Healing after lumpectomy
Comments
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Did anyone have a tumor removed from the flat portion of the breast (upper inner quadrant)? If so, what is that like for you?
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I agree with you Blessedone 2..can't wait until I meet with onc to see what the next step is going to be. The waiting is a killer. Does anyone have pain requiring meds? I ran out of my post op stuff and was wondering if it was "normal" to need more. Hope you all have a nice Sunday...raining in NY..again.
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Blessed - it's good to hear of your clean nodes and clear margins. When you see your onco on Tuesday, let us know what happens. for me it was difficult, because they presented me with the different treatment options and then left it up to me to make the decision whether to take chemo, and even which regimen. I could not decide on the spot - of course - so the doctor herself suggested that I get a second opinion, which I did. The second Doc was very nice and thorough (she even called my onc. and discussed my case), and although she did not recommend a treatment outright, it seemed to me she was in favor of chemo, which I then decided to do. Don't worry about deciding immediately. It's not urgent. Better to learn more about it all and then making an informed decision and be OK with it.
Pammy and mbcr - we all share the same weird rainy June weather. I live in Manhattan. But it seems that summer has finally arrived!
Good luck to you all, Elisheva.
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Elisheva..yes indeed the sun is out again! Hooray! So you opted for chemo? My diagnosis is very similar to yours..I don't go to onc until 7/7. Do you go in once a week? I originally heard 7 weeks of rad but the BS said he might opt for chemo when I meet him. I hate the waiting but if I had to start rad now I can't even lift my left arm above my head.
Thanks for being there y'all...
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pammy - Most likely the Onc will present the case and let you make the decision, and it isn't easy to decide. I opted for the tried and true CMF combination, which is supposed to have the mildest side effects. It is given as an IV infusion once every 3 weeks, 8 times total, so it will go on for 6 months. Are you getting the Oncotype test done? This gives you some idea of your chance of recurrecne. I recomment that if it wasn't offered to you, ask for it. Ask your surgeon about it, as he is the one who orders the test. It is expensive - $3000 - but most insurance plans cover it.
Good luck on your visit today! Elisheva.
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BlessedOne, I had a lumpectomy just over a year ago, removed from the left breast, upper inner, almost middle area (11 to 12 oclock position). I went to a very good surgeon who only does breast surgeries, and now a year later, I can barely see the scar. And because she used oncoplastic techniques to fill in the hole, I can't see any difference in the size or shape. Also as an added bonus, after having radiation, which finished in Oct., I now am noticing that my left breast, which used to be the smaller one, is now the bigger one. I think this might be from buildup of scar tissue, not really sure. The incision never hurt much, although now on occasion, especially when doing exercise, it feels a little achy
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Elisheva and Rose,
I saw the Surgeon( for follow-up and pass-off) and Rads dr Monday. The Rads Dr and her PA were both very thorough about treatment, although it won't happen until after chemo - 6 months from now. Today was visit with Onco. She threw me for a loop when she said she will get another FSH (HER2) test done on the surgery specimen. Also, in the next two weeks, I will be seeing a cardiologist, a nutritionist, a genetic counselor, then possibly a port. Chemo should begin on or about 7/15. She said I most likely will start with AC every 21 days unless the HER2 comes back negative. She said she wants to redo because HER2+ with ER+/PR+ occurs in only about 5% of BCs and she wants to be sure this is true for me. Goal- is cure since all cancer was removed. She also mentioned a possible trial using a bone strengthening drug that is normaly used for osteoarthritis but in Europe has seemed to have had some benefit in reducing reoccurence. Left with a big guide to chemo and brain overload. I was somewhat disappointed because I was so confident that I would walk away with a definite plan of action and not so many 'waits' and 'ifs'. Also I have erythema (redness) at the axillary wound with a little swellness. Got a 7-day antibiotic for that.
Tonight I will work really hard to get out of the cancer-mind for a while. Wanda
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Wanda, As I previously wrote, it is sort of annoying that they don't give you a definite plan. It is much easier for us to have the experts make the decisions. But look at it this way: they - the experts - see that we are intelligent and curious and make an effort to understand our condition, so it is really a positive (a compliment of sorts) that they let us make the final decision. If you had requested a different regimen, they probably will consider it. The thing is that each cancer is different, no two alike, and even the "experts" have no definite answers.
That is a large number of people you are going to see, and I hope they will help you. I wish you much luck! Tomorrow I'll have my first chemo session. Probably won't sleep too well tonight. Oh well...
Talk to you, Elisheva.
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Thank you for the suggestion Elisheva..I will def ask about the oncotype
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Elisheva, I hope that your first chemo went okay. I will have mine on 7/15. Port placement on Wednesday.
Pammyj, best wishes for your onc appointment tomorrow.
Hugs to you both,
Wanda
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Hi Wanda,
I had my first chemo last Thursday, and I'm happy to report that side effects were minimal, and I feel completely normal. Had a bad night the first night, but no nausea (or very ittle) and some weakness the next day, but after that I felt fine. I hope this will continue thru the following treatments. It may be different for you of course, depending on your regimen. I chose to do CMF, which is rumored to be the mildest of them all. Most people get more aggressive treatment regimen. Wish you lots of luck!
Elisheva
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Hi gals..met with onco yesterday..still didn't get oncotype back but will be in monday...believes i will need chemo. glad to hear it wasn't too bad for you elisheva. i hope mine goes as well! blessedOne2..how did yours go?
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Had lumpectomy on tues 7/14 (?) and I didn't/haven't orn a sports bra. Am I hurting myself by not earing one? My breasts are small. They're sore but I'm not in pain. Waiting for pathology report now.
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I guess my W isn't working. Sorry. "W"orn and "w"earing
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hi msc209..i live in camisoles with a soft shelf bra..i put them on from the bottom up. they are from j.jill. had my lumpectomy 6/15..i don't think it matters what you where as long as it gives you a lttle support and is comfy.
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Hi msc209,
I also think it doesn't matter what your wear after lumpectomy as long as you are comfortable. It does help to sleep with the bra, but any type of well fitting bra is good.
Pammy - did you get your oncotype results? They'll probably recommend chemo to you, present the different possible regimens to you and then let you make the decision... It is not easy. I sought a second opinion, which helped somewhat.
Good luck, Elisheva.
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I had my lumpectomy May 29 and 3 days later developed an allergy to the plastic of the JP drain that was inserted however no one knew it until day 11 when it was removed. By then cellulitis covered more than half my breast. The sentinel node dye I also was allergic to and actually burned the edges of my incision like a thermal burn would. I had to be readmitted to the hospital at day 14 due to intractible pain and infection. I was given several bags of vancomycin and cipro and treated with morphine for the pain for a couple of days before they opened the surgical wound from the lumpectomy completely because of the infection. I have been healing with wet to dry daily dressing changes from home health since then and the incision still is not healed. My rads are being held up because of it. My doc said that I may only get to do rads a few days at a time since my skin is so sensitive worrying me that it will compromise my treatment. Tape used for the wet to dry dressing have further damaged my skin and I have used paper tape, cloth tape Medipore like used on babies and tegaderm which is an even lighter tape all with problems so I am scared to death about the radiation. I am signed up with the Taylor-RX study and should have my onco score in the next week or two. I just had no idea a lumpectomy would be this difficult to recover from. I was totally unprepared and really feel like I was not informed correctly. I was sent home with 5 mg lortab from the lumpectomy two hours after the surgery. Two weeks later I was in the hospital receiving morphine every 2 hours in more pain than i had ever felt in my life. I think there needs to be more education about lumpectomies and what you could encounter. My surgery was at a major hospital with one of the top 10 cancer surgeons in the US so this was not some rural hospital that just didn't know better. What makes it worse is I am a nurse...critical care....not oncology...but I still had no idea what i was walking into. As I have read some of the posts on here I realize my experience is far from the worse.. I truly pray that all of us in this battle for our lives beat this horrible disease. Good luck sisters and brothers. Thanks.
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Pam,
You really went through a terrible experience. That allergic reaction must have been very unusual and they could not tell that you will be allergic to both plastic and the dye. Why did they insert a drain after removal of 2 nodes? Only the surgeon could answer that! You have my sympathy. I hope you are recovered by now.
all the best, Elisheva.
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Elisheva..got my oncotype..was high at 35..bummer. I start chemo thursday.just got back from pharmacy picking up steroids and compazine.i hope mine goes as well as yours.thanks for asking.
Pamspromise..i totallyagree with you! I never thought my lumpectomy would cause as much pain and still discomfort. I too am a nurse (school for 15 yrs) and felt like it was a big secret..my upper arm is still numb but it does feel better. it sounds like your super sensitive skin isn't helping! hopefully it will all turn around for you.
this truly is an awful disease..it just blows my mind how many of us there are..love & luck
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I had my surgery on July 9, and was not in very much pain from it. Didn't even require pain meds. upon going home after same-day surgery. Areas were sore, but bearable. The only bruise was at the site of the radioactive marker injection. My SNB scar was more sore/tender than the lumpectomy area. Both areas felt tight from the stitches and probably the scar tissue beginning to form. Since they are still healing, I like to put a triple anti-biotic ointment on the incision and massage over the scar to gently stretch the skin. Due to minor swelling (and losing a bit of breast tissue) my breast shape is a little different than the other now. I hope it can return to normal.
Right now, I have a Contura balloon catheter inserted, getting ready to begin the 5-day radiation if all looks well. However, this hurts much worse than the surgery! I have 30cc of saline in that balloon and it is stretching a small cavity in a small breast; plus it is located near the ducts of the nipple, so I am really feeling that balloon!
Happy to have found this website, I will navigate around & look forward to reading more topics. I have a pocket full of change, so you're likely to get my two-cents worth now and again.
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Pammyj Good luck to you. I wish you all the best. Let us know how your chemo goes. I will be right behind you in a couple of months...have to do rads first.
Elisheva I have no idea why I got the JP drain and I wondered that too. I was set up to do the Contura balloon catheter to get the twice a day for 5 day radiation but now that I am allergic to the plastic I have to do it the old fashion way.....38 rads.
thanks to both of you for answering. So great to have people that actually understand what you are going through.
Elimar: Good luck with your radiation and let us know how it goes. It sounded so good that I sure wish I would have been able to go that route. Good luck to you.
Hugs from Oklahoma,
Pam
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Pam,
I just posted on 2 threads about "5-day radiation" if you want to read my update about how I had to have my balloon catheter removed today. We'll have to find some whole breast/full course radiation threads and read & join those now!
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Hello ladies! Made it through first cytoxan/taxotere on thursday..nothing the first day but after neulasta shot yesterday had wicked heartburn and headache so I took it easy in the pm and hit the bed early. Am on dexadron 2x day x 5 days so sleep is hard to come by. Just repeating what the sages say on here it's drink and pee all day all night. appetite non existant but when i force myself i can get things down. haircut today..it's kinda warm and sticky here so i am looking forward to getting it off my neck. thinking of you all today and always
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To my new breast friends, (your title in my favorites!)
I am new to posting and want to say you've all been a great comfort to me. I've been reading your entries since my lumpectomy on June 23rd. I had a successful lumpectomy and healed very well, very quickly. Had a tiny seroma that went away in about a week. My mass was at 6 o'clock in my left (larger) breast. I have to say I'm a little more symmetrical now. The surgeon did a beautiful job and the scars from sentinel node biopsy and lumpectomy are hardly noticeable. Received surgical biopsy report on my birthday, July 2nd, stating snb was negative and clean margins...yeah! Was expecting radiation and chemo due to IDC, ER, PR & HER2 positive but had 1st onc appointment and left terrified. Onc said no radiation due to my need for a bilateral mastectomy, hysterectomy, 18 weeks of taxol & carboplatin, 1 year of herceptin, 5 years of tamoxifin, port, hair loss, miserable side-effects, etc. This was all without batting an eye and telling me it's just what I need to do to get well. Second opinion (4 hours with great drs) at Seattle Cancer Care Alliance was like Disneyland compared to my first onc appt! I will be treated there. They were pleased with negative lymphs and clean margins (the other onc said that didn't matter). I will have brachytherapy, starting July 30th, for 5 days, then will start 12 weeks of chemo (w/out port) 2 weeks later. Will have to check types of drugs but will have herceptin and then aromatas inhibitor. Won't cut my hair until chemo starts, maybe one of my most sad thoughts. I see that every body is different...and I read your posts with great hope that we'll all be well after this journey. Fondly, Rhonda in Renton, Washington!
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Oh Ronnie Kay how awful for you! That first dx seemed way too over the top..wish you well at Seattle Cancer Care.Why did they do lumpectomy if you need mastectomy? What exactly is brachytherapy? I don't have a port either and i'm glad..one less thing to have to take care of..good luck to you..
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Rhonda,
Welcome to this company! Can't believe how the first doctor treated you! You sound like you have the right attitude - optimistic and positive. That's the way to go. I hope all will proceed well that your experience with chemo is tolerable. Question: why did the first doc think you need a hysterectomy? Do you have the BRCA gene mutation with increased risk for ovarian cancer? That's the only reason I can think of, but it takes time to get that test done. This is a good site to learn a lot about the disease and meet nice people. Best wishes to you. Keep us posted. Elisheva..
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Thanks for understanding my concern after the first onc appt. I'm in a better mindset now and appreciate your questions...they make me aware of what I need to ask drs. Pammyj, the first dr said that since I have a family history of bc (4 aunts passed, 1 is a survivor), along with my her2 and what she considered to be a large mass (2.1 cm), she said she couldn't be sure of cancer cells not being elsewhere in my body and that the cancer WILL come back to my breasts and that means a need for further surgeries. Elisheva, I haven't had the BRCA test, which the first doctor would not recommend until I saw a genetic counselor, but said that since I am not menopausal (at 55!), she said a hysterectomy was needed along with the breasts removed (there is no history of ovarian cancer in my family). SCCA said they will do the gene test, and decide on the ovaries at that time (also mentioning chemo's effect on cycling), as well as saying that there is absolutely no reason to do a mastectomy, that the radiation will provide protection from the tumor's regrowth in the same area. I'm relieved with the decision to have the gene test, as I have 2 grown daughters who may be at a higher risk. Pammyj, Brachytherapy is somewhat the same as Elimar had spoken about. I will have catheters placed about 1.5 cm around the lumpectomy site, that will have wires attached 2 x daily for 5 days, which deliver high doses of radiation. Since the area of radiation is more direct, the higher doses can be administered, with less impact to the heart, lungs, ribs, tissues, over a shorter period of time. It's more invasive, but I generally heal well so am hoping for the best. Does anyone have info on aromatase inhibitors, which the dr recommended instead of tamoxifin? When I read about it, it says it's for post-menopausal women...which they may think I will be at the end of treatment. It's so terribly hot in Seattle that I feel like I'm going through menopause now. I guess it's good training for the real thing! Thinking of you all
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I found this thread and could really relate. I'm 7 weeks post surgery (lump, 14 nodes removed) and still experiencing pain on whole left side of my breast. My onc says this could last 5 or 6 months. I had a drain for the first week, and noticed a lot of swelling. My left breast was twice as large as the normal one.. LOL! I have numbness on the underpart of the arm (between underarm and elbow) and soreness on the whole left side of my breast, so when my arm touches my side, it hurts. Even clothing hurts when rubbing against my skin. I find that wearing a very thin, smooth sports bra helps with any irritation of clothing rubbing against my skin. I recommend Barelythere Women's Microfiber Crop I ordered from Amazon at: http://www.amazon.com/dp/B0012QQZL4/?tag=typeright-20. I hate wearing a bra, but this is so comfortable and helps lessen the discomfort.
Regarding question about Oncotype - Even though I was node positive (1/14), onc wanted oncotype. In most cases, chemo is ordered if node positive, but onc said if oncotype was in low range we wouldn't need chemo. Well, oncotype came in at 19 (one point higher than low range) and onc ordered chemo. I started CMF Monday, 7/27/09. So far, so good with no SEs, but it is still early.
I would appreciate info from anyone receiving CMF. Chemo nurse says I shouldn't lose my hair, but wonder what others have experienced. I was all set to have a hair cutting party and shop for scarves and wigs, but now will just wait and see.
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Susan,
Sorry to hear that you are still hurting, but 14 nodes is a lot and that's probably why it takes so long. I think the lymph nodes extraction hurts more that the lumpectomy, but, as in every other thing concerning BC, everyone is different.
I am taking CMF right now. Just had the second treatment. I was sick the day after treatment with nausea and weakness and general malaise. I think that some of the side effects came from the nausea pills, which didn't help much, anyway. About hair loss: some women (those with thick hair probably) don't lose hair or only some. I started losing some hair at exactly 3 weeks, and although this continues every day, I don't think I'll lose it all. I bought a wig just in case. My hair is very thin and I am surprised to see that all this hair loss still is not obvious to anyone but myself. So chances are we'll both be OK with the hair thing.I think we CMF ladies are in the minority.
RhonnieK, since you are HER2+ you will need to get the drug Herceptin. But your doctor can explain best. You can also find the information on this website.
Best to all, Elisheva.
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Elisheva,
Thanks so much for your response. I'm sorry to hear about your nausea and malaise. I'm only two days after my first treatment and have not felt any SEs. I think this will probably change as time goes on and chemicals build up in my system. I have been trying to stay positive throughout this whole experience, and even though it has been difficult I feel like one of the lucky ones.
Thanks for being there. My best to all of you.
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