Nervous Wreck
Comments
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Nancy, Glad the Pet scan was clear as well as the MRI and mammagram. 6 tumors hard to believe not found on any of the tests. We will all be with you as you go through everything over the next few months.
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Nancy,
Great scan news! You may want to discuss chemosensitivity testing with your oncologist. I regret that I didn't know about it before I had surgery. I learned about it from one of the PILC ladies here. The website is: www.rationaltherapeutics.com.
No one looks forward to chemotherapy but the medications that they have today to prevent side effects are really good. Good luck moving forward.
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Hi Nancy, The PET is clear, that's wonderful. That this doesn't show up on any other imaging is not surprising considering how sneeky ILC can be. If toomuch had not posted the link to Rational Therapeutics I would have sent it to you. I was fortunate that Dr. Nagourney, who founded Rational Therapeutics, tested my tumor tissue and was able to direct my therapy. Testing like this may provide your doctors a way to try out chemos in the best possible order, perhaps finding the most effective one(s) first and saving you from so much treatment. Your surgeon could send a fresh sample of tissue from one of your tumors to them for testing. There is a kit they use to do this, not difficult.
You are receiving outstanding care from some very good professionals. It's good to know they are taking such good care of you. We are all with you. Again, so glad that PET is clear and you're getting this plan in place. Hugs, G.
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Oh Nancy. It's such good news there's no sign of it spreading beyond the breast.
Just out of curiosity--how did they find all those tumors if none of the scans picked them up? (I'm getting an MRI, mammo & CT in a couple of weeks and am sort of wondering what's the point--ugh!)
Chemo is do-able. I just finished. Not fun, but definitely do-able.
hugs,
Jenny
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That is just so weird that nothing showed up on the PET. Could it be that it's a very slow growing cancer and not much activity?? But it's great that nothing else lit up -- if you got a clear scan everywhere else and no false-positives then that is very good news.
I wasn't aware of the chemo sensitivity testing. That sounds very enticing for your situation. Another piece of advice that I would add is to take pictures of the skin throughout your treatment. When you look at it everyday it gets very hard to recognize changes. But if you have pictures to compare against it make it much easier to see any reduction. I had a red rash on my breast that we were watching. If I had a clue that it would hang around for 3 months then I would have started taking pictures much sooner rather than at the end when it finally reduced.
We will be here for you!!
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Great news on the PET, Nancy.
Did I read your post right that the tumors are on the outside of the breast? But they're not skin mets? I didn't even know such a thing could happen. Well, at least it gives the onc a visual to see if chemo is working or not.
Hang in there.
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Hi Friends,
After reading all my reports last night I see that the two small tumors directly under the nipple showed up on the PET and MRI but not Mam. The 4 on the outside of the skin don't show up on anything and they are very tiny. Those are the ones they will watch as they give me chemo. Thanks for the info on Rational Therapeutics! I will certainly discuss that with my oncologist on Monday. I feel so weird.....its like I'm happy my organs are good and there aren't any visible tumors anywhere but afraid that they won't find the right chemo to stop them. It scares me that not only did the OncotypeDX fail me but also the Tamoxifen. My biopsy said it is PILC again with high ER+, just like the last time. I asked the doctor if this was skin mets and she said no. She also told me that sun has nothing to do with this since I love to be outdoors and thougt that may have brought it on. I'm just anxious to get started.
Take care,
Nancy
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JennyB....my Breast Surgeon found the 4 on the outside by looking at them and then biopsies. The two under the nipple did not show on the Mammogram but did on the PET and MRI. The ones on the outside look like very small mosquito bites.
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Hi Sherri,
Yes it is a recurrence of exactly the same kind of cancer very near my scar and nipple. I had the test to see if I was a good metabolizer a couple of years ago and they said I was good. I think all of us are different and it is a learning process for both us and the doctors. That's why they call it "practicing" medicine. They sure haven't perfected it yet.
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Nancy, thank goodness your breast surgeon was on top of things. Amazing that your tumors looked like little mosquito bites & were visible. This disease...ugh!
Hang in there. We are thinking of you!
hugs,
Jenny
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Nancy, I haven't logged in for a while and am saddened to hear of your recurrence. You and many of the sisters were here to support me when I started the journey a year or so ago. You will be my thoughts and prayers,. Try to stay positive and strong. You can beat this beast.
Marie
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Hi Marie,
It's great to hear from you. It's a long way past New Year's Eve and you seem to be doing great. I think of you and wish you well. G
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Hi, Just got home from a long day in Peoria. It is almost 2 hours from my house to the hospital and my thyroid ultra sound was at 7:30 am. It showed a nodule and since I'm a cancer patient I have to have a biopsy on December 2nd to make sure it isn't cancer. Now, on to BC. I am scheduled to start chemo next Wednesday for a period of 20 weeks. If the cancer has responded positively I will get a couple weeks off and then have a masectomy and skin removal from my entire left breast. Also they decided to give me the genetic test on this wednesday to see if i am positve for that. If so, I will get a double masectomy. I kind of want one anyway except I was told last week by a concerned citizen that it is better to leave the healthy breast so if the cancer comes back it has somewhere to go other than the nodes!? Anyway, they they are going to give me info on the type of chemo I will get and how to handle it best. I will start getting it once every two weeks and then once every three weeks. He said I will lose all of my hair right after my second treatment. They know I'm ER+, PILC again but they haven't received my HER status yet. I will find out on Wednesday. The Oncologist said after chemo and surgery I may be receiving more chemo or something to control my hormones along with ovary removal. This gift just keeps on giving to me. If all goes well I will be done by next year at this time.
Sorry this is so long but I thought some of you may be interested. I appreciate your support.
Love,
Nancy
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Nancy, I'm so sorry you have to go through all this. I can understand your wanting the double mascetomy. The concerned neighbors idea I have never heard of. Lets hope the chemo knocks the socks out of this cancer. As far as it being long, I know I want to know, and will be there for you. It just makes me very mad you have to go throught all of this, it's just not right.
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Dearest Nancy,
I have not visited this site in quite a while till I read your post and now check it daily again.
UGH...STUPID CANCER. Of course, we all secretly worry this could be ourselves...and a mosquito bite...aaaaaaaaaaaaaaaackkkkkkkkkkkkk. I commend your doctor for such clarity as to biopsy.
I wonder if any of us would even know to think this was something to consider "bad."
I am shocked you said the same thing I asked my doctor about "farming ground" for cancer if I left my boob or taking them all and being rid of it.
If you want MY opinion, I too can share it, but don't want to muddy the waters for you.
I hold you in thought and shudder at the thought of this BEAST rearing its ugly head again.
I hope you have strong family/friends to hold you through this.
I worry on and off and I guess the fear never goes away.
I adore my oncologist that I left behind in Wisconsin (I've moved to Washington State) but we still email and if there is anything you want me to ask him, I would be happy to forward it; it sounds like you have an amazing doctor network....but I worked for a wellness doc before we moved and have email connections...so just say the word.
I wish anything I said would make it all go away. My heart and mind is with you.......and for any of us having to revisit the STUPID CANCER!
Keep us posted.
We love you!
I too remember the posts you made when I first arrived here....we are all sisters walking and talking the walk. -
I am humbled, Nancy, that after the day you have had you came here to let us know. Thank you. Like everyone else, I wish I could make this go away. Please let us know how we can help. We'll do everything we can to support you. Warm and caring hugs tonight. G.
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Nancy,
I haven't been on the boards lately so it is with great shock and sadness that I read about this recurrence. It is the fear all of us carry and pray that none of us have to go through it a second time. When I was Dx nearly 5 years ago, it was the shock and intense fear that was the hardest part. It seemed that surgery and treatment pailed in comparison of the fears. I pray this for you too...that the upcoming chemo and surgery will be so much easier than the shock of all this. I have a T-Shirt that reads "Cancer Sucks" and THAT is an understatement!
I met with my oncologist last week for a check up and he said "well at nearly your 5 year mark, I'm about ready to say your cured." Granted he said it with a smile and trying to make me feel good but I truly don't know that I will ever feel completely free of the fear that it can recur. We can't be naive enough to believe it wouldn't happen again.
You were so smart to have your doctor check these spots and do the biopsy. You are a wise woman and will get through this crap. We're here for you!!!
Kim
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Hi Friends,
I went to chemo school today and learned about my future. I will get Adriamycin and Cytoxan next week along with sterioids and anti nausea meds. Then the next day I get a Neulasta shot and Dexzmethason and Compazine. The following week I get Levaquin until the next infusion. It all seems Greek to me. They are going to give me Taxotere after I finish these two chemos and my doctor doesn't trust the results of my HER test so he has ordered it t be tested again. I got the BRCA test today which was kind of weird. I swished Scope in my mouth for a couple of minutes and spit it out in a test tube followed by repeating the same procedure again. It seemed like a lab experiment we did in school, ha ha.
I think my first round of BC was a cake walk in comparison to the one I'm starting now. Lumpectomy, rads and Tamoxifen was pretty easy. Chemo, surgery and more chemo seems very hard. I just hope I'm strong like all of you and am able to do it. You don't know how much I appreciate all of your thoughts, prayers and suggestions.
How sick did you ladies get while taking chemo? Is it as bad as it sounds?
Love ya,
Nancy
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Hi Nancy, You will be O.K. with the chemo, it's no easy thing to do, but you are strong. I hope you don't mind me sharing some stuff, here. First of all a little info about the drugs you get. The Dex. is a steroid. This is a necessary potent anti-inflammatory that helps the chemo work. It's like getting the biggest adrenaline rush you can imagine. When I came down from that, though, it was quite a crash and I found myself to be weeping all the time over even insignificant stuff. It made me kind of melancholy and sleepy the day after. The Levaquin is an antibiotic that will help fight infection while the immune system is low during chemo. It also may help the chemo to do it's work. There again, though, it can mess with your mind. Some people become sad, have weird dreams, become emotional, etc. I hope I'm not making you worry, but for me it would have helped me to know that all the emotionality was due to the drugs rather than me just going bonkers or something. Another thing that helped me was when I found out that Compazine did not work well for me as an anti-nausea drug, they prescribed Kytril. That was fantastic. No more nausea. Are you getting the anti-nausea drug Emend with your infusions. For me it was in pill form and was taken right around infusion time. It worked great, too.
I know others will come along to help with the chemo stuff. It also helps to talk to others who are going through it at the same time. I didn't know about this board or any groups, so I went through it alone. It would have helped to talk.
We are all with you. Hugs and more hugs, g.
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Nancy, you will find tons of suggestions/advice on the chemo links. I finished mine in May. Each person react to the chemo drugs differently. Mine was not easy. I was extremely sick when they were infusing adriamycin. None of the anti-nausea medication helped until they finally got the insurance company to approve Emend. After that AC was tolerable. Taxol was a cake walk compared to AC. Be sure to drink plenty of water. It really does help. Stay positive and keep in mind that no matter how hard the battle is, it's just temporary. We're rooting for you.
Marie
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Nancy,
I have 1 round of chemo left so this is all fresh in my mind. Here are some things that I wish I knew before my first round of AC.
Your scalp hurts before your hair starts falling out.
Ginger candies and sugarless mint gum help with the metal mouth taste. Have some on hand. Eating small frequent meals also helped.
Taking Claritin daily starting on the morning of the Neulasta shot and continuing for 1 week decreases pain. Have pain medications on had in case the pain becomes intolerable.
Exercise daily to help decrease fatigue. The fatigue with AC was cumulative for me but at the beginning it lasted 1-2 days and then I had good energy between cycles. It lasted slightly longer each cycle.
Take antinausea medication prior to feeling nauseated. I received IV Aloxi and Emend before my infusions and I took Emend for the next 2 days at home. I also received IV Decadron. I think that they are wonder drugs because I never had any nausea!
Are you getting AC every 2 weeks? I did and the countdown until completion actually went pretty fast. So, while I didn't feel great every day, I did have lots of good days between rounds and so will you! Hugs.
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Thank you so much for your suggestions and information. I feel like you are here holding my hand and that is very comforting. You ladies are the best support in the world. I love you all!!
Nancy
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Nancy
I had AC as well- 4 treatments. I am someone who gets nauseous easily and I told them that before we started. I had the AC, all the steroids and the compazine.... and for me, the nausea was too much after the first treatment. I was treated on a Friday, was ok on Sat/Sun, then on Monday and Tuesday I was really nauseous. they adjusted it and I would take an ativan before the treatment and they added some to the infusion and the next 3 treatments were fine (or as fine as these things can be).
I gave myself the neulasta shot each time--one less trip to make. I worked through treatment but was really careful to wash my hands alot and stay away from sick people.....
Your scalp will start to tingle--it was strange. With AC you lose your hair fairly quickly--- within 10-12 days of the first treatment. I had my head shaved before that happened and just wore the wig (I had a human hair wig--looked pretty much like myself).
I did not exercise during chemo because I always felt slight nauseous---picked it back up at radiation--- but in retrospect, I would have tried harder to do a little something each day-but it was winter and I really was hunkered down-- home, work, kids, sleep. That was my life. But it went quickly.
they told me my hair would start to grow back about a month after the end of my last treatment. It was more like 6 weeks--- and it was about 4 months after that when I felt I could go without the wig.
Other weird things that may or may not happen-- I lost my eyelashes and my eyebrows AFTER chemo ended-but they returned in about a month.... I also lost one of my big toenails, again AFTER chemo ended. I did not expect these things so they were a shock to me.....
Drinking lots of water during chemo really helps--I thought of it as flushing everything out of my system.
The A in AC is administered by a nurse and they have to sit with you while they do it.... have them do it slowly---make sure you get a MUGA scan before they start so they know how your heart is working....
None of this is pleasant, but you are right, in a year it will be all over...... we are holding your hand.....
The best advice I got at the time from a friend was "do everything they tell you" related to steroids, drugs, etc. they really do know what they are doing. But, if something does not work for you, let them know-they can adjust. I was so afraid to tell them about my nausea because I figured I only had 3 treatments left, I could tough it out.... totally unnecessary.
Please keep us posted. You will get through this.
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Another extremely important thing - don't get constipated. Take sennacot as you have to.
Sue
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Sherri and Wallycat...I would love to hear your opinion on leaving one breast so the cancer has somewhere to go if it comes back. I ALWAYS appreciate hearing opinions from my sisters:)
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I opted for the bilateral mastectomy.
I also asked about the 'farm" for cancer versus it having no place else to go....
The docs wanted me to have lumpectomy/radiation but I did not want rads, so knew I would have at least one breast removed. When I decided for the bilateral, I had one of the surgeons (when they were doing the dye for my SNB) say she was elated that I opted for the bilateral because of the lobular being so sneaky.
She did not seem to think that giving cancer a place to grow would ensure it did not spread either (it could do neither or both), so FOR ME...I did not want mammograms/MRIs every 6 months.
I also read the stats on BRCA patients and given that many more BRCA gals end up getting cancer (though of course, not all) and that by having prophylactic surgery, they reduce their cancer risk by something like 95%, I figured I wanted NO CHANCE for it to have a farm to grow.
If it wanted to come back, it would have to fight to find a spot to grow.
This also ensured no SNB on one side of my body.
If there is to be a contralateral recurrence, it can still happen. Mastectomy can't remove 100% of breast tissue, so in theory, you are still giving it a small window of "farm" options :-)
I opted for no reconstruction to make this a quick recovery, to be able to see everything near the skin quickly, to just not deal with more surgery. My husband was thrilled I opted for less surgery and said his love for me was more than breasts.
I think back on the 34Ds I had and can't even fathom schlepping all that around now :-))
Best to you and again, if I can do anything from this end......!! -
Nancy - For some "stupid" reason, I have not checked this forum in quite a long time. I am so shocked and sorry! I don't have much technical advice to offer as far as the Pleomorphic issue, but you know I'm here for emotional support - ANYTIME! I do however think that the last time I checked my biopsy results from my orignial dx - 5 years ago - that my ILC and LCIS WAS pleomorphic. My docs did not place any emphasis of it, though. But all told me to have a Mast AND a prophyl. Can't help but still wonder...WHY they didn't place emphasis on the Pleo part of it? If you need a shoulder or an "ear"...let me know. And if you ever want to get together - for lunch...whatever...just holler! One thing for sure...Illinois girls - do know how to holler. Hugs to you, Nancy!
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Hi Laura,
Thank you so much for your support. I have always thought of you as a mentor and friend. You gave me strength in the beginning to get through the first round of cancer and now when I need you again...you're there for me. I would love to get together for lunch sometime. I just want to see how I handle the chemo that starts Wednesday. I'm not sure how this old body is going to handle it.
Love,
Nancy
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Hi Wallycat and Sherri,
That helps a lot...thank you! I will see my plastic surgeon for the first time tomorrow and that information will help me in my decision process. When my BC surgeon found the cancer on 10/21, she told me that I will need to get all the skin removed off of my left side and grafted from my back, tummy or butt. I wonder if I would even have the option of recon on breast tissue. I think they will just be happy to close the area up. It is all very confusing to me at this point. I need to concentrate on the chemo part first, I guess, since it starts in two days.
Take care,
Nancy
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Hi Sherri, I aked my Onc about a port and he said no before it hardly came out of my mouth. He said my veins are fine for my treatments. I trust my doctors so I don't argue with them. That could change in the future, ha ha. Why do they call AC the Red Devil? Is it really that aweful? Also, is it an IV drip or do they force it into your veins? I've read so much stuff that I don't know what to expect. The Tamoxifen didn't make me sick at all but when I was pregnant with my two kids I had morning, afternoon and night nausea for the whole 9 months. I also get car sick if I ride in the back seat but I never get sea sick. Maybe none of this matters when it comes to chemo. I asked my onc about Emend and he said they will try something else first to make the insurance company happy. How sad that we have to get sick to receive the right meds. Thanks again for any and all advise.
Take care,
Nancy
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