health Seth, Jon, Brett, Lacey and Ellyn Davidson of Huntington Woods, with their dog, Tessa Know Your Risk Born with the breast cancer gene, two Huntington Woods women share survivor stories. ROBIN SCHWARTZ CONTRIBUTING WRITER T hey are wives, mothers, survi- vors and fighters, each with her own unique story to tell. Ellyn Davidson and Melissa Mally, both of Huntington Woods, live within walk- ing distance of each other in the small Oakland County city of about 6,200 people. The two women, who only recently met, were each born with a gene mutation indicating a hereditary risk for breast cancer. Both found out about it in different ways, fought cancer and survived — and both are passionate about sharing their stories and urging other women to know their risk, with the hope of saving lives. “When I was diagnosed with cancer 11 years ago, I had no idea I had a mutation in my BRCA2 gene,” Davidson, now 47, explains. “Knowledge is power. Understanding your risk means you can take steps to avoid a cancer diagnosis.” October is Breast Cancer Awareness Month, and it’s clear that aware- ness, particularly about hereditary cancers, is sorely needed. A recent article in Forbes Magazine revealed a Pennsylvania study of 50,000 people that found eight out of 10 people with a known cancer risk gene did not know they have it. Actress Angelina Jolie is one of the famous faces of heredity cancer; she had a double mas- tectomy and surgery to remove her ovaries and fallopian tubes after learn- ing she had a mutation of the BRCA1 gene. Like Jolie, Melissa Mally found out she had a BRCA1 gene mutation when she was just 25 years old. Sadly, Mally’s aunt (her mother’s sister) died of ovar- ian cancer in 2002. A few years later, her mother decided to undergo genet- ic testing and was positive. During preventative surgery to remove her ovaries, doctors discovered her mother had Stage 1 ovarian cancer. She has since been treated and is now cancer free. That’s when Melissa and her sis- ter decided to get tested. It turns out Melissa has the gene mutation while her sister does not. “I didn’t let it take over my life or make me feel sad,” Mally says. “We took that information and used it to empower ourselves and make the best decisions for our own health.” Mally met her husband, Shane, and got married at 32. A year and a half ago, they welcomed their first child, Jonah. After he was born, Melissa was meeting with a surgeon to discuss having a preventative double mastecto- my, something she’d been planning to do, when doctors discovered she had stage 1 breast cancer. She underwent a lumpectomy, six rounds of chemo and a double mastectomy, all during her son’s first year of life. The couple hopes to have more children. “It’s been hard for us, thinking about our future. We were able to freeze embryos before I started chemothera- py,” she says. “I was able to catch [the cancer] very, very early and I think that’s so important — to take charge of your own health and be your own advocate. Know your history. Get test- ed.” SURVIVAL RATES IMPROVING S. David Nathanson, M.D., a surgical oncologist and chair- man of breast cancer research with Henry Ford Health System, says there is a bit of good news for patients. Breast cancer survival rates Dr. S. David have improved about 1 Nathanson percent per year over the last 30 years thanks to advances in treatments and chemotherapy/radiation techniques. Nathanson sees patients at Henry Ford West Bloomfield Hospital. “If you are a young woman who has a family history of breast cancer, you should know about it. You should start asking questions,” Nathanson says. “Genes can be inherited from both your mother and your father. Any physi- cian can order the gene test, which is a blood test. If there’s a suggestion of family history, it’s wise to see a genetic counselor.” Nathanson points out that Ashkenazi Jewish women (of Central and Eastern European descent) have a higher risk of breast cancer just because they’re Jewish. According to the Susan G. Komen Breast Cancer Foundation, about one in 400 people in the U.S. has a BRCA1/2 mutation; but among Ashkenazi Jews, about one in just 40 has the gene mutation. Those who do have a higher cancer risk are urged to get mammograms and MRI screenings more frequently, start- ing at a younger age, to try to increase the odds of early detection. Preventative mastectomy and removal of the ovaries have been found to significantly reduce the risk of breast cancer in high-risk women. Hormonal therapy medica- tions, like Tamoxifen, have also been shown to effectively reduce the risk. SURVIVOR TURNED ADVOCATE Ellyn Davidson, a marketing executive and president of Brogan & Partners in Birmingham, was 36 and the mother of three young children when she was diagnosed with breast cancer in 2007. continued on page 60 58 October 25 • 2018 jn