LCIS/ADH help
I am going crazy. Went in for routine mammo and, as usual, something is off (I have fibrocystic breasts). The mammo shows 2 "masses" + calcifications. Have an immediate magnified mammo + ultrasound and biopsies on masses. The two biopsies come back ok, but stereo biopsy is scheduled for calcifications. The biopsy for that comes back as LCIS/ADH. Am now going in for excision biopsy. I am so scared, worried. I am terrified that when they go in again, they will find something worse.
I need some help and comfort. I have a supportive husband and family, but I feel I can't speak to them about my fears because I don't want them to worry. Please tell me how you are dealing with your worries and fears.
Comments
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Hey you, you are not alone. We all have or are going through the same emotions. I don't want to worry my kids. They are grown and have their own families. I have spoken to them about being scared, but they have no idea how I really feel. You have to go by your gut instincts as far as sharing your fears, but don' t be afraid to lean a little on those who love you. This is a great forum for information, kindness and understanding.
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I had LCIS but, not ADH. my bs told me that LCIS is NOT cancer. But, no matter what it had to be removed.The new name for it is lobular neoplasia.
I know just how you feel. I was scared out of my mind. Take your time and get all the info. you can on it and then decide what's best for you. My husband was great and so supportive of my decision. I chose to have a bil. mast. with direct implants and be done with it. That was back in Jan. this year and 5 months later I feel great. But, my choice isn't for everyone. Some women want to do the tamoxifen and testing but I know that was too stressful for me.
This is a great site and it helped me so much. I wish you all the best. Send me a private message if I can help you.
Ann
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Ritzgal,
Thank you. I am trying to keep my fear in check. I talk about it with my husband, but I hate to see him so worried and scared when I talk about it. It is so hard to keep a balance between thinking positively and falling into panic. I think once I get the results of the biopsy, I will know what I have and how to deal with it.
Thank you so much for sharing your story. You made me feel like I am not alone.
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Ann,
Thank you.
I know what you mean. I want whatever I have OUT. Once I get the results of my other biopsy I will weigh my options. The worst part for me is that I feel I am in limbo. I have LCIS/ADH, so I feel I should be grateful since it could be so much worse. Yet, I still have something.
You have no idea how much it meant to me to get your message (and Ritzgal). I felt a weight lift from my shoulder because there is someone who understands how I fell and what I am going through.
Thank you. I will PM you.
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covertanjou I feel like I am on the same page as you right now, in more ways then one.
I am 46, had stereotactic biopsy, results were ALH. I have researched this and it would appear approx. 30% of the time when they go back in surgically they do find more. So I am really scared. My lumpectomy is scheduled for Fri June 26. As much as I want to get the surgery over with, as it gets closer, the surgery itself is making me nervous. I am have wire localized at 9:30am, by mammogram, and surgery isn't until 12:15.
When do you go and what will they be doing?
Best wishes your surgery goes well
Cathy
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HI Cathy,
I was scheduled for surgery June 29, but I had to postpone the surgery to July 24. I will be having an excision biopsy. I totally understand your nervousness. I too am scared. I have found these boards really helpful. I find not knowing what else they can find terrifying, but I am equally afraid of actually having the biopsy.
How are you doing? Do you have family support? My family has been very supportive, but I find that I cannot be totally honest about my fears. I have two teenage daughters and a great husband, but I do not want to worry them too much. So I find myself keeping my worries to myself.
Please PM if you like. Please let know how you are doing.
Mary
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Hi Mary
I hope your surgery was rescheduled at your request, I know this waiting is so difficult, so having to postpone, must be even that much more difficult. They have told me they are going to do the wire localization at 9:30 am tomorrow and then I don't actually go for surgery until 12:15. I am so glad to have this done, while at the same time, I am starting to get really nervous just about how the day will go tomorrow. It has been very helpful reading the different threads on here that give you the information to understand better.
I do have alot of family support but I don't think they really understand how this feels. I sometimes feel like I am in a really dark place and have the worst thoughts. My mom, dad and sister are coming with me tomorrow, which does help. I have a 16 year old son and an 8 year old daughter, that I am trying to pretend like nothing is going on. I don't want to scare them about something unless I have to, and I am praying that I don't. So I too keep most of my worries to myself. I will let you know how it goes. Are you having wire localization as well when you have your surgery.
I am hoping and praying for the best, while trying to prepare myself for the worst. I am told I won't get results for 2-3 weeks. That just seems like cruel and unusual punishment. I live in Canada, it seems like others get their results much quicker than that.
Take Care and feel free to share your worries if you would like.
Cathy
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Hi Cathy,
It was my decision to postpone my surgery. Believe me it was not an easy decision because I want this over and done with; however, my family and I scheduled a trip to an all-inclusive resort in Cuba July 5-12, and there was no way I could travel six days after my surgery. I tried to postpone my trip but couldn't (I hadn't taken cancellation insurance). I spoke to my doctor, and he said that postponing for 3 weeks was the best decision. He said there was no way I could travel so soon after my surgery. I am comfortable with my decision, but I still struggle with it.
I also live in Canada. Where in Canada do you live? I live in Montreal, and I am really lucky to be afffilated with one of McGill University's hospitals. I know we have to wait a little longer for our results, but we at least we don't have to worry about how to pay for our treatment. I have chatted with a few women here who have to fight with their insurance companies to get an MRI or an ultrasound. Overall, my treatment has been very quick. Went in for a routine mammo at the end of May. Immediate magnified mammo, ultrasound and biopsy. Stereo biopsy two weeks later, and (original) surgery 2 1/2 weeks after that. (I mean no disrespect to my American sisters on this board.)
I am thinking of you today and sending lots of hugs. I am sure everything will go well. The chances of things being okay are on your side. Don't forget that. Please PM me if you wish. Please let me know how you are doing.
Mary
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Cathy--I hope everything went well today with your excisional biopsy. Sorry to hear you have to wait so long---I know how that feels, I had to wait almost 5 weeks without knowing whether or not I had ovarian cancer (it was benign, thank God). I just tried to keep everything as normal as possible for the family by keeping busy with everyday things. Praying they find nothing more than the ALH. PM me if you'd like.
Anne
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Thanks for the support,
Mary sorry you had to postpone your surgery, I understand how you feel. When all of this started for me, I was told I had to have the stereotactic biopsy 1 week prior to going to Florida for vacation. A trip that had been planned for a year. Wow, the timing couldn't have been worse. I was reassured by the great ladies on here to go ahead with the vacation no matter the outcome, and I am glad that I did. I know it will be difficult to try to keep your mind off of this, but do try to enjoy your time with your family. I am from Thunder Bay, and I agree that we are truly blessed in that we don't have the same worries about having to pay out of pocket for these procedures. I so wish that our american friends going through this could also be relieved of that additional worry. As if this isn't enough.
Well I had my "Wire localized lumpectomy" surgery as they call it on Friday. I am so glad it is over. Just so you know it really wasn't as bad as I had expected. They did the wire localization at 9:30 in the morning, using a mammogram, so it was similiar to the stereotactic. It probably sounds worse than it actually is, the thoughts of this wire sticking out of you. But it was very thin and they taped it down really well, so I didn't even know it was there. I was supposed to have surgery at 12:15, but they were running behind so I didn't go in until 1:30. Strangely enough, the nurse who was bringing me into the OR saw I was crying, so she took my hand in hers and said "It will be ok! I am a breast cancer survivor". Somehow that helped, because she knew how I was feeling. As they put the anesethic in she also continued holding my hand to reassure me. I will never forget this nurse. They told me the surgery would take 1/2 hour, I would wake up in recovery 1 hour later, and then would go back to Surgical Day Care for 1 hour and then could go home. It went exactly like they said. When I woke up, I was sobbing, probably finished off where I was before going under. It was really strange. The doctor came to see me before they let me go home, and he sounded confident that wouldn't be anymore there. Although I take that with a grain of salt, because I don't know that they can really tell until the pathologist looks at it. I will hold onto that for now. The pain has not really been bad at all. I found that the painkillers they gave me made me feel worse than the pain. I took one Friday nite before I could feel any pain, and it just sent me for a loop, so I stopped taking them and feel fine. The doctor told me to come see him in 2 weeks for results. Ugggghhhh! I asked if he would please phone once results were in, and he said he doesn't like to do that. So I wait until July 9 for results, although I am sure they will have them sooner. Now I just need to get over the cervical biopsy this Thursday and wait for all the results to come. These next two weeks are going to be hell, but thats the way it goes.
Take care and praying for us all,
Cathy
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Hi Cathy,
I am so glad the surgery went so well! It is wonderful that you had such a caring nurse.
I am sorry to hear that you have to wait 2 weeks! I HATE waiting.
You also need a cervical biospsy?? Poor you! I am sending you hugs << >>.
I am ok with my decision to wait, but the stress of not knowing is tough. I think a week away will be good for me. I tend to forget all my problems when I am on holiday, so hopefully the same thing will happen this time.
I will be away when you get your biopsy, but please let me know how you are doing. You can PM me if you wish.
Take care,
Mary
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Well after almost 2 weeks, I finally received my results. I had a feeling it wasn't going to be good news. I expected the surgeon would have called me if it were. As it turned out though my GP called me yesterday at 4:30pm and asked if I would come in at 6pm last night and to bring someone with me. I thought it was going to be the absolute worst case scenario for her to be calling and to bring someone with me. She has never done this. She gave me a copy of the pathology report my diagnosis is LCIS with margin involvement and more ALH multifocal. She seemed to think they would do further surgery to get clear margins? Possible tamoxifen? Very close follow up. My GP seemed to see this as alot more serious then the surgeon did when I met him today. He almost seemed to brush it off, basically repeat mammogram in 1 year? I can't believe the differne attitudes between the two. The whole thing is just leaving my head spinning. Both of them have made referrals to a medical oncologist, which I think will be the best for me to speak to.
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There is a lot of controversy about treatment (at least about LCIS and ALH).
Some LCIS women here, with and without a strong family history, have been encouraged to have prophylactic bilateral mastectomies. The LCIS women who post here may or may not be representative of all of the LCIS patients out there. It has been found that the people who post on support boards, such as this one, usually either only post during treatment, have an unusual condition, and/or have some issue where they feel they need more support. Most women with invasive breast cancer post during their treatment, and for some time thereafter, then eventually stop posting. Of course there are exceptions.
I have LCIS and ALH. LCIS and ALH are usually multifocal, and often bilateral. They know this because they used to do bilateral prophylactic mastectomies of LCIS women and could look at the mastectomy specimens. It is impossible to be assured to remove all of the LCIS and ALH,unless one gets mastectomies (and some breast tissue is left with mastectomies), because LCIS and ALH do not dependably show up on clinical exam or imaging. It does show up under microscopic examination. So the surgeon doesn't know what tissue to remove and what to preserve.
My breast surgeon has refused to do BPMs for me.(I have a weak family history.) Treatment recommendations differ from place to place. It is controversial.
Your medical onc will probably offer you an antihormonal. Since medical oncs do not do surgery, they aren't experts in that.
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I am awaiting my surgery date for the procedure and I don't want the further biopsies to show anything negative either. I don't want to be scared up either, I have a scare from the first round of biopsy. The doctor reassured me he will go in round the ariola on both breasts. I am worried about losing sensitivity as well as the vanity issue not to mention the possibility that I could possibly be diagnosed with cancer or more precancerous cells. I do not want to take the medication, Tamoxifin (not sure if I am spelling it correctly) because it will speed up the menapause process.
I was shocked when I was advised that I ADH, I expected poor news about my ultrasound because of my extreme bleeding problems but never did I think I would run into this.
I have no idea how I am going to deal with this. I just got married (his mother passed away from cervical cancer this year) and after being single for soo many years was really excited to have a intimate partner and now it seems my body is falling apart.
I cried when I drove home after my GYN visit for to recview my Ultra sound & Mamagram. I cried for the possible death of my child bearing ability and was in shock over the finding of 't ADH (I also found out my father's mother passed away from breast cancer (it spread)).
I know what you mean about not wanting to concern your family, I also have one grown daughter and am helping my aging parents move. So, I asked my GP for antidepresant, which I have never condoned, but I don't want to cry when ever it hits. Over the years when I get really maxed I will go into the bathroom and allow myself to cry for a few minutes allowing my feelings to be released without scaring my daughter or making my husband feel overly concerned. Lately, I am off for the summer, I have stayed up late, to my new husbands concern, to allow my thoughts to be purely about myself and my problem solving (un baised my any others mind) to occure.
I would like to think that I won't feel anxiety during the upcoming appointment and the waiting time. I think I will do some more research intermediately in between my other responsibilities.
So far I did find out there are four different medications which are given for ADH. I was told that the medication will disallow estrogen into the the breasts (thereby keeping any ADH areas which convert into cancer localized in the breast and not spreading) and that the Uterus often receives the blocked estrogen and therefore can cause more the usual bleeding and the beginning of menopause, specifically hot flashes. This is all I know now.
My research is being split now between this and Fibroid removal options. So I would welcome and appreciate any information you find will researching this diagnose and treatment options!
I will be happy to share any links I locate. Meanwhile, keep taking good care of yourself and family, educated yourself, enjoy life, and communicate.
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My mom also had diagnosis a breast cancer (earlier stage) before, but she don't want to maka any treatment because she is so scared...she only take a proper diet, pay more attention on quality. Then after one year their cancer had gone...supprised...
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Ladies,
For 10 years I had ADH, every 6 month mammograms and biopsies so finally in October 2007 I had PBM and on the pathology report the doctor found LCIS even though I had been taking Tamoxifen faithfully for 3 1/2 years. All I can tell you is that it is a personal choice. There are new articles stating that LCIS is not a marker but a precursor to cancer so excision is what is now recommended but thi is very recent information. Do your research o your decision is the most informed it can be. Best of luck.
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I have read the same thing (about LCIS being a precursor). This is especially true if you have pleomorphic cells (which I do).
My surgery is Friday. I am a basket case: having problems sleeping, etc.
I have tried to stay off the boards, not researching, etc., but I find this difficult. I am torn between wanting to know as much as I can, and wanting to put my head in the sand. I guess this is pretty normal.
Elle, I feel your concerns. It is so difficult to be positive for your family, and yet afraid of what if.
Take care,
Mary
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