Is it dangerous to wait a month for surgery?
I have a grade 3, 6mm lesion (I hope I'm not becoming high maintenance on these posts, I just got my diagnosis and I'm up nights thinking about this stuff). My doctor has me scheduled for surgery on June 7, but from what I'm reading here, my tumor could be growing rapidly during that time.
Should I push for an earlier surgery date? My oncologist said that cancers do not grow substantially in less than two months. I like her a lot, but what I'm reading here sounds like this is not the case, and I'm terrified of lymph involvement.
Comments
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When were you diagnosed? I was diagnosed on 4/30 and probably won't have surgery until 5/27 or the first week of june. . .My surgeon said that it usually is not a medical emergency. It has been growing in us for quite some time and a few weeks won't set us back.
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Thank you for your reply, In_cognito. I was diagnosed just a couple of weeks ago myself, same timetable as you. It's the grade 3 keeping me up at nights...
Regarding your other post, my surgeon is quite into breast saving measures, depending on findings.
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I had a grade 3 tumor, and keep in mind that "fast growing" is a relative term.
Many cancers can take as long as 6 to 8 years to reach the size that is noticeable to the touch or on mammograms.
So "fast growing" does not mean that it will get appreciably larger in a few weeks or a months time.
I do understand your concern about the lymph node involvement. I have had my tumor removed, have been through chemo, and am now starting radiation and I STILL worry about that!
Our minds can really mess with us sometimes.
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I was dx'd 5-15-09 had bmx on 6-23-09 - 0/3 nodes. I am also grade 3 with HER2+ and ER+ I have read a few instances of fast growing tumors but for the most part 'fast' is a relative term. It can take years for a tumor to grow. If your doctors felt it was harmful to delay surgery, there would be a push to have surgery done sooner.
Like ezscriiibe, I do worry about recurrence/lymph nodes but then again that is the nature of the beast...battling this disease all that we can do is make the best decisions for treatment options with the information available to us and know our body.
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You all are truly wonderful. Thank you so much. I'm going to put this one to bed, and place my care in the hands of the experts.
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Hi MP
I waited a little over a month because I had a big event planned. Had my surgery the day after the event. It was a good distraction for me. My surgeon and oncologist both said it would be fine. Some of my friends didn't understand.
Waiting can be the hardest part.
Wishing the best for you - do keep us posted on how you're doing.
(((Hugs)))
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I was diagnosed Dec. 18, and my surgery was Feb.1. My surgeon said that the delay wouldn't be an issue, since the cancer had probably been there "for quite a while" (his words). I trusted him, and didn't worry about the delay. I did have one involved lymph node, but I doubt that it had anything to do with the six weeks wait time. It was just a bit frustrating and emotionally tiring to wait. I kept telling myself that if it was something to be really concerned about, the treatment would have started a lot sooner, there was some comfort in that thought.
Sending you positive thoughts
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My biopsy was on Jan. 6 and I had a lumpectomy and SNB on Feb. 10 followed by an auxillary node dissection on FEb. 21. My family doctor asked the surgeon about an earlier date but she said it would not change much in that short of a time period. My surgeon clearly explained the difference between a SNB and full auxillary node dissection, hopefully your surgeon has done the same for you. Wishing you all the best.
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I was diagnosed on August 14th and didn't have surgery until October 9th. Like you I was sure it would be in all my organs due to the delay. I had my surgery and my nodes were clear. My doctor says it is a slow moving cancer even though I was grade 3. I know we can know that on an intellectual level but I know how you feel. I just wanted it out.
Good luck!
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hello
i was dx on april 11 and had my surgery may 13th. my surgeon said it was find to wait too.
best of luck to you,
diane
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I worry too, and the trauma of waiting is not good for any of us. I had the suspicious lump Jan. 12 and just now getting surgery next Tues. The anxiety is tremendous about whether the wait has anything to do with pending lymph node answers. 4 biopsies and 4 months later!
I tell you one thing, it's really sad to see women go through this wait. You don't see men waiting around for prostrate cancer for 4 months! When this is all over for me, I am going to file a complaint with my HMO. Not that it does any good, because the general consensus is we will be fine waiting....but the truth is, WE WILL NEVER KNOW if the wait caused the spread further into the nodes!
If I didn't already know that I had to be my own advocate, I'd be waiting another month! Linda
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Linda, I find your response fascinating. I have experienced little anger over this for my personal well-being ("why me" could easily be turned into, "why did I get to the be the one with shelter, family, etc"), but when I compare the waiting for us, the lack of discussion around sexual health and breast cancer in the doc's office...we still have a ways to go to be treated equally, IMO.
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Any wait that increases your anxiety is obviously not going to do any good to your inmune system, just the opposite, and we all know that weakening our inmune system is extremely dangerous when we are fighting cancer
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Hi...just my experience. My ordeal started with cysts and ultrasounds back in November. MRI in Jan.- DCIS dx on 1/7. Surgery wasn't scheduled till Feb. 25th. Then dx with IDC. Told I needed reexcision and SNB on March 19th- kind looked at my surgeon and said" I have really great seats to see Daughtry on the 20th, can't make it". So.....rescheduled for April 1st. The surgeon said who knows how long it's been there and if having my girls weekend away for some fun and the concert is what I needed- go for it. She still is teasing me everytime I see her about whether or not I had a good time. I tell her "it's just what the doctor ordered!". And.. several weeks of waiting didnt make any difference...at least in my situation. But my view on the whole thing is... if it did make a difference????- I had the time of my life and I wouldn't have changed my plans for anything. I do believe though- if my bs felt differently and that it was urgent she would have told me and heaven and earth would have been moved to get a quick surgery date- I think most surgeons would. Just my thoughts. Take care and relax. (I know thats hard, I'm still trying too
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Hi everyone, I'm a little calmer now, ;~), finally having the partial mastectomy Tues. the 18th. No node involvement as far as I was told after surgery. Very lucky indeed!
I think my anger was more anxiety, caused by all the monthly delays, and knowing what I know about the immune system, with the frustration of not being able to curtail any of the time and anxiety. I kept very busy and had alot of fun while waiting, throughout the 4 biopsies, and even got through Shingles! Nancy, your concert, I probably would have done the same thing had I not already waited for 4 months. I totally understand.
My doctor was very kind and moved me up 10 days earlier. Everyone did the best they could with all of this, but I still believe that my HMO could shave off weeks of waiting in between each procedure, and I should not have had to call them all the time to keep things moving. It helped by weeks though. It was like there was no one person to advocate for me, just a piece of paper shuffled along. I really think they could improve on saving lives from that end.
Nice to meet you all and thnx again. Bless you all for what you have been through!
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I was diagnosed two weeks ago, and my surgery isn't until July 9th! My oncologist is going on vacation one week, and the plastic surgeon that is doing my breast reconstruction is going on vacation the following week. so.........I have to wait for them to return. I guess summer is a bad time to get breast cancer! My doctor feels waiting a month will not make a difference though. But my anxiety is killing me!!!!
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I want to put a disclaimer on this post: I am not a doctor, so I can't say for certain why this was the case.
My MRI showed my tumor at 6mm. My ultrasound at 8 mm. At final removal, it was 1.2 cm. Of course, the first thing that went through my mind was that it had doubled in size in a month. I don't want to be rash, but I felt pretty sure that as I as going along towards surgery, my tumor got bigger, harder, and even visible under the skin (mine was very close to surface). I also realize, being a relatively reasonable person, that this might have been inflammation from the core biopsy, but I sort of made that up for myself. But, I was a grade 3, and you have to follow your gut a bit. I knew for sure this tumor was 6 - 8 months old, not one of those "takes 10 years to grow" ones.
If I had to do it all over again, not sure. I probably would have gone with the gal who was in the same practice, but could operate 3 weeks earlier. On lifemath.net, the size of the tumor absolutely matters, and 6 mm vs 1.2 is a couple of percentage points. I found this disheartening.
On the other hand, my surgery was a breeze, and I feel that I got brilliant care from the guy I saw.
Very, very, very tough stuff.
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