Survey who just got Lumpectomy
I wanted to write this post because many new people will come to this site looking for information and they may find that there are lots of people on this site that get Mastectomies or DMX's. I don't know how many of the people reading and not posting just got Lumpectomies.
I read an article where a doctor said, 30 years ago the only treatment was mastectomy. Now there are people getting mastectomies for prevention. That's fine, but not everyone needs to do that. And there are times when you may only need a lumpectomy.
All of these decisions are very personal and at the end of the day, you and only you have to be satisfied with your decision. The purpose of this post is to survey people that just had a lumpectomy so new people can see that you don't always need a MX and there are lots of people that go that direction and are fine.
People that read the Tamoxifen website will find lots of people talking about side effects. But there are lots of people that take Tamoxifen that have no side effects but they aren't posting that, so they don't see a balance. I, so far, don't have any side effects with Tamoxifen.
I don't mean to offend anyone, please don't take this post in that way.
So, how many of us just had Lumpectomies and radiation.
Comments
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Six year survivor, thriving after lumpectomy, rads, and five years of tamoxifen. Biggest issue with tamoxifen was hot flashes the first two years, after which they eased quite a bit. Very manageable, and I never took the effexor that so many women feel helps them tremendously. Absolutely no regrets regarding my treatment plan, and I waste no time worrying about it coming back. There are simply no guarantees in this life. Enjoy this moment, not one of us is guaranteed tomorrow.
Educate yourself, and make the best decision you can for you. Never make a decision based out of fear!
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I agree with you that the site is somewhat more populated by those who had mastectomies. I'd like to see an area under "Tests, Treatments, and Side Effects" called "Lumpectomies." There's really two for mastectomies -- both the "Breast Reconstruction" and the "Breast Prostheses and Reconstruction Alternatives" are mostly about MXs. So there ought to be "Lumpectomy" area as well. I think I'll request it.
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ME ME ME! I "just" had a lumpectomy and rads! At the time of my diagnosis, my bs gave me the option of a mastectomy or lump+rads and I happily chose to keep my breast. Have never ever regretted this decision, and although I had a good-sized chunk removed and then underwent zaps, things look pretty much the same. I even wear the same bra.
I was given the option to go on tamoxifen after rads were over, not a hard sell by the onc. but given my age (40s), the thought was that hopefully I have a lot more years to be here and it could lower the chances of having bc in my other breast (the benefit in my lump. breast was neglible given the risks, believe it was going from 4-5% down to 2-3%). Very personal decision, and for me, after weighing the pros and cons and which I could find inner peace with, I chose and still do not take tamoxifen.
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I also had lumpectomy and i am doing Rads right now . I had the option of Lump and Rads then Tamoxifen or mastectomy. I also went with Lumpectomy that is just what I wanted and I am happy with it.Thank you for starting this post eileenr56
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In 2007, I chose to have a lumpectomy only, no RADS. This was because I consulted with Dr. Michael Lagios, a world renowned DCIS expert and pathologist, with whom anyone can consult.
He used the Van Nuys Prognostic Index, which is based on your age, plus the size, grade and margins for your DCIS to calculate my risk of recurrence. Since it was only 4 percent, the typically 50 percent reduction that radiation provides wasn't worth it to me.
Treatment options for DCIS are very personal. I posted this because surgery alone is also a valid option for some women with DCIS.
Wishing all of you, no matter what you choose, the best of health.
Sandie
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I just had a lumpectomy July 19, DCIS stage 0 intermediate grade no comedos, they thought it was 1.3 cm but turned out to be 4cm. I did not get clear margins so I have to have this surgery again.. Praying for good results next time..but I am under insured, my outpatient insurance is maxed out.. I have limited medical plan. Lost the the major medical when I was laid off in 2005 and can only find contract work.. Now I have to pay for a 2nd surgery and trying to find assistance for radiation therapy. I did not qualify for JPS as I make too much money.. Any one know of how to get assistance for just radiation??
Hugs to all
Terri
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I had lumpectomy and five day mammosite radiation in February. I have been on tamoxifen since late March with no side effects. I have developed lymphedema in my right arm and trunk which has been the biggest inconvenience of all. Becy
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Becky, what size was your DCIS? and grade?
Terri
Bedford Texas
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I had a lumpectomy first and would have been VERY happy to have stopped there.
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Terri--I was told my tumor was 2 cm but when they got in it was less than 1 cm. BS thought they removed some of it during biopsy. My grade was 3. I had a Sentinel Node Biopsy and had two nodes removed but developed lymphedema two weeks later. Becky
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.Hi. Here is a new twist to the story...I only had an open breast biopsy because I was uncomfortable with 3 stereostatic biopsies in 5 years and wanted the area openly biopsied. All pathology was beneign at this point. Low and behold DCIS 3mm grade 3 not at either clip site but in between. Margins were greater than 7mm. I was never asked if I wanted a MX but the big question was did I need rads or would tamoxifen cover me. First hospital said no rads, 2nd opinion yes to rads and tam. I have a very small incision because it was only a breast bx. The surgeon could not believe the DCIS dx since there was no mammagraphic evidence.
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I had a lumpectomy/rads for ILC and when IDC was discovered in my other breast a year later, I opted for another one (2 actually - surgeon removed 2 other spots of ADH) and rads again. It seemed the IDC was missed the year before, so I talked my surgeon into a lumpectomy as I want to give the Arimidex a chance to do it's thing. If it had been a new nasty cancer, then I would have probably chosen differently. I have no choice in the future.
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I had a lumpectomy only 7 years ago (skipped over the stereo, too small breasts). Approximately 4 mm of intermediate grade DCIS was found along with a bunch of other stuff like atypical hyperplasia. Doctors were mixed on the rads, but the general consensus was no. My surgeon was insistent on tamox but my oncologist was very hesitant to prescribe it. In the end I chose no rads and no tamox. It was a very difficult time for me and so hard to make decisions.
Every day I hope I made the right decision. I alternate MRI with mammo every 6 months. So far no problems except I have a continual feeling of an achy discomfort in the affected breast, my doctor (actually nurse practitioner) can't find anything wrong but I am going to see a breast surgeon next month to get her opinon.
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I have received a copy of my pathology report and I have Invasive ductal carcinoma, HER2 3+ with lymph node involvement. I had 2 nodes tested with 2 positive -Metastatic Ductal Carcinoma
Histologic grade Nottingham, grade II, 6-7 points
My surgeon is away for two weeks and I am not able to discuss this with him. Does anyone know if two weeks will matter while waiting for this aggressive cancer to be removed? Is this the worst form of breast cancer you can have? I think I will need to have to have a mastectomy, my second surgery is scheduled for August 12th for the removal of the nodes and a larger area of tissue removed. I have been trying to cope with this, tried Raiki and they have advised me to take prime rose 6,000 mg and cod liver oil 1,000 mg daily. I am not sure what else I can do.
My daughter really needs me here.
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Nicole - yes it does. I would have another talk to your doctor or try to interpret your pathology report. There may have been DCIS and invasive ductal - I had both.
I hope the further surgery goes well for you.
(((((HUGS))))))
Sue
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I am so interested in swalters (sandie's) diagnosis and followup. This is my first post. I just had my lumpectomy on September 6. Initially, my surgeon felt like because of the size of the dcis i would not need radiation, but obviously margins, etc. were other factors that would have to be examined after surgery. At followup, my path report said "no evidence of atypical hyperplasia or dcis. Meaning that all of the cancer was removed with my initial biopsy. GREAT NEWS of course. He confirmed his belief regarding not needing radiation; but evidently the whole team is not in agreement and I guess it was based on my age, which is 47. I agreed to meet with the rad. onc. but here's my thing. size was less 0.4 cm (less that 1/2 cm), grade 1, if no cancer was found in the tissue from excision, then in my mind the margins are more than completely clear. Obviously, the rad onc. will give me his reasoning as to why. I am pretty set on not having any radiation. My question is if Sandie (swalter) reads this I was wondering her age and what if any factor that played into the VNPI?
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Leah, I only see Swalter on the boards occasionally, but she seems to read her PMs, so send her one.
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leah0107....I'm curious as to what your rad onco recommends. I had a lumpectomy last Friday for a 4mm DCIS, Grade 3 with comedo necrosis close to the chest wall. The post lump pathology doesn't mention DCIS, just inflammation from the core BX (which was in July) and ADH. I'm assuming all of the DCIS was removed with the core BX or the pathology report was wrong. Anyway, my surgeon has told me all along I would need radiation despite the small size of the lesion and possibly Tamoxifen. I'm curious if I'll still need rads since nothing was found on the final pathology report. I have a VERY strong family hx of BC. My appt is on Tuesday to discuss the path results. BTW, I am 47 years old as well.
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m4babies
Based on the advocate assigned to me, and a couple of comments from the surgeon, I think he wants me to do 5 days 2x per day. The surgeon said my 'young' age was a determining factor. At my first appointment the surgeon told me that .5 cm or greater was one of the determing factors for rad. so I don't get that. I would be happy to report after I meet with him on Monday afternoon. PM me if you like so I can respond directly to you.
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Cycle-path thanks! I found out she has a website with her story and some good information; very insightful
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Leah,
I will PM you after my appointment on Tuesday. I'm curious if our treatment plans will be the same since our DX's are almost identical (except for the Grade). Good luck on Monday!
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H i there-I ve been recently diagnosed with breast cancer and had an appointment with my surgeon yesterday. He adisesed that I get a lumpectomy which I am scheduled to have next Thursday -29 September 2011-I have been told I will need radiation and tablets to treat it - not sure if I will be getting chemo yet-yes you're right-there needs to be a balance of all options-I will definitley up date when I get the procedure done.
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Lumpectomy 8/18. Started Tamox on 9/1/11. haven't had any side affects from Tamox that I can detect but I have been on an emotional roller-coaster so it's hard to tell. Only other thing to report is that my body is rejecting the dis-solvable sutures and have had to go back to the BS to have them taken out.
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Lumpectomy and rads. I opted out of taking the Tamoxifen.
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Hi...I had a lumpectomy and rads. I also opted out of taking Tamoxifen. I never once questioned my decisions and have felt it was the right thing to do for me. So far, so good. I will have another mammogram in October and am very anxious to see if that one comes back ok.
Cherylmarie
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I've been dx with bc three times, and each time only chose a lumpectomy...no rads or tamoxifen. I'm fortunate in that I only had early stage cancers. If I had cancers that were invasive type of agressive then I would have considered a mx. I do not regret my decision. I do have to remember to do my annual mammograms. If I am dx again, I may just bite the dust and get a blmx. No matter what you choose there are risk.
If you check the alternative site and watch the film impositive posted on You've Got to Watch This, you will know why I made the decision I did not to do rads or tamoxifen.
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I had lumpectomy on sept 16. Still waiting for the path report to decide the next course of actions.
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Just to followup from my earlier post. Met with Rad Onc. on Monday. Said recurrence rate was about 10% w/o rads. I can't remember what he said it would be with-dh said it was 2%. I expressed that I was more fearful of radiation side effects than recurrence of cancer. He said he thought I was making a good decision. Regarding pills, he discouraged me saying that it would only reduce my risk by 50% - 50% of 10%. So didn't schedule an appointment with med. onc. I am on a research journey to see what other things I can do proactively and preventively to improve my health - diet, exercise, vitamins, etc. There's alot. I have an appointment to a primary care doc. next week. Want to ask for blood work to cover everything from hormones to vit. def. etc. Can I do this. What can and should I ask that he test for?
Off topic but something I read recently. Do mammograms emit radiation? I mean I've probably had more than 20 just this year.
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evebarry
Risk. That's a word now isn't it. When making my decision(s), it became a matter of what risk I had peace living with. Which risk I feared more than the other. Radiation and drugs scare the h*ll out of me. The fact that you are at peace and confident with your decisions says alot. It really is the most important factor in all of this isn't it?
I watched that film you spoke of in your post. WOW is all I can say! I have had my head in the sand about all this stuff - never HAD a need to know, sad to say and happy to say (if you know what I mean).
Are you doing anything alternatively, preventatively to help improved your health?
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have your vit D levels checked.
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