my LCIS story, unfolding

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khandler
khandler Member Posts: 32

Last December I had a biopsy and then lumpectomy to confirm that I had LCIS with pleomorphic features. Officially, the boarders are clear but my doctor at Univ. of Alabama in Birmingham has given me a 96% chance of developing cancer in the future. We have discussed this with an expert in D.C. and it seems my overall personal history is probably what makes the #s so high. My mother had stage 4 cancer and her sister stage 2. I am 45, have undergone all 9 yards of infertility treatment  and now have a 4 yr old son. When I was given my options, it seemed a no-brainer to go for the B.L. mastectomy and be free of the danger. Since I am at risk for clotting, I did not think taking the anti-cancer drug was worth it, plus cutting my chances in 1/2 still put me at a high enough risk. I am at peace with my decision, trust my doctors, but am very nervous. I opted for reconstruction with saline implants. I am a professional violinist and truly hope this doesn't affect my skill, but I realize my #1 goal is to survive in hopes to see my son grow up. I guess I just wanted to connect to some people who can relate with my situation and might follow me thru with some support. My surgery is scheduled for May 26th.

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Comments

  • mabear
    mabear Member Posts: 25
    edited April 2010

    Welcome!  I'm sorry you're here but hope you find needed support here :-)  My surgery is scheduled for May 3; I've chosen not to have reconstruction.  Under 'surgery, before, during...' there is a May surgery thread you can join.  There are women with many different diagnoses there; I was the only LCIS diagnosis-my family history is strong, but only second degree.

    I am looking forward to having surgery and moving on to healing!  This was a clear choice for me.

    Wishing you healing :-)

    Mabear

  • khandler
    khandler Member Posts: 32
    edited April 2010

    Dear Mabear,

    Thank you for your response. I wish you well in your upcoming surgery. It is reassuring to hear from someone with a similar diagnosis electing for a B.L.M. I went thru some friction with my mother, believe it or not, because she thought I was too extreem and the surgery was over-kill. After talking with the D.C. specialist, we are all on board, but I was shaken and upset. Every assurance helps me gear up for this procedure.

  • cornellalum
    cornellalum Member Posts: 191
    edited April 2010

    khandler - there are two threads on this LCIS forum for pleomorphic LCIS.  I had my bilateral mastectomy 10 weeks ago. No, it is not overkill.  I would recommend reading the two threads.  You will find that there are a few of us who have PLCIS who took the same route as you.  It is a very rare diagnosis.  I know exactly how you feel, and there a few other women on these boards who also have PLCIS.  Please PM me if you want to talk more, but definitely read the two threads.  I will bump them to the top of this forum for you.

  • MistyJ
    MistyJ Member Posts: 113
    edited April 2010

    Khandler,  I am sorry you had such friction from your family.  I too have felt the resistance from some of my family.  Not to such a direct degree though, as some of them just have the air of disagreement.  I felt very worried about my decision for a bit because of it.  I finally realized that it is my body, mine.  Every person is different and each of us is allowed to be.  I don't have PLCIS, only LCIS.  I have done a tremendous amt. of research on it all, and in my mind....it does not matter what the lower amount of risk is.....the mere fact that it is significantly lower with a BL Mast.  tells me that FOR ME it is the right thing. I will not gamble on my life.... I can handle the surgery and reconst. (which should be a skin sparing but not nipple, with silicone gel implants with alloderm, and prob. June)  Do not let people fault you or make you doubt the fact that you want to do everything in your power to ensure you and your son don't have to be affected by a cancer diagnosis!  They would not offer it to us as a medical treatment if it was not warranted.  Best of luck with your surgery!  This forum is wonderful for support, information, and answers to questions!!

  • Stonebrook108
    Stonebrook108 Member Posts: 237
    edited April 2010

    I had LCIS back in Nov 08 and had a BPM in Jan 09 and have never looked back. It was the best choice for me. But, it not for everyone because it's a VERY tough decision to make. My reconstruction was done with Alloderm and one step implants.  

    All the stress your feeling now is gone after you have this surgery. Not having to worry in the future if they see "something" on a mammo. or MRI. and then worrying do you need a biospy. Years of stress like that would have killed me. 

    MistyJ, I'm sending you a clip of my PS talking about the Alloderm and implants. 

     http://wcbstv.com/video/?id=137241@wcbs.dayport.com 

    If I can help you with any questions please send me a PM.

    Best of luck to all of you

  • Kimber
    Kimber Member Posts: 384
    edited April 2010

    khandler, our stories are very similar.  I too did several rounds of IVF, but never gave birth.  My LCIS diagnosis is what put my risk at 92% along with strong family history.  I had PBMs on Jan 19th, have been expanding ever since and have my exchange surgery on May 20 to gel implants.  I never once have looked back.  When I made the decision, which ultimately took me 2 years to make, I felt light as a feather.  I took tamoxifen and had no problems with it, however I don't have to worry about that anymore, or mammograms, but most importantly my risk has now been reduced to 2%.  I am 45, married and have a 12 and a 13 year old.  My whole house has taken a huge sigh of relief.  Once you get through the surgery, you will wake up at peace, and you will wake up with implants!  Even better!  I had to go the expansion route because a lot of my skin could not be saved due to scars.  I am counting the days til my exchange surgery.  It cannot happen fast enough.  PM if you would like to chat! You mention DC, are you in the area?

    Best, Kimber 

  • egzc
    egzc Member Posts: 10
    edited April 2010

    kandler, my story started to unfold the past several years....they were watching a simple cyst, mammograms every 6 months. The radiologist finally cleared me for 1X a year. PCP not comfortable, went to oncology surgeon, needle biopsy done, LCIS dx (absolutely no breast CA hx in my family), lumpectomy followed, radial scar dx, no CA but lots of LCIS. MRI followed, 2 MRI biopsy, NO CA, but LCIS .  I went for a second opinion at JH, CA was missed by the previous pathologist, found in the radial scar only, IDC.  A second surgery completed, ILC, (microinvasive) was added to my previous dx's.  Just completed DIEP bi-mx.  Two times my CA was missed---I was simply done chasing this. These are not easy decisions and applaud your courage.  I must admit this was the best decision for me.  Good luck to you and your family

  • khandler
    khandler Member Posts: 32
    edited April 2010

    Boy, I wish I'd found this forum months back, it's perfect! I'd like to PM a lot of you, but can't figure out how. Do I just click on your names here or what? Sorry, I've never done this kind of thing. Anyway, I would like to discuss things like reconstruction, emotions before surgery, anything I need to prepare for that you think I won't expect or know about for after surgery . I know I'm doing the right thing and now that my mom is back on board I feel everyone I know is relieved that I'm doing this. I think I'm mostly afraid because of the unknown. I really worry that it will affect my violin playing and I also worry that my reconstruction will not work out. My aunt had her implants taken out after 1 year because she thought they had triggered an auto-immune response. She now thinks she was due to get arthritis anyway and wishes she'd kept them in longer. I guess I'm not as brave as some of you that opted for no reconstruction. Ah, vanity.

    Right now, I have a hard time getting to sleep, I have to be careful or I'll lock myself out of the house or car. I don't seem to focus very well, when I perform, my body goes on auto-pilot and my brain is some where else. I really want to be 10 weeks beyond the surgery and get on with my life, it's taken over my life too much. I am keeping busy on purpose so to not dwell too much on what lies ahead, unfortunately, it still gets to me.It helps to read about those of you that are finished and moved on. Thank you, all of you.

  • egzc
    egzc Member Posts: 10
    edited April 2010

    I experienced the same type of forgetfulness while I was waiting for my surgery date.  In fact, I did a lot of research about cognitive loss after surgery thinking that this might be what I was experiencing (this was after my second surgery, waiting for the date of my DIEP)!  I work at a very stressfull job, and was very embarrassed.  I actually discussed it with my supervisor.  Some people at work suggested that I take some time off, but keeping busy was also helpful.  I found that compartmentalizing was helpful for me.  I'd allow myself certain times of the day to think about it---but there were times when it came out of the blue and hit me!  So, thank-you for sharing and making me feel a little normal.  You might want to mention to your doctor about difficulty sleeping.  There might be some suggestions, even non-pharmaceutical.

    Actually for me, as the date approached, I was more and more relieved. Remember, I was misdx after my first surgery, so my fear was that time was clicking on and I was concerned about what may be developing in my other breast.  A very good friend of mine had implants and was very happy with them.  Actually, she's had implants for 20+ years!  How this may impact your violin playing is an unknown---but you are gifted!  The fear of change and how it will generally affect our lives can be incredibly numbing.

    I tried to prepare for my bi/mx ---I purchased a camisole that would hold drains---but to find out, it really was not appropriate to wear following my surgery---who knew.  What I did do that was helpful was to purchase some oversized, inexpensive, button down, tops. Only 2, but they are alternated in the wash cycle!  Also, oversized, button down pj's were nice as well.  My husband has been very helpful to "strip" my drains 3x a day.  Having some assistance with this has been incredible.  I also went to the dentist 2 weeks before for a check-up, and met with my PCP as well to keep her in the loop.  A lazyboy type chair with a table close, has been my mainstay of existence.  Hope some of this can be helpful

  • MistyJ
    MistyJ Member Posts: 113
    edited April 2010

    khandler,

    To PM someone just click on their name in the message they wrote (it should be a different color, and should change your cursor when you move over it).  When you click on the name it will take you to a different screen.  In the right corner there are a couple options.  One of these is Send this member a private message...click on this and it should put the name in the send to box for you.  You should just need to type and send.  Hope I made this easy to understand!  :)  MistyJ

  • Joanie207
    Joanie207 Member Posts: 97
    edited April 2010

    I know that everyone is different in their recovery, but my bilateral with immediate DIEP was one month ago today and I feel great!! I worried about post-mastectomy pain syndrome and the inability to move my arms and just about everything else, but other than some soreness/tightness/numbness I feel like normal. The soreness is relieved with Tylenol and Advil and is very minor. The tightness is relieved with stretching. And the numbness will disipate with time for the most part.

    I am so pleased the have this surgery behind me. With a 4 & 7 year old I wanted to do what I could to be around for them. Plus, with LCIS I could choose the timing of my surgery.

    On my blog www.breastcancermom.blogspot.com I have broken down my surgery/recovery by the week so that you can see the progress if you are interested. I wish you the best.

  • CharlestonGirl
    CharlestonGirl Member Posts: 161
    edited April 2010

    khandler,

    96% chance of CA, strong family history - you are totally wise to listen to your intuition about treatment! My history was somewhat different, but i ended up BMx with SGAP reconstruction. Left side prophylactic. BS really balked about doing BMx, but deep inside I knew that was the way to go. Switched docs & went that route. Turns out that pathology found LCIS in addition to the IDC and DCIS. Had they known that at the time of initial biopsy (instead of just the IDC they found) the recommendation would have been the path I insisted on. So glad I listened to that inside voice. You should also. And, a year later, I have marvelous ta-tas constructed of natural tissue that will last a lifetime and no physical restrictions. Within just a few months I had full range of motion, no soreness or tightness. I'm involved in a sport requiring extreme upper body fitness and flexibility. No issues there at all.

    I know you are going the implant route. My mom had bilateral IDC (stage 3) and she had BMx with implants 21 years ago. She could hook her fingertips together behind her back with both her hands, and this was at age 64. Nothing, but nothing stopped this incredible lady (she'll be 85 next month). The implants were removed within 5 years but that's another story. The point is, she never lost her flexibility but she was very diligent with her exercises. I think that is the key.

    So, good luck, you! And if you want to learn more about SGAP, just PM me.

  • khandler
    khandler Member Posts: 32
    edited May 2010

    Now that I've got my mother back on my side, I am working on getting ready for my surgery which is May 26th. I still wake up with this knee-jerk 'O.M.G.' feeling. I'm not afraid of the pain, it's mainly a fear that some thing else will be discovered and then it turns out I do have cancer! The whole journey has been like this-'don't worry it's probably nothing', over and over again. I also worry for the reconstruction and my violin playing. But I have looked at all my options and they all look risky. Nothing, except no reconstruction, is risk free. Tomorrow I have my markings with the plastic surgeon. It's really getting real. I think at some point I've just got to let go.

  • khandler
    khandler Member Posts: 32
    edited May 2010

    Well, I was wrong, markings are for the day before surgery. I just had a discussion visit. I told the doc I'd changed my mind to go with saline instead of silicone. He said I still had time to think about it and thinks I'd prefer the latter. I don't want to worry about them leaking all the time. I also got a prescription for Xanax because I'm getting some anxiety. I won't take it unless my emotional state worsens about 20% more. It seems I won't get the dream c-cup I was thinking because he doesn't want to damage my muscle. It makes sense and that is fine. Knowing he is concerned , helps me worry less.

  • khandler
    khandler Member Posts: 32
    edited May 2010

    Hey Kimber,

    I wish you all the best with the implant transfer. It's coming uo, you must be so excited! Are you getting new nipples too? or tatoos? I didn't realize it would take that long to complete things, I'm probably looking at being complete by November or Dec. I wish I could go the gel way, I hear it's so much better. I just worry too much, but there is still time to think this over some more before making a final decision. Let me know how it goes.

  • Kimber
    Kimber Member Posts: 384
    edited May 2010

    Yes, I am counting the days!!!  I CANNOT wait!  No, I will not be getting nipples.  I have a big scar right where one should be and I don't want to go thru the process and have it not "take".  Plus, all my girlfriends keep asking me why I want nipples when I will just have to cover them up, hence all the padded bras and bathing suits out there.  Mine before were very flat with no projection, even when cold.  So now I can go braless and not have to worry about nipples, unless I put on my stick on ones!!  HA!  I will probably get tattoos later...I hear it brings your eye away from the scars.

    My best to you!  Please PM me because I am not great about checking the site when I am recovering, and I will fill you in on how it went.  I could  not be more excited,  I hope it lives up to my expectations...

    Kimber 

  • RobinLM
    RobinLM Member Posts: 143
    edited May 2010

    Hi Everyone - my first post.....

    I have had fibrocystic lumps in my breasts for years - the massive one (about 50% of my right breast) - had disseminated Calcium since the beginning, for the last 12 years. Had it tested - horrible sewing machine biopsy whilst in the mamogramme machine in 2003, was told it was fibrocystic. The process was dreadful, no anaesthetic was given in the lump - agony.

    Since then, I've been self examining and there has been no change. I was then recalled after my first O/50 screening mammogram (at 53) in Jan 10, and underwent what I called "apple core gun" biopsies, 14 cores. The results of the biopsy showed one point of abnormal hyperplasic growth, plus stenosing adenosis etc etc. I was told the same 'probably nothing but' so went ahead with the recommended 'large bore' biopsy. This showed LCIS, but I did see pleomorph somewhere in the notes - so I'm guessing I have that cell type too.... So, I went on to have an MRI scan plus image enhancer - which fortunately showed nothing invasive - what a relief.....Very stressful

    Anyway, my BCsurgeon has recommended that I opt for annual mammogram/MRI....but I have requested bilateral Mastectomy with immediate reconstruction - using implants and liposuction fat. The BC Surgeon is happy to do this for me. Currently waiting for an appt with the plastic surgeon and the Psyche Evaluation which is compulsory over here .... My operation should be around the end of June.

    I am very scared of having the Op, but feel it is the best for me..... otherwise I'd be anxious the whole time and would end up making myself ill. I have found it very comforting reading your comments to see that there is life after BC diagnosis Smile

  • RobinLM
    RobinLM Member Posts: 143
    edited May 2010

    I forgot to say, my mum had BC at 54, don't know the type, but had a lumpectomy, radiotherapy and chemotherapy, and was put on tamoxifen. She developed Bladder cancer (I believe not related) within 4 years and very sadly died of it, aged 58. Mum was a heavy smoker unfortunately.

  • AAB53
    AAB53 Member Posts: 4
    edited May 2010

    I read your post with interest.  I am set for the simple mastectomy June 1st.  I have had raised eyebrows from some family members.  My husband and I made this decision together and we are standing by it.  We are hoping that my insurance will see it our way.  I have a mother and grandmother with BC and a great-grandmother with ovarian cancer.  As you say it is my decision.  This is a wonderful site and I can see that is will be so useful over  the next few months.

    aab

  • RobinLM
    RobinLM Member Posts: 143
    edited May 2010

    Hi AAB53

    I have had the same reaction over mastectomy from some people, but when I outline my reasoning they understand. It's something only you can decide. It's good that you have the support of your husband, my partner told me to 'do it - having silicon breasts - or none - is not life threatening".

    What do you mean by a simple mastectomy- Are you have both breasts done and will you be reconstructed immediately? You seem to have a strong family history - have they done the gene thing?

    I have found it interesting to see the differences between treatments etc in USA and here in the UK. In one of your posts you mention Tamoxifen, has that been recommended to you even if you have BM? I have been told I would need nothing after my Op, except for annual monitoring. You mention insurance, we have the National Health over here - thanks goodness. I paid for my MRI myself rather than wait. I had my mammogram in Jan 10 and it's already May, am looking forward - like you - to all of this being over. :)

  • khandler
    khandler Member Posts: 32
    edited May 2010

    Hi y'all,

    So I had my last visit with the OC and after all was said and done, she said she was ordering just one more mammo. Whatever for I had asked. I mean, that stuff will be up close and personal soon enough. I guess it's to see if anything has changed in the few months and if they see cancer....heaven forbid...then there could be a halt to the surgery and I guess a bunch of chemo and radiation 1st. Uggggh!!!!!!!!!!!!!!!! Here I am once more worried about a mammogram, seems ridiculous. My husband said that this is to remind me why I am opting for the BM. I'm almost angry about this. By the way, I can tell my husband is worried now too, because he breaks out into hives when he gets stressed. He's all ichy now.

    then I checked the calendar to schedule this and was surprised to find that I was 1 week closer to the surgery than I'd been thinking. For some reason I thought I had 3 more weeks. Nope. Gulp. It's all a moment in time, I know.....and when I catch myself thinking "oh my gosh, I can't believe this is happening" then I think of my husband's poor aunt who said that after Dr.s told her she had 3 months to live. It's not like I am dying and this is to prevent myself from dying. That is my final mantra.

  • KellyMaryland
    KellyMaryland Member Posts: 350
    edited May 2010

    Khandler:  I'm new to this site and so appreciative to you and all who've written and made me feel not so alone. Wishing you the best with your surgery.  Good vibes coming to you.

    Kelly

  • khandler
    khandler Member Posts: 32
    edited May 2010

    Hi Kelly,

    I feel I am passing the same words on that Mabear 1st said to me on this site: Sorry you are here among us, but no you are not alone and I too felt soooooooo glad to find this site. I wish I'd found it months ago. 

    Thank you for the good wishes and vibes. I do believe in group well wishing. Back at you too.

  • RobinLM
    RobinLM Member Posts: 143
    edited May 2010

    Khandler, I'd also like to wish you all the best for the Op and mammogram. By this time in June - you will be over the worst and doesn't a month passes very quickly. :)

  • MistyJ
    MistyJ Member Posts: 113
    edited May 2010
    Sending you strength vibes and good thoughts khandler!!!  You can do thisWink...just one more time! Let us know when your mammo is Welcome Kelly!!
  • khandler
    khandler Member Posts: 32
    edited May 2010

    Thank you for the well wishing! The mammo is next Thur. but it is right on top of the last of the season concert's dress rehearsal. I might have to try and see if I can change it, but the hospital had to squeeze me in so it may not be possible. I may get taken out of the entire week's work. I hope not, I was hoping to stay fit on the violin up to the last moment. In fact, the day of my surgery, I will play a ton of scales beforehand. My surgery is in the afternoon-how odd. I'm going to be extremely thirsty and hungry when I wake up!

    I'll let y'all know how the mammo goes. 

  • khandler
    khandler Member Posts: 32
    edited May 2010

    I just e-mailed Dr. King about his research on PLCIS. I hope he gets back to me and wants my breast tissue from the mast. I want to feel I've hepled a cause that can eventually solve a mistery. Unfortunately, there probably need to be more studies done on people who did not opt for B.Mast. but I don't want to be in that study.

  • leaf
    leaf Member Posts: 8,188
    edited May 2010

    Glad you are persuing this, khandler!  It feels good to try to help others, in whatever way we can consistent with our treatment goals.

    They'll probably give you plenty of IV fluids pre-surgery.  Sometimes for afternoon surgery, I've been given a later deadline for being 'nothing by mouth'.  

    Let us know how it goes, OK?

  • khandler
    khandler Member Posts: 32
    edited May 2010

    I just want to add one more perspective on my choice to the surgery. Insurance covers it and the way things are going in the world, who knows what will be covered. Infact, were I to choose to have expensive MRIs and lumpectomy every 6 months or so...what would happen if (heaven forbid) the symphony folded and I no longer could afford the screening and or the medicine I'd have to take? So far the symphony I play in seems to be doing fine, but all over the country they are suffering, even the big ones. So, there you have it-besides seeing the writing on the wall, I feel it would be foolish not to get this off my future schedule.

  • khandler
    khandler Member Posts: 32
    edited May 2010

    Yeah, no complications with the mammo today! Plan A is now on track as hoped. That was my last mammogram ever! Hurray!

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