Fabulous News: BRCA Test NEGATIVE!

Dear Friends and Family,
Doc received a late night phone call on Friday from her doctor. He told her the BRCA test results were NEGATIVE! Thus, she does not have the gene for cancer! Thank you all for the prayers!
Dianne (Doc) and Dave will now decide, in consultation with her doctors, which breast surgery she will have. Love, MK


Thursday appointments

Dear Family and Friends,
Just wanted to give you a quick update on the four appointments Dianne had on Thursday, October 6th. First, we went to interview one of three reconstructive surgeons, Dr. Korman. We had a few laughs about small breasted women! Then, we walked across the street for Dianne to get her MRI. The MRI technicians had to position Dianne “just right” on her belly. The talked back and forth about going down an inch and a half on her breasts. Well, maybe it is only an inch. They were extremely respectful, but yet again, the small breast issue! Good thing Doc has a strong, confident ego! After the MRI we walked to get something to eat. Oh, we had Cooper the puppy for this entire trip. Cooper was a hit everywhere we went. After we ate, Dianne had an appointment with her ob/gyn who she has seen since she was 22 years old. It was nice to have him reassure us that this is just a bump in the road. I left after this appointment, and Mom and Doc headed to the second reconstructive surgeon, Dr. Liu. He spent an hour explaining everything to them, so Dianne is really becoming an expert. Dave called before each appointment and listened to the conversation from Switzerland. He gave input when necessary, and it was wonderful to hear the support and love he has for Dianne.
Today, Dianne should get the results from the MRI and hopefully the BRCA 1 & 2 genetic results. I will update again as soon as I hear more. Thanks for all the prayers! God Bless, Love, MK

Family update


I wanted to bring you up to date on a development in our family.

Last week Dianne had a lump removed from her breast. It was a small lump that they felt was certain to be benign. After the surgery, the surgeon let both of us know all was well, and that the lump was tiny (4mm) and appeared to be a classic fibrosis, and had very low odds of being a problem. Well Sunday night he called us, and let us know it was a problem, and was in fact malignant.

We met with the doctor today. Here is what we know:
· It is an invasive ductile tumor, very early stage – grade 1 on a 1-3 scale, with one being least significant
· He thinks there may also be a small amount of ductile carcinoma
· He thinks it has a very small chance of having spread into the lymph nodes.
· He says it is extremely treatable, and she should have nothing to worry about in terms of her longevity
· They are looking to get more data from the tumor, which should be available in a few days
o A test looking for Hormone receptors (this could impact whether she will need hormone therapy)
o A test called a KI67, which indicates speed of growth.

Treatment Plan:
It is early, and we are gathering data. Most relevant to us now is a genetic test. The test checks for the presence of the BRC1 & 2 genes which gauge genetic predisposition to cancer vulnerability. She took the test today, and we expect the results in two weeks.

If the test is negative:
· We will have to choose between a lumpectomy, or mastectomy for the affected breast
· The lumpectomy preserves much more tissue, but requires radiation treatment as well, and all the challenging side effects that go along with that.
· The mastectomy will take pretty much the whole breast, but will not require radiation.
· In either procedure, they will do some testing to isolate the sentinel (first line of defense) lymph node(s). These will be removed as well and tested. Apparently, where they used to take all the lymph nodes, now they can take only a very few of the ones most likely to be affected.

If the test is positive:
· they will want to take both of her breasts, and her ovaries.

So we are early stage. We know Dianne is in for quite a tough road ahead, but according to the Doctor, the signs at this point are that she is very well positioned to get past this, and should not have longevity concerns from this cancer episode.

Please send your thoughts and prayers to Dianne – we can use the help.

Toni & Keri, if you would be kind enough to let your families know, that would be great – I recently switched computers and do not have all the addresses.


The 5 D’s