If you have just been diagnosed....
Comments
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derby ~ I'm sorry to hear about your wife's very recent diagnosis. There's a book called Breast Cancer Husband by Marc Silver that's written for men and supposed to be excellent. http://www.amazon.com/Breast-Cancer-Husband-Diagnosis-Treatment/dp/1579548334
The question of lumpectomy vs. mastectomy is frequently discussed here, and there are several recent threads on the subject. (Check the Active Topics list or the Forum Index.) It's a very personal decision, but reading why other women decided as they did may help your wife clarify her thinking about what she really wants to do. Sometimes a second opinion is also very helpful -- just to hear what another surgeon recommends.
An extremely important thing you can do is go with her to all of her appointments, not just for the emotional support, but because we're in such a state of shock that we tend to zone out a few minutes into any discussion, and we tend not to hear or remember much of what's said. And you can also encourage her not to think ahead, but to stay focused on the one decision or treatment step at hand. Otherwise, it can just all become too overwhelming.
There's no doubt this diagnosis will at times be a rollercoaster ride for you both, but your love and support will carry her through the low points in the journey. And, although you may not believe it now, there will be some high points, as well.
Best to you both. Please keep us posted and let us know how you're both doing. Deanna
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derbylane-
I'm so sorry that this is happening, but you've come to the right place. These boards are full of information that will help you and your wife navigate through all of this.
I was diagnosed in October, had a bilateral mastectomy in December and started Tamoxifen in January. I'd have to say that the stage that your wife is at right now is the most difficult. Not knowing the full story can lead to all kinds of anxiety. I'm sure that both your mind and your wife's mind are racing and going to places that it shouldn't. This is normal. Keep reading the boards and understand that there will be a day when you have the full story and you'll know the gameplan. It makes it easier. I promise.
Keep reading and keep talking. God bless you and your wife. I'm sorry that you're here, but know that you're among friends. Please keep us posted. Also know that you can private message (PM) any one of us. Please avail yourself of all that the site offers
Kelly
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I was just diagnosed 3 days ago. Invasive tubluar carinoma and DCIS. Been testing and worried for 2 years because of LCIS dx. I have read tubular is pretty rare in breast cancers. Anyone else with same dx? Opting for a double mastectomy and see a plastic surgeon tomorrow. Worried I won't ask the right questions. Any suggestions?
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I am very new to this "club". Never expected to be a member but who does? I was wondering if you are happy with your decision? I have only one breast with bc but am sure i want a dmx. i just want this behind me and not hanging over my head for the rest of my life. I have young children and do not want to risk my overall health for my breasts.
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Hi, tamgam ~ I'm so sorry you're joining this club that none of us ever wanted to be in, but I'm glad you've found us.
You're correct, tubular is one of the rarer forms of bc, but it's also very slow growing, with an extremely low recurrance rate. (I actually had a tiny spot of tubular, along with DCIS, invasive ductal and lobular, so have read quite a bit about it.)
As far as asking the right questions, with a plastic surgeon, I think the key is his experience with breast reconstruction for breast cancer, as well as with the type of surgery he's recommending for you. And ask to see photos of his work. There are many threads here on unilteral vs. bilateral mastectomy, and lumpectomy vs. mastectomy, as well as the various types of reconstruction. Have you already seen a breast surgeon? Was the plastic surgeon recommended by your breast surgeon?
Some general things I can suggest -- Be sure to take someone with you. It can be so overwhelming that we tend to zone out and not hear or remember much of what was said. Also, don't feel rushed into making a decision. It's a huge one, and you may want to get a second opinion, even if you really like the first surgeon(s) you see. You will quickly find out that not all doctors recommend the same treatment, and also, if you do opt for a mastectomy(ies), reconstruction options vary from place to place. So try not to panic. Gather all the information you can, and take your time about coming to a decision. You may find yourself going back and forth several times, which is normal. I personally had Diep reconstruction, which was the absolute best thing for my situation, but was not even offered to me by my first breast surgeon. So a second opinion can be extremely important.
Let us know how your appointment goes, and if you have any other questions either before tomorrow, or after that app't. Deanna
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hello everyone
just found out i have bc they say it takes 7 days for pathology,waiting is what drives you crazy.why does it take so long can you call the doc and see if its ready earlier,i dont know if thats the right thing to do
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Welcome, nene ~ I'm not following your post. If you have to wait 7 days for your pathology, how do you already know for sure it's bc???
And as far as how long it takes, that depends on where it's done (locally or sent out) and how busy they are. It might be ready a day sooner, but, with some exceptions, most doctors are usually pretty good about getting the results to us quickly when they have them.
Yes, waiting is very hard. Try to keep very busy and not focus on it because there's nothing more you can do at the moment. Deanna
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thanks for the help. I have found a lot of hope on these pages these past few days. Met my plastic surgeon today. I will have the dmx and reconstruction with the lat flap procedure and TE. Still thinking over saline or silicone implants. I am still not sure it has all hit me yet but I am grateful that tubular carcinoma is slow growing. I also have DCIS and LCIS. Fun stuff! lol
Keep the inspiration flowing it does wonders for the soul.
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i know it sounds wierd ive had a mamo and ultra sound done,sent to a surgeon and he said i have bc ,then had a core biopsy done and waiting for the results,of that to see what type is this not the way its done
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I've just been diagnosed with infiltrating poorly -differentiated ductal carcinoma,nuclear grade II/III.o6 ib diameter. prominent ductal carcinoma-in-situ(dcis) component extendingup to .8 cm beyond infiltrating components. clear surgical margins. and ductal carcinoma-in-situ (dics) showing multifocal close approach (less than .1 cm.to surgical margin. studies for estrogen &progesterone etc. not in yet. Dr wants to do surgery on the 10th only 4 DAYS away. I am in a dilemma. I am leaning very strongly towards the mastectomy, rather than the lumpectomy. but don't understand all the mumbo jumbo of the path report. can someone help?
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I just want to let you know I've been in your place. My husband passed away of metatastic melanoma in 2008. Now I have been diagnosed with breast cancer and have no one but my children. A spouse is so valuable and appreciated in these times. I am praying for both of you. I am lost without my husband. Hold on to each other as much and as often as you can. Nothing better than a supporting spouse to help you through rough times. best of luck
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nene ~ Have you gotten your biospy results yet? Thinking of you, and please keep us posted.
barb_k ~ So sorry about your recent diagnosis, and also the still-recent loss of your husband. In the time I've been on BCO, I've me several women here in your situation -- still mourning the death of a spouse, and now dealing with bc themselves. It's got to be very tough. Hopefully your children are old enough and close enough to give you some support now, and as a suggestion, you may want to start a thread here asking for suggestions for dealing with bc when you've recently lost a spouse. I would be surprised if you didn't get some really helpful ideas and maybe form some new support bonds. Just an idea...
As far as your pathology, I would also post that in a separate thread, asking for help reading it. Again, there are women here who are truly great at medical jargon. For now, I can tell you that the infiltrating (invasive) ductal carcinoma is the higher concern, but I would take a deep breath and try to bump that surgery date ahead until you can decide for sure which surgery you want. I'm not clear on the size of that area of your bc, nor what you mean by "clean margins" in a biopsy (did they maybe get it all except for the DCIS?), but unless your surgeon is going out of the country or some such thing, there's rarely a need to be forced to decide on and have surgery that quickly. In most cases, if you need to take a few weeks to decide, you'll be fine. Please don't let them railroad you into a decision you may not be prepared to make. Many women also get a second opinion, just to be sure they know all their options, especially when it comes to reconstruction (if you do decide to go the mast. route). Unless that infiltrating spot is large, and/or you're the kind of person who can make that decision faster than most of us, you have every right to ask for more time to examine your options and your feelings about them. Deanna
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Today is my first day with breast cancer. Just saw my report online and it's Sat.. so can't get any answers from my Dr.. Can someone help me with a few things? Here is what it said: Infiltrating ductal carcinoma and ductal carcinoma in-situ, comedo typeThe invasive carcinoma appears to be of architectural and nuclear grade 3. There are features suspicious for possible lymph-vascular invasion. Results of breast carcinoma prognostic markers will be reported in an addendum. (I don't have that yet) The infiltrating tumor measures at least 1.1 cm based on measurement from the core biopsy slides.
I have a 2 month old baby. and 2 teenage kids.. and am so scared... I found the lump in November and had an Ultrasound where the Dr said it is nothing.. and 3 months later this Tues it doubled in size.. to 4cm.. How bad is the possible lymph-vascular invasion diagnosis? I am hoping to just get a lumpectomy being so young at this point.. I have an MRI next week and the surgery either 17th or 24th.. It seems to be growing so fast.. Any answers or support would be great!!! Thanks
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makmak3030 ~ Welcome, but so sorry you're here. First, don't drive yourself crazy about this being missed in November. If you were still pregnant, I can see how your doctor might have felt any breast lump was due to that. At least you didn't wait too long for another test, so that's something for which to be thankful.
As far as your pathology, the combination of DCIS with a bit of invasive bc is fairly common, and 1.1 cm. on the invasive part is still small, which is good. There are 3 grades. Grade 3 is very common and more aggressive than Grade 1 or 2. Suspicious for possible lymph-vascular invasion means that there are signs your bc might be trying to move out of your milk duct, but they're not sure based on what they had to biopsy.
If you haven't found it yet, this website has an excellent informational side. "Symptoms & Diagnosis" (very top of page) will take you to that section where you can then search "lymphatic invasion," "grades," etc., for more details.
I can't believe you were able to get your results on line on a Saturday! How stressful to have pieces of information but not be able to ask your doctor questions. I'd be tempted to call their service number and ask for a callback -- especially if you have an ongoing relationship with this doctor. But, without your file in front of him/her, I'm not sure how much help or comfort they'd be to you.
Hope this helps a bit... Deanna
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Thanks for the info. I did find the Symptoms and Diagnosis, but it just tells you what it is, doesn't tell you how bad.. I am still hoping to save my breast and that it didn't spread.. Is that something I will only know once she does the surgery? With what I do know, should I be in a hurry to do the surgery on the 17th or do you think if I wait another week it won't hurt anything? I also read the forum about the Mirena and am going to get that taken out on Monday (great $1000 investment for a month huh..) since I am wondering that if it's releasing progesterone it may be bad.. emailed my Gyne, who is awesome at replying, but he is not available this weekend.. Why do I think weekends will be the worst..
Another question.. I am the main breadwinner in our family and will need to go back to work post-op. If I have to go through chemo, and I KNOW I react with ALL side-effects to ALL meds, how likely will I be able to work? So many questions.. so scary... I've done EVERYTHING to put me at the lowest risk for this.. but here I am.. have to do the BRAC test for my 2 little girls.. my 15 year old is scared both for me and for herself as she knows what it may mean to her...
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makmak ~ Let me try to answer some of your questions. Vascular and/or lymphatic invasion in itself isn't a terrible thing or an extremely worrisome prognosis, but in practical terms, IF either is present, it will figure into your overall treatment plan, which will be based on a number of factors, including some that will be determined with the pathology from your surgery. In other words, IF either of those are present, chemo may be recommended as systemic treatment.
Normally I would say waiting another week is fine to do surgery. However, if your lesion has truly doubled in size in 3 mos., that's concerning enough that I would absolutely discuss waiting with your doctor. I hate anyone being rushed into surgery when they don't have peace about the need and their decision, but when a tumor doubles in size that quickly, if it was me, I would want it out ASAP!
As far as chemo goes, it's not always possible to predict how we'll react to it. I was and still am a natural living, won't take any drugs type of gal, and after fighting the need to do it as long as I could, I did fine with chemo. Luckily, we're in a new generation of chemo drugs and anti-nauseals, so many women do much better with it than they anticipate, including working through it except for maybe a couple of days during each cycle. Whether or not you'll be able to work depends a lot on the type of work you do. My best advice if you find out you will need chemo (and let's hope you don't!), but IF you do, is to line up as much help as you can with household stuff (childcare, cleaning, cooking, etc...), so that you can save your energy to focus on your job.
I'm sure your 15 year old is very scared, but as unwelcome as your diagnosis is, and as strange as it may sound, I'm sure your family will also find some hidden gifts as you travel this journey. Ours did. (((Hugs))) Deanna
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Thanks for all the good info!! I just got a few more names of Dr's and will call first thing tomorrow to get second opinions this week and I guess schedule for the 17th if I can... Have to remail positive and hope for the best.. the strange thing is now every little pain in any other part of my body is starting to scare me..
Marina
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Oh, Marina, that happens to all of us! But the good news is, it's extremely rare that any aches, pains or twinges elsewhere in your body have anything to do with bc. It's just that you are so much more aware of your body, and your innocence about something bad like bc happening to you has just been stripped away. Try not to let your mind play that game with you because it truly is just a mind game.
When you say "doctors," are you seeing breast surgeons/specialists? That's really who you need now. Deanna
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HI there.. saw both a breast surgeon and oncologist. I will be getting my ct/bone scans and MRI this week and getting a port put in for chemo which i start the following Wed.. all scary stuff and they are not sure if it will shrink my tumor enough for a lumpectomy but at least it will start killing it all.. still waiting on the +- stuff.. scary but at least now I have my Doctors lined up and a plan of action...
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Hi, Had a Ultrasound guided core needle biopsy done Monday. Dr called this morning ( Thursday ) with the bad news. Invasuve ductal carcinoma. IDC. Exhausted from the tears, the worst was telling my family and close friend. But I also felt that my burdon was lifted just to tell them. So now we will cry for a while....Pray more often.....Trust in my God......and get busy doing what needs to be done.
I was told the surgeon would be calling me next to chat about and set up my plan of action. Surprise tommarrow morning I will be calling, not gonna wait. I will need more info to be comfortable with my plan. But I am not going to risk my life for some breast tissue. I want them gone! Yeserday!
I am lucky to have such a wonderful Husband and two grown children. They are very supportive. My best girl friend and I Already went to Nordstroms and bought new front buttoning Pjs and a new robe for the hospital. I guess you can never be ready for this kind of news. But by golly it sure makes you feel better to buy new jammies!
Thankful to find this web site. Gaga
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Gaga ~ I was just shutting down my computer and saw your post. I'm so sorry that you're joining the club that none of us ever wanted to be in, but I have to say it sounds like you're going to be just fine. I mean, anyone who has the presence of mind to grab a friend and head to Nordstroms for pajama shopping when the going gets tough... well, you're going to be just fine!
Anyway, I'm glad you've found us, and I will hope that you will be able to get in to see the breast surgeon quickly, so that you can get a game plan in motion. Deanna
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Hello to all. I just wanted to jump back over here and post because this is the first place I went when I was diagnosed on November 16th, 2009. I am 43 years old,in great health before, and am triple negative. I had lumpectomy on11/25, port implant on 12/16, and have finished four rounds of chemo with four to go.
This is not fun but you girls can do this. The fear will lessen. That siren you hear every morning (it used to wake me up saying CANCER CANCER CANCER) will calm down. Take your Xanax and Ambien to sleep. You need to sleep. I planned everything down to my funeral before I was able to climb out and look around for how I am going to fight this.
There are good treatments available, look at the positive, even with my triple negative and one positive node, I still have about a 79% chance of being here in ten years. Theres a sight online called Adjuvant Online that will let you look at stats but be aware it's probably too early to plug in what you will need and there is no substitute for a good oncologist.
My heart aches for all of you and I send prayers your way. Learn to ask for help and let people help you because you will need it. You will become strong and although this will change your life forever, hopefully, some of it can be turned for positive. Get the book, Love, Miracles, and Medicine by Bernie Siegle and focus your mind on healing.
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Hi Gaga, I have the same timeline as you.....needle and core biopsy on Monday and told I had IDC on Thursday- a day I will never forget..... I was a mess, but I am beginning to deal with it now and set up the plan. I am just floored that I am 33 with a 5 year old, a 3 year old and a 3 month old and now God wants me to deal with this.... But, I guess this setback will set me up for a greater comeback!! Let's get through this together and cheer each other on. I am so empowered reading everyone's posts....I can and will get through this. I am so blessed to have such a great support network of friends and family.
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Hello. My name is Cathy..I am 42 years old, and was just diagnosed with a 1.4 cm malignant tumor in my right breast. 13 years ago, my Father had Breast Cancer in his Right Breast. He is now 70 years old.
I am due for surgery/sentinel node/and wire insertion around the first week in March. I have alot to learn, places to go, people to see, and things to do...But I am taking it all, one day at a time. It's good to be among friends...and it's nice to meet you all.
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I am 44 years old and was diagnosed last month with a small focus of DCIS. Had a lumpectomy on Monday of this week and received the pathology on that tissue yesterday, which indicated another small tumor (.8 cm) of IDC high grade. I don't meet again with my surgeon until next Tues. and needless to say, I'm extremely upset and anxious. My cancer was found by MRI, which I've been receiving annual screening MRIs since my youngest sister was diagnosed 2 1/2 years ago. My dad is also a 6 year survivor of Stage IIIb breast cancer. Foolishly I believed the lumpectomy tissue would come back clear. I was told my initial DCIS had clear margins, so I believed they "got it all". I didn't prepare for this news. I guess my next step will be another procedure to get an even larger clear margin on my newest tumor and also a sentinel node biopsy. I am really struggling with the waiting and wondering. I have been throught this process twice before with my family members, but it's so very different now that it's me. I can't seem to soothe myself like I was able to do for them. Thanks for letting me unload some of this out of my head.
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Hi Cathy. I was diagnosed Feb. 3 with papillary DCIS and we share a common location. My tumor is in my right breast as well. Like you, I'm having my surgery the first week in March which also happens to be my birthday week. What a gift to potentially be rid of a tumor
. I was wondering... you mentioned wire insertion in your post. What is this? I haven't heard of this before.
Everything I have read on this website has been wonderfully informative, helpful and supportive. It makes the journey seem less frightening when, albeit unfortunately, others have walked a similar path. Many have posted that it is sad to welcome those newly diagnosed to the BC club, but I can't think of a more courageous and inspiring club. I'll be thinking of you as we both have our surgeries in March.
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Just wanted to update as this is the first place I posted when diagnosed. I've had my mastectomy (single) insurance would not pay for a healthy breast removal but I'm okay with it . I am actually glad at this time it is just one. It was caught very early. No reconstruction as it is not available where I live. Would have to travel 200 plus miles and was not in a financial situation to do this. waiting on the answer from the oncologist now for the further treatment. Had my surgery on Feb 10th 2010. Had the last drain removed 2 days ago. Have noticed some swelling tonight. Will find another forum on this I guess. Any way I am surprised I am recouperating as well as I am.
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I was diagnosed with infiltrating, ductal, bc approx. 2 cm, on the outer left side, on 2-9-10 by biopsy. I had a lumpectomy, on 2-23-10, with a sentinel node biopsy with the blue dye and the radioactive shots!! When I woke up I had a large incision under my arm (besides the large incision in my breast), a drain tube and numbness in my armpit, elbow, all along the left side of my breast - and lots of pain....feels like I have a large chunk of wood or something packed under my arm.....this is miserable. I never did get any good information after my surgery as to what happened, my husband didn't either, and I don't go back to the surgeon until 3-3-10. I've been waiting, taking lots of pain pills, and worried to death.... Any one else have the numbness or drains???? I hate not having a clue as to my full diagnosis - do I have cancer in my lymph nodes?? did it spread??? what ever happened with the sentinel node????? Feeling rather disheartened......
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Just stopping by to welcome those of you who have posted here in the past few days. I'm so sorry that each of you has reason to be here, but am very glad you've found BCO.
If you haven't already, I would encourage you to look around this site by clicking on Forum Index, above, and then on each topic heading. Within each heading, you'll find dozens of active discussions. For those of you having surgery this week, I highly recommend joining the March surgery group. It's the best way to meet women and find support for what you're going through right now.
Cathy and Suembala, good luck with your surgeries! Barb, it's good to hear that your surgery went well. Boy, you must live in an incredibly remote area if there's no breast reconstruction available within 200 miles! And did that swelling (was it a seroma?) go down?
And Sherlaud, it sounds like you had a really rough time with that surgery! I hope you'll update us on what you found out from your surgeon. Deanna
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I guess I should put my statement about the reconstruction within 200 miles. There is not one anyone that anyone would recomend within in 200 miles or 2 hours. I live in southeastern NM. The closest big towns are El Paso, Tx, Lubbock, Tx, and Albq. NM. Plus I have the problem of limited finances and My 2 adult children are without work and vehicles. and I would not want them to drive my vehicle in a large city. It's just my piece of mind. The seroma is still there only not as bad, The Dr. did not think it was bad enough to do any thing. It sure can get uncomfortable, like a rock under and behind my arm. plus the burning senstion in the back of my arm. (only if it touches anything.)
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