advanced breast reconstruction techniques to give you the most natural results. cancers occur in women who have no family history of breast cancer Delayed reconstruction usually takes 2014 | Volume 2 | Edition 1 BEST DOCS NETWORK 11