How serious is stage 1, low grade cancer?

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  • voraciousreader
    voraciousreader Member Posts: 7,496
    edited January 2011

    Ilovechocolate...Hope you're doing well!  My thoughts and prayers are with you too.

  • Hindsfeet
    Hindsfeet Member Posts: 2,456
    edited January 2011

    It all depends on if my insurance pays for a second opinion surgeon. The bc surgeon I saw said that there was no need for a mri. She wants a blmx. At this point, I don't want to unless it is absolutely necessary.

    My question again do you know anyone from bco who is in late stage due to mucinous cancers? Not sure...but I don't think my cancer is not a pure mucinous. But like lago said...depends on the percentage. I don't think I'll know until after the surgery. Right now, if possible I would like to check out the holistic breast surgeon. 

  • lago
    lago Member Posts: 17,186
    edited January 2011
    2tzus I had a similar experience with the MRI/US. The MRI found a small amount of LCIS in my other breast. LCIS typically does not show up on mammos and US. My surgeon also does the MRI before surgery. Although not 100% gives a much better picture than a Mammo or US.
  • barbe1958
    barbe1958 Member Posts: 19,757
    edited January 2011

    Barry, how positively frustrating for you! When do you go back to see your surgeon? Can you give them our opinions to see if they may second-guess themselves?

  • voraciousreader
    voraciousreader Member Posts: 7,496
    edited January 2011

     Barry -

    Here's what AliceAnn wrote on the Mucinous Carcinoma of the breast thread last year.  She hasn't posted in a few months.  Her mucinous breast cancer was HER2+ and Grade 3 and node positive, which is an unusual presentation.    I hope she's doing well.  I do think of her from time to time.

    Mucinous Carcinoma of the breast

    So glad I found this discussion group.  It is difficult to find information about mucinous breast cancer.  I have been dealing with this for eight years and am Stage IV Grade 3.  First of all, it is apparent to me that the young ages of the women posting here is significant and the latest news about the difficulty in diagnosing from mammograms is not a surprise to me.  I had been religious in having a mammogram done yearly and never had a doubt all was well.  By the time it broke through the fat pad, it was 5 cm.  Although everyone claims it was slow growing, I believe that the tumor grew rapidly after diagnosis.  It required a mastectomy and there was extensive lymph node involvement on the left side.  Chemo, Rad., Taxol, and I was back in business thinking this is what was needed to repair the damage of the cancer.  About a year later, I had reconstruction on the breast and started to feel good about myself.  Within seven months, I had a recurrence on my right side based on a suspicious lymph node in a CT scan.  Onc and surgeon felt there would be no problem, but we decided a surgical biopsy just in case.  Went to sleep and woke up hearing a nurse talk about getting a bed for me.  Huh? I said, "Why do I need a bed?"  The right side was loaded with involvement of cancer in the lymph system.  More chemo and radiation at the same time.  SEs were very bad and I ended up with a frozen shoulder in the process and serious lymphedema as well.  I have since had two small contained recurrences in the reconstructed left breast which the surgeon removed easily.  Right now, I have gone 3-1/2 years without a recurrence, which is pretty good.  I am on Herceptin, once every three weeks and Femara once a day to try to keep this in check.  So far...So good!  I am not trying to pop anyone's balloon, but be vigilant.  

    Diagnosis: 7/7/2006, IDC, 5cm, Stage IV, Grade 3, 15/18 nodes, ER+/PR-, HER2+
  • voraciousreader
    voraciousreader Member Posts: 7,496
    edited January 2011

     When my mind wanders to a dark place, this case of mucinous breast cancer usually cheers me a bit:

    A surgically resected case of giant mucinous carcinoma of the breast that had
    remained untreated for 2 years is reported. A 64-year-old postmenopausal woman
    presented with a large right breast mass (17.4 x 16.5 x 14.5 cm). Although she
    had noticed a mass in the right breast 2 years previously, she had not sought
    treatment. Mucinous carcinoma was diagnosed by core needle biopsy and she
    underwent right modified radical mastectomy with a free skin graft. There were
    no lymph node metastases or distant metastases. Fourteen months postoperatively,
    she remains well without evidence of tumor recurrence. Although several reports
    have suggested that pure mucinous carcinoma of the breast has a favorable
    prognosis, we need to follow this case until the clinical behavior and the
    outcome become clear.

  • kira1234
    kira1234 Member Posts: 3,091
    edited January 2011

    barry, most insurances will pay for a 2nd opinion. If unsure call them to find out. I know for me having the 2nd opinion has been very important in my treatment choice.

  • Chocolaterocks
    Chocolaterocks Member Posts: 364
    edited January 2011

    okay I will try to answer your questions. I had ILC early with lots of Lcis and lots of family members with bc. So that is how I based my decision- I only want to do this once. 2nd- I want to be normal and put this behind me and now have it drag on for ever. I looked into multiple methods and found that since I had a c sect some were off the table. Looked into moving the fat around with outsider expanders but the thought of general anthes 5 times is to much... So I went out of my area to doctors who do skin sparing and nipple sparing. I am a size 36 A and I was looking for replacement versus sizing up. So  the 1 step is only up to size c and skin has to be in good condition (not sure how they assess this). anyway it was a 5 hour operation with alloderm to hold the implants and silicone to create the new breasts. The doc told me that if cancer was close to the nipple (they would take the nipple). The chest muscles are cut and that is what hurts, the incisions are underneath and there a 4 drains... does that help- take care

  • bdavis
    bdavis Member Posts: 6,201
    edited January 2011

    Thank you Ilovechocolate... It does help... you have explained it well.

  • Chocolaterocks
    Chocolaterocks Member Posts: 364
    edited January 2011

    bdavis,

    so I have get my nipples

    did not know if I said that

    take care

  • bdavis
    bdavis Member Posts: 6,201
    edited January 2011

    chocolate...Not sure if its right for me... you said there are some limitations.. I am also looking for replacement not up-sizing, but I am a C+/D- so if one step goes to C only, that is smaller perhaps than me now... just want to look the same....

    and so they decided for you to NOT spare your nipples? Or it just didn't work out in the end?

  • Hindsfeet
    Hindsfeet Member Posts: 2,456
    edited January 2011

     voraciousreader...thanks...what a sobering post. Yes, grade 3 moves quickly. If my dx was grade 3, I would have removed it asap, but being grade 1, I haven't. But, what does concerns me is my lumpy breast and wondering if mucinious cells could be hiding in there. I will try to get a second opinion and ask about the Perkins report. I will take what you all have said into consideration.

  • Hindsfeet
    Hindsfeet Member Posts: 2,456
    edited February 2011
  • Hindsfeet
    Hindsfeet Member Posts: 2,456
    edited February 2011
  • CrazyKitties
    CrazyKitties Member Posts: 180
    edited January 2011

    My cancer never showed up on multiple tests, even over a 6 month period. I am so glad we decided to remove the lump.

  • mawhinney
    mawhinney Member Posts: 1,377
    edited January 2011

    Please consider that your current  biopsy results are preliminary. You won't know the extent of cancer until the final, after surgery path report is completed. In my case a biopsy found DCIS but the final report showed IDC.  Also consider that many cancer cells are so tiny that they can not be found by current testing methods.  Waiting only gives cancer cells a chance to frow, get stronger, and to spread throughout you body. Your life is at stake thus you should do all you can to rid yourself of cancer.  None of us want to have cancer but we have chosen to fight it and to give ourselves the opportunity for the best possible outcome.  Please, please , please take care of yourself and do all you can to beat cancer!

  • Chocolaterocks
    Chocolaterocks Member Posts: 364
    edited February 2011

    bdavis

    the deal was if there was cancer behind the nipple or close to the nipple they would remove it and it would be decided during surgery - so it was a pleasant suprise to know that I have them- hope this helps

    chocolate

  • Hindsfeet
    Hindsfeet Member Posts: 2,456
    edited February 2011

    The Ladies, I do appreciate your concern, and wanting me to get this out asap...I do to. I need to know that I am doing the absolutely right thing.

  • lisa-e
    lisa-e Member Posts: 819
    edited February 2011

    Barry, my son was diagnosed with RSD and all I can say is that it is a lousy diagnosis.    I don't know all of the ramifications of the disease and surgery, but I do know that any minor injury  would cause a flare up that took a long time to get other control.  When he was diagnosed twelve years ago, he was told that it would 'burn out' eventually.  I don't know if his RSD has done that, but it is easier to control these days.  In any case, I can understand your caution about surgery and hope your decisions become obvious.

  • Hindsfeet
    Hindsfeet Member Posts: 2,456
    edited February 2011

    RSD and my autoimmune disease complexes my choices. I need a doctor who will look at the whole picture.

  • lisa-e
    lisa-e Member Posts: 819
    edited February 2011

    Barry, I think my son developed RSD after an undiagnosed fracture in his foot.  His feet burned and he couldn't wear socks or shoes and obviously had a great deal of trouble walking.  I don't think he had problems with the joints being stiff or frozen, but did have temperature changes and skin color changes in his feet.  It was hard to get a diagnosis.  They wound up doing a sympathetic nerve block to diagnosis it.  He took high doses of neurontin for several years, then weaned himself off it.  A difficult process. but he was concerned about its effect on his mental agility.

    It is hard to get a doctor to look at the whole picture.  They want to look at their specialty, where they feel comfortable and often have tunnel vision.  When I was being diagnosed, I was also seeing a osteopathic doctor.  I was able to talk with her at length about the decisions I was being faced with and found that very helpful.  A doctor can give you your options and the pros and cons of each option, but you are still the one who has to decide.

  • Hindsfeet
    Hindsfeet Member Posts: 2,456
    edited February 2011

    BTW...i changed my username from barry to evebarry :)

  • annettek
    annettek Member Posts: 1,640
    edited February 2011

    congrats i love chocolate!!! happy healing

    feeling punkish today- have an upper respiratory and ear infection with a swollen lymph node (which of course freaks me out and makes me think i have lymphoma) in the neck..bs sent me right to my primary doc who put me on augmentin...i must say I am sick of being sick...and being sick has made me low and that leads to secnd guessing now I am scared of my decision to do the natural route instead of AIs and have to decide if I should just bite the bullet and start them...all the factors I was handed make me fortunate...grade stage type onco score etc...it makes me wonder if i am tempting fate trying this route instead of medically approved treatment...ack...i get my estrogen level test back tomorrow and perhaps that will help me decide...sorry for rambling...

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