45 and diagnosed with LCIS in Massachusetts
The week of Christmas I had surgery to remove a mass on my breast. After removal they notified me that I had LCIS and is in a high risk catagory for having Invasive in the future. Like you all they gave me an option of three different ways I can handle this. Tamox comes w/ alot of side effects. Doing nothing I think would just eat away and every last never that I have just waiting. Then having my breast removed seem extreme but a possibility. I know I don't want to keep thinking about it. They say you have time to think. I have had only a short time and I feel done with it already. I just don't know how to make the decision. My husband of 25 years and children all think I should have a BPM. How do you decide? Please help!
Comments
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Just a quick comment - tamoxifen doesn't HAVE to come with a lot of side effects. I've been taking it for 5 months and I only get mild hot flashes and possibly a slower metabolism (not much results in the weight loss department). But I feel good overall, so don't let fear of the side effects prevent you from considering that option.
I hope someone with more direct experience with your situation will chime in. Good luck!!!
Lauren (also in Massachusetts)
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I was 41 when I was diagnosed in Jan 2008 with LCIS and ADH. I have been on tamoxifen for a year now and the only side effects I have had are night sweats occasionally. Other wise I have felt great. I go to the breast surgeon every three months, oncologist every 6 months and I will have another MRI this month as well. So you ought to give tamoxifen a try to see if you can tolerate it. To me I thought the BPM was to radical for me at my age. But you have plenty of time to make your decision.
Holly
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Gal - There are certainly some of us that decided to go the PBM route. While I don't believe we are in the majority, we are out there. I knew that I didn't want to take tamoxofin and didn't want to go through the worry, wait, test, bx route. So my DH and I decided that the PBM was the route for us. Actually, my oncologist strongly suggested it, so it was kind of a no brainer for me. I am 8 weeks post-op and doing fine. No regrets and healing nicely. Remember, though, you don't need to hurry w/ any decision. LCIS is not an immediate problem. There are lots of threads w/ this discussion. Feel free to PM me if you have specific questions. There is no wrong decision, only what is right for you. Take care and take your time. - Jean
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Hi,
LIke mykidsmom, I also chose PBM with an ALH, ADH, LCIS diagnosis. I had numerous biopsies over the years and recently three core and two lumpectomies. It seemed they would always find more calcifications on the mammo or suspicious areas on the MRI and I would always need another surgery to verify it was not invasive. It was making me and my family crazy. I just could not go forward thinking I did not have invasive cancer but if I waited, I might get it. I am not one who can live with regrets. We talked about tamoxiphen, but I have another condition which prevented me from taking it, so the decision was made for me.
I can not tell you the sense of relief I felt when I woke up in the recovery room two weeks ago and thought its over. It was exactly what I needed to move on.
I am doing ok now, the cosmetic results are amazing because my incredibly skilled docs saved my nipples and skin. I have little beat up As which they will fill back to Cs. The pain has been bearable, the nerve sensations have been very unpleasant , but everyone says they will subside.
Good Luck with your decision, it is a very personal one. Up to the last minute, I had doubts, but now I am at peace and so is my family
Lee
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Gal----I was diagnosed with LCIS over 5 years ago. I am closely monitored by mammos alternating every 6 months with MRIs, have breast exams every 6 months on the opposite schedule, and just finished my 5 years of tamoxifen about 4 months ago. Fortunately I tolerated it very well with minimal SEs, mainly hot flashes. As someone else said, there is no rush with LCIS, you have plenty of time to research and to think about what you want to do. Even with a family history of bc, all my docs felt a BPM was too drastic a choice for my situation. It basically comes down to how much risk can you live with. You have to do what's right for you, it's a very personal decision.
Anne
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Gal,
I too was dx with LCIS in Nov. 08. I went to 5 Dr's to see what my choices were. Because I had many calcifications the BS said she might not see a cancerous tumor if one was there.My risk was 65 to 85 percent of getting cancer later on. Too high for me. So I chose to have a PBM.
I'm so glad I did. My surgery was on 1/9. My BS did skin sparring and my PS put in implants not tissue expanders.I feel great this week. I'm driving and doing things around the house again. My risk factor went from 65 percent to 1 to 10 percent. And the LCIS is GONE !
Don't rush into anything yet get as much info. as you can. My choice isn't for everyone. I couldn't take the stress of not knowing what was going to be every 6 months. Now I have peach of mind. Please PM if I can help you with anything.
Ann
Lee,
Sorry to hear your having nerve sensations. That didn't happen to me.I hope you'll feel better soon
Ann
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Thank you for getting back to me so quickly. I have read many entries about taking Tamox and I don't think all of that monitoring is for me. I know doing nothing but monitoring isn't for me either. The anxiety I feel now and it's only been a short time I know I couldn't do this option either. The option you decided on seems to be what I should be thinking about. Is there a link I can find that would give me all my options if I were to decide to go the reconstructive way? The portion with the flap do they take the fat from will say your stomach to build your breast? Thats what I don't know.
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Galnx - The procedure you described sounds like DIEP. A lot of ladies on this site had that procedure and are very happy w/ the results. I know that Amy has the link to a reconstruction site that lists a number of choices, but I don't know the web site. She will probably post it. Also, you can talk to one or more PS's. They should provide you w/ options, though they may not provide you will ones they don't do. Your BS can probably recommend a PS. I actually chose my hospital and surgeon based on my PS, you will need to work w/ your PS for quite a while. Best wishes my dear! - Jean
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I am 47 and was just diagnosed with LCIS this morning. Found in my right breast after a stereotactic biopsy. This is my bothersome breast! (Actually both are fibrocystic). I had a fibrodenoma removed in 2002. Always having large, painful cysts aspirated in this right one.
Anyway, my next step is an MRI. I've heard LCIS is most likely going to show up in my left breast, too. I have no idea how I will make a treatment decision. My mother had DCIS at age 55 17 years ago. Any suggestions?
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LeeMcC - I am sorry you have to deal w/ this, but, it is better than other dx you could have received. I expect your surgeon will refer you to an oncologist who will give you the options for dealing w/ this dx. The most common options are 1. Close monitoring w/ oncologist, breast surgeon, MRI and mammograms on a rotating 3 months schedule. 2. Same as 1 but w/ the addition of tamoxofin and 3. Bilateral mastectomy as a preventative measure. Only you can decide which approach will work for you. Hugs my dear. - Jean
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I'm probably getting monitored less than the other non-mast ladies in this group, but after 2 years, I 'graduated' to getting biannual clinical exams, and yearly mammos. (I'm also on tamoxifen.) (This is also the regimen for LCIS women at my local Major Institution, NCI designated.) Different places do it differently. I've had no breast issues in the last 1.5 years. I think this is the recommended minimum.
If you look at the overall statistics, probably about 60% of us (with LCIS and nothing worse) will NEVER get breast cancer.http://www.breastcancer.org/symptoms/types/lcis/cancer_risk.jsp
This is the link to the NCI website. You/your doctor may or may not agree with this, but it is from the NCI. http://www.cancer.gov/cancertopics/pdq/treatment/breast/HealthProfessional/page6
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