Have you been tested for the cancer gene?

[KnottedYet]

I haven't.

While the type of breast cancer that runs in my family is likely genetic, there isn't a test for that one yet. (it's the one that is linked with malignant melanoma)

As soon as there is a test for that one, I'm getting it. And if it is positive, I'm getting a double mastectomy. I've already had the malignant melanoma, and I have watched the suffering from the breast cancer in the maternal side of my family.

I love my boobies, but not that much.

If your friend is very active, I'd suggest she not do tram-flap reconstruction. When those cause trouble, they are a real pain to rehab.

Edit to Add: oops! There is a test for my family's brand of breast cancer, it's the BRCA2 test. (I knew about the BRCA1 linked to ovarian cancer.) Ahh, ignorance is not bliss. Time to make an appt with my doc... http://www.cancer.gov/cancertopics/factsheet/Risk/BRCA And if my insurance company balks, I can try this: https://www.23andme.com/health/all/