DCIS on Biopsy -- Scared -- lots of questions

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rdeansrowe
rdeansrowe Member Posts: 6

Hello all. I am a 45 yo mother of two (ages 6 and 11). Just had a stereotactic biopsy of microcalcifications that were deemed benign in Aug. 2008 (milk of calcium). A few more showed on recent mammo, which led to biopsy.

All I know now is that there were signs of DCIS (probably intermediate, radiologist said), but no signs of invasive cancer.

 No lumps or masses appear on the mammograms. I have an area under my armpit that feels tender and lumpy, but this has been the case for many years. I had it checked with ultrasound ten years or so ago, and always asked docs to check it. Always told it was okay. Mammo doesn't show any mass in armpit area as much as can be shown.

 I can deal with DCIS if it is truly all that is going on. But I worry that there will be something invasive showing on further tests, possibly in the armpit area. I am totally freaked that I could actually have invasive cancer, and this nightmare is not over yet. I am most afraid that the mammo in 2008 missed something important, and that I could even have a Stage II or III invasive cancer. Is this a possibility? Can someone go from DCIS and no sign of invasion on biopsy to Stage II or III after future testing? My PCP (new to me and I do not like her) has not called me yet to discuss a referral or give me any information. I have left two messages. Hopefully I will hear today.

 I really need to be here for my children, and I am so frightened. 

Comments

  • AmyIsStrong
    AmyIsStrong Member Posts: 1,755
    edited June 2010

    I don't know the answer to your exact question. I am sure more helpful women will post to help you out. But I do want to say that I know how terrifying this all is and to stress that there are lots of amazing treatments out today and your prognosis for a long, healthy, happy life should be excellent.  Envision your children's high school and college graduations and weddings and plan on BEING THERE to celebrate.  Do not give in to fear and start planning your funeral (I did this -even picked out the music!) - it is a huge waste of time and emotional energy. And you need to conserve your energy to be thinking clearly and making good decision for the battle ahead.

    Didn't a breast surgeon do your biopsy? I would think that would be who you would discuss this with - not your PCP, who, I would think, would sort of bow out at this point. But perhaps I am wrong. I know taht for me, when the biopsy showed cancer (invasive), I worked exclusively with the surgeon and oncologist (and eventually radiologist) and never saw my PCP again until I stopped in there to get a flu shot many months later when it was all done.

    Even if it IS invasive, even if you do need chemo or further treatment, you can do it and come out the other side strong and healthy. I just finished in May and am doing awesome.  

    I KNOW it is so frightening. Try to stay calm - ask for anti anxiety meds if you need them on the short term.  NO ONE is more anti-drugs than I am (or than I used to be, more honestly), but the few xanax I took at the beginning so that I could eat and sleep helped me tremendously.

    PM me if you want to talk more. I wish you peace.

    in sisterhood & support,

    Amy

  • rdeansrowe
    rdeansrowe Member Posts: 6
    edited June 2010

    Thank you, Amy. My biopsy was done by a radiologist -- it was stereotactic needle biopsy. My understanding is that a surgical biopsy is required to give a final diagnosis. I don't know how much comfort to take in the idea that no sign of invasion was found SNB. 

     Also wondering if the cancer cells can spread form the biopsy. I have a big old hematoma and lots of bruising, so can the cells enter the bloodstream. 

  • speech529
    speech529 Member Posts: 337
    edited June 2010

    redeansrowe, this is a very scary time and I am sorry you are going through this.  It is important that you don't give in to the fear and use your energies in positive ways.  Personally, getting information was helpful but when I started to feel scared/overwhelmed, I would shut my computer off! 

    It is important that you trust your doctors during this process.  I was dx on 3/27 after a stereotactic biopsy and I had a large hematoma after that procedure, too.  I met with a breast surgeon, plastic surgeon, and radiation oncologist to gather information about all my options.  This helped so much and guided my decisions about treatment based on what the breast surgeon recommended. 

    I had a lumpectomy 6/2 and my husband had the same concern--can cancer cells spread from biopsy or surgery?  The surgeon was very clear about this--DCIS cannot be spread by surgery or biopsy.  I will need more surgery because the margins on my pathology were not wide enough.

    I have an appointment with an oncologist once I am done with surgical treatment.

    It is important that you feel confident that all your questions are being answered. Don't hesitate to make another appointment to go over your concerns.  Where I am being treated, there is one nurse dedicated to this for the breast surgeon. 

    I hope this helps a bit...peace to you!

  • rdeansrowe
    rdeansrowe Member Posts: 6
    edited June 2010

    Thanks! I find this support so helpful. I feel very alone right now. I am trying to sort this all out and stay attentive and positive with my children right now. It is hard to hide what I am going through. Talking with other who have BTDT is a big help.

     Thanks again. I am really hoping this dx stops at DCIS. 

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

    My husband had the same worries about spreading the cancer by operating and doing the lumpectomy.  We were assured both by the breast surgeon and by the oncologist that wasn't a possibility.

    Hang in there!  Once you get treatment figured out you will start feeling better but like I said on the other thread, with DCIS, you do have time to figure out treatment so don't feel like you have to make decisions on partial information.  Feel free to pm if you wish.

    fellow mother of 3 here--8.5, 10 & 12.5

  • rdeansrowe
    rdeansrowe Member Posts: 6
    edited June 2010

    Does anyone know if a needle biopsy can show DCIS with no evidence of invasion, but a bigger biopsy can then turn up stage three invasive? This is the worry keeping me up at night. Just found out a little more....high nuclear grade with focal necrosis. Seems more aggressive, so I am really worried that this situation will get a lot worse.

  • helenap
    helenap Member Posts: 105
    edited June 2010

    i was diagnosed with DCIS very small.. size does matter.. it was high grade as well. and you wont know until after you choose an option of surgery what the final pathology is.. I choose a lump and mammosiite (radiation for one week and mid way through it this week).. my pathology turneed out to be DCIS and nothing more.. but I hear 10-20 percent of the time the diagnosis will change but not that radically.

    I just put my life on hold until I found out last thursday. it is frigthtening to say the least.

    and you have to research and look at all options. if I would have gone to anyother cancer center, mammosite woujld not have been offered and it was the best for me... and I love my radiation doc.. and they were very patient and spent a ton of time explaining things to me..

    but take a breath.. I didnt sleep for weeks and decide. some people wait months. ME, i wanted it done and to move on with my life.

    good luck

  • 1965sally
    1965sally Member Posts: 113
    edited June 2010

    Just want to say I think I know how you feel, and I feel for you!  I worried through mammogram, MRI, biopsy, 2 lumpectomies, sentinel node biopsy, and mastectomy.  It wasn't til the pathology report from the lymph node and then from the whole breast (what was left of it) came back that I could really believe that there wasn't something else lurking in there that they had missed.  If you can get them to do a sentinel node biopsy (SNB), that will check for anything invasive and would include the armpit area.

    The worry never fully goes away (it's the new normal), but it will definitely ease up as you go through the process.  Try to stay busy!  That's the best advice I got, and it wasn't hard since I had a 2 year old at the time. 

  • wyldblumusic
    wyldblumusic Member Posts: 59
    edited June 2010

    Hello, rdeansrowe.

    The beginning of this process is so very difficult.  It should hopefully start getting better once you have the referral to a breast specialist.  The specialist should do an exam and and possibly order a bilateral MRI.  Be sure to show them the area in your armpit that is giving you concerns.  If they do not offer the MRI, ask for one.

    I also worried that the DCIS could be in other areas or even in my other breast, so I asked for a MRI.  So, after a mammo, ultrasound, and MRI showed only the original area of DCIS, I felt confident that a lumpectomy would remove it.

    Do start to write all of your questions for your appointment with the specialist.  I was very foggy brained at the beginning of this, so bringing written questions with me really helped.

    Sending some peaceful wishes your way.

  • ginger2345
    ginger2345 Member Posts: 517
    edited June 2010

    If the tender lumpy area has been that way for years with no change, it may be harmless. I had such an area, under the opposite side from my DCIS, and it was identified for me as an enlarged lymph node. It probably developed when I was breast feeding and got mastitis years ago and never returned to its former size. So... maybe that's a possibility for your underarm area too.

    Try to remain calm, you will get thru this and most likely DCIS will be your final dx.

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