not fitting the profile

Razorrob
Razorrob Member Posts: 3

I was diagonosed with triple negative breast cancer in June of 2010 and have had zero experience with any kind of cancer. Imagine my surprise when I realized that at 62 and a caucasian, I was out of the box for this type of cancer. I would like to hear from others who are or have been in similar circumstances.  It seems to me that the statistics are based on younger women and I'm trying to learn more about triple negative cancer other baby boomers may be able to share.

I have been on chemotherapy ( taxol and RAD - a clinical study drug ) since June 22 and will complete my last weekly treatment next Wed., the 8th of Sept.  Then 4 sessions of FEC that will be every 3 weeks.  Surgery is planned for Dec.and I'm interested to hear opinions about lumpectomy vrs masectomy.

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Comments

  • Cydz
    Cydz Member Posts: 157
    edited September 2010

    I didn't think I fit the profile either, caucasian and dx at 50, but I tested positive for the BRCA1 mutation. There is a high percentage of BRCA positives that are TN. Last year when I was dx, I opted for a unilateral mx, but once I tested positive for BRCA, I opted for the prophylactic mx on the other side as the chance for recurrence in the other breast while BRCA positive is like 85%. I will also have the full prophylactic hysterectomy as that also cuts down your chance of recurrence and ovarian cancer. The risk of ovarian cancer is sky high with this gene before/around the age of 70. Genetic testing may be something you want to look into before surgery. I wish I would have had the testing done, and saved myself a second surgery. I did 4 DD A/C and 4 DD taxol finishing up last Oct.

  • Titan
    Titan Member Posts: 2,956
    edited September 2010

    Cydz..did you have anyone in your family with breast cancer or any other type of cancer?

    I was diagnosed at age 49..caucasian, triple neg...had lumpectomy 4 dd ac, 4 dd taxol, 33 rads...did not have brca testing...My paternel grandmother had breast cancer but she was 70 years old when she was diagnosed. 

    If you look at the calling all tn's thread there are many women who cite their ages at diagnosis.  Haven't really researched it but it seems alot are in their 40's...some a little younger, some a little older.

  • Titan
    Titan Member Posts: 2,956
    edited September 2010

    Ok.razorrob..you piqued my curiosity about age and tn..so I took a couple of minutes (not long because my attention span is way too short)..anyway..I went through about 20 pages of the tn thread and wrote down the ages..didn't go through the whole thing and some of us did not give our ages but here goes:

    3 age 31, 1 age 32, 3 age 34, 3 age 36, 6 age 37, 1 age 38, 6 age 39, 3 age 40, 4 age 41, 3 age 43, 3 age 44, 3 age 45, 1 age 48, 4 age 49, 4 age 50 1 age 51, 1 age 52, 2 age 53, 1 age 54, 6 age 55, 1 age 58, 1 age 59 1 age 62, 1 age 64, 2 age 68.

    Way too many..of any age 

  • squidwitch42
    squidwitch42 Member Posts: 2,228
    edited September 2010

    you can throw me in for 1 age 42

  • Titan
    Titan Member Posts: 2,956
    edited September 2010

    Ok..we will throw you in there.I read your "bio" but didn't see your age!  And didn't want to guess!

  • jenn3
    jenn3 Member Posts: 3,316
    edited September 2010

    When I was told I had TN breast cancer I didn't know what it was, then my initial research didn't put me in "the profile" and I wondered how I fit in......   However, it seems the profile that I read about must be outdated because there are so many women that don't fit "the profile".    I was diagnosed 2 weeks before my 43rd birthday - I am now 44, caucasian and I am the first in my family to have any type of cancer.  I've said it many times in the last year - I think it's a crap shoot.

    (((hugs))) and I'm sorry you're having to go through this.

    Titan - I'm impressed - that took some work to go through those pages.

  • LRM216
    LRM216 Member Posts: 2,115
    edited September 2010

    Razorrob - So sorry you have to join us here, but without the gals on this board, I think I would have gone 100% nuts, instead of the 99% I became after diagnose.  I too was 62 years old when diagnosed with this lovely triple negative crap and was shell shocked for quite awhile. Through chemo, rads, and just in my general walk of life, have met 7 black sisters since I was diagnosed (all younger than I am) and not one of them are triple neg, so I often wonder where they get these statistics about how it afflicts more blacks than any other group of women.  Perhaps they are correct, but I haven't seen it in my personal journey.  I could not get the BRCA test done as I am the only one on either side of my family to have any type of cancer whatsoever - guess someone has to start it in each family, and it turned out to be me.  So they felt, with my history of no cancer whatsoever in anyone, and my age, that it was probably not BRCA, and if I really wanted to find out, I would have to pay the $3,500 myself.  I skipped it, but am after my two daughters to look into it as their tests would be covered by insurance.  I had a large lumpectomy as my nodule was only 1.2 cms, but 5 cms deep below the nipple and my BS did some fancy dancy "Bat Wing" surgery that when stretched out straight is about 7 inches long.  I would have done the mastectomy, but she said it was overkill.  1 and 1/2 years later, I still have a lot of pain in that breast, scar can barely be seen, but also was left with 23 clips internally.  And I wonder why it still hurts!  If I had it to do over again, I am pretty sure I'd choose the mast. over the lump. only because of the pain I still have and the fact that I have one breast a c cup and the other a d.  Will have to live in sports bras forever, unless I get the larger one made smaller.  Am thinking of doing that, but get scared to even screw around with it, so I keep putting it off.  As long as I only wear black clothing, it doesn't show the disparity in size.  The black kind of matches my mood since being diagnosed anyway!

    Want to wish you a safe and uneventful journey and whatever way you choose to go, be confident that it's the right way for you.

    God bless -

    Linda

  • Luah
    Luah Member Posts: 1,541
    edited September 2010

    I was shocked too, as I didn't seem to fit the profile.  I was 52 at Dx, post-menopausal, caucasian.  Sister diagnosed age 54 (ER+ and PR+) and maternal aunt at 88.  Did the BRCA test and was negative.  I do wonder about the "profile" but I also doubt that BCO captures a true cross-section of women. 

  • kaycee
    kaycee Member Posts: 39
    edited September 2010

    I don't fit the profile either. Diagnosed at 54, caucasian, BRCA negative. I had a lumpectomy and axillary node dissection, am finishing up TC chemo, and have 33 rads coning up.

  • mitymuffin
    mitymuffin Member Posts: 337
    edited September 2010

    Hey Razorrob, I'm 59, caucasian, a vegetarian and daily exerciser and no one in my family has ever had breast cancer.  I don't think I fit any profiles either, but the "rules" all seem to be full of as many exceptions as those who fit. As they say, "the risk factor is having breasts."  Like you, I would like to find statistics for the postmenapausal, over 50, non-genetic group. My doctor at MSK did tell me that the statistics were based on stage and not age or ethnicity (I was trying to find a loophole.)

    I'm going for genetic testing because I have two daughters, but I don't expect the test to be positive. 

  • Shirlann
    Shirlann Member Posts: 3,302
    edited September 2010

    Hi sister, I was 63, nursed my babies (3), had a late start to my periods, and early menopause, have no relatives with breast cancer.

    BUT, I am a Triple Negative. 

    The good news is I am 12 years post treatment and so far I am fine. 

    Gentle hugs, Shirlann

  • squidwitch42
    squidwitch42 Member Posts: 2,228
    edited September 2010

    Shrilann,

    12 years..you put a smile on my face.

    Traci

  • Razorrob
    Razorrob Member Posts: 3
    edited September 2010

    Thank you, all my new sisters, for the information. There is so much to be learned and I quickly figured out nothing is absolute. Early on in my diagnosis I was unable to read anything about triple negative breast cancer as it freaked me out into paralyzing fear. Now, I'm ready to learn more and fight this with all I have. I have a neighbor who is a research MD for a major hospital and she has given me many thought provoking things to ask about. When I told her I have been told by my oncologist and surgeon there is no difference in the outcome of a lumpectomy and a mastectomy, her reply was were they looking at the broad array of patients, or is there a study of people like me?  Other questions around, is this a cost savings position for society/ insurance companies? Scary, huh?

    As I am the first and only in my family to have breast cancer, I was also told there is no need for the genetic study......unless my daughter becomes a cancer victim.  That really made me feel warm and fuzzy for her and her 2 daughters.

    Thanks to you all.

  • yogamommy
    yogamommy Member Posts: 115
    edited September 2010

    Add me to the list of dx at 42. Sigh.

  • yogamommy
    yogamommy Member Posts: 115
    edited September 2010

    I wish you all the best in your treatment and fight, Razor. (Hugs)

  • Luah
    Luah Member Posts: 1,541
    edited September 2010

    Razorrob: I am not sure there are stats on surgery outcomes by sub-group; it would be interesting to know, though. What I read (and was told by my BS) was that studies show no difference in survival between mastectomy and lumpectomy; though local recurrence tends to be somewhat higher in lumpectomy patients, no difference in mortality.

    My usual cynicism aside, lumpectomies can be very involved and intricate procedures - and can sometimes require additional surgery to gain clear margins.  I very much doubt that financial considerations are at the root of any lumpectomy recommendation.

  • mitymuffin
    mitymuffin Member Posts: 337
    edited September 2010

    My MSK doctor said there was "no difference in outcome" between lumpectomy and masectomy, and so I had a lumpectomy. Having said that, I think your MD neighbor has excellent questions and you are smart to give this serious thought.

    Shirlann, Yours is the kind of story we really like to hear!

  • squidwitch42
    squidwitch42 Member Posts: 2,228
    edited September 2010

    Titan,

    LOL, do I sound old, or immature?  I am now the ripe old age of 43, and my body feels like it's 83. Some days....

  • Joytotheworld
    Joytotheworld Member Posts: 42
    edited September 2010

    Razorrob, you're most definitely not alone.  I was 58 at the time of diagnosis, I'm caucasian, post-menopausal and there is no history of breast cancer on either side of my family.  But here I am, in the triple negative boat anyways.  I truly have no faith in any of the medical statistics when it comes to breast cancer as it seems to be a unique beast that reacts differently in every woman.  No set of statistics can ever accurately tell the tale.

  • pamcycle
    pamcycle Member Posts: 39
    edited September 2010

    I am 52, caucasian, post-menopausal, no family history, ideal body weight exercise daily for about the last 20 years or so and TN. 

  • sstw0324
    sstw0324 Member Posts: 13
    edited September 2010

    Add my mom - she was 82 at diagnosis (AUG 2010) and turns 83 this week!

  • laynetx
    laynetx Member Posts: 11
    edited September 2010

    Hi! I am 61, caucasian, postmenopausal, no family history of bc but 2 other types; dx in May. There're virtually no stats on tnbc for women over 45 that I can find; what there are, are lumped in with bigger studies. There are a few researchers who are calling for studies in older women, because there does seem to be some differences in treatment called for in us older gals who may already have other health problems. It's hard to keep suggested treatments in perspective when tn seems more aggressive in younger gals (and therefore, at least slightly less so in us older ones). Treatments now are limited, I know, but seem much more heavily weighted for the younger patients (i.e. super-aggressive!). I know tnbc is very dangerous, but I hate the scare tactics some doctors use to coerce us into doing treatments that may make a difference of only 2-3% in 5 yr survival over non-bc-cancer women...and actually no difference at the 10 yr mark. I want some facts, not just speculation!

    In the meantime, we must try to make wise decisions for ourselves as individuals. Do our homework, ask questions, seek second opinions, and be proactive in taking care of ourselves and doing everything we can to improve our odds of living. Tnbc is NOT a death sentence as most doctors seem to want us to believe. Many, many of us live long and happy lives after diagnosis and treatment, just like Shirlann - and I intend to be one! Prayer and hope will get me through!

    Shirlann and all you other survivors, you are an inspiration to us! Keep coming back!

  • kcrews
    kcrews Member Posts: 52
    edited September 2010

    My daughter was diagnosed triple neg in 2005 at age 34. I was diagnosed 2007 HER2/nue at age 57. She was stage 2; I was stage 3. She had a lumpectomy; I had mastectomy and DIEP flap. We are both happy with the decisions we made about our surgeries. Both treated in Boston. She had the opportunity to meet with a research scientist at our hospital and learned that there is still much to be discovered about triple neg. But the one thing that they DO know is: if it does not return in 3 years, it is rare to never that there is a recurrance!

    I've talked with a lot of women about their surgeries. One thing that I can say about having a mastectomy is: your plastic surgeon has a "clean slate" to work on if you do go the route of reconstruction. DIEP flap is not for "whimps and sissies". It's a tough surgery. But I am VERY pleased with the results. 

  • Titan
    Titan Member Posts: 2,956
    edited September 2010

    Nice to hear about the 3 years...dang it though...most of us here are just newbies as far as time goes!

    Squidwitch...you don't sound old or immature!  Ha Ha...I'm much older than you at 50 but I'm sure I'm not more mature! 

  • kcrews
    kcrews Member Posts: 52
    edited September 2010

    Well than Titan, I guess "us here ol' timers" are here to say, "You can doit!" and to cheer you on with each survival birthday that you pass!! I know it feels like forever when you are going through this and you still question what is in your future.

    Although I was technically diagnosed in May 2007, my final reconstruction step wasn't finished until Dec. 2009. Keep in mind that we had only finished with my daughters diagnosis and treatment when I got mine. It all felt like we were living in "Ground Hog Day". But you know what? My daughter and I look at each other and blink in amazement. SHE is already a 5 year survivor and at my 3 year check-up my surgeon told me "I was perfect" to which I immediately turned to my husband and said, "Did you hear that? 'I'm perfect!'". LOL

    "You go, Girls!!!

  • Luah
    Luah Member Posts: 1,541
    edited September 2010

    kcrews - Love your post.

  • csheley
    csheley Member Posts: 6
    edited September 2010

    I've just joined the tnbc club and certainly do not fit the profile.  I was 52 when originally diagnosed with breast cancer: ER-/PR- and HER2+.  After 2 previous reoccurrances and 3 series of chemos, my last biopsy showed a molecular change to HER2-, thus ending 5 years on Herceptin. I am interested on what treatments have been successful for tnbc.

  • laynetx
    laynetx Member Posts: 11
    edited September 2010

    Hi csheley! What a battle you've been through! Please know our prayers are with you!

    Your situation is so unusual, I couldn't even speculate on your treatment options. Tnbc is a different kind of animal! Other than surgery and chemo, the options are limited. Chemo is usually the most effective. With your history of previous chemos, though, can they even use more? With mets, they almost have to!

    I encourage you to be very proactive in your search for treatment. Get a second, even third opinion at one of the best cancer centers; don't be afraid of offending your regular onc! And look into alternative treatments to use in conjunction with the prescribed treatment. As long as they don't interfere, it can't hurt! Find a good naturopath - at the very least, they can help with the side effects of your treatment.

    Good luck, sweetheart - we are all rooting for you! You're already a 7-yr survivor!

  • csheley
    csheley Member Posts: 6
    edited September 2010

    laynetx -

    Thanks so much for the encouragement and prayers. I'm researching as much as I can and appreciate all of the input. I have a new granddaughter and her 7 year old brother to fight for...

    Carolyn

  • newbcny
    newbcny Member Posts: 24
    edited June 2016

    great and congrats...just wanted to know did you turn down chemo at the time of diagnosis

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