Can someone explain what I'm "reading" to me? Please.
I was surfing the net (I know REALLY bad idea) on ways to prevent relapse or mets. I got on a sloan kettering site that says that women dx with early stage bc have a 1/3 (one of three) risk or mets. This totally freaked me out. My onc. is telling me that I have an 80% (8 out of 10) chance of being fine. How does this work????
Thanks,
Rachel
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Scared. DX 5/10 with IDC 4.5, grade 3, ER+, BRCA2+, lymph node positive. Chemo AD/C x 4, taxotere x 4, rads, tamoxifen, hysterectomy, upcoming bilat. mastectomy
Comments
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Hi, Rachel:
I was told 90% chance of no recurrence, if I am on Tamoxifen or an AI. I guess I'd have to see the article......I know someone will have a better answer than me
Of course, I guess I shouldn't even be commenting, since I am a different Stage.......
Suzanne
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There is a great book out called "Breast Cancer Recurrence & Advanced Disease--Comprehensive Expert Guidance" by two doctors and two PhD's. It explains how chance of recurrence is so specific that generalized statistics are misleading. It also has ways to help prevent recurrence, as well as a lot of interesting information presented in an understandable way. Rather than surf the Internet, you should get this book (Barnes and Noble or Amazon have it).
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Also, the book I referred to says Stage I's have a 21 to 31% chance of recurrence WITHOUT FURTHER TREATMENT, Your onc was giving you risk considering your treatment plan.
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Rachel - the statistics are all over the place. Even BC.org states that 40-70% of women with positive nodes will recur. That scared the crap out of me! And being Stage III, we are especially vulnerable to those numbers.
But the truth is, the only statistic that matters is 0% or 100%. It either comes back, or it doesn't. I know how hard that is to accept, I definitely struggle with "numbers" myself. In fact, I posted something very similar when I was first diagnosed. I finally agreed with myself to listen to my MO, and have stopped reading about recurrence rates, especially since mine are so darn bad. Now I just try and remind myself that I am not a statistic - I am me, and no one really knows what my cancer might do.
Hugs to you.
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I agree with grandhillmom, I was given 25% getting it back if no other Tx after surgery. Risk came down to 16% after chemo and to 8% with hormonal therapy after chemo.
Unfortunately, even 1% becomes 100% for woman affected.
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Rachel,
I agree that the reoccurence rates you got from your Onc are your stats with full treatment plan. The odds that are on the Sloan Kettering site are woman with no treatment at original diagnosis. You are right that all the huge amounts of information out there can be overwhelming and scary. It's good to find information but remember it isn't always a reflection of our personal situation.
Hang in there. It's a wild ride you are on but we will help you through.
Hugs,
Jackie
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Suze, I totally agree with you, its either 0% or 100%.
Rachel, I'm stage III and the last thing I want somebody to tell me is "your odds are....". I don't look at statistics, have never asked my BS or Onc or Radio-Onc what they calculated my odds are, and I don't believe they would tell me because the plain truth is that they don't know. They can't predict how our specific biology will react to treatments.
It is up to us to do the best we can to adopt a better lifestyle, keep a sane mental frame and take it one day at the time
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grandhillmom
thanks for ther recommendation on the book; i just downloaded into my kindle.
i agree with the REAL statistic: it is either 0% or 100% if you can wrap your emotions and thinking around this concept; it does take the worry out..and you spend less time in the "what if arena....or always checking stats" cancer is an individual disease; even tho there are stages...and node numbers...and size of tumor...etc....each of us have our OWN chemistry...and response to treatment...etc.
just never give up. keep on*
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Thanks ladies for all your advice and compassion. It's been a hard couple of weeks. The book sounds interesting. I'm trying to figure out if I'm in a good enough place to read it and not obsessively focus on anything my crazy brain deems negative. Diana, you'll have to let me know your thoughts on the book. My DH called my onc. I didn't have a long conversation with my DH, but it sounds like my onc. didn't quite understand the info. from Sloan K. either. He told my DH that I had been treated aggressively and responded well. I'm going to try focusing on that. Why is it so easy for our minds to go to the darkest corners??
Thank you all for coming to my rescue. Love, Rachel
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Rachel, Your DH sounds like a good guy to try to decipher that information for you. I didn't go online for a long time after I got dx'ed and went through tx because I knew I would absolutely freak myself out - I'm a worrier anyway - Take care - I think we are getting to the point where more survive than don't - at least that is my story and I'm sticking to it!
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Ellie, I agree with you you, and it seems like you have over 5 years experience to prove it! That's my story and I'm sticking to it. Going through neoadjuvant chemo right now, just got my surgery date, July 27. That seems like such a long way off.
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I am one of those 1% girls. DCIS 9 yrs ago, mets to bones a little more than a year ago. My oncologist did not recommend tamoxifen at that time. I have to wonder if it would have made a difference. I have always taken care of myself, eating healthy, exercising. If anything I would attribute the stresses in life to contributing to my progression. I am stable right now, working and enjoying life. I don't know what will happen tomorrow but today I am good!
I guess my advice is to take any stage of this stuff seriously. Be vigilant but don't get obsessive about this. Live each day and do the things you want to do. None of us know what bad stuff will come our way so it makes sense to not sweat the small stuff, make sure your loved ones know how you feel, visit the places you want to go, be the person you want to be. I hope none of you are ever in my shoes. Take care and bless you all
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Rachel, u have to hold on to ure onco,s words like lifesavers. He is confident in the treatment he gave u, that it will work, believe in that. Anytime doubts or fear visit me, i remember the words of encouragement my doctors gave me. My BS even told me i was healthy ! Say what ? So i keep repeating to myself those words, he should know
Mari, i,m so sorry to hear. At the same time, it is encouraging to hear that for 8 years, u had a normal life, or almostI also think that stress is a killer, i,m so trying hard NOT to stress....
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