29 year old with mucinous carcinoma

piscesnotcancer
piscesnotcancer Member Posts: 6
edited August 2015 in Young With Breast Cancer

I am a 29 year old female who was recently diagnosed with a 2.5 cm, mucinous (colloid) carcinoma which is stage IIA, grade I, PR + and HR -.  I had a sentinel node biopsy along with a lumpectomy which showed that the cancer had not spread to the lymph nodes.  I met with my oncologist for the first time last Friday and she is recommending chemo.  Any women out there of a similar age and/or with a similar diagnosis?  Thank you!

                                                      Jennifer 

Comments

  • Maria_Mac
    Maria_Mac Member Posts: 1
    edited June 2010

    Hi Jennifer, I was diagnosed with a 19mm mucinous carcinoma . stage 1 ER+ Her2- on 1 March 2010. I had a lumpectomy on 23rd March and sentinal nodes were clear. I started Tamoxifen on 23rd April and have just had my 3rd of 20 session of radiotherapy. I was told I didn't need chemo as it had not spread so I cant understand why your oncologist is recommending it.There's not a lot of information about this rare form of breast cancer other than they treat it the same as DCIS and the doctors have told me ' its one of the better ones to have'! as prognosis is good. I am 52.

  • bstortz
    bstortz Member Posts: 5
    edited June 2010

    Hi Jennifer.  I am sorry to hear of your diagnosis.  I am almost 34 and was diagnosed at age 32 with mucinous carcinoma.  Mine was Er/Pr + and Her2-.  My tumor was 1.4x1.5x2.0.  So, I was stage T1C.  had 5 lymph nodes removed with no cancer!  So glad to hear your's was this way as well.  Has your doc ordered the OncoType Dx?  I did chose to do chemo and had 36 rad treatments.  My decision to do the chemo was based on my "gray" area onco score of 22.  I am young and have two small baby girls--I felt like it was the best thing for me to do.  I am sorry this is happening to you.  Please let me know if youhave any questions.  The good news is--I had my one year check up in March with an MRI and mammo and everything looked great!  I am loving my new short curly 'do.  The chemo wasn't fun but not that bad.  I agree with Maria_Mac that this is a "nicer" cancer to have.  You can do it!!!  Hang in there!!  Let me know what you do!  Oh--get your vitamin D checked if you haven't.  Many breast cancer patients are low and there are new studies that supplements may help.

  • bstortz
    bstortz Member Posts: 5
    edited June 2010

    Oh--and I am on tamoxifen--no real problems with that!

  • lvtigres
    lvtigres Member Posts: 1
    edited June 2010

    Hello, I am sorry to hear your situations but I am kinda glad to find others in my situation.  I just turned 32 and have been diagnosed with mucinous carcinoma, I do not have that much information like you guys.  I know it is about 7mm so it's small, and stage one. My doctor has given me two options of a mastectomy or surgery to clean the margins then radiation for 6 weeks.  I am seeing so much information all over the Internet, and I keep going back and forth:(  I am going for a second opinion this week and have to give my doctor my decision next week.  My doctor also requested the Genetic test be done and I should get the results next week. 

  • hymil
    hymil Member Posts: 826
    edited June 2010

    Mastectomy for a 7mm lump seems a ittle extreme to me...have they checked your nodes at all?. Good luck with your second opinion, You need to decide what is best for you.

  • drbean13
    drbean13 Member Posts: 6
    edited June 2010

    I was 26 when I was diagnosed with mucinous carcinoma — 1.5mm lump, ER & PR+, HER2+. I opted for a mastectomy because that meant I didn't need to do radiation. My oncologist also recommended chemo, which I am finishing up on June 25. He told me that because I am so young, the precaution of doing chemo was important because cancers in young people tend to be aggressive (even though mucinous carcinoma tends to NOT be aggressive...weird). Anyway, chemo really hasn't been that bad. The worst part for me is the bloating/swelling/weight gain.

  • TreadSoftly
    TreadSoftly Member Posts: 192
    edited June 2010

    Hi Jennifer and others,

    Im 29 with mixed mucinous/ductal carcinoma, diagnosed Sept 2009.  2.9cm Lump, ER+, PR+, Her2 negative.  Lymph nodes clear.  I had 4 cycles of taxotere and cyclophosphamide (TC) first, then a lumpectomy, then 33 rounds of radiation, which I finished in April and am currently on tamoxifen. 

    I think the main reasons for chemo in my case were tumour size (2.9cm), my age, and the fact that mixed mucinous/ductal carcinoma has a poorer prognosis than pure mucinous carcinoma and shoud be treated as an invasive ductal carcinoma.

    I agree that chemo wasn't really that bad, worst thing was definitely losing my hair - but now almost 6 months after last chemo, I have a lovely head of thick curls and people have told me that I never looked better and never to let my hair grow as long again (previously half-way down my back!)

    Anyways, good luck with whatever you decide to do - maybe the onco-score will help or a second opinion? 

  • karen333
    karen333 Member Posts: 3,697
    edited June 2010

    Dear Jennifer,  I too have mucinous cancer.  The BS said it was the best kind to have, as it is not aggressive. I have done a lot of research on the internet and asked a lot of questions {take someone with you to take notes}.  Mine is Stage lla, no node involement, I am 62.  I opted for a lumpectomy and 8 weeks of radiation, after getting a second opinion.  I had my 6mo. mammogram and was all clear.  The worry lessons with time.  Sending happy thoughts your way. Karen333

  • NannaBaby
    NannaBaby Member Posts: 510
    edited July 2010

    Hi Jennifer,

     I am 28 (29th birthday coming up July 20th) with IDC.  I was diagnosed May 28, 2010 and started neoadjuvant chemo on June 11th Doxorubin and Cyclophosphamide X4 every 3 weeks, then Docetaxel X4 every 3 weeks (AC+T). Then I get surgery, then 35 Rads.  I am hoping to get everything done possible so I never get cancer again!  Some days I hope just for a lumpectomy and other days I hope for a bilateral mastectomy so my chances of recurrence are the lowest possible.

     I don't have kids.  I tried to do IVF embryonic preservation, but I started chemo sooner instead because my life was my priority.  I can try to have kids after I am cancer free or I can adopt.

    I am not working while undergoing treatments.  I am collecting Canadian Employment Insurance for the first 3 months, which is not even 50% of my salary, then I go on Disability for the remainder of the time at 70% of my salary.  I am feeling good most days, but 5-7 days after my chemo I feel very tired and sore.  My emotional and psychological health is important too.  I don't want to overdo it by having to deal with work stress and 11 hour days (I have a long commute).  It is surprising how much help I am getting from my family!  I am so grateful for them!  Before my diagnosis my bills took up almost 75% of my salary! Luckily my mortgage people are giving a break for 3 months (capitalization)! And my Ontario student loan doesn't require payments on my principal until I get get better! And the bank for my car loan are covering my payments for 2 months! Ask all your loan providers what they can do for you!

    Feel free to PM me if you have more questions.  I started a thread for girls in their 20's if you wish to join.  I started the thread because I found that my concerns were different from those who already had kids, and already had stable careers and didn't have as many bills as most young people do fresh out of school. 

  • ARybicki
    ARybicki Member Posts: 1
    edited July 2010

    Dear Jennifer:  I was diagnosed last March, and my cancer was exactly as yours, except mine was 3 cm.  My oncologist said she needed to discuss adjuvant chemo with her colleagues at Tumor Board, and they came back with a recommendation of no chemo.  They did not recommend Oncotype Dx either.  This was absolutely not good enough for me, I have two girls aged 4 and 6, and I need to do everything possible.  I got a second opinion at MSK in NYC, and they not only ran the Oncotype score, but did another pathology review and recommended 8 cycles of CMF.

    I went back to my regular oncologist with this, and she had a very negative attitude towards the other institution. She said she diasagreed with them, but didn't do a good job of supporting this with hard evidence during our discussion.  After making me wait 2 1/2 hours after my scheduled appointment, the woman had not one encouraging thing to say to me.  I insisted, because she told me earlier she had very little experience with a mucinous cancer in a 42 year old. So I thought, how can you be so sure this isn't necessary?  So she did agree to put me on the chemo before the tamoxifen.  But the whole experience left me feeling exhausted and put out.

    Now that I'm about to start 3 cycles of TC instead, this will be a little harder, but over with quicker.  Since I will be working through it with kids, I am glad for this.  My advice to you is, please go with your gut.  My gut told me to do absolutely everything possible to ensure there are no micromets left hanging around to come back and bite me in the ankle later on.  

    I wish you all the best, just push for what you need, and do not give in. 

  • rottiemom
    rottiemom Member Posts: 2
    edited July 2010

    I also had mixed mucinous/ductal carcinoma last year. My lump was 1.9 cm, no ductal involvement,  ER+/PR+/Her2-.  Went through 2 lumpectomies and (3 weeks + 1 day) 16 zaps of radiation.

  • Nibblersmom
    Nibblersmom Member Posts: 6
    edited August 2015

    I am a 34 year old (well really 35 as of the 27th... Happy birthday here's breast cancer), I am going in for a lumpectomy on Friday. Mine is almost 2 centimeters I'm stage 1a. I meet with the oncologist on the 20th. I asked the surgeon a bunch of questions tho though he said that after the lumpectomy I would be treated with radiation and hormones, he said they may recommend chemo because of my age, I guess since it can spread faster in young people. My opinion is scary, but I feel like so few younger people have it (not that I want them to) there's not enough research. Did you ask the oncologist why they recommended it for you

  • Unbreakable01
    Unbreakable01 Member Posts: 153
    edited August 2015

    I'm 34, ER+, had a unilateral mastectomy and am meeting with the oncologist tomorrow. It's stage II, but I'll verify it tomorrow. The breast surgeon said, before I made the choice of the mastectomy that there would be a small % that I might need radiation after surgery, but it was slim. The pathology report showed my tumor, 2.5cm was near the chest wall.

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