I'm a 48 year old breast cancer survivor, BRCA1 positive. I had three breast tumors and opted for bi lateral mastectomy. Chemo and radiation followed. After chemo, before radiation, I learned of my BRCA status. Tumor growth was very aggressive even though I had ER positive breast cancer.
I chose to have a preventative full hysterectomy because of the BRCA status. My PCP performed a pap smear two months ago and I was told it showed LSIL, with no high risk HPV. I do know what LSIL means, but I'm concerned with my BRCA1+ status and the aggressive growth rate of my breast tumors, should I have pap smears more often and, is there any known higher risk for vaginal or peritoneal cancer?
Yes, BRCA1+ status can increase the risk of peritoneal cancer, including vaginal and cervical cancer. You must have the PAP screen every year until three consecutive PAP smears show no further progression. However, in a high risk case as yours, some doctors may prefer a biopsy or coposcopy to rule out cancer progression. So, please discuss with your oncologist. Take care!
The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.
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