Newly Diagnosed!

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Comments

  • Emaline
    Emaline Member Posts: 492
    edited May 2011

    Sheryl, welcome and sorry you have had to join.

     What type of re-construction are you looking at?  

  • mommaof4
    mommaof4 Member Posts: 62
    edited May 2011

    Hello Ladies,

    I am a newbie to this group.  I am 41, married and have 4 children.  I was diagnosed with DCIS in my left breast on April 25th.  I had been having a slight pain since December and then bloody drainage from the nipple started about 4 weeks ago.  I don't really have a history of breast cancer in my family so this was the last thing I expected.  The cancer is grade 3 and multifocal, and in 3 areas including the nipple.  I had an MRI last week which showed that the largest area, which is back against the chest wall is approximately 4.5 cm (they originally though it was around 2).  I am having a BMX, removal of 3 lymph nodes and TE's put in on the 24th of this month at Northwestern Memorial in Chicago.  I am very afraid of the what if the find more or positive nodes... I have been having some up days and some very down days, all normal I guess.  I am   sooo happy and thankful that I found this site a couple of days ago.  I have been reading all the posts and am so encouraged by all the wonderful, strong women on here.

  • Amyrich
    Amyrich Member Posts: 43
    edited May 2011

    Hi mommaof4, 4 weeks ago today I had my bmx. I am 45, had DCIS, so if you need any advice, please reach out. I was introduced to someone before mine, and it was so helpful to ask simple questions. My recovery has gone very well, the only pain I really have is from the TE's, as they get more full, the tightness becomes very sore. Feel free to private message me....I've been there and was also very shocked and confused. It was 17 days from my diagnosis to my surgery. I can say the drains are probably the biggest hassle, it took 3 weeks to remove all 4 of mine and it made such a difference on me going places and doing things. Good luck and I am here if you need anything. I am in Texas but just an email away!

  • CTMOM1234
    CTMOM1234 Member Posts: 633
    edited May 2011

    I am very thankful that my bs had me undergo genetic testing and an mri before choosing which surgical path was best for me. He knew I preferred to not permanently remove a body part but I was very scared to keep a breast or two given that I never felt a lump and only detected a problem when my second ever annual mammogram showed micro-calcifications which were slightly clustered. I received a birad 4 rating from that mammogram and had a stereo biopsy which came back with a dcis grade 2 finding.

    Thanks to the brave women before me on these boards who have shared their physical and psychological issues as a result of mx or bmx, it helped educate me and remove the panic a little bit (I was still very panicked).

    I do not agree that more and more young women are choosing bmx. I think we are more and more becoming educated on all of our options and more are choosing lumpectomy and preserving the sensation.

  • rc778
    rc778 Member Posts: 56
    edited May 2011

    Hi mommaof4,

    I too was 41 when I was diagnosed with DCIS this past Nov.  I had a BMX in Dec and still have some down days.  It does get better though.  Once your path comes in, you'll have a game plan.  It was the uncertainty that completely stressed me out.  Stay positive, keep educating yourself and don't stop pushing until you get the result you want.  Pre BC, I often had a hard time speaking up...not anymore!  Good luck to you. 

  • irishannie
    irishannie Member Posts: 1
    edited May 2011

    HI;

    I AM NEWLY DIAGNOSED DCIS GRADE 3... 1 CM...I HAD A EXCISIONAL BIOPSY...I GO BACK TO THE DR. IN 2 WEEKS...FROM WHAT I READ IT SEEMS THAT RADIATION WILL BE RECOMMENDED...I DON'T LIKE THAT POSSIBILITY...IS MASTECTOMY THE ONLY ALTERNATIVE?

  • writerchick
    writerchick Member Posts: 19
    edited May 2011

    irishannie--take your time and read everything. Get your list of questions together for your doctor and surgeon. I, too, had DCIS grade 3. I had a lumpectomy (I was totally amazed at that--went in at 9ish, was being driven home at noon), then had radiation. I took myself to nearly seven weeks of radiation. Had some skin problems, but totally doable. That was more than two years ago.

    Look for posts from Beesie on this thread. She's the expert!

  • Elibet
    Elibet Member Posts: 8
    edited May 2011

    Hi, CTMOM1234,

    Your mammo results sound just like mine. Microcalcification clusters and BI-Rad 4. I'm having a biopsy next Wednesday. I was reading your post and trying to understand, but I don't know what mx and bmx means. Could you elaborate on those. I just found this board.

    Thanks, and wishing you well,

    Elizabeth 

  • Emaline
    Emaline Member Posts: 492
    edited May 2011

    MX is mastectomy. BMX is bilateral mastectomy (meaning they took both breast). (this was for the person above me who questioned what these terms meant and then deleted their post...)

     irishannie. Did the doctors get clear margins?  An excesional biopsy is basically a lumpectomy.  If they did not get clear margins, they may want to go back in and take more and yes often times they recommend radiation after that. If I remember correctly lumpectomy with radiation gives 5% or less recurrence chances. Mastectomy gives 2% or less recurrence chances. There women who get lumpectomies who do not get radiation.  

    I agree look for Beesie's post.  I think someone bumped one up earlier, so it should only be a few posts down from here on the subject. 

  • SherylT
    SherylT Member Posts: 6
    edited May 2011

    Emaline - Thanks for the welcome. I've been skipping all over the site and finding some amazing storirs from wonderful women. So glad something like this exists for a way to share info. Regarding recon - don't know for sure what I'll pick. Am looking at either DIEP or implants and will know more after talking to PS about procs and cons of both. What was your choice and whan influenced your pick. I'd love to keep a dialogue going as I'm scared out of my mind.

  • Emaline
    Emaline Member Posts: 492
    edited May 2011

    It is so scary.  As everyone says, one step at a time. I tried to set miny goals for myself, get through surgery, find out about the nodes, get the final pathology, etc. Obviously there can be so many deviations that can cause things to change.  However, I can't change those things. I can't. I can only wait for the answers and then get a game plan from there. It took me a long time to get to this stage.  I went through the not sleeping, the not eating, the getting sick stage. It is awful.  All I can say is keep talking to people, at some point you will make a connection with someone and what they say will ring a bell through you and all of a sudden it will be "I get it".  Talking helps!

    Unless you feel an immediate connection, I recommend talking to more then one PS and even asking your doctors if there is someone that they recommend and why.  I went through a couple before feeling comfortable with the one I went to.  Why him?  The other ones tried to discourage me from on or other type of surgery, doing research found it was not their specialty. This doctor said I could do anything I wanted and showed me pictures of each type that he has done.  He was very open and I talked with girls at local breast cancer groups and they recommended him highly.

    I really loved the idea of DIEP, I did and do.  However I was scared of being under for 10 hours or so. I did not want to be in the hospital for 5 days and did not want to be on basically bed rest for 6 weeks, minimum. I have 2 small children and I wanted to get my life back as fast as possible, so I opted for TE and will get silicone implants when the exchange is done. If I was at a different stage in my life, I would do DIEP in a heartbeat...I was just not there right now.  Mind you, I hemmed and hawed about this decision up until my surgery last Friday.  In the end, I just knew it was what I was most comfortable with. 

    I wish you the best in whatever you decide. You can always PM me if you would like :)

  • Emaline
    Emaline Member Posts: 492
    edited May 2011

    I wanted to add (since I feel that I was mean to DIEP) that I had a friend who has 3 small children all under the age of 5 who did DIEP and she loved it and looks fantastic!  So even with all my variables, it is very definitely doable.  You just have to look at your life and decide what will work for you.  Make a list of what you want out reconstruction and take that into your PS and see what they recommend from there.

  • Amyrich
    Amyrich Member Posts: 43
    edited May 2011

    emaline,

    We were diagnosed on the same day, both DCIS. I have about 2 weeks left of saline injections, then schedule implants..where are you in the process? I am so ready to get these expanders out..the more the fill, the harder they get. I have 740cc in now. What about you? I have no chemo or radiation.

  • Emaline
    Emaline Member Posts: 492
    edited May 2011

    Amy you are much further into this then I am. I just had my mastectomy last week. My PS will not do any fills until the drains come out, I'm still putting out about 85ml a day. So I have a ways to go yet.  I want to get to a C or D cup. Prior to MX, I was DD, atleast.  I definitely want to go smaller. No chemo or radiation here.  I got a clear final pathology report.  Do you know when your exchange is scheduled for?

  • CorinneM1
    CorinneM1 Member Posts: 539
    edited May 2011

    Hello everyone, another newbie here.  I was diagnosed the first day of your post.  I have multifocal invasive lobular cancer, grade 1.  I will also be at NMH in Chicago.  I am in the process of interviewing surgeons, and getting genetic testing, but I will need to remove the left breast.  I am leaning towards a BMX due to family history, but will find out more this week.  It looks as if my surgery will be near the end of June/early July if the time line I have works out with the surgeons and OR schedules.  Will know more next week.

     Looking forward to "meeting" you all and gaining and providing support to those that post here.

  • corian68
    corian68 Member Posts: 168
    edited May 2011

    Amyrich~

     I too  have one more fill to go. at 720cc on left & 690cc on right. I don't tink I can do another fill! They hurt and feel like bowling balls! is it impossible for you to sleep? it is for me :/

  • Amyrich
    Amyrich Member Posts: 43
    edited May 2011

    Emaline--I have a fill tomorrow (tues/24th) and one final one next week and they will schedule it then. I am thinking probably the 2nd week of June. My PS filled me even with my drains in, I was so glad. I was happy he put 120 cc's in each time, although it does seem really tight the first day or two after a fill. I'd rather do that, than prolong the implants.

    corian68--I am with you! yes they do feel like big bowling balls, I compared them to rubbermaids in my chest..I can't criss cross my arms at all, I feel the expander in my armpit! I can't even totally shave my underarm, my opposite arm won't reach it! Its driving me crazy! I feel like I am getting used to sleeping on my back, I tried to sleep on my side (which is where I  used to sleep) and it was just too uncomfortable. I have a big wedge pillow a friend loaned me, and that has helped keep me elevated, so I am not totally flat in the bed. My nurse naviagotor told me that the last week between your last fill and surgery is the hardest, because we will be so filled and tight! From what I am reading, it will be well worth it once the implants come! I just wish it was here now!

  • mjh69
    mjh69 Member Posts: 34
    edited May 2011

    mommaof4

    Like you, I was 41, 4 kids at time of DCIS diagnosis last year in May. I was diagnosed after my first mammogram.  I opted for BMX and recon with implants.  Final pathology found two spots, one 2mm and one 4 mm, on non consecutive slides. I had an MRI done prior, which resulted in another biopsy which resulted in a radial scar diagnosis as well...another BE pre-cursor.  I am a a worrier by nature and would not live well under a 6 month surveillance plan so I chose the BMX.  I don't regret the decision, I just regret the diagnosis.    The process was long, but much easier than expected. I had one extra surgery to revise the placement of my final implants.  Physically this process has been easy enough to handle with 4 kids, who were 10,8,6 and 4 at the time of my surgery.   I have no family history of breast cancer, breast fed 4 babies and live a decent, healthy life with excersize and everything else. Sometimes we just get the short straw...If you want to chat let me know, I am more than happy to give you any details or information you may need.  There are a lot of us in the same boat...thank goodness for this site, it truly is helpful to know that we are not alone.

  • Emaline
    Emaline Member Posts: 492
    edited May 2011

    Amy I just love reading all the different posts because it is so amazing to me how different all doctors are and how each patient is treated differently.  I think this is a good thing.  We shouldn't be treated "by the book" just because that is the way it is done.

    Once I get my last fill, I have to wait 4 to 6 weeks to get the exchange done. He won't do them right away. Isn't it funny how different each PS is?  

  • mommaof4
    mommaof4 Member Posts: 62
    edited May 2011

    Thank you for all the kind words and support <3  I will be in surg in less than 11 hours...  Just seems sureal.  I will update on the pathology and my recovery.  I'm thinking and praying for all of you amazing women! 

  • CTMOM1234
    CTMOM1234 Member Posts: 633
    edited May 2011

    mommaof4: Wishing you the very best today and in the future!!!!!!! And to the original poster and everyone else here, too, great health and happiness!!!!!!!

  • rc778
    rc778 Member Posts: 56
    edited May 2011

    Best of luck mommaof4...you're in my thoughts and prayers.

  • Emaline
    Emaline Member Posts: 492
    edited May 2011

    Mommaof4 you are in my thoughts and prayers.  Update us when you are able!

  • mommaof4
    mommaof4 Member Posts: 62
    edited May 2011

    Hi all, I'm home from my BMX surgery. The pain isn't that bad, it's tollerable with the pain meds.  I think the worst part was the radioactive material that they inject before surgery- ouch!  My husbands hand was sooo red from my squeezing it lol...  The good news is that my initial lymph node dissection came back negative.  I meet with my BS to go over the lymph node pathology report and the tissue margins next Wed.  I'm trying to be strong but it's so hard.

  • Emaline
    Emaline Member Posts: 492
    edited May 2011

    Get your sleep and heal :)

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