Informed risk reduction decision-making

The results from a routine mammogram in 2022 led to a whirlwind of investigative tests for Dr Sandy Minck. Sandy was diagnosed with lobular carcinoma in situ (LCIS) and found out she carries the CHEK2 genetic variant. She also had dense breast tissue. This all contributed to an increased risk of breast cancer.

Sandy’s mother died of breast cancer. When Sandy researched what options she had to minimise her own risk, she was aware that her decision-making was very emotive. She sought evidence-based opinions but, even as a non-practicing GP with a high level of health literacy, Sandy found the process overwhelming.

Sandy wanted a ‘one and done’ bilateral risk-reducing mastectomy and direct to implant (DTI) reconstruction.

So, how did she decide what was right for her? And is she ‘one and done’ or will she have more surgery?

Luan and Sandy talk about:

• How Sandy assessed her risk of breast cancer
• Why she decided to have a risk reduction mastectomy
• Why Sandy chose implants for reconstruction
• Whether she’ll have revision surgery
• Reconstruction decision-making tools that helped
• Breast density and other breast cancer risk factors
• Her advocacy work

Links for this podcast:

• Sandy Minck LinkedIn
• BCNA Breconda
• Breast Advocate app
• Pink Hope, Australian genetic risk charity
• EVIQ

Where you can find Luan:

• Instagram
• Website
• LinkedIn

If you’ve found any of the content upsetting, please reach out and get help. Breast Cancer Network Australia has a free confidential helpline – 1800 500 258. Beyond Blue has a range of free resources online, or you can call them 24/7 on 1300 224 636.

In this podcast Luan and Sandy talk about Sandy’s personal experience. They don’t recommend any surgeon, practice and/or procedure or treatment. The information in this podcast does not constitute medical advice. For personalised medical advice you should seek a consult with a FRACS qualified surgeon.

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