Acting on gene tests for cancer

Thank you for sharing the story of Lisa Lujan and her family [“Cancer’s Legacy,” Oct. 1]. It is true that this genetic condition is not only a medical/surgical issue but also a family/psychosocial concern. I am disappointed that the story did not include an opinion of someone who is satisfied with the outcome of her breast reconstruction. I received a prophylactic mastectomy and immediate reconstruction using a flap of tissue from my abdomen and am quite satisfied with the outcome. Knowing that there are options for reconstruction is just as important as knowing one’s risk. I urge all women to do their research thoroughly and consult with several doctors before surgery.

Debra Nussbaum

Los Angeles

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I am concerned that you limited the article to breast cancer without mentioning gene testing for another common cancer, colorectal tumors.

Also, the information on cancer prevention, specifically in prophylactic mastectomy, chemoprevention, diet and exercise needed to be expanded. I was moved by the story of the woman who opted out of motherhood because of prophylactic oophorectomy. That is a drastic decision, since the risk of developing ovarian cancer in one to three years is very low; she should have been encouraged to become pregnant and then undergo prophylactic surgery.

Dr. David Chu

Pasadena