Bilateral Prophylactic Mastectomy scheduled July 10

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Comments

  • psalmist
    psalmist Member Posts: 214
    edited July 2008

    Day 6 Post Op and I got some bad news today.  Apparently the LCIS in the left breast had become invasive; the pathologist found a tiny lump - 1/8 inch - that was malignant.  I go back next Wednesday to have some lymph nodes removed for biopsy.  Today I did get my drains out so that was a bright spot in my day!  The left side had not been draining much anyway - nearly dry - and when he pulled out the drain a bunch of fluid came out with it.  Relief was immediate.  I hope the seroma doesn't return, but it wasn't severe.  My total output has been about 12 cc per day anyway --

    So, I am trying to wrap my brain around the fact that I had breast cancer - and didn't know it.  Thank God I had the bilat mastectomy!  The surgeon and I were high-fiving ourselves today!  I have my husband and daughters to thank who would NOT let me put off surgery.  Just so you know, mammogram didn't see the lump.     

  • jezza
    jezza Member Posts: 698
    edited July 2008

    Wow psalmist! Thats amazing.....not good news to find a small malignancy but you now KNOW you did the right thing.

    If the mammogram didn't show it......well who knows when it would have been discovered.

    Yes it must be hard to wrap your head around it all.

    With the lump so small it looks promising for clear nodes.....fingers crossed for you.

    Hugs

    jezza

  • leaf
    leaf Member Posts: 8,188
    edited July 2008

    I guess several who have chosen bilat mast for LCIS have had excellent intuition, and they found 'something worse' on mastectomy.

    Congratulations on such a wise choice! 

    Crossing my fingers for you that that tiny spot is all there is.  They certainly wouldn't have found this any other way. 

  • Peaches70
    Peaches70 Member Posts: 210
    edited July 2008

    Sunkisti, I just reread your earlier post and realized that you will be using Dr. Allen for your TUG. Please let me know how it goes. That is what he suggested for me when I saw him in Jan. If I do go with PBMs next summer, he is the one I want.

    Psalmist, wow again.                         I am still struggling with the decision to or not to do BPMs. Then I read your post. That is one of the reasons I keep returning to the thought. Thank goodness you went through with it!

    Anne

  • tinainthepink
    tinainthepink Member Posts: 3
    edited July 2008

    So glad to hear all went well psalmist!  Laughing  Yippee!

    Just curious - Two years?  Hmm, that is the first I have heard of such a long wait period...what did your PS end up saying?

    So glad you are doing well and feel "at peace" with your decision.

    Hugs, Tina 

  • TenderIsOurMight
    TenderIsOurMight Member Posts: 4,493
    edited July 2008

    Sorry to hear they found a small amount of invasive disease, psalmist. Supportive thoughts being sent your way as you undergo your additional surgery, and for quick, safe recovery.
     
    Tender 
  • psalmist
    psalmist Member Posts: 214
    edited July 2008
    Thanks for your continued prayers, everyone!  Tomorrow morning, 6:30 AM, I go in for the lymph node dissection.  Not too excited about it -- especially the risk of lymphedema.  I'm nervous about that.  I did go back to work yesterday and today, and I think I should have pulled half days; but had a big meeting to prepare for and lots of things to do before being out of the office for another week or two.  I'm a little tired.  
     
    Thanks so much for your encouragement and information.  This has been a great help to me.  Blessings! 
  • leaf
    leaf Member Posts: 8,188
    edited July 2008

    Sending thoughts of containment and health your way. 

  • psalmist
    psalmist Member Posts: 214
    edited July 2008

    I had my lymph node dissection last Thursday and it turned out completely negative - no cancer cells in all 16 nodes!  I was SO relieved!  I will follow up with the oncologist to see what is next, but the surgeon feels that I will probably be put on hormone therapy.  YAY!     Now if I can just get through the next five or six months of reconstruction...that seems to be the most painful part.  But when I compare it to chemo and radiation, I realize what a blessing it is that I won't have to go through all that.  THANKS everyone for your prayers and support!!!  We are a happy family over here!

    FYI, to my surprise, the cancer was in the "healthy" breast, not the one with LCIS.   As I was being prepped for lymph node surgery, I questioned the side they were dissecting as I had assumed the cancer showed up in my diseased breast (left).  Turns out, the path report showed ductal hyperplasia in the right breast as well as a small invasive ductal carcinoma.  The LCIS in the left breast had not changed.   So, both were "bad boobs."  And those bad babies are gone!  : )

  • Chocolat
    Chocolat Member Posts: 6
    edited August 2008

    Hi Everyone.

     I'm new to the forum. I'm 47 yrs old and  I was diagnosed with LCIS.  Mammogram, Ultrasound nor MRI picked it up.  I found the lump and went to my dr. right away.  When I got the results I  decided right away to go through with a bilateral mastectomy.  I had a very good friend pass away approximately 2 wks before I had my biopsy and she had a 5 yr fight with breast cancer.  She had chemo and radiation and stayed in remission for 3 yrs before it returned in the worse way.  She didn't have a mastectomy until the BC returned the second time. 

     I made my decision based on the fact that I don't deal with stress very well.  I was sent to an oncologist and she was the sweetest person I could have met at that time.  She spent serveral hours with me discussing every aspect of LCIS and also the risks of it developing in the other breast without even knowing it was there.  I went home discussed it with my husband and decided what I was going to do.  I told the Dr. take them...I have nursed my 3 children and I have a life to live.  I'm very active in the gym.  I'm a cycling instruction and I am also the supervisor of the childcare located in the gym.  So I knew I needed to act on this but I wasn't sure what to do.  But I knew I couldn't deal with the stress of going through lumpectomy after lumpectomy or biopsy after biopsy.  So I made the decision and 2 wks after I had a bilateral...with reconstruction.  I had to have some extra skin removed for them to biopsy to make sure it wasn't contaminated and thank God it wasn't so no chemo or radiation will be needed.  The path report showed that I did have pre pre pre cancer cells in the left breast and my oncologist was happy with my decision.  Yes I was ok with my breasts as long as they were healthy but I could do without them knowing I was at risk for breast cancer.  Like I told the doctors "take them" I don't need them...I've nursed my children and I can always get new ones if I choose. 

     At that point I decided I needed to work on my mental stability.  So a friend of mine bought me some books on healing scriptures and I read all the scripture I could on healing and I prayed for the healing and faith I needed to help me get through this ordeal.  I thank all my family, friends and all the churches around the world who has prayed for me.  The Lord will be with us and help us though any ordeal we have set before us.  I feel strong in this area.  We are all family in this forum we are all going through the same and I will pray for us all on a daily basis and pray for us all to have faith in the Lord that everything will be ok.  SO my thing is this....I talk to any and everyone about my condition because I feel if I can help one person it will all be worth it. 

     I don't want to write a novel here because my story is long but I think I have covered the important parts.  Remember my friends Pray, Pray, and Pray...because the Lord will provide.

     Much love to you all

  • Mykidsmom
    Mykidsmom Member Posts: 1,637
    edited August 2008

    I was just dx'd w/ LCIS on Friday. After more than six months of mammo's, MRI's, bx's and MD visits for "it doesn't look right," this was much better news that I thought I was going to get. I am strongly leaning towards a BPM. I have a family hx of all kinds of cancer on both sides of the family, my three children are grown, and I too am very athletic and love to be outdoors and doing stuff. When I add up all my risk factors (two of my children are adopted, so I can't even check off that I had early and multiple pregnancies), it seems very likely that I will get invasive bc. I lost my cousin and also my best friend from bc earlier, so I know how things can go. Also, I know that the tests are not very conclusive w/ me. I always get called back for more testing. Anyhow, I am very interested in how things turned out for you. Please keep in touch. Thanks.

  • Chocolat
    Chocolat Member Posts: 6
    edited August 2008

    Hi Mykidsmom

    I have been recouperating very nicely.  My LCIS was not invasive and the skin my PC tested was clean.  Thank the Lord!!  I will not have to have chemo or radiation.  I am currently going through reconstruction and it has been going well.  The surgery itself was not painful. The worse part of the surgery for me was coming home with those drains.  Ughhhhhhh!!  But after a while you get used to those and they are removed a few days after surgery.  That hurt more than the surgery itself.  LOL   I chose the BPM because I didn't want to go through biopsy after biopsy and lumpectomy after lumpectomy.  Eventually after all those surgeries you have no breast tissue left and will still need some form of reconstruction. 

    There has been no breast cancer in my family and since I don't do stress very well, I concluded this was the answer for me.  I had some negative feedback from some but I decided this was my body and I needed to take control over what was happening.  I discussed this with my husband and he agreed with my decision.  Once I made my decision I began to feel calm and I do not regret my decision thus far.  I was so stressed because all the tests pointed in the direction of scar tissue from a biopsy I had almost 10 years ago.  I feel that all of us have to have faith in God and also be positive no matter how bad it gets for us.  All the little demons visit at night when everyone has gone to bed and you are left up alone.  I had to do some strong praying and reading to get those demons to leave.  I will pray for you.  Have faith in which ever decision you make.

    Take care and sending lots of love and prayers out for all of us.  Please look at the link below it is so awesome.  It brought tears to my eyes and a big smile on my face when I was leaving the gym after a workout to see this.  Big smiles to all....It may be in your home town soon.

      http://pinkribbonnews.blogspot.com/2008/08/we-made-it-to-las-cruces.html

  • Mykidsmom
    Mykidsmom Member Posts: 1,637
    edited August 2008

    So here I am, almost a week after my dx w/ LCIS and I am still sure that I want a PBM. I haven't talked it over w/ my oncologist yet, but it is the route I am going to go. As my husband says, whether it is a 30% or an 85% risk of developing invasive breast cancer, it is still too high for comfort. I totally agree. Thing is, now the reality of this dx is starting to settle in and I find my self crying for no reason at all. I wish I could just be told - you MUST get a PBM, then there is no decision. Worrying about making the wrong decision is tough. I have a gut feeling that something is seriously wrong in there. It is the same gut that took me to a new mammography center and new surgeon this year and got me to where I am now. I certainly prefer life over my breasts. I am just ranting, but I am looking for strong reasons to put me over the edge and convince myself that the PBM is almost a requirement. Does that make any sense? I expect not.

  • Chocolat
    Chocolat Member Posts: 6
    edited August 2008

    I was in the same situation you are in Mykidsmom.  When I was told I immediately said "take them..I don't want them...I don't want breast cancer".  I was so upset because a very good friend of mine fought BC for 5yrs and lost her battle approximately 3 wks before my results.  The oncologist told me it was MY decision and she would leave the decision up to me.  She brought in several women who had experienced some for of BC.  One was an employee of hers who had a mastectomy on the left breast with reconstruction.  She was a sweetheart and she showed me her reconstructed breast and talk to me about what could happen.  Another lady had a bilateral and was on chemo.  She had in explanders and was going to go through reconstruction.  She showed me her breast also and she too had a great attitude.  The last young lady she sent in was one who had a breast implants from the PS she was sending me to.  Her breasts looked awesome.  All this was done in a 3 hr appointment.  I sat there and cried my eyes out during those 3 hrs.  My oncologist came in and wrapped her arms around me and said don't be scared we will take good care of you.  So dry your eyes and we will get you fixed.  That was so comforting.  I came home in a daze.  Sat down and talked to my husband and we together made my decision.  I have 3 children ages 26, 22, and 18 and a beautiful grandson who we all adore.  I decided I have a life to live.  I can't be sitting around feeling sick in the pit of my stomach, crying and wondering.  So I decided on the PBM.  I had feedback from any and everyone who thought they had a right to tell me what to do including my chiropractor.  LOL.  I told him well too late im going in tomorrow so you can fine tune my back and anything else that needs alignment because tomorrow morning at 6am I will be in the hosptial.  It took my surgeon and PS 2 wks to get me scheduled.  Do I regret this.  Not at all.  My oncologist told me when I went to see her that she was very happy I did this.  I looked at the results this way.   At least they didn't tell me they found something worse so I will do what I have to do to get this taken care of before it gets worse.  You mentioned having a gut feeling that something is wrong.  One thing I do is go with my gut feelings because it could be your subconscience mind telling you to have it thoughtly checked.  Did you have an MRI?  The strong reason that put me over the edge is I'm not very good with stress and I did not like the thought of having to have biopsy after biopsy or lumpectomy after lumpectomy.  I had several people call me when they found out my dx.  One told me this surgery isnt painful like having knee surgery or shoulder surgery.  She had the same team of Dr's I have all except the oncologist is different and she also had reconstruction.  She was right and I think what every your decision and if you do decide to go with the PBM you will be fine.  Have faith in the Lord and pray for you healing that's what I did.  Friends of Friends all over the world have prayed for me and my experience has been positive.  Once you make up your mind you will then start to feel at ease.  I will pray for you  my friend and if I can help you in anyway please do not hesitate to message me.  Do not allow fear to cloud your thoughts.  Big hugggssss to you...

    And btw everything you said makes a whole lot of sense to me!!! 

  • Mykidsmom
    Mykidsmom Member Posts: 1,637
    edited August 2008

    Thanks Chocolat - I have tears in my eyes. That helped so much! How did your procedure go? Did you have reconstruction? I am leaning towards just a PBM and then deciding later if I need reconstruction. How long were you laid up. You sound about the same age, my kids are 24 (twins) and 21.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited August 2008

    mykidsmom----I know exactly how you feel.  I wanted the docs to give me a  definitive plan of attack, rather than leave it all up to me. But they can only give recommendations, they can't tell you what you must do. In my case, all my docs (onc, gyn, pcp, rad, bs) felt BPMs were too drastic a choice and that's even with the combination of LCIS  AND family history (mom had ILC). I'm  very closely monitored with alternating mammos and MRIs every 6 months, see my oncologist every 6 months on the opposite schedule (so am "seen" by some method every 3 months essentially), and have less than 2 months left to go to finish up my 5 years of tamoxifen which I've tolerated pretty well overall. It all comes down to how much risk you can live with. Don't let anyone rush you into anything, there is no rush with LCIS.  Just make sure you make all your decisions out of knowledge, not out of fear.

    Anne

  • Chocolat
    Chocolat Member Posts: 6
    edited August 2008

    I'm 47.  My procedure went well.  Yes I had the PBM with reconstruction so the expanders were put in during the PBM.  The surgeon and PS work hand in hand.  I decided on the immediate reconstruction because I didn't want to undergo that part later.  They say that's a better choice.  I have started working out in the gym.  The PS said that he didnt want me doing any bouncing but I feel great I have my cardio up to 40 min.  :)))))))))  I'm just excited about feeling well.  Everyone I see tells me.  Gawd Cassandra you look great.  You look better than you did before the surgery.  I said do you think stress had somethng to do with that?  lol.  The BPM is not a painful surgery .  It wasn;'t for me.  I started moving my arms up and down and walking as soon as I was allowed to get out the bed.  When I went for my post op the surgeon asked me how high can you move your arms.  I put them over my head and he was like okkkkkkkkkk.  LOL.  I don't have time to be sick or down.  I get up every morning thanking the Lord for blessing me to get up and praying for ALL of us in this forum.  God is good!!!!!!!!

  • CAZ
    CAZ Member Posts: 678
    edited September 2008

    Hi Ladies,

    I chose PBM for my LCIS  for many reasons. I've had fibrocystic breast tissue for years, so I'm lumpy and wouldn't be able to tell good from bad. I'm premenopausal at 44. I can't stand the feeling of waiting to be a victim; so pro-actively, I've opted for a couple of scars and an enhanced "rack" to make up for my loss.  It is a very personal decision, but my life was worth more than my breasts.

    The expanders are not the most comfortable, but they are a means to an end.

    Good luck in whatever you chose.

    Carol(AZ)

  • psalmist
    psalmist Member Posts: 214
    edited September 2008

    This is a difficult decision to make, and it is intensely personal.  I am very happy I proceeded with BPM, because as I posted earlier, they ended up finding breast cancer in the undiagnosed side during lab tests after surgery.  It wasn't easy, the surgery itself isn't so bad - the expanders were very difficult for me.  It took five weeks for the pain to go away enough that I didn't need daily Tylenol or Ibuprofen.  I went camping and kayaking last week (7 weeks postop) and didn't have any problems at all!  So, I'm on the road to my old "self" and feeling good.  My first fill is this Thursday, but the PS only fills 30 cc at a time to reduce stretch marks and discomfort.  I won't be scheduled for the exchange of permanent implants until next spring - but that's okay.  I don't mind the wait.  Because of the BPM and the fact that my lymph dissection was clean, my oncologist tells me I have roughly a 1 percent chance of dying from breast cancer in the next ten years.  He is not even prescribing Tamoxifen, since it would only protect me by lowering my risk to a 1/2 percent.  Not enough to worry about given the side effects of the drug.  Basically, I have a 4 percent chance of dying from something else - so I'm feeling pretty good about my decision.

    And yes, prayer and faith make a huge difference, as does the support and comfort of other BC survivors.  This website has been a great help to me. 

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