DCIS diagnosis today

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laurakay
laurakay Member Posts: 109

I'm finally out of shock enough to beg you for any info or words of wisdom.  I'm 48, found out today I have DCIS, grade 3--a 4.5 cm area.  Doctor wants me to have more calcs biopsied.  My mother died of breast cancer at 50.  

 I'm having a hard time seeing my way through to bedtime, let alone the two weeks until I meet with a surgeon.  Does DCIS sometimes mean invasive.  Am I going to find out next that this is much more than DCIS.  I find all I read about DCIS so reassuring, but then I think this must be more than DCIS or why would I have grade three and need more biopsy?  

Help?  Thoughts?  Fortune tellers?  :( 

Comments

  • cocoapuff
    cocoapuff Member Posts: 37
    edited February 2010

    Hi laurakay, 

     Sorry you are here with us.  This is the right place for you to be.  Everyone here is so helpful and knowledgeble.  DCIS is not invasive it is In Situ which sorta means in it's original place,  I think.  This is exactly what I had. Mine was grades 2 and 3 and extensive 9 cm but it was all DCIS.  You will worry but you simply won't know until they can take a better look at it.  You can do research on this site or search here for Beesie's posts.  I think she is one of the very kind ladies who shares her knowledge of this disease for all us.  I don't have much to say because I am no expert in anything, I just saw your post and remembered how hard those first few days are.  Hang in there and we will help you through this.  If you have any questions you want to ask feel free.  Sorry about your Mom. 

    lisa

  • 3monstmama
    3monstmama Member Posts: 1,447
    edited February 2010

    Take deep breathes.  I'm so sorry you are here.   You've read about DCIS so that should be of some comfort.  DCIS does come in grades of 1, 2 & 3.  The grade is determined off your biopsy results.  I am also grade 3.   As I understand it, grade 3 is believed to be more aggressive.  How do they know the other areas of calcs are DCIS?  There are other things that can flash up on a mammogram that are not malignant.  Did you have have an MRI or just the mamma and a biopsy?

    I would guess that they want to do more biopsies of spots because they think that the DCIS may be so extensive that a lumpectomy wouldn't work.

    If you feel you need to see someone sooner do you have the option of seeking treatment with another breast surgeon or at a cancer center or breast cancer center?

  • kcshreve
    kcshreve Member Posts: 1,148
    edited February 2010

    It is my opinion that 2 weeks is just too long to be waiting for an appt, when you need info and reassurance regarding your situation.  I was dx'd with DCIS, too, (at Thanksgiving) and even though the nurse told me I had the "good" kind of cancer, to my ears it was still cancer and I still had lots to learn and lots to decide.  I found that in the initial shock of it all, I was unable to access my emotions well, so I turned my energy to doing research.  This website offers the best info I could have hoped for.  The members are candid and helpful. And while not everyone makes the same decisions, you can ask others why they chose to do a lumpectomy vs mastectomy, or implants vs DIEP, etc.  You may make entirely different choices, but at least you can access all the info you  need to make your choices.  It is true, that compared to an invasive cancer condition, it is thought that you have a little more time to think things through, since most of the time DCIS is contained within the ducts and has not travelled.  This is a decent scenario which gives you the most options. Once you are beyond the shock stage (which lasted 3 weeks for me), you can access your heart better and find out what is the best fit for you.  Until then, read and read.  Be patient with yourself and with the various thoughts and moods you'll have. Also, remember that opinions are just that - opinions.  They do not constitute medical advice.  I received conflicting "advice" from my BS and then from her highly opinionated nurse.  I found it confusing initially.  Once I got more info and started to understand the issues at hand, it was easier to sort out what was good fit for me and what was not.  Take your time.  Wishing you well - KC 

  • KAR
    KAR Member Posts: 225
    edited February 2010

    Hi Laurakay,

    So sorry you have to be here but this is a great site.  I too had grade III DCIS and remember how confusing and stressful it is.  Which Dr is telling you to have more biopsies?  I would at least wait until you see the surgeon and let him/her explain why it is necessary.  I'm sure they just want to rule out more areas of DCIS, because if it is multi focal or in two different areas of the same breast lumpectomy is not an option.  I had lumpectomy and then mastectomy (unable to get it all in lumpectomy but my diagnosis stayed DCIS!) so if you  have any questions let me know.  This journey isn't fun but it could always be worse.  Take one day at a time and if you are having anxiety issues please speak with your family physician about it, they may be able to give you a medication that would help.   Best of luck to you

  • Kitchenwitch
    Kitchenwitch Member Posts: 374
    edited February 2010

    Laurakay, Sorry to welcome you to this group but there is lots of great info and support here. My advice is to ask your primary for a prescrip for Xanax or Valium or something to get through a very difficult time of waiting. My BS was quite good about giving some, but you haven't seen one yet. I'm sending good thoughts and best wishes your way. 

  • AmyD
    AmyD Member Posts: 75
    edited February 2010

    Back in July, I had grade 3, 4.5 cm DCIS as well, and I'm 48.   Freaked out, to say the least.  I had a MRI and it was decided that due to the small size of my breasts and the larger area of DCIS, a mastectomy was the best option.  I also had sentinel node biopsy with the mastectomy, which was okay.  I, too, remember those first few days of terror and confusion.  After surgery, it was determined that the cancer was all DCIS, which is confined to the ducts and doesn't have the ability to spread outside of the ducts.  Another poster mentioned reading Beesie's post on understanding DCIS, which is in the forum topics if you look down the list.  She has done a wonderful job explaining it and given what I've read in a number of places, the explanations my oncologist gave me, etc., it is spot on.  The waiting for any type of intervention is excrutiating.  However, my surgeon and my gyn both said there was plenty of time for me to gather myself, my information and proceed when I was ready.  My surgeon also said to me, "you're not going to die from pure DCIS."   Once you have a plan, the anxiety morphs into something more manageable, I think.

  • camiam
    camiam Member Posts: 75
    edited February 2010

    Laurakay,

    Couldn't read this without responding. I know what you're feeling; I had the exact same fear, confusion (about the seriousness of DCIS), and shock when I first got my DCIS diagnosis. All I could hear was "cancer"; I didn't even find out about the good prognosis until I got home and did my own research; a week later I was able to meet with a surgeon who specialized in DCIS study, and he sat with me for an hour and discussed every detail, every fear, and every fact about this type of BC. You need someone like that. Check with your local chapter of ACS, or if you have a local Komen chapter that's even better--you want to find a surgeon or an oncologist who specializes or has an interest/lots of experience with DCIS, and then have a good long consult with him/her.

    I also had grade 3 DCIS. This means it is the most aggressive type of cancer, but the "in situ" factor means that it still did not get out of the ducts and invade your breast; it has stayed confined (thankfully). When grade 3 does invade, it is also aggressive and leads to a poorer prognosis...this is why you (and I, and everyone else with grade 3 DCIS) are very, very lucky to have caught it while "in situ". 

    I initially had one biopsy, then a repeat surgery consisting of a wide excision lumpectomy, which came back with bad margins, which indicated the DCIS was multifocal, or in other words, it was located in many ductal areas throughout the breast. My treatment was a mastectomy, which by that time I was very glad to get! I just wanted it all gone--and with the mastectomy, assuming the pathology came back with nothing more than DCIS, I was "cured" and would need no radiation, so I went for it  The result was multifocal areas of DCIS, grade 3, with a clear sentinal node. I thanked God and went on with my life, which has been very, very sweet since then. :) (8.5 years, two babies since then...been busy!)

    So as someone already said, you just have to go through the "shock" phase, but even during it, know that you are going to be fine; this is about the "best" breast cancer to get if you have to get it. Once you get through the shock phase, esp. if you can talk to a surgeon or oncologist who specializes in DCIS, you will see lots of hope. 

    Thinking of you and wishing you all the best. 

  • camiam
    camiam Member Posts: 75
    edited February 2010

    Laurakay,

    Couldn't read this without responding. I sure do understand what you're feeling; I had the exact same fear, confusion (about the seriousness of DCIS), and shock when I first got my DCIS diagnosis. All I could hear was "cancer"; I didn't even find out about the good prognosis until I got home and did my own research; a week later I was able to meet with a surgeon who specialized in DCIS study, and he sat with me for an hour and discussed every detail, every fear, and every fact about this type of BC. You need someone like that. Check with your local chapter of ACS, or if you have a local Komen chapter that's even better--you want to find a surgeon or an oncologist who specializes or has an interest/lots of experience with DCIS, and then have a good long consult with him/her.

    I also had grade 3 DCIS. This means it is the most aggressive type of cancer, but the "in situ" factor means that it still did not get out of the ducts and invade your breast; it has stayed confined (thankfully). When grade 3 does invade, it is also aggressive and leads to a poorer prognosis...this is why you (and I, and everyone else with grade 3 DCIS) are very, very lucky to have caught it while "in situ". 

    I initially had one biopsy, then a repeat surgery consisting of a wide excision lumpectomy, which came back with bad margins, which indicated the DCIS was multifocal, or in other words, it was located in many ductal areas throughout the breast. My treatment was a mastectomy, which by that time I was very glad to get! I just wanted it all gone--and with the mastectomy, assuming the pathology came back with nothing more than DCIS, I was "cured" and would need no radiation, so I went for it  The result was multifocal areas of DCIS, grade 3, with a clear sentinal node. I thanked God and went on with my life, which has been very, very sweet since then. :) (Diagnosis was 8.5 years ago, two babies since then...been busy!)

    So as someone already said, you just have to go through the "shock" phase, but even during it, know that you are going to be fine; this is about the "best" breast cancer to get if you have to get it. Once you get through the shock phase, esp. if you can talk to a surgeon or oncologist who specializes in DCIS, you will see lots of hope. 

    Thinking of you and wishing you all the best. Message me if you want to talk more. 

  • camiam
    camiam Member Posts: 75
    edited February 2010

    Laurakay,

    Couldn't read this without responding. I sure do understand what you're feeling; I had the exact same fear, confusion (about the seriousness of DCIS), and shock when I first got my DCIS diagnosis. All I could hear was "cancer", also. All I could think was I was going to die, and I'd never even had the children I'd been longing for. I didn't even find out about the "good" prognosis until I got home and did my own research; a week later I was able to meet with a surgeon who specialized in DCIS study, and he sat with me for an hour and discussed every detail, every fear, and every fact about this type of BC. You need someone like that. Check with your local chapter of ACS, or if you have a local Komen chapter that's even better--you want to find a surgeon or an oncologist who specializes or has an interest/lots of experience with DCIS, and then have a good long consult with him/her.

    I also had grade 3 DCIS. This means it is the most aggressive type of cancer, but the "in situ" factor means that it still did not get out of the ducts and invade your breast; it has stayed confined (thankfully). When grade 3 does invade, it is also aggressive and leads to a poorer prognosis...this is why you (and I, and everyone else with grade 3 DCIS) are very, very lucky to have caught it while "in situ". 

    I initially had one biopsy, then a repeat surgery consisting of a wide excision lumpectomy, which came back with bad margins, which indicated the DCIS was multifocal, or in other words, it was located in many ductal areas throughout the breast. My treatment was a mastectomy, which by that time I was very glad to get! I just wanted it all gone--and with the mastectomy, assuming the pathology came back with nothing more than DCIS, I was "cured" and would need no radiation, so I went for it  The result was multifocal areas of DCIS, grade 3, with a clear sentinal node. I thanked God and went on with my life, which has been very, very sweet since then. :) (Diagnosis was 8.5 years ago, had two babies since then...been busy!)

    So as someone already said, you just have to go through the "shock" phase, but even during it, know that you are going to be fine; this is about the "best" breast cancer to get if you have to get it. Once you get through the shock phase, esp. if you can talk to a surgeon or oncologist who specializes in DCIS, you will see lots of hope. 

    Thinking of you and wishing you all the best. Message me if you want to talk more. 

  • murphmort
    murphmort Member Posts: 157
    edited February 2010

    Laurakay - you should know that we all felt the same as you when we first get the news.  It is overwhelming.  I was 46 when I was diagnosed and did alot of reading on DCIS.  I had alot of questions for my bc surgeon (she asked me if I was a lawyer!!) and I felt very comfortable with the answers I received.  If there is any history of bc or ovarian cancer in your family, I would suggest having genetic testing to see if you carry the BRCA 1 or 2 gene.  My mom was 58 when diagnosed with stage 4 ovarian cancer, so this was an important piece for my treatment options.  I was lucky to get the news I was negative! 

    I did have radiation and have been taking tamoxfin for almost 2 years.  It still can feel surreal that I went through this. 

    The hardest part after getting through the active treatment is living with the concern of reoccurrence - October is always a challenging month to get through.   I have participated in breast cancer walks and fundraisers which provides alot of comfort.

    You will get through this challenging time in your life ... rely on your friends and family to help you, and this website.  I could not have made it without the support of the women that I met through this website. 

    Good luck, and sending you hugs. 

  • dsj
    dsj Member Posts: 277
    edited February 2010

    I only recently got core biopsy results with DCIS, so don't have any real experience or expertise to offer.  Only one suggestion.  Two weeks seems like way too much time to have to wait to see a doctor. In my case, I ended up seeing 2 breast surgeons (the second in order to get a second opinion). Do you have a primary care physician who might be able to get you into see another breast surgeon more quickly?  That way, when you do see the surgeon you already have the appointment with, you will have had a chance to talk this through and think about it. Kind of like getting your second opinion first?  I felt immensely better after I talked to both breast surgeons, especially as they both had basically the same recommendations and the same favorable prognosis.  Everyone says that waiting is the hardest and that you feel better after you have your plan in place.  So far, that's been true for me.  I felt the worst waiting (in my case 3 days) to see the first breast surgeon, and since then I've felt more in control. Not sure this feeling will last through surgery (still to come) but it's gotten me through the last few weeks pretty good.  Thinking of you and hoping you get help soon.

  • Lovegolf
    Lovegolf Member Posts: 513
    edited February 2010

    Breathe  I recall all the feeling you are having.  Two weeks is long time to wait...and the waiting is the worst part.  I had bilat Mx for DCIS 5/1 with reconstruction. The nodes were clear so no chemo & no radiation. 

    You may get an MRI done(after MRI I had bad headache from the dye so if you do have MRI keep that in mind....drink lots of fluid to get dye out of body after)  You maybe offered generic testing...After all the test and the talking you will be faced with choices....Mx or not  reconstruction now, later or not at all.   These are your choices...we have all made ours for our reasons.  Talk to your friends, family, women here and make the best choice for you.  Once you have done that it gets better.  When you have your fight plan in place you can start moving to the other side of this...yes there is one.  Please feel to ask any questions..if I can share any information I am glad to do so....Breathe.  

  • IronJawedBCAngel
    IronJawedBCAngel Member Posts: 470
    edited February 2010

    Laurakay,

    Call the surgeon's office and tell them how stressful this is to wait and ask them to please call you if they have any cancellations.  Being proactive and advocating for myself was one of the hardest lessons I had to learn from this experience.  If you are really stressing and anxious, there is nothing wrong with asking your primary care doctor for a prescription for an anti anxiety med.  I didn't need one but I have several friends that swear it was the only way they got through that early period.  Hugs to you.

  • dsj
    dsj Member Posts: 277
    edited February 2010

    ditto to the suggestion for anti-anxiety prescription, also for something to help you sleep. One of the first things my PCP asked me was if I needed something.  In  my opinion, this is the kind of situation such drugs are meant for.  

  • Lovegolf
    Lovegolf Member Posts: 513
    edited February 2010

    I found sleep aids helpful.  It is hard to turn off the brain at night during all this...

  • Suzanne3131
    Suzanne3131 Member Posts: 3,953
    edited February 2010

    Laurakay ~ I am sorry for your news, too.  It's not something anyone ever ever wants to hear.  I agree with JennSmith that you should keep on the surgeons office for an appointment...not because you need to worry about moving quickly ~ indeed, you need to take your time to understand what you are dealing with and what your many options may look like ~ but because you need some info to help you put your anxiety in some kind of a compartment!  I would call them and ask if they have had any cancellations...if they so no, ask them/tell them that you may call every morning to check for cancellations.  Trust me...if an appointment opens up, they will love to oil the squeaky wheel!  :-)

    I have never ever been the person who would make those calls, but having been through this experience has kind of forced me to do it.  And, in a way, it has been empowering to flex that muscle and see that I can get things done!  And you really don't have to be impolite or panicky, just persistent and genuine.   They will help you if they can...

    God bless you on your journey!  I know it is awful at first.  You will totally get through this.  And you will be stronger for it.   

  • laurakay
    laurakay Member Posts: 109
    edited February 2010

    Suzanne3131, I tried to thank you with a private message, but am too illiterate to get it to send.  I've been paralyzed and unable to respond, but have been reading your message over and over.  Laura

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