Thursday, February 22, 2018

UPDATE – Thursday, February 22, 2018 (3:45 p.m.)

MIDDLETOWN

The Middlesex Hospital Emergency Department in Middletown is currently closed and will remain closed until further notice. We hope to open it again as soon as possible.

Non-emergent surgeries are canceled for tomorrow, Friday, February 23.

All outpatient radiology tests are canceled at the Hospital in Middletown tomorrow, Friday, February 23.

Patients can get lab tests at the Outpatient Center, 534 Saybrook Road in Middletown; at the Marlborough Medical Center in Marlborough; or at the Shoreline Medical Center in Westbrook. However, they should not come to the Hospital.

Visitors are currently not allowed to visit patients at the Hospital, except for special circumstances.

 

Thursday, February 22, 2018 (11:00 a.m.)

MIDDLETOWN

All patients and staff at Middlesex Hospital are all accounted for and safe.

  • All Outpatient Services at the Hospital in Middletown have been suspended until further notice.
  • The Emergency Department in Middletown is closed until further notice.

Employees are to report for their regularly scheduled shifts.

 

All other Middlesex Health System locations are operating on regular schedules.

Understanding the Results

When your results arrive, they may be positive or negative for a gene alteration, or they may be uncertain. If your test is positive, it means that you have an alteration of a gene, and therefore, you have a higher risk of developing cancer, the specific risk is dependent on which gene has an alteration.

If your test is negative, it means an alteration wasn’t found in your DNA. While this is good news, it doesn’t completely eliminate your chance of developing breast or ovarian cancer. You will likely remain at some increaed risk for cancer, the specific risk will depend on your family history of cancer.  Your cancer risk will be explained to you at the time your receive your genetic test result.

If your result comes back as uncertain, it means that you do, in fact, have an alteration of a gene—but it is an alteration that may or may not increase cancer risk.

What If Your Result Is Positive?

First of all, don’t panic. A positive result is in no way a guarantee that you’ll develop breast or ovarian cancer. You don’t need to rush into any decisions or treatments, and you should take your time to discuss your options with your doctor, talk to your family and gather all of the information you feel you need to make an informed plan of action.

If it is determined that you have a genetically increased risk for breast or ovarian cancer, your physician will discuss and work with you to develop a personalized strategy to monitor your breast health. Screening and preventative measures may include:

Increased Surveillance

  • Monthly breast self exams (beginning at age 18)
  •  Annual or semi-annual clinical breast exams (beginning at age 25-30)
  • Yearly MRI (beginning at ages 25-30)
  • Yearly mammography/MRI (beginning at age 30)
  • Annual or semi-annual transvaginal ultrasound and testing for CA-125 to screen for ovarian cancer (beginning at age 30)

CHEMOPREVENTION

  • Drugs such as Tamoxifen have been shown to reduce the risk of breast cancer in high-risk populations
  • Oral contraceptives may reduce the risk of ovarian cancer in women with BRCA1 or BRCA2 mutations 

PREVENTIVE SURGERY

  • Preventive mastectomy significantly reduces the risk of breast cancer in women with BRCA1or BRCA2 mutations
  • Preventive removal of the ovaries significantly reduces the risk of ovarian cancer, and also breast cancer, in women with BRCA1or BRCA2 mutations

For more information or to schedule an appointment please contact us at:

Hereditary Risk Assessment Program
Middlesex Hospital Comprehensive Cancer Center
540 Saybrook Road, Suite 280
Middletown, CT 06457

Phone: 860-358-2092
Fax:  860-358-2074

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