Help please -how did it get this bad & don't know what to do.
Comments
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I once had Big Toe Cancer..........................LOL
BrandonMom is right, we all do that, every ache and pain.
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Hi Michele,
When I found my lump -- at first I thought it was a cyst since it grew and shrunk along with my monthly cycles. It didn't hurt -- silly me not knowing that cysts hurt, cancer sometimes doesn't. It was diagnosed as ILC that was extremely sensitive to the levels of estrogen in my body. Go figure... And finding out about mets is the shock of a lifetime.
What worked for me was getting my treatment plan -- I finally felt in control, taking charge. Also, working as much as I could, hanging out with friends, doing my normal things, was my way of saying f-you cancer, you can screw up some things but you aren't screwing up everything!
Any little treat I gave myself was me thumbing my nose at the cancer. I found strength some days that made me proud. When I broke down and bathed in self-pity I felt like crap but I kept thinking I had every right to feel like crap.
Many women, myself included, focus on others instead of themselves. Now is the time to put yourself higher on the list. I cannot emphasize this enough Michele. Visit the Mets and Recurrence Board -- you'll find that us mets girls can be around for quite a while, and you will get lots of support from all the boards. The women here will throw you a lifeline of support, I don't know what I'd do without them.
I wish you all the best,
Elizabeth
xox
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Hi Michele - so happy to hear your news and that your "team" sounds really nice and competent too. Take those pills and get some sleep tonight girl! May your dreams be sweet and your sleep refreshing. Let us know how you're doing.
Big hugs,
Peggy
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Michele - so glad you have a tentative plan. You will love the port. I loved mine. Now is the time to get some rest and prepare for the fight. You can get through this. I know we all have tips on how to get through chemo etc. I have a list and will be happy to post it if you'd like.
Hugs
Liz
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Hi Michele--
I'm an ILC gal too. I too have had things show up on scans that turned out to be nothing. I was even told a month and a half after I finished chemo that I had a 2cm cancerous mass above my port ... turned out to be a blood clot from the port! Boy was I glad it was something easily treated!!! I also have a spot on T9/T10 that we are watching but they are 90% sure now is from an old injury. I have wasted alot of days worrying myself sick over these things and I can tell you it's not helpful and it's not really living. So try to focus on the positives you've been given and don't let the worry take you down. I'm going to try to follow my own advise! Good luck with your treatment.
HUGS
Shari
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Hi all,
Thanks everyone for posting your stories and making me feel better. Shari, our "spots" are at exactly the same place. Kinda makes you wonder if that is a common injury spot.
So I get the call from my oncs nurse. They scheduled my PET scan and full body MRI for guess when - Valentine's Day. It turns out my hospital does them every other Saturday and this way I can have both of them done the same day and not have to miss work. Hey maybe Cupid will watch over me lol. My next appointment with the onc is Wednesday so we can discuss what treatment(s) he recommends. Would it make sense to have the port put in before the scans? It looks like chemo is in my future anyway which brings me to a question. I know I've read other posts but most of you seem to be in my boat. I've read way too much about ILC and chemo - it works/it doesn't work - it's recommended/it's not recommended plus what about Zometa or some other bisphosphonate (you now I didn't even know what the word meant two weeks ago)?
Big hugs and thanks, Michele
ps- the Ativan seems to be working a little.
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Michele,
How are you? Just checking in on you.
Hugs
Liz
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Michelle54, with regard to the medical world automatically knowing the difference between cancer in your bones and arthritis in your bones, don't count on anyone "knowing the difference" right off the bat. It seems (in my experience with ILC) that no 2 pairs of eyes will necessarily look at (or interpret) your results the same way. I've been told I have lobular, tubular, tubulolobular invasive carcinoma. Iv'e heard it is both invasive and in situ, strictly invasive, more insitu than invasive and everything in between. Post lumpectomy, I had clear margins, questionable margins, positive margins with lymph node involvement being macro involved, micro involved, fairly well established in the node, bad cells inside as well as outside the node, only a minimum degree of involvement....all depends on who you ask I guess. I could be stage 1A,1B, 2A, or 2B, maybe even a 3! Take your pick! Hang in there
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Hey there my bc sisters. How are you all doing this evening? Sitting here listening to the wind howling and can't believe it was 60 degrees yesterday. UGH is winter ever going to end?
I'm still is test mode - OMG will that ever end either? Finally decided to go with the Univ of PA for treatment. My OB/GYN is out of a local hospital that is a part of Fox Chase Cancer Center and I like the bs there BUT I love my primary doctor - I've been a patient of his for over 20 yearsand trust him completely. He's a physican and associate professor at Penn - really good credentials. His wife went though bc a couple years ago so he now has a personal relationship with the surgeons and oncologists and he is hooking me up with all the top docs at Penn. Plus I work on the University side so I guess we are all family.
Anyway they looked at my scans and aren't convinced that there is anything on my spine other than an old injury. This came from the bone radiologist. So instead of rushing off to do a biopsy on my spine, they want to do an MR on my thorasic spine instead. So the roller coaster ride continues. Cancer - not cancer - no mets - mets - maybe no mets. I really can't let myself hope anymore. Everytime I do I feel like I get kicked in the stomach.
My MRI is tomorrow at 2:00 and my primary said he may know something right away. My tummy keeps doing flip flops and I'm a nervous wreck. Took an Ativan but it didn't really help yet. Tomorrow is going to be a long day. Can I ask you all to put some good vibes out there in the universe and help me get through this?
Big hugs to all,
Michele
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michele54....all the good vibes I can pull together are coming your way right now...I went through all of this test stuff and know that it is so very hard....I even get nervous when I think about the tests that I will need in the future....my very best wishes for the very best results tomorrow...JudyO
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Michelle, that is encouraging that the radiologist isn't convinced of mets. Good luck with the MRI tomorrow--we'll all be thinking of you.
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Good luck tomorrow Michele! The breast cancer docs at Penn are fabulous; you will be in good hands.
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BIG BIG HUGS TO YOU TODAY. LET US KNOW WHAT HAPPENS. CAN YOU FEEL THE GOOD VIBES FROM EASTERN CANADA?
Peggy
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Michele: I'm praying for you now as I write this. I have ILC, Stage IIIA with 3 tumors in left breast, the largest being 8.5cm, and also had more than one lymph node involved. I also had MRI, bone scan, cat scan, chest x-rays, mammograms, biopsy, etc. It's exhausting. Now I just kind of lay there and think of the beach! Anyway, hold on to hope. You are not alone and try to find all of the success stories that you can. I was diagnosed in Oct. 08, started chemo immediately. I contracted pneumonia in December and spent a week in the hospital. I was really sick. On Jan. 7 09 my doc said he didn't think I had responded to the chemo as well as he had hoped and it was time to have surgery. He sent me for an MRI. The MRI shows that the tumors and lymph nodes are all gone. I went to the breast surgeon on Feb. 7 and had a follow-up digital mammo with magnification and an ultrasound. Same thing, no tumors or nodes. I'm having bi-lateral mastecomy on Feb. 23. SO, why tell you all this? Because you need to know that there is hope; that you are not alone. You will get through this and be stronger for it. Then you will be able to share your strength with someone else. It's okay to cry too. I can't stand it when people tell me "You have to stay positive." Yeah, right. All of us here know that our cancer could return or metastasize at any time. Some days you just can't be positive. Those are the days I pray the most. But we learn to take it one day at a time. Get the book "There's No Place Like Hope". You can find it on Amazon.com or just about any bookstore. It's terrific, and you will be able to relate to it's message. Another good one is "Cancer and The Lord's Prayer". Fantastic book! God bless you, hang in there and remember we're hanging with you!
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Okay I really am ready to start drinking at this point. I can't believe we still don't know anything for sure. I had the MRI of the spine today and my primary who I really trust and is on top of my care called and left me a message - he said - "there is no agreement about the results -one of the senior docs said it looked like a abnormal collection of bone that has been there for a long time and the other one said it really could represent a spread of the cancer. The overall feeling is it's not typical for cancer but they can't exclude the possibilty and a biopsy needs to be done. OMG I can't take anymore. How can they not see the same thing? I keep trying to believe it's going to be okay but I'm running low on hope. I really thought I would know something today. I've been wound so tightly the past couple weeks I can't imagine waiting another week to know.
Thanks for letting me vent.
Michele
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Michele, gentle hugs. All this is so stressful. You can vent here anytime you want. Don't give up hope.
Hugs
Liz
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Michelle
the waiting and getting initial news is brutal... and when the doctors cant agree... that must be very scary
my drug of choice was Zanex. When I had my MRI -- the Doctor made noises of exclaimation because my whole left breast lit up ...my invasive was 2.5 but surrounding it was dcis and lcis of over 5 cm... she got me so upset with her reaction... when they had me do another mamogram immediately after that news.. I fainted during the mamogram with my left breast in the plates... (the breast slid right out....) I actually fainted 3 times during the process of gathering various news... including finding out that I am BRCA2 ... (after I had the masectomy on only my left breast), a HER2 issue (they have now finally determined I am Her-, after going back and forth..),
But it does get better... getting a treatment plan and going through it will be easier than what you are going through right now. I have worked full time throughout this process (finishing up chemo) and a single mom with 2 kids... (13 and 10) at least 2 surgeries ahead... Its one day at a time....
Thinking of you....
Michelle
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Michele, I know this is torture, waiting and not knowing, but when you first came on it sounded like they for sure thought it was cancer. Now it sounds like there is ALOT of doubt. That is a good thing! There is a very real possibility that this will turn out in your favor. Doen't make the waiting easier, I know, but you still have hope that you are dealing with contained breast cancer! Hang in there, Marsha
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Hi Marsha - I'm trying to hang in there and not get too excited. Just trying to think good thoughts anf hoping I know something soon. Decided the spine biopsy is a good thing because if two top Penn docs can't agree why would I put my life in either ones hands. I hear too many things being missed and what ifs. A biopsy will tell for sure. The Ativan is getting me through this.
Thanks for being there.
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i have read all the posts concerning you michele, and i see some of the girls know where you are going to be treated and have all the confidence in your doctors. this is especially improtant. I wish for you peace and hope you will be able to relieve all the anxiety you may have right now even if you need some help like zanax or something like that. my doctor ordered alprazalem for me when i was feeling overwhelmed. i think they are doing the right thing by testing. Its better to catch the problems right away and then you will be closer to the cure.
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Michelle-
Your story is similar to mine.... had mammo, showed bad stuff, had biopsy, scheduled mastectomy, while waiting for the appointed day, had CT scans, breast MRI, bone scan and x-rays. Based on breast MRI surgeon changed to lumpectomy, got results of bone scan back which show "something", scheduled appointment w/onc who had PET scan done, which showed uptake at T10 and T11. Had bone biopsy to confirm scans. Biopsy confirmed it was cancer, not old injury so scrapped all surgery, found new onc (personality conflicts w/orginal onc) and went on hormonal therapy.
I really think biopsy is the way to go- you will know what it is and it might make a difference in treatment decision. Do you have pathology from breast biopsy? Depending on the er/pr/her2neu % status you might not need chemo or surgery. Since I was highly er+ went on hormonal therapy, did not have surgery and am holding off on chemo for the day when hormonals don't work any more. Be sure to ask about hormonal therapy. If you have ANY questions I would be very happy to talk with you.
Hang in there, you can and will get thru this. Just remember to breathe and take it one step at a time.
My prayers are with you. Elaine
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Thanks Elaine. It's good to hear that others agree with having the biopsy. Too many false negatives and postives from scans and I'm glad my doctor realizes that. A biopsy will be accurate and I will know something for sure. I do have a question though and it's something I hadn't considered. If they do decide the cancer has spread to my spine, what will the treatment be? I am ER/PR positive and HER negative. Will they do surgery after chemo?
I really appreciate your being there.
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Michele, if it is mets, I would guess they'd try an AI first. They like to go through all the hormonal treatment before moving to chemo if at all possible in a Stage IV setting. And if it's bone mets, they'll add monthly Zometa.
And if it's mets, surgery will depend on the doc's protocol, I think. Some docs think it's good to lighten the tumor load, and will remove the primary. Other docs figure the horse it out of the barn already, and don't want to stress the patient's system with surgery. So I'm not sure what they'll recommend for you. But I think it's very promising that they can't come to a definative conclusion based on scans alone, and it's really good that you're getting a biopsy. Have they scheduled it yet?
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I should know tomorrow. I don't know why I thought it would be normal treatment even with mets.
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Michele-
This is such scary stuff to go through and the figuring out exactly where you're at part is the worst- it certainly was for me. There are a number of women with ILC and bone mets on these boards that are doing greatas you can see. At this point knowing that probably isn't making things much easier for you- I remember only too well going from feeling like I was totally healthy to getting one piece of bad news after another. My initial scans showed some areas in my spine that had to be followed up on x-ray and were determined to be non-mets arthritic and degenerative changes. It was very, very scary. Even after being told they weren't mets I had unmanagable anxiety and depression.
I second other women here in the suggestion of talking to your doctor(s) about an anti-anxiety medication and also an SSRI anti-depressant. Although Xanax for anxiety gave me some relief it was Lexapro that really turned things around as far as helping me get my feet on the ground. These medicines don't change the reality of our situations but they can definitely make it easier to cope.I don't know if this advice is right for you at this time but I only mention it because it helped me so much. I also remember doing a lot of walking over the long weekend that I was waiting for the results- I had that "ready to jump out of my skin" feeling and it helped to keep moving and be outdoors where I didn't feel so hemmed in.
Hang in there and do whatever you need to care of yourself. Paige
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After I was dxed w/mets-
I did not have surgery (thats to keep from spreading, which it already had). Onc said I could if I really felt the need to but asked to hold off for 6 months so he could see if treatment was working.- it is easier to moniter the activity of the cancer ie whats the primary mass doing- getting bigger/smaller etc than trying to moniter the spine mets. It doesn't bother me so I never got around to surgery.
Because I am highly er+ we decided to go with AIs (I am on Femara) first. Since I was not post meno, I get injections of Lupron to shut down the ovaries and take the AI. You can also have oopherectom, both do the same thing.
We decided to hold off on chemo and herceptin (I am low her2neu+) and save it for the time when AIs don't work.
JUST REMEMBER THAT CHEMO AND SURGERY ARE NOT ALWAYS NECESSARY!
PLEASE pm or call me if you want to talk or have questions.
Elaine
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Hi Elaine, Thank you so much for the valuable info. I didn't even consider not having surgery until I read other posts. I just thought they did it anyway - that and chemo. At the risk of sounding like I'm all doom and gloom, all this back and forth with my diagnosis of it may or may not be mets in my spine is making me crazy. I am really feeling down and I just want to start doing something. Sometimes I convince myself it's nothing like some of the docs say and other times I know it's going to be bad news. My doctors are still back and forth with having the spine biopsy done. The good news is the radiologist/surgeon my primary wants to do the biopsy (it's in an odd spot) is the top doc at PENN but unfortunately does two weeks in the USA and two weeks in Paris. He is in Paris until 3/3. I'm just very concerned that waiting is going to make things worse. I had my mammo on 1/5 and the breast biopsy 1/19 - is waiting until the beginning of March going to make a difference?
Since I may be following in your footsteps can I ask how you have been feeling? I'm concerned about QOL and being able to work - we can't afford for me not to. And about living a long time.
Hey, I see you are in NJ? Where in NJ?
Thanks, Michele
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Michele,
From your path report, do they think the tumor is fast growing? They say that most tumors have been there for years, so it is unlikely that this wait will have an impact in the bigger scheme of thing. The benefit of having a surgeon who knows what he is doing is worth it. My thought is that if the radiologist had agreed, it would be shocking (smile). I've rarely seen two doctors agree. Try not to worry about it, and take comfort in knowing that there is an experience radiologist that doesn't think it is cancer. That's big in my mind as most radiologist are very conservative and with your diagnosis will consider anything that looks like it could be worth checking out further. Easier said that done, but the reality is that you have done all you can do for now. There is nothing more that you can do. You are scheduled to have it examined further. At this point, you are not stage 4, and to be honest, it looms out there for all of us.Try to put it out of your mind for now, as there isn't anymore that you can do. Sound impossible? It isn't. Just a little background, my son was diagnosed with leukemia when he was 4 and relapsed when he was 5. The first time, I worried myself sick with not sleeping and doing all the "what ifs". Didn't help, but did make it hard for me to take care of my son. So when he relapsed, what I would do is have a set time of the day, where I would allow all those what if feelings to set in and really cry/scream whatever I needed to do. But then, I'd pick myself up, take a shower, put on happy clothes (bright colors), and got on with things. If thoughts/ideas came up during the day, I'd just say, well I'll think about that tomorrow during my scheduled time, but not let it consume me at that moment. It worked for me, you may want to try it. We are all different and that was a way that I used to stop the thoughts from consuming every moment, was by giving them their own scheduled time. I slept at night with the thought that I had done every thing I could for that day. There was nothing to be done. My son was alive, so I would sleep. For you, before you go to sleep, remind yourself you have done all the things you could for the day in your fight against cancer. Put those thoughts to be and then try to do an "inventory" and release all your muscles starting with your toes. It sounds funny, but as I would start with my toes, I would sometimes find my legs tensed or shoulders, etc. Didn't even realize it was happening until I stopped and thought about each muscle and whether it was relaxed. Then do so me deep breaths with the knowledge you have done what you can do. May not work for you, but can't hurt to try!
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Michele- you can ask the onc about waiting, he can look at your reports to see what the path is etc. I would guess waiting a few weeks will not put you at more risk (except mentally and emotionally!).
What kind of work do you do? There is every reason to think you will be able to keep doing whatever you have been doing, making adjustments here and there, having family do more about the house etc. It becomes more about conserving your energy for the important things, family can certainly help with laundry, cleaning, food shopping etc. You learn to say yes when others offer to help, carpool whatever. And you learn to lower your standards, after all hanging with the kids watching a movie or playing cards is WAY more important than house cleaning, and there is a big difference between picking up clutter and making sure the bathroom and kitchen are sort of clean.
You can do this, just take one day at a time.
I am in Morris County (Parsippany/Morristown area) How about you?
Elaine
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Michele,
It's been awhile.... how are you?
Hugs
Liz
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