A home for PBM'ers due to LCIS

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MistyJ
MistyJ Member Posts: 113

Hey all!  I am getting closer to a June PBM with TE's then silicone implants.  My history is my "baby" sister passed away at 18 of IBC,  I have been screened high risk for about 8 years with annual mammo and MRI alternating.  LCIS diagnosed in Feb. with MRI guided core needle biopsy, then excisional biopsy.  NO invasive found thankfully (that was a weekend waiting that I never want to repeat)!!!  I have very busy breasts with stromal fibrosis, sclerosing adenosis, microscopic cyst formation, but have tested BCRA neg.  I have decided to have a PBM because I know there is a chance that I may never develop cancer, BUT there is a chance that I will.  I don't want to gamble in favor of the chance that I won't.  I have two daughters and a DH that I love more than anything and I want to take every opportunity that comes my way to prevent us having to deal with a CA diagnosis later!  For me the decision between the options of altering my body with meds that have side effects or having surgery and being done with it was a no brainer!  Give me the 90% odds in my favor!  I am sure that my experience with my sister also colors my decision greatly. There are not too many things more horrible.

 I am looking to connect with others who are having or who have had PBM for LCIS.  I read alot of the forums on this website, but sometimes am hesitant to post because I feel as if I am a little out of place.  The women that have been diagnosed with CA have so much more on their plates than I feel I do.  I would love to be able to discuss and share mutual concerns, questions and info with women who have had or who are going to have PBM for LCIS.

Comments

  • KellyMaryland
    KellyMaryland Member Posts: 350
    edited May 2010

    Hi Misty. I'm only newly diagnosed first with PLCIS, then after the MRI, multiple papillomas and something suspicious on the other breast which is getting MRI guided biopsy next week. Fingers crossed for no invasive disease. Even if it turns out in my favor I'm leaning very heavily toward PBM. I just don't know if I can take the stress and my kids are so young, and I'm so young! I'm so sorry about your sister. I can only imagine what they has been like. Good luck next month. You'll be in my thoughts.

    Kelly

  • mabear
    mabear Member Posts: 25
    edited May 2010

    Hello MistyJ!  As you know I had PBM May 3 and I'm so very happy I did.  I had recent dx of LCIS, ADH and cysts and former dx of Sclerosing Adenosis from 7+ years ago (ADH excised from right breast).  After PBM, pathology revealed more microcalcifications in both and atypical tisse in the left breast that was not able to be seen on mammo (also a papilloma developed on right).

    I am recovering well and am even out in the garden (have to be careful not to overdo!).  I chose no reconstruction and have already been out and about in summer shirts (thankfully covering the bruising I have on the left!).  I still have pain, especially if I don't rest enough, but I am so at peace with my decision-as is my DH and 8 yr old dd.

    Good luck MistyJ with upcoming surgery and to you Kelly with your decision!

    Mabear

  • MistyJ
    MistyJ Member Posts: 113
    edited May 2010

    Hello Kelly, I am very sorry about your recent diagnosis.  I will keep you in my thoughts for a good pathology report and an easy procedure!  I know that anxiety of waiting and hoping and waiting.  In all 8 years of the high risk screening, I only had to have 2nd look pics never had to do any further testing until this last time in February.  I know I don't want to be looking at that every time my breasts have changes now that are detected, which is basically what would happen.  For me it is too much stress.  I am very at peace now with my decision, but it was definately a process getting there.  Feel free to vent or ask or ask me stuff anytime!

    Mabear, it is so nice to hear from you!  I am glad you are feeling good!  And I am glad you have peace now!!!  My husband said today that he was looking for that too when the risk is lower.

     I had my final consult with my BS today, and signed the paperwork.  Now I am just waiting for the confirmation of the surgery day and the preauth. for insurance. I feel so comfortable with my BS, and am so thankful for that!  I had an appt. with my family doctor on Monday for something else, and when I filled her in she was in agreement with my decision.....so that was positive reassurance!

  • MistyJ
    MistyJ Member Posts: 113
    edited May 2010

    Hey Kelly,  What day is your MRI guided biopsy again? 

     Misty

  • khandler
    khandler Member Posts: 32
    edited May 2010

    Hi Misty,

    I know we have chatted before on this forum. What is your June date? The 8th is it? It really helps to discuss how you feel and such. I am 4 days away from my surgery (gulp) and I won't say I'm not scared. I do feel all the confidence in the world for the doctors that are working on me and that I'm doing the right thing. Some one told me the worst part is before the surgery. I started taking Xanax for sleeping. It helps.

    Kelly mentioned little children. I have a 4 yr old and it is hard to manage, but that is why grandma and my brother and husband are going to be here as well as friends and neighbors. My son's classmate in daycare is a mess, turns out his mom just died of BC last spring. Every time I turn around, I see the writing on the wall. I'm doing this for all those I love including myself. My mother survives stage 4 cancer. She finally told me, this is no fooling around. I am done being sentimental, feel I must go to battle and protect life. I'm afraid, but who goes into battle fearless? I know I will win, so that's a plus too! You will too. I will follow how you do. Hang in there!

  • MistyJ
    MistyJ Member Posts: 113
    edited May 2010

    Hey Khandler! Thanks for writing.  I say I feel like there are not that many of us, but maybe that translates to feeling alone myself.  Not that I don't have people around me who love me and support me, but having someone who has thought of and felt the same things is different.  My surgery is actually not until the 22nd or 23rd of June.  I will get the definate date tomorrow.  My Mom and Grandma are coming to stay with me, and I will have my friend from next door.  My girls are 11 and 13 so I think they will be able to help alot too, as well as my DH.  I have tried to act like this is not a huge deal, so that they are not too scared.  I started Zoloft for anxiety and that has really helped.  Most of the time as long as I don't think of the actual surgery part I do ok.  You are so right that is very scary.  I agree 100% with you about your reasons and your faith in your surgeons.  I totally feel the same way.   But, that sure does not make the surgery part sound any more appealing.  I had a very weepy couple days last week, but alot of that was due to having some new weird stuff going on with my nipples (had some black discharge from the LCIS breast)  which totally freaked me out. 

    I am so glad you have so many people to help you.  I does make a difference having such a young child to take care of.  So your surgery is Thursday?  I will be sending you thoughts and strength waves all week.  Prayers too if you want them.  I will be following you and how you do first!  I think you sound like your head is totally in the right place!  I think you sound very very strong too and that strength and positive attitude will totally carry you through!  You can do this!  If you get scared, just picture your family :)

    Remind me...are you getting reconstructed?

    Misty

  • KellyMaryland
    KellyMaryland Member Posts: 350
    edited May 2010

    Khandler- You are on my calander. Nothing but good thoughts coming your way this week. I'll be checking to hear your fab progress. Really glad you have support on the way.

    Misty- My MRI biopsy is coming this Friday. So sorry for your tears this week. If you ever need a live friendly ear I'll PM you my number.

     My kids are: 7,5,3, and 17 months. They don't know anything but "Mommy's breast hurts and that's the reason for all the doctor's appts."  I too feel guilty for my anxiety about all this when there are so many others dealing with much more. My sister in law (only 30!) has liver mets and finds out Monday whether the chemo has had any effect.  So I can't tell my family anything yet- so it's especially nice to have you all.

  • MistyJ
    MistyJ Member Posts: 113
    edited May 2010

    Kelly,

    I will PM you my number too!  I am a good listener also.  Thank you so much for that offer :).  I am so sorry about your sister in law!!  I will never forget the times waiting to see if the chemo had worked for my sister.  That is such a terrible feeling.  Is this your sibling's spouse or your husband's?  Between young children, your own medical stuff and your sister in law you have alot on your plate right now too.  That makes it so hard that you can't tell your family.  Vent to me anytime!!!!!  There are alot of very caring women on this forum for sure.  I have your date on my calendar too!!!!  Hugs!!

  • Joanie207
    Joanie207 Member Posts: 97
    edited May 2010

    Hi MistyJ -

    I agree with whoever said that the PBM was the best thing they ever did. I had LCIS, ALH, ADH, some family history, dense breasts, etc and didn't want to deal with alternating mammos and mris, nor did I want to take tamoxifen. So, that left the PBM. I was scared up until the night before when I was very peaceful about the whole thing. Having a great team of docs you trust was key. Plus knowing that I was doing the right thing for me. As you will see from this board, PBM is not the right thing for everyone and I respect each person's choices.

    So, anyway, I had the PBM with DIEP in Boston on March 29. I kept a blog starting with my decision making and going through the surgery/recovery and pretty much up to this past week. It was helpful to me to be able to process and bounce my thoughts off others from this board and other boards. My blog address is:  http://www.breastcancermom.blogspot.com.

    I also agree with you that it was hard to find a home. We are not battling invasive cancer, but we are battling non-invasive cancer. I did find a home with the BRCA community, which was so supoortive of my LCIS situation. And our local breast cancer support community welcomed me, regardless of my 'level' of breast cancer. We are all battling the same horrid disease to some extent. I do consider myself very lucky, although I had my days when I wished it was someone else who had these nasty little cells in their body.

    I am very much at peace. Having a 2% chance of breast cancer feels wonderful. I wish all of you who are in a decision making mode or a waiting mode the best as you move forward.

  • MistyJ
    MistyJ Member Posts: 113
    edited May 2010

    Joanie,  Thanks for sharing!  I feel pretty much at peace with my decision, but it is so nice to connect with others who were or are in the same place.  I know it should not, but it helps me validate the decision.  I am so NOT worried about how I will feel (I am small chested, so my breasts have really never been on the radar), I will be happy to have the lower risk and have all the lumps and bumps gone. I am looking forward to not having the fear every 6 months when the MRI and Mammo come around.  And if I can help it, I never want to feal the fear again of waiting for a biopsy to come back!   But at times I worry way too much about what other people will say.  ACK.....thought I was past that, but it does help to hear from women who made the same decision.  I will check out your blog this morning!!

  • MistyJ
    MistyJ Member Posts: 113
    edited May 2010

    Joanie,

     Great Blog!!!!  Thx!  I just started to read it this morning.  Spent about an hour :) then decided I better get my butt up and get to work!  I will be going back to it.  I love the links to all the articles! 

  • MistyJ
    MistyJ Member Posts: 113
    edited June 2010

    Okay, positive reassurance for me about surgery being right for me......  My 13 year old daughter came home today a little more upset and worried about my surgery than usual for some reason.  I spent about an hour talking to her and reassuring her and even showing her informative websites to help her understand.  My daughter has a friend In NY that was planning on traveling down to our home with my Mother and Grandmother when they come for my surgery.....My daughter called to give her friend the good news that I said yes( I thought it would be a good diversion for her during my surgery and recovery)....and her friend's mother (who has been screened high risk for LCIS) was diagnosed today with BC.  My poor baby cried her eyes out for her friend.   rough day.

  • Cheryl54
    Cheryl54 Member Posts: 11
    edited June 2010

    Hi Misty. I am four years post-PBM and have never had a moment's regret.  It is the best decision I ever made!  My mother had bc twice (once in each breast) and died from invasive bc.  Her sister also had bc and died from complications of treatment.  Thanks to screening in a high risk clinic and fine needle aspirations, I knew that my risk was very high and that my cells were changing in a very worrisome direction.  When I learned that my lifetime risk of bc was 85% (which I found out shortly after my mother's death) I decided to get a PBM.  It was, for me, a no-brainer.  Emotionally, a little difficult but I knew it was right.  I had my initial surgery in July 2006 (double mast with tissue expanders) and woke up smiling.  My final path report was a parade of horrors, including numerous kinds of bad cells and multi-focal LCIS.  Both breasts were bad and on the verge of something awful.  I subsequently got an exchange to silicone implants, then had nipple reconstruction.  I look much like my old self and can walk through a gym locker room with no one the wiser.  My scars at this point are very faint.  I paid a very small price for a very big benefit.  I am so happy now, and both of my children (now in college and graduate school) are so happy their mother made this choice.  Both helped during my recovery, and were happy to drive me around to give my husband a break.  I recovered quickly and missed only 2 weeks of work.  Until we have better chemo prevention or a vaccine, a PBM is (I feel) the best solution for many women  who face bad odds and don't want to gamble.  I sleep easily at night and love my silicone-filled, cancer-free boobs.  Good luck with everything.  If you have any questions about the surgery or recovery, please feel free to ask. 

  • MistyJ
    MistyJ Member Posts: 113
    edited June 2010

    Cheryl,

    Thanks so much for sharing!  It really does help to read about those who have successfully made this decision before me!  And I just may steal "I am paying a very small price for a very big benefit" from you and use it!!  Totally sums it up perfectly and puts my perspective into words I had not thought of, thank you!  I will remember them when I am days away from surgery and getting nervous!  I am not really nervous about the afterward.  I just want to get back to work as soon as possible because summer is when I make extra money.  I am just a little bit creeped out when I think of the actual surgery........so I am blocking it out :).  Thx again for the insight!~

  • MistyJ
    MistyJ Member Posts: 113
    edited June 2010

    I am curious to hear what the protocol is for the post BMX gals and follow up.  Do u just get clinical exams by the BS once a year?

  • CopterNadle
    CopterNadle Member Posts: 2
    edited June 2010

     that's bad news. when did you get that?

    ________

    Because Health Really Matters

    More Health Tips Here - www.FamiliesFirstHealth.com 

    FamiliesFirstHealth

  • msippiqueen
    msippiqueen Member Posts: 191
    edited August 2010

    MistyJ, How are you?

    My PBM was a Godsend. I am so glad to be off the high surveillance routine. I am humbled by my results and am so glad for a woman's right to choose...mastectomy or no.

  • MistyJ
    MistyJ Member Posts: 113
    edited August 2010

    msippiqueen,

    I love your name.  It makes me sing the song in my head!  I am actually doing very well!  Got what I hope to be my last fill today!  Feeling pretty good most days.  Still kind of sore under the arms, but nothing I can't handle.  I have no regrets either.  Feels so good to know I have done all I could to prevent BC.   If you were diagnosed in April, you must have moved quickly!  When was your PBM? How are you feeling?

  • msippiqueen
    msippiqueen Member Posts: 191
    edited August 2010

    Hey Misty and all! Hope everyone's having a good summer Saturday night.

    I had a biopsy a few weeks before the surgery. I was told I probably had 3 tumors, one suggesting aggression, and a necrotic spot...all in one breast. Once I picked myself off the floor, I had a 2nd opinion at MD Anderson which cooled the differential possibilities.

    Long story short, I elected for the bilateral instead of high risk surviellance every 3 months at a location several hours away from home. My local hospital provided the bilateral. The grace, competence and compassion I experienced along the way inspire me still.

    I stopped while ahead. The $400. 10 minute consult with a PS sent me running for the door! Ya'll who go through recon are made of sterner stuff than me.

  • MistyJ
    MistyJ Member Posts: 113
    edited August 2010

    Hey msippiqueen,

    I don't know about sterner stuff :),  I applaud women who are secure enough in themselves to go natural. And I really can't say the TE's have been as bad as I expected.  Only one day where I had actual pain instead of tightness and what I would call soreness.  Maybe I got lucky there too?

     I am so glad you had such good care!  I feel that way too.  I feel very lucky to have moved where I did which led me to the BS I used.  Nice chatting with you :)!

  • MistyJ
    MistyJ Member Posts: 113
    edited August 2010

    Hey msippiqueen,

    I don't know about sterner stuff :),  I applaud women who are secure enough in themselves to go natural. And I really can't say the TE's have been as bad as I expected.  Only one day where I had actual pain instead of tightness and what I would call soreness.  Maybe I got lucky there too?

     I am so glad you had such good care!  I feel that way too.  I feel very lucky to have moved where I did which led me to the BS I used.  Nice chatting with you :)!

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