Recurrence after bilat mastectomy?

145791038

Comments

  • crazylifex3
    crazylifex3 Member Posts: 19
    edited September 2010

    Hi Pamelajo,

    I too had Hodgkin's Lymphoma! I was diagnosed when i was 14 and had chemo and radiation.Do you recall what chemo you had? I had CVVP, it was an experimental chemo from what i remember. I aslo had a BMX in 2004 for BC from previous radiation TX's. I am fortunate that they found it early because I was only 32. I had actually hurt my back at work and they did an MRI and found that my spine was suspicious for mets. Thankfully it wasn't, just the BC there. I had one dose of adrimycian and cytoxan and stopped because it damaged my heart. I know have cariomyopathy from that and in 2008 had a heart attack. I have a stent in so no more MRI's for me. I had 5 reconstruction surgeries(TE's) 2 sets of expanders and 3 implant echanges. On Sept. 15th I go in for surgey for 2 skin nodules and a lg. mass along my mastectomy scar. I was a birads 5 on the ultrasound and I'm pretty positive that it's cancer...Time will tell I guess. I hope and pray for you and please fell free to message me privately if you like. It's unbelieveable that they treat individuals with radiation for one cancer only to have that person develop another in the future. TOATALLY SUCKS!!!!! Hang in there~ Bernadette

  • beckward
    beckward Member Posts: 59
    edited September 2010

    Hi you guys!  Thanks for all of the good info and positive vibes.  I, too had a BMX (5/08) with reconst. after <1cm ILC with LCIS discovered during the BMX. No chemo, rads or tamox.  I've got a 2mm lump in same spot as original BC.  Initial ultrasound is inconclusive (cyst?).  Too close to implant for a needle biopsy, so waiting until the 15th for another ultrasound.

    Interesting that you are all IDC and DCIS girls.  I would have thought there would be more recurrence with Lobular.  Hmm. 

    My question...did anybody lose their implants for a biopsy? If this thing can't be reached with a needle without puncturing the implant, I'm going to have an excision.  I guess this means they take out as much as possible while they're in there.  I love my reconstruction...it's the one good thing I've got.  I've been so lucky...what are the chances I dodge this bullet, too? 

  • Anonymous
    Anonymous Member Posts: 1,376
    edited September 2010

    Hi Everyone - Was just reading back through this thread and wonder how Simdavidson is doing - she started the thread but no notes from her in a while.  Anyone in communication with her?  

  • crazylifex3
    crazylifex3 Member Posts: 19
    edited September 2010

    Hi Beckward,

    I know on the 15th when I have my surgery that there is going to be a plastic surgeon on standby because there is a great chance of them popping the implant. I never had tatooing done because there was a 75% cahnce of them poppin then.I guess initially they scaped the flaps alot to make sure they got all the cancer cells. I wish you the best of luck and please keep in touch!

  • Pamelajo
    Pamelajo Member Posts: 346
    edited September 2010

    can I just add that cancer sucks..... alot?  no, that's not a question, that's a bonafide statement.

    we have to keep thinking to ourselves that this will NEVER happen to us again.  If you believe it, you can achieve it.  (and it sounds like so much blah blah blah in my head as I say it, so yea,) but seriously, this whole breast cancer thing is out of &()Y^&% control.

    I have no breast tissue left.  I've had mx, recurred (tho the onc says it's a progression of disease, not a recurrence or new primary) had a lumpectomy on the mastectomy (didn't know that was friggin possible), and finished chemo a second time for bc.  I'll start rads in two weeks. 

    THROW THE KITCHEN SINK AT ME!!!  I'll step up to the plate and knock that thing outta the park. 

    Since having my last abraxane a couple weeks ago, I've noticed my right recon'd foob isn't quite as red and the little spotty bumps are slowly fading.  Makes me think all that poison was building up on my lymphedema side and ruining my much loved fooblette!!!!  dang chemo.  And here all this time I've been pondering "is it cancer? could it be cancer while I'm on chemo??"  geez.....  paranoid much?

    Anyway, crazylifex3, I give you fistbump for being not only a breastfriend but also a fellow hodgkins survivor.  We are few and far between thank God, but I'm happy to be in your company.  You are in my prayers

  • marcyilene
    marcyilene Member Posts: 2
    edited September 2010

    Hi everyone.  I am brand new to this site, and gettingm more terrified by the minute.  I am scheduled for a bilateral mastectomy this coming Monday.  My tumor is a ductal carcinoma, mildly invasive, stage 1, and it is apparently slow-growing, only in the right breast.  I do not know much more than that. I have decided to remove both breasts.  I was diagnosed two months ago, and it has been a long and painful journey deciding on lumpectomy vs. mastectomy.  I just read your post, Cathi, and I am very confused, not to mention terrified.  Am I not understanding something?  Where it says "locoregional recurrence of breast cancer occurs 5% to 40% of patients whose primary disease was initially managed by mastectomy, and up to one third of these patients will have concomitant distant organ metastases".  How can this be possible?  Am I to believe that everyone is lying to me?  Everything I have read EVERYWHERE, including the statistics from the National Cancer Institute have all basically said the same thing -- that the rate of recurrence is LESS for a mastectomy than a lumpectomy, but both are around 5% to 10%.  What the information from your link says indicates that the rates are actually HIGHER for a mastectomy, and a lot higher than what I read elsewhere, unless I am completely misunderstanding what was written there.  40% is almost half.  That means that almost half of the people who get a mastectomy will get a recurrence?  I have only begun this journey and I'm terrified beyond belief.  Please tell me if I am misunderstanding what is written here.

  • lago
    lago Member Posts: 17,186
    edited September 2010

    As far as scans I hear the reason why they don't do these yearly or every 6 months is typically the cancer is too small to see if you are asymptomatic. 

    I was told that BMX does not get mammograms. I will be examined by my BS and Oncologist every 3 months (alternating doctors) the first year then I think every 6 months for at least 3 years maybe more. I didn't pay too much attention. Just figured I'd make appointments as needed.

  • lago
    lago Member Posts: 17,186
    edited September 2010

    marcyilene Do not let everything your read drive you crazy. A lot of the information out there is dated, not correct or doesn't have all the factors in the results and therefore you may not be understanding it properly.

    For Example: Many of the stats out there (dated) regarding HER2+ tumors have me dead in 5 years... this is not the case since the new drug Herceptin has been introduced into the treatment equation.  

    -----------------------------------------

    Also everyone's case is different. Ask your physicians these questions. 40% might be correct in some mastectomy cases where the margins were poor, margins close, tumor was very large (in small breast) or the tumor was sitting on the chest wall… or  you had a lousy surgeon. I assume you had a good one.

    I use online information as a source to help me form questions to ask my doctors. I DO NOT assume what I am reading online is accurate.

  • Medigal
    Medigal Member Posts: 1,412
    edited September 2010

    Although I had given him permission to take the entire breast where the bc lump was, my surgeon refused to do it.  He instead hit me with several weeks of Chemo and 35 radiations after a lumpectomy.  He seemed more concerned about getting any loose cells with Chemo and rads than taking the entire breast.  I was angry with him at the time but since I have learned more, I think he made the right decision for "me".  He also made sure I was put on Arimidex a while after finishing the other treatments.  I am now into my 6th year of Arimidex trying to make it to 10 years.  What happens after that, if I am still ok, is still a question mark.  Personally, I would never do any type of mastectomy unless I followed it up with Chemo and Rads to protect myself from anything "roaming" as they say.  Only time will tell which Oncs are making the right decisions for their patients.

  • marcyilene
    marcyilene Member Posts: 2
    edited September 2010

    Thanks so much.  This is all new to me.  My friend told me this is a wonderful site, and I resisted coming.  It's taken me this long for all of it to be real.  Monday it will be real.

  • grneyd5600
    grneyd5600 Member Posts: 420
    edited September 2010

    I originally found a lump in the right breast during a self exam.  I had a normal mammogram in Aug 09 - it showed notihing.  After the first bioposy that confimed invasive ca BS had more biposies and mrii done.  It confirmed I had IDC in right breast (20 tumors total) and 2 precancerous cysts in left.  No lymph nodes were thought to be involved.  BS recommendation was a mastectory on right and lumpectomy on left.  I made the decision to do bi-lat max.  Went into surgery still believing no lymph nodes although I told my mother and husband morning of surgery "do not be overwhelmed when they find this is my lymph nodes, I am prepared for that so you need to be".  It was - 4 of 22 were malignant.  Sentinal node didn't work so the BS actually found the first two by feeling around.  No nodes were check in my collar or left side.  I was referred for chemo and I have 6 Taxol tx left.  I saw BS this week and he told me I didn't need rad if I didn't want it.  I quickly advised him I did!  I had one tumor that although we got clear margins it was only .5mm from the chest wall.  Too close for my comfort.  I have a rad consult next week and if ithe rad onc isn't willing to do rads I will find one who will.  What does concern me is I keep being told - "we don't do scans or CA-15 (tumor market) tests because they aren't reliable".  Give me a break!  Frankly sitting around waiting for a syptom to show up that my ca reoccurred is down right frightening.  I may have to push some buttons on the scans and other stuff before its all done. 

    Anyway, my main point ladies - be your own health advocate.  Ask questions, bring article along with you to your ca team and make sure they are answering you.  My BS told me I only had 3 lymph nodes involved the other day - I pulled out my final path report and handed it to him right there in the examing room - he then said "oh you might need radiation". 

    Hang in there ladies!  We will get through this journey one step at a time.  Sending hugs to all.

  • crazylifex3
    crazylifex3 Member Posts: 19
    edited September 2010

    With having prior expierience, NO you are NOT misunderstanding anything! I had a bi-lateral mx in 2004 for IDC, and I just found out yesterday that it is back! Not only where it originally started, but also it has mets to my spine and knees. I am only 38 years old. I would be the first to be honest with you and to tell you to please make sure that you check the skin of the mx site often. I had three small bumps that itched in the mx scar and they were positive for a recurrance. This is a tough road to go down, but you have all the support that you need here. Best of luck to you!

    Bernadette

  • crazylifex3
    crazylifex3 Member Posts: 19
    edited September 2010

    Pamelajo, I hope all is well with you as I have not seen you on here in a while. I think of you often and you are in my prayers as well. The pathology came back and unfortunately my cancer is back and it has mets to my spine and knees. I am sooo friggen bummed. However, I am happy to report that my receptors have stayed the same. I do have a question for everyone and that is how are you able to write at the bootom of the screen and put multiple diagnosis on your stats?? Please get back to me pamelajo soon!

    Bernadette

  • tobyj
    tobyj Member Posts: 19
    edited September 2010

    18 months after BMX, new lump(s) on bc breast.  mri wasn't helpful, but showed liver mass (normal).  lumps not concerning anyone, but now concerning me in the middle of the night.  I have a bad feeling and think I want them removed and tested.  I don't feel healthy and I'm concerned.  Any advice?  God bless you all.

  • Shirlrae
    Shirlrae Member Posts: 23
    edited October 2010
    Marcilene, I had the exact same thing as you and had bilateral Nov.13. Started with Arimidex,but now on Tamoxefin because I couldn't tolerate the bone pain. My oncologist says there is no cut and dried figures on recurrence. The odds are on your side,there will be none. I work on not thinking about it and I am grateful it was found early. I did not have reconstruction. Hope you are doing well.  Shirl
  • kellyj
    kellyj Member Posts: 75
    edited October 2010

    Tobyj,

    I had a lump on my BC side 2 yrs after BMX.  It was cancer, they were shocked. 

  • slmdavidson
    slmdavidson Member Posts: 127
    edited October 2010

    LilyLou - I'm still here!  Had been off the boards for a while, now back on with issues on hormone therapy.  After my lumpectomy in Jan 09, I did 6 weeks of radiation to my fake boob (!) and started on Lupron to shut off the ovaries and tamoxifen.  After 9 months on Lupron and tolerating the post-menopausal state, had my ovaries removed.  There IS a difference between chemically induced menopause and the real deal.  At any rate, I am doing fine, getting ready to switch to Armidex - will be interesting to see what side effects go away and what is new. 

    MarciIlene - I think the percentages that I've read recently were in the single digits regarding recurrences after BMX.  Try not to freak out, there are LOTS of ladies that had breast cancer YEARS ago and have never had a recurrence.  We had a 50 year survivor in our Race for the Cure this year.

    crazylifex3 - I am so sorry to hear about your recurrence and mets.  That just really SUCKS!  CANCER SUCKS!!  Know that I'm thinking about you and praying - let us know how you are doing. 

    tobyj - did you get any testing done yet on those lumps?  If it's keeping you up at night you should go talk to your breast surgeon.  Mine did a biopsy in his office, couldn't really get at it with a needle but ended up just opening up the skin and plucking that little thing out.  He didn't think it was cancer either....but it was.  Let us know.

    (((((HUGS))))))  Laura

  • Fighter_34
    Fighter_34 Member Posts: 834
    edited October 2010

    Lisa: 

    I am doing the samething. I was told it was isolated but hey isn't that what they tell most Stage 0 and 1 cancer patients. And then something happens.

  • beckward
    beckward Member Posts: 59
    edited October 2010

    tobyj, had my lump (in bc breast) biopsied yesterday.  Was a tricky situation with the lump right up next to the implant.  Radiologist was rockin' fabulous...I watched the whole US guided needle bio. on the screen.  She had nerves of steel, and I finally had a good night's sleep...because now I'LL KNOW, good or bad.  My advice, ignore the bs who says it's probably nothing.  It's not in THEIR breast!  

  • beckward
    beckward Member Posts: 59
    edited October 2010

    Got the biopsy results...it was blood clot!!  No one knows why it was there...but haven't heard of that happening before...must have been some irritation/bleeding from the implant.   Such relief.  Just another lesson for us all.  

    I hope someone reading this down the road gains insight from my experience.  Beth 

  • tougherthanithought
    tougherthanithought Member Posts: 454
    edited October 2010

    Great news, Beckward!!!!!!!!!!!!!!!!!

  • bemmett
    bemmett Member Posts: 4
    edited October 2010

    Beckward, can I ask a question about your lump?  I have a new lump in my non-cancer side (double mast in Aug 2010 with immediate reconstruction). None of the doctors can agree what it is, but they want me to wait 4-6 months to see if it grows.  One of the doctors said it may be a 'clogged vein'.  Mine is small and very hard.  It's been there for 6 weeks or so.  The two doctors (BS & radiologist) said the biopsy is super tricky (like yours).  But the radiologist gave it a birad score of 4b.  Thoughts? Are you glad you did the biopsy?  How long did you have your lump before pursuing?  I'm struggling with what to do - push for a biopsy or wait the 4-6 months.  Ugh.

    THANK YOU for sharing your story! It's super helpful.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited October 2010
    bemmett - When you say immediate recon, did you have the Single Stage Implants at the time of double mast?  I ask because that is what I had and I feel several odd lumps or bumps and am wondering if maybe that is part of the healing process.  My surgery was 4/14/10.
  • tobyj
    tobyj Member Posts: 19
    edited October 2010

    I have decided to have surgery after Thanksgiving to remove all of my lumps in bc breast as well as swapping out the prosthetic.  I'm looking forward to the biopsy results, so that I can sleep better. :)  I'm hopeful that all is well, but not 100% confident, so would rather be safe than sorry in future.  God bless you all.

  • Karine
    Karine Member Posts: 1
    edited October 2010

    I was diagnosed with breast cancer almost two years ago I was only 26 years old then, and did chemo, mastectomy surgery and radiation, also taking tamoxifen. I just found out last week that the cancer is back, I have  this looks like a skin irritation where I had my surgery and had a biopsy done and it came back positive, I did a PETScan few days ago and waiting for the result, will find out tomorrow. I just don't know why it came back this soon as I did everything that doctors told me to do on the first time. I thought I would share my story.

  • beckward
    beckward Member Posts: 59
    edited October 2010

    Bemmet,  My lump also was small and hard (3-5 mm).  Waiting to "see if it would grow" was absolutely not an option for me.  It was unidentified and to me, that means that no one could tell me that it was NOT a recurrence. I felt it for about a month before I saw the 1st bs.    I sent a letter to the 1st  bs who asked me to "wait", telling her that I would not have lasted 3 months.  I would have either cut it out myself or committed suicide!!  This is a completely unacceptable plan for someone who's had bc already.

    I am SO relieved that I pursued a 2nd opinion and was supported by my onc and OB to have it biopsied.  A good radiologist should do the trick.  Mine was a birad4, too!!!  I didn't want to hear about what it COULD be.  I wanted to know what it WAS!!!  The radiologist also put a clip (marker) at the biopsy site in case it became an issue again....so it could be found.

    Karine, I am sorry to hear about your 2nd dx.  How did your recurrence show up?  We all are so concerned about what to look for...keep us posted so we can help you figure this out and learn.  Beth 

  • tobyj
    tobyj Member Posts: 19
    edited October 2010

    scheduled surgery to remove new lumps (post bilat mastecomies) and swap out one prosthetic.  I can't wait for biopsy results.  my main concern is that they REALLY BIOPSY all of the new lumps. God bless.

  • beckward
    beckward Member Posts: 59
    edited October 2010

    tobyj....keep us posted on your results.  Isn't it a huge relief just to know you'll find out??   I don't think you need to worry about them doing a biopsy on everything.  By the way, I still have swelling where my needle biopsy was done...again...it's blood that has pooled under the skin and has no where to go since there is no breast tissue to absorb it.  Will check with the bs this week to find out if I can do anything for it.   

  • tobyj
    tobyj Member Posts: 19
    edited November 2010

    have surgery to remove 3 new lumps, biopsy, swap implant on thursday.  I can't wait to have lumps removed.  i'm frustrated with horrible lack of support from "friends" this round.  i'm not complaining, but seems like they're avoiding.  i don't want to hear excuses for that behavior any more.  people know they should ask if you need help or support.  when they decide not to or avoid, they are simply rude.  after this surgery (my 8th surgery in 2 years), I am cleaning house.  No more contact with fair-weather non-friends.  Had to vent as it's overwhelming and hurtful.  God bless

  • julie75
    julie75 Member Posts: 635
    edited November 2010

    beckward:  Congratulations!  What wonderful, wonderful news!  Good for you.  

    tobyj:  My thoughts and prayers are with you; will check back to see what  your results were.  I'm sorry about your lack of support, and understand about house cleaning.  Good luck to you Thursday.

    Julie

Categories