Size of my tumor
Well........ I'm just going to go ahead and throw this out there. I was diagnosed on 12/5/08. The BS decided to have an MRI before we set the surgery date. The original dx was the tumor size was 2.6 cm... the MRI showed it to be 4.6 cm. The BS and onc really aren't sure at this point which one to believe. We do know it is grade 1 and hormone-induced.
OKAY... here's my concern right now. I look at everyone's posts and it seems, in my small little worried mind, that (almost) everyone's tumor is much smaller than mine. I did have a mammogram 9/07 and this last one was 11/08.
Could the mammogram missed it last year?
Am I right to be concerned that my tumor is evidently larger than most?
Comments
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Thank you MAMHOP.... good advice. Have been told in the past I have dense breasts and calcified deposits. I had been in before for a second mammogram and ultrasound... nothing found. I'll keep waiting....... waiting........ waiting.........
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I agree Mamhop, I have always been told I had dense breasts, starting having mammo's at 35, then at 40 had mammo's and ultra sounds every 6 months, they saw calcifications but said they would just keep an eye on them, my last ultra sound in Aug they said nothing's changed see you in 6 months! If it hadn't been for the radiologist's ASSISTANT, who, once he left the room suggested an MRI with contrast who knows what would have happened........I think MRI with contrast should be mandatory for people who are told for years they have dense breasts.
MOB's, mamhop is right, you won't know actual size until after surgery, mine was supposted to be 0.8mm according to the biopsy and MRI but ended up being 1.1 with DCIS in the mix also, so don't worry!
L
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Just wanted to add my info to possibly ease your worries. My tumor measured up to 3cm on ultrasound and 2 to 3 cm on MRI but was 1.6 cm in reality. The IDC was surrounded by DCIS in my case so I don't know if they didn't include the DCIS in the 1.6cm or the MRI/Ultrasound are just not completely accurate for sizing. Once you have surgery, you will know for sure. I am still in the waiting game (determining chemo etc) but have to tell you that it was a relief to have the final word after surgery. Hang in there!
Susan
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Mom,
I know it's hard not to worry, but when you read these posts you'll find that there are many women with tumors larger than yours, with lymph node involvement (and other factors) that are doing well many years out. Just do what you need to do, stay focused, and make sure you are satisfied with your oncology/treatment team. Your treatment is very individual, so it's important to stay focused on you. One day at a time...
Bobbie
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My US and mammogram say 1cm and the MRI says 2cm. My best friend's mom is also going through the early stuff for BC and her tumor measured 2-3cm on mammogram and 5cm on MRI. At surgery, it was 3cm. Soooo... It sure seems common to have a difference in measurements. I CAN'T WAIT for my surgery... to know for sure. (And to find out about my LN.)
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Mom-
Tumor size is not the whole story. The fact that you are a grade 1 is very good. Your tumor may be larger, but it may be a "gentle giant". - A little larger than some but not necessarily more agressive.
My mom is a good example. She had a large 6.2cm tumor, a single mast and no other treatment. Now 28yrs later, she is alive and well at 85.
Best wishes
Julie
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FIRST, thank you everyone for your responses! I already feel better and stronger...
Thank you, Aprilgirl1...... that does help to ease my worries. I'm hoping the MRI over-exaggerated!
Spunkygirl... I'm by nature a very impatient, wanting-to-be-in-control kind of person, but I agree... one day at a time!
Michele S... I'm with ya! I'm extremely ready to get back all my results, schedule the surgery, and find out where we go from here! The waiting is torture!!!
pod1257... The best story of all! Your mom is an inspiration to us all!
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Everyone,
Just asked a friend who is a radiologist at a breast center (not in my town or else she'd be reading my films) and she tells me that it is "common" for the MRI to read larger than the US measurement. She reminded me that we will only know for certain at surgery (yeah, tell me something I don't already know...) but that she'd be inclined to go with the US measurements as being the more accurate of the 2 measurements taken.
Mom_of_boys: Just thought that might make you feel a bit better. I know *I* feel comforted by it!
Michele
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WOOOO HOOOO, Michele! Thanks for sharing!!! AND... yes, I feel better after reading your post!
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I live to serve.
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Hi, MicheleS ~
Thanks for sharing what your radiologist friend said. I was beginning to feel rather loopy because of the different measurements I was being told. The biopsy said 2 cm minimum (the size of the core), the ultrasound said 3.5; the MRI said 4.9.
I mean, what? Is it growing, shrinking, growing, shrinking with each test?! Heehee!
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Hi - I am in the UK and have just been dx with a 3.4cm tumour despite regular mamo's. I was told this is because I have dense tissue and having spoken to the prof who saw me first and other docters, including my general doc, all have said that mamo's are a waste of time for a lot of women. Why was I not told that I had dense tissue and that I should take extra care and attention when self examining! Had I known I would have demanded an ultra sound or 'invented' lumps to make them give me an ultra sound. My gen doc said mamo's are a waste of time and also dangerous because women believe that if they are having mamo's they are safe and that is SO not the case.On the mamo they did when I went in with the lump it still didn't show up despite being quite large! I am now beating a drum over here to make sure every woman I know understands this and that they should ask how effctive their own mamo's are and if they are concerned to ask for an ultra sound. It makes you so angry cos my tumour could have been found much earlier if I had just been told the problem with my mamo's. Good luck to everyone x
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This is all a shock to me as well. My tumor is 3 cm spiculated mass. My mammogram only showed microcalcifications. The tumor showed up on the Ultrasound. It felt like the size of a pea, but actually that was the tip of a star shaped tumor.
Peg
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My BS and onco both say tumor biology trumps tumor size, although size is a factor. I had 2 tumors next to each other (with spiculated margins) and they measured them as one which gave me the 2.6cm, had they chosen to measure only the larger one as some pathologist do, I would have been stage I instead of stage IIa. It seemed kind of large to me but both of my docs talked about how a .4mm tumor with aggressive biology is more dangerous than a larger tumor that is less aggressive, that is why understanding tumor biology is becoming more and more important in diagnosis and treatment. I've got boys too, and after going through all of this with me, I think they will be great husbands!
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Have to agree with Wiggy, mammo's are not that effective on dense breasts. I have been having mammo's every year since I was 35 and every 6 months since 40 (I am 49), I had calcifications, which according to the radiologist hadn't changed as of Aug 18th 2008, so it wasn't until the radiologist tech suggested an MRI with contrast that the suspicious area was found and biopsy ordered, I try not to get angry that this could have been found much earlier with an MRI and before it became invasive, I am lucky that it was 1.1cm but still, if it hadn't have been for the suggestion of the tech I wouldn't be going back until February and who knows what would have happened. I have been banging my drum too Wiggy telling everyone who will listen to ask for an MRI if in doubt! p.s I am from Reading, Berks Wiggy but living over here! I hope you are ok!
Lorraine ox
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My tumor didn't show up on the mammo either but was found on the us. I have fibrocystic breasts so it is hard to do breast exams (they always feel lumpy to me). I have a stage 1 tumor (or so I think). Is what you are saying that you don't really know what the size is until the surgery? So that means that someone who is a stage 1 could really be a stage 2 when the tumor is measured after it is taken out??? So, I can now worry more???
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My tumor didn't show up on the mammo either but was found on the us. I have fibrocystic breasts so it is hard to do breast exams (they always feel lumpy to me). I have a stage 1 tumor (or so I think). Is what you are saying that you don't really know what the size is until the surgery? So that means that someone who is a stage 1 could really be a stage 2 when the tumor is measured after it is taken out??? So, I can now worry more???
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Hi Wiggy, the other improvement would be digital mammograms and not every facility has them, but they sure are a lot clearer than the regular ones.
Glad yours was found. We are our own best advocates. cheers!
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Sukiann, I was told by my surgeon that they do not stage the tumor until it is removed, and that it's not just the size but the lymph node involvement that affects the staging. That does not mean you need to worry more now!
Momofboys, I was told my tumor appeared to be 1.6 cm from the ultrasound biopsy and 3 cm from the MRI. My surgeon said that MRI often overstates the size of the tumor and could be including areas of DCIS surrounding my tumor that are not invasive.
I try not to worry too much, although I know it's easier said than done. Xanax helps.
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My MRI was pretty close. It was read on the MRI at 1.3 cm but ended up at 1.2cm. I think they were hoping it would be under 1 cm because all along they told me lumpectomy and rad. Now I am doing CMF as my chemo. Onco was a 15. Chemo isn't too bad, just makes you tired.
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Hi, I am a newby-the US said my tumor was 3 x 5 CM-my surgeon said it felt 4 X 6 CM-so it is bigger than yours, I agree you don't see many big ones. I am having surgery on 1-30-09. I am concerned about it being Metastasis, I have been going to my family doctor for the past 6 months with pain in my shoulders and joints, does anyone have any info on this? I will be having a bi laterial with immediate expanders.
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Hi Simone...I had a large tumor too and had joint and shoulder pain. The shoulder and hip pain turned out to be early arthritis and the more recent joint pain is due to the anti-hormonal medication I'm on. I used to worry about mets too but at least so far it's all been due to something else. Hope yours is the same!! What does your family doctor say? By the way, the hip and shoulder pain were before surgery and treatment so not related to that (except in my mind at the beginning - but I am sure that is normal)!
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I, too, feel that my doctor should have insisted on a MRI. For someone like me -- fibrocystic breasts, calcified deposits, dense breasts -- a MRI should be standard fare!
I had my ovaries/tubes out this past Tuesday and will have my breast surgery on Friday, sooooooooooo........... I guess we'll find out on Friday the "real" size of the tumor!
AND... yes, I am beginning to indulge in the occasional xanax!
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Hi, My tumor did not show up on the mammogram or ultrasound. For I have IBC and this is common. One thing too is IBC does not come in a lump. When they did my mastectomy they removed a 12.5cm tumor. I am alive. I did chemo first to see if they could shrink it, but the chemo did not work. Then they did surgery. I am at stage 3B. You will do fine and know that we care about you on the board and are here to support you. Good luck and keep us posted please.
Blessings; Elizabeth
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Elizabeth...
What an extremely encouraging and sweet posting!
Thank you.
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