Not sure where to post as this is all new to me I have her2+..

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Hello everyone, I not sure of how this works as i never posted anything before. I was told on April 28th that i have her2+.I am stage3, grade 3. It was 2 day after my mom had passed away. My tumor was 14cm. I started treatments in june 5th. My port was put in on june 10th. I had 4 treatments of herceptin and pertuzumab.(Ever 3 weeks)  I am told my tumor is now 7cm. I will be having surgery on Sept. 2nd mastectomy with lymph node. Proceeding by Chemotherapy treatment.(herceptin and Docetaxel for 4 treatments.) Ever 3 weeks. I have a few question if any of you's have been in my boat. lol How long is the stay in the hospital? Pr-op told me 2 days surgeon told me the same day... I am seeing onc this week is there anything that i need to ask him as my mind is a blank. I was recently told that my tumor was not only 1 by the surgeon. I also have been thinking should i ask about removing the other breast as I do not wanna go through this again. I am so new to this there probably is a million question that i should be asking that i don't even know.

Comments

  • maryannecb
    maryannecb Member Posts: 1,453
    edited August 2008

    Hi Donna,

    great reponse to your treatments so far:)).

    BC does not usually spread to the other breast if it spreads. But as you have had BC you have a higher chance than the next woman of getting it in your other breast.Many women take the rick that it will not happen again and leave their good breast alone, others choose to decrease the risk.

    Most people stay in hospital for 1-3 days, some locations it is day surgery. But sounds like you are having the nodes removed from uner your armpit and will have a drain so you,ll likely be in for a few days.

    Herceptin and tykerb are really helping out your type of cancer. lets hope it stomps your cancer out.

    Good luck with your surgery and upcoming treatments.

    I am coming up to three years with no evidence of disease(NED). Had a 9cm tumor with positive nodes. I was very scared in the beginning but am less worried now.

  • LUVmy2girlZ
    LUVmy2girlZ Member Posts: 2,394
    edited August 2008

    First, congrats to your 3 year Mary!!! Awesome...I love hearing NED!

    Donna ~

    Keep a list...and just ask your Dr. what you should expect and what to look out for if you have no questions at that time...I know the mind, you will remember later!  So, if that is the case just call the office or post a thread and there will be lots of support and answers to your questions or concerns.  Make certain you have an understanding - you should always try and bring someone with you. 

    Like me, and it seems just about everyone else...we question our other breast.  I questioned at least 3 times to my BS (Breast Surgeon) and he said, " Why in the world would you want to remove a perfectly healthy breast ?"  When I had a second opinion on a BS I asked that very question again, the BS said, I have a chance as anybody else that doesn't have cancer to get it w/ in that breast. So, even though I was MORE than willing to loose that breast....if seemed invasive.

    I think it solely depends on not only the individual but your history...for an example of your BRCA positive you have more of a chance.  There are others even w/ a non-aggressive cancer having bi-laterals and they are happy...they reduced their risk as well as having more of an "even" result.

    Again, the choice really should be YOURS...speak to your BS and go over any options and put your mind at ease either outcome.

    I am so sorry for the loss of your mother...this certainly has not been a good year has it!?  Know, that she is looking over and protecting you.

    My BEST to you and your surgery...keep us posted!

    Much LUV

  • Donna-in-canada
    Donna-in-canada Member Posts: 7
    edited August 2008

    Hello there Marryann,

    Thank you for your responceEmbarassed

    I am not even sure if the cancer has spread as is. I have not as of yet had any nodes removed or tested. (it will be done in surgery on tuesday.)

    I feel so lost and not even sure of the questions that i should be asking(Onc or surgeon)

    As i feel like an alien and don't anything that is going on with me. Aso of last week i had no idea that they were gonna take out any nodes but one of my friends asked me and i told her i didn't know. So i asked surgeon he said yes but didn't tell me how may?

  • Donna-in-canada
    Donna-in-canada Member Posts: 7
    edited August 2008

    Thank you for your responce LUVmy2girlzEmbarassed

    It is a very aggressive cancer it grew very quickly.

    As for the other breast in was told that it had FIBRO CYSTIC.

    I feel like there is just so much to absorb and remember so i did start to write questions down not sure if they are all the right one but just the same my questions.

    I could use all the help i can get, on asking the right ones.

  • LUVmy2girlZ
    LUVmy2girlZ Member Posts: 2,394
    edited August 2008

    Your in the waiting period and that can be the hardest time...know that you will soon get a "plan of action" and feel somewhat more in "control" Remeber that breast cancer is a SURVIVABLE disease and though we don't have a cure...1 in 7 woman are diagnosed ....and with that stat comes awesome technology.

    Most breast surgeons don't sit and talk about things extensively, at least not in my experience...it seems they go over the basics.  Yet, this website can tremendously help.

    Has your BS gone over the SNB ( Sentinel node biopsy ) with you ?  Most likely, before your surgery they will take you to nuclear medicine and  administer around 4 needles in your nipple...it is quite painful but tolerable...mine felt like bee stings...but I held my breath and knew the pain would be over in a matter of seconds.  This will light up any "suspicious" lymph nodes so your BS knows just what to remove... it seems gen.practice is to remove three anyway just to be sure.

    Mine were "suspicious" but ended up being "reactive in nature" due to my tumor.

    A couple of questions :

    As far as your other breast since you are ER+ have you discussed w/ your Dr. regarding tamoxafin ?  Usually, this is recommended to reduce your chances of recurrence and to reduce your chances in your opposite breast and is taken for I believe 5 years.

    After your FINAL path report ...this will dictate your treatment path.  So again, another waiting period but you will soon get on that path of healing!

    Much LUV

  • Donna-in-canada
    Donna-in-canada Member Posts: 7
    edited August 2008

    Thank you again LUVmy2girlzEmbarassed

    I would think that i would know what type of mastectomy i would be having as my surgery is Sept 2nd. And i just read there are 5 types.

    I do not even know how may nodes they are removing as had i not asked it i would not of known he was removing any.

    Alot of thing just seem to be not told to me so im left with asking them, And i am just learning them now.

    Thanks to you's and this sight.

    I shall take notes of your questions. And ask onc tommrow. I shall keep you posted.

    Thank you again...

  • Bonnie02
    Bonnie02 Member Posts: 193
    edited August 2008

    Hi Donna,

    Many places seem to do things differently, I live on Vancouver Island and had a mastectomy in March at which time I stayed  overnight in the hospital. A mastectomy is not that painful just the trouble with drains was a pain. When I say not to painful I am comparing it to other operations I have had and the mast. was much easier. I was told that it is very unlikely the BC will move over to the other breast, hope this is right.   Bye the way the amount of nods removed will depend on how many are infected if any. I had 6 removed but only 2 were positive.  Good luck with your surgery will be thinking of you.

    Bonnie

  • IrishTwin
    IrishTwin Member Posts: 50
    edited August 2008

    Hi Donna-in-Canada,

    My sister was diagnosed in April with IDC Stage 3 Grade 3, tumour size 5cm.  Her other breast was dense and cystic and they wanted an MRI to make sure it was negative but they couldn't get one before her planned surgery so they told her they could take it off later if necessary.  She opted to have it taken off at the same time so she wouldn't have to go back in again.  As it turned out, there was no cancer there but she is still glad she had the other side removed because she doesn't have to worry now (her best friend's mother got it in the second breast 5 years later), and also because she's symmetrical so in some ways she feels normal.  Also, she had back issues before and it is easier to avoid back strain if you are symmetric. Finally, taking off the second side adds little to the surgery recovery because they don't take out the lymph nodes which is the worst part.  

    So my sister had a radical double mastectomy on the cancer side (with removal of 23 lymph nodes, 16 positive) and a simple mastectomy on the other.  It was a DAY SURGERY.  That is Ontario for you.  It was horrible getting home; every bump in the car was agony.  However, she ended up being glad to be back in her own bed without the nurses hassling her to hurry up and get out.  If we had known what it was going to be like, we would have insisted they send her home in an ambulance.  Then she would have been able to enjoy her own bed without the torture of the ride home.  However, it seems more sensible to stay at least overnight, if the health care system will allow!

    On the plus side the surgeon did a great job,  got it all out even though he had to go right back to the chest wall, and the stitches healed up great.  The home care nurses have been terrific.

    The recovery on the lymph node removed side was harder than the simple side and she had trouble with arm mobility.  She is now in physio and it has worked wonders.  The drains came out after about a week on the lymph node side, after about four days on the other side.  She was glad to have them out because they had begun to get itchy and sore.

    My sister had other health issues that complicated her case (she had to have a second pelvic surgery a few days after starting chemo, because they couldn't fit her in to the OR schedule the month before chemo). Even with that extra trouble, things have gone pretty smoothly, so try not to stress.  My sister was a wreck in anticipation of everything but has been pleasantly surprised; the worst part has probably been the agony of worry. If you could take that away (somehow)...

  • Donna-in-canada
    Donna-in-canada Member Posts: 7
    edited September 2008

    Hello everyone,

    Thank you for your response to my question. It was very help full.

    I'm home now from my surgery. I'm having problem eating or should i say keeping it down I'm not sure if it caused by pain med's. I keep felling sick and nauseated. I do not know what to eat or what will stay down i have stopped my pain med's hoping my stomach will settle down.. And am eating very little. If any of you have any sugestion Id be glad to hear of them.

  • Beesie
    Beesie Member Posts: 12,240
    edited September 2008

    Donna, I'm glad to hear that your surgery is over and you are back home.  Feeling nauseated after surgery is pretty common - I often get nauseated from the anesthesia and that can last for a couple of days, and some women get nauseated from the pain drugs.  My suggestion is to just be gentle on your stomach for a few days until it settles down - drink tea, eat things like soda crackers and plain soup.  The nausea should pass pretty soon.  If it doesn't, do you have a visiting homecare nurse or a nurse that you can call at the hospital?  A nurse should be able to advise you on what to do to relieve the nausea if it doesn't go away on it's own. 

  • cnewberry55
    cnewberry55 Member Posts: 18
    edited September 2008

    Likewise, I am not sure where to post this.  I just had my drain taken out.  The site is red and has pus in it.  My Dr. said it looks just like it is supposed to.  I am not so sure?

  • Hope_M
    Hope_M Member Posts: 261
    edited September 2008

    Dear CNewberry,

    The skin of a new scar (which you will have where the drain came out) is usually red.  Also, you can have some more drainage from that wound until it heals up.  If the doctor says that it is okay, then it probably is.  Just keep an eye on it and call your doctor if you think that it is becoming infected.

    My doctors have let me use some antibiotic (like hydrogen peroxide) on sites like this.  You may want to call and ask about that.

    Welcome and you will get to know this site as you move along.  You may want to start another "thread", or discussion of your own as you post a new questions.

    Hope M. 

  • Donna-in-canada
    Donna-in-canada Member Posts: 7
    edited September 2008

    Thank you Beesie for your response.

    I will try and eat lightly for now but i have stopped my pain med's and my stomack seems to feel a tad better. As for the pain it is bearable for the moment.

    Thank you again for your tips..

    Donna

  • mississippigirl
    mississippigirl Member Posts: 6
    edited September 2008

    You sound like me-I was queasy after I came home, but improved gradually after I got off of pain meds. I just took Tylenol after coming home. The pain will gradually lessen as you heal. Just do exactly what your MD says if he wants you to rest. Moving around,especially with your arms, will increase the drainage & delay getting the drains out. I found it helpful to prop my arms up on small pillows.

       I know what you mean about not knowing what to ask-I have to have my husband with me or I remember nothing the MDs say & nothing I wanted to ask!! I have to write everything down in a spiral notebook so I can refer to it later. My brain seems to go to pause when I am at an appointment!

       We will get through this-go to the Message Board that says IDC Her2-positive for more chat with people you have the Her status in common with-it is very helpful to me. What else can we help with?

  • Donna-in-canada
    Donna-in-canada Member Posts: 7
    edited September 2008

    Hello mississippigirlSmile,

    Thank you for your response.

    Finally over being sick for the moment hopefully gone for good.

    My biggest problem now is that my side is swollen where the drain was, I know there is fluid in it but as well there is a lump inside it, It's hard and I'm not sure what it is. I've been told it can be a blood clot or a swollen lymph node.

    My arm on the inside between the elbow and the armpit was numb at first but some feeling has returned and now it is rather painful it feels like it is badly bruised. And of course when it rubs on my side it hurts both the arm and the side. If anyone has experienced this or is experiencing this please tell me what i can do to easy the pain?

    I've been having Herceptin treatments and now going to start chemo Oct 6th.

    Wish all of you's the best..

    Donna

  • mississippigirl
    mississippigirl Member Posts: 6
    edited September 2008

    The swelling may be just fluid-it can be drawn off to relieve the pain if that is what it is. Has your MD said you could use an ice pack? I used them and they helped a great deal. If you use them, be sure to put a thin cloth between them and your skin-if you are still numb on the surface you won't be able to feel when it is too cold. Can you take ibuprofen yet? That might help. When you get clearance to take a warm bath that may help also-be sure to check with the MD 1st. I found that a bath was more helpful than a shower. 

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