Nursing mom, age 41, aggressive Stage III, what the f*#k??

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SantaCruzMommyof2
SantaCruzMommyof2 Member Posts: 10

I have read SOOO many helpful things here since I was diagnosed with Stage III cancer at the end of June 2011 and I decided to share my story in case it helps someone else!  I hope starting a "new topic" is the right thing to do?  It's late at night, what can I say.  Anyhow, I'm 41, with a 4-year-old and a 1-year-old that I was breastfeeding at the time.  Life was good...I've always been healthy, lucky, glad to get up every day. Thought the lump was a clogged milk thing for several months and finally went to have it checked out; initial ultrasound ("looks like fluid, milk abscess?") to brief mammogram runaround ("mammogram won't show anything in nursing boobs") to biopsy results (hormone-receptive, HER 2+, lymph nodes involved on BOTH sides, tumor HUGE).  Ugh.  Because of how quickly it had grown and the skin/nipple changes, I was convinced it had spread already and I was just a total mess until CT and bone scans came back all clear (Hooray!) and we went into fight mode.  Lucky to have wonderful oncologist and great care here in Santa Cruz, CA.  Who knew? Started neo-adjuvant chemotherapy right away to shrink big-ass tumor and kill any cancer cells getting ready to travel.  Three rounds of Taxotere, no bad side effects, using cold caps since second treatment and really saved some hair.  GREAT response, could hardly feel tumor and breast looked/felt just like other one. Truly amazing and oncologist "floored," so we decided to put off surgery a bit and finish out chemo protocol with FEC, which can be used more safely on the heart with Herceptin, the wonder-drug for my HER 2+ cancer.  BUT the FEC didn't work!  Went in for second treatment today and shared my concerns that skin seemed thicker again in past week and breast looked a bit worse; oncologist agreed, switched gears right away and gave me one last Taxotere today and then double mastectomy surgery in 3 weeks.  Yikes!  Scary today but reminded me, this is no joke and we've got to get it out, so we can move on to finish with other chemo (no more FEC, obviously!) and then radiation.  Focusing on becoming a "breast cancer survivor" seems very surreal at times...however, somehow I still feel happier than many and more grateful than most to be here.  My absolute rock of a husband and joyous little girls help us keep our balance.  Still, it's shitty!

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Comments

  • debbie6122
    debbie6122 Member Posts: 5,161
    edited October 2011

    Hi Santacruzmommy-Welcome and Sorry you have to be here. You will get lots of good advice and support here on these boards. I dont know much about HER2+ or FEC but wanted to let you know i read your post and wanted to send you a big hug., The boards are slow right now, but i know many will chime in here soon.

    You are in my thoughts and prayers.

    Hugs,

    Debbie

  • Cathy_C
    Cathy_C Member Posts: 61
    edited October 2011

    Hello Santacruzmommy, I also am HER2+. My treatment is a little different, but we do have the Herceptin in common. Hang in there on this roller coaster ride, your family will appreciate it. And don't worry about those days when you just want to complain, we all go through it and as we read what you write we just sit back and agree.

    I send hugs too

     Cathy

  • Moderators
    Moderators Member Posts: 25,912
    edited October 2011

    SantaCruzMommy, like Cathy and Debbie (and others who will be along to say hello), I'm sorry you had to find us, but also glad you did. You can count on the wonderful members here to share their insights and experience, and give support and hugs.

    Also, the main Breastcancer.org site has 6000+ pages of searchable information about treatments, medications, nutrition, the emotional side of dealing with this wretched disease, and much more.

    Judith and the Mods

  • KerryMac
    KerryMac Member Posts: 3,529
    edited October 2011

    Just want to welcome you - I was in your exact position three years ago - nursing my son when I felt a lump, was told it was milk, and by the time I was properly Dx, I had a huge lump and lots of nodal involvement. I was 42 and my kids 2 and 4.

    But, here I am three years later doing well, and my kids can hardly remember when I was unwell.

    Keep moving forward, the treatment really knocks you around, but you will get through it and get your life back!!

  • Elizabeth1959
    Elizabeth1959 Member Posts: 346
    edited October 2011

    I also want to let you know I hear your fear and sorrow over this dreadful disease.  I am now 16 months since diagnosis.  I feel well physically.  You will get through it.  I think it helps to have people who understand what you are going through.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited October 2011

    Hi SantaCruzMommyof2  I'm so sorry you have had to find us here.  It sounds like so far, for everything you've been thru, you are doing well.  I remember nursing my children and can't imagine what it would have been like for me to suddenly find out that I had this diagnosis.  I admire you moms of small children who are dealing with this.  Stick close here.  All on the forums are extremely supportive. Also if you look at the top of the page you can click on the information about diagnosis and treatments and a wealth of information.  Sending you peace and prayers.

    image

    Barb

  • oaktownmom
    oaktownmom Member Posts: 114
    edited October 2011

    Hi SantaCruzMommy - I was also diagnosed at the end of June with Stage 3.  Also have young children - 7, 5 and 2, and live in Oakland.  Maybe we should plan some kind of northern CA get-together!

  • orlandpark65
    orlandpark65 Member Posts: 106
    edited October 2011

    SantaCruz.  You have a great attitude.  That will carry you through.  I wanted my breast off asap.  Didn't want it at all.  I figured they would give me a new and improved one. I'm done with all treatments etc and now onto Tamoxifen.  Having PS on 10-26.  Good luck

  • Tiger_Blood
    Tiger_Blood Member Posts: 270
    edited October 2011

    Hi There,

    I just want to say that you are not alone. There are many mothers on here like myself who also have small children. I agree with you that this disease is total crap. We have Herceptin and it is our miracle. I am wishing you all the health and wellness you deserve. Feel free to message me on anything! Lots of love!

  • Outfield
    Outfield Member Posts: 1,109
    edited October 2011

    Hi, I was still nursing when I was diagnosed, too, although we were tapering off.  That's part of how I found the lump.  As my breasts shrank, it got bigger.  I remember so clearly seeing a midwife who brought in a "breast specialist" who had decided it was milk before even examining me, then said she didn't think it was anything to be concerned about.  Less than three weeks later I'm having a bilateral mastectomy.   

    The hardest part of this whole experience has been my worry about my kids, and I'm so sad that there are so many of us with young kids.  Seems like a lot of Stage III's.  It is a shitty disease, but I am so glad you are happy with your care.  Makes it a little easier.  Good luck with your surgery.

  • Bugs
    Bugs Member Posts: 1,719
    edited October 2011

    Popping in to add my welcome!  Sounds like your onc is very proactive.  I was diagnosed at 42 and my son was 8 at the time.  Was a crappy year, that's for sure...but i think the kids help us live as normally as possible in order to keep their day to day routine normal.  I know that helped me get out of bed some days when all I wanted to do is wallow.

    Sorry you had to join us....but we are a great group.  Come here often to vent..we get it like nobody else does.   

  • lkc
    lkc Member Posts: 1,203
    edited October 2011

    Hi Santa cruz Mom.

    Another long termer Stage IIIer here. Welcome to these awesome boards. You're absolutely right it's a "sh*tty" deal, but you will get through fine.

     Her2 pos disease is nothing to play with , so you're attitude and your Onc are right on.  My Her 2 pos Stage IIIC literally popped out  overnight, which is common with these type of  tumors. The saving grace is herceptin and your clean scans!!! Also, If your baseline echo is good and you're relatively healthy herceptin should not be a problem to tolerate.

    Come here often for accurate information and support. We've all been there. Before you know it this will all be a memory and your children will be grown.

  • caaclark
    caaclark Member Posts: 936
    edited October 2011

    Just welcoming you here too...I was 40 when diagnosed.  I was not a nursing mom but my kids were 4, 6 and 8.  Same as you-healthy, always someone who felt lucky, happy, etc.  Was not someone who needed a wake-up call. 

    That was over 5 years ago.  Stage III is very scary.  We all understand!

  • pupfoster1
    pupfoster1 Member Posts: 1,484
    edited October 2011

    Wow!  What a story.  There are actually a couple ladies here, one who found out she had BC WHILE she was pregnant and went on to have a beautful, healthy baby, and the other whom is pregant as we speak.  I'm sure you'll hear from them soon.

    I had a huge tumor too (although he thought is was only about 3cm at the time) and my GP recommended pre-emtive chemo as well, but at the time I had never heard of that before, and the thought totally freaked me out.  I went for a second opinion at Johns Hopkins and my Breast Surgeon, said no, let's do the surgery then chemo.  So I waited SEVEN weeks for that freakin surgery at JH---supposedly one of the best around---and wouldn't you know it?  Primary tumor (I had multifocal disease) was 6.5cm plus significant node involvement!  So much for hindsite, huh? I do now wish I had done the chemo first, so you are definitely on the right track!!! 

    We'll be here for you and no questions are off limits, so ask away!

    Take care,
    Sharon

  • jennyboog
    jennyboog Member Posts: 1,322
    edited October 2011

    Welcome and I'm sorry you've had to join us here.  It sounds like you have a great attitude and that will be key in getting through this.  I have two small girls as well (youngest was 18 mths at dx.) and they are my motivation to keep fighting & survive.  I'm so happy you found a great onc as well.  I hope you find great comfort in this website and come here when you need to.  It has been so good to me and I would have been lost without it at times.  Sending you huge welcoming hugs.

  • SantaCruzMommyof2
    SantaCruzMommyof2 Member Posts: 10
    edited October 2011

    Thanks for all the support and shared stories; it really does help! 

    I'm kind of anxious, waiting to see this last dose of Taxotere do its thing and get my "bad" breast responding well again.  Skin feels less thick already but who knows if I'm just psyching myself out...either way, looking forward to surgery (never thought I would say THOSE words!).  I have lymph node involvement in both sides, which I don't think I put in my original post; I'm pretty okay with losing both boobs since it's just bad tissue to me and I am SO determined to do everything possible to live through this, but worried about lymphodema (sp?) and not being physically strong again.  Ahh, the things I have taken for granted before this...!

  • pupfoster1
    pupfoster1 Member Posts: 1,484
    edited October 2011

    Take one step at a time right now SCM,  don't try to get too far ahead of yourself i.e. lyphodema.  Hopefully that will be a non issue for you in the future, but after your surgery you should get fitted for the arm sleeves (insurance should pay for them) especially if you fly frequently (or at all---I don't and am always thinking the next time I fly I'll probably forget to wear mine lol!).

    I know what you mean about looking foward to the surgery though.  I wanted mine GONE the very day I found out it was cancer.  Waiting sucks.

    Take care,

    Sharon Laughing

  • KerryMac
    KerryMac Member Posts: 3,529
    edited October 2011

    Just to let you know I have not had an issue (so far) with LE. I had full node clearence on one side and all seems OK. One piece of advice I would give is do your arm exercises after your surgery to get your full range of motion back. It is hard at first but worth it!

    As for feeling strong again, really, it is hard to think you ever will when you are in the midst of treatment. But you will, your life will return to normal. So many things I thought I might not be able to do again but there is nothing I feel I can't do today.

    One thing that really helped was exercising, so I would encourage you to do as much as you feel able - get out walking to increase your stamina, etc And it helps lower your risk of reoccurance, so its win/win!

  • Outfield
    Outfield Member Posts: 1,109
    edited October 2011

    Hi Santa Cruz.  I wanted my surgery over with SOOOO badly when I was waiting, and I didn't even have to wait through neoadjuvant chemo, surgeon thought she could get it all without that.  I also had a BMX.  It's a long story, but I had a big invasive tumour on one side and ended up with some in situ disease on the other, so I'm  glad I did it.  That was 71/2010 and I would make the same decision in a heartbeat.  

    I was extremely scared of developing lymphedema.  I remember my surgeon specifically saying she didn't think I would (I am slender and fit), but I did.  I caught it early.  It improved with treatment and is very minimal and manageable now.  I really hope for your sake that you don't develop lymphedema, but even if you do it doesn't necessarily mean you can't be active.  I play all sorts of sports, work out, carry my preschoolers around, etc.  Honestly, if I were a heavier person, it wouldn't even be visible now.  With the right kind of preparation and treatment, the lymphedema doesn't get in the way.

    There is a great group on the lymphedema board of this site, with a couple up-to-the minute informed women frequently posting on it, Kira and Binney.  There's also an excellent website about lymphedema and related post-treatment problems:

    http://www.stepup-speakout.org

    One of the areas of investigation right now is how to catch it early, and if doing that can actually reverse lymphedema.  Also, there are steps you can take that may reduce your risk.  Do the exercises the surgeon gives you, but be mindful of any restrictions on range of motion early on. The lymphatics are delicate and need some time to heal.  Early compression may also reduce the risk.  Seeing a certified lymphedema therapist as soon as you can, whether you have lymphedema or not, can also be helfpul getting through recovery from treatment.  And I second KerryMac - exercise is great in so many ways.   

    Early in treatment, I was scared out of my shoes about the cancer and about the possibility of lymphedema, but I wish I'd been in a better mental space to educate myself a little, especially about the lymphedema.  I may not have been as frantic if I had known it was something I could live my life with.  

    I hope this is helfpul and not scary.  I feel like being stage III and lymphedema are two aspects of my cancer that leave me feeling left out of all this "early detection!" Pinktober stuff.  Nobody wants to see this or put it on their posters, etc.  But there are definitely a lot of us here, and I hope you will find good support.  We here on these boards! 

  • mauimom
    mauimom Member Posts: 80
    edited October 2011

    Hi! I also was nursing at the time I found the lump and thought it was a plugged duct. I got the diagnosis on baby's first birthday - IIIc. A little more than milk in the duct! Neo-adjuvant chemotherapy down, right side mx last week, and radiation and herceptin still, but knowing we're kicking this thing. I hope for the best for you - my kiddos (5, 4, and 1) keep me smiling and remind me of the important things in life...

  • bejuce
    bejuce Member Posts: 97
    edited October 2011

    Hi SantaCruzMommy,

    Our stories are very similar!!! I was nursing my 3rd when I found out a swollen lymph node.  I was about to wean him out when I found my lump.  Even then, doctors dismissed it as nothing and I was only diagnosed 7 months later.  Here I am 2 1/2 years out from diagnosis, 2 years from surgery, and doing great.  I'm treated at Stanford and live in the Bay Area.  

    I also did neo-adjuvant chemo to shrink my tumor, and what had been a 12x10cm huge area of enhancement on my MRI at diagnosis (the whole breast it seemed) disappeared completely - no breast cancer cells were found at surgery in my breasts, and only a few scattered and stubborn cells remained on the lymph nodes (which were removed at surgery and further treated with radiation).  I did a year of Herceptin (had my loading dose prior to surgery) and completed a vaccine trial in July.  

    There's a lot of hope for us HER-2+ gals and survivors in general.  BTW, I wanted to let you know of a great support group in the Bay Area for young survivors.  Check them out at http://www.baysnet.org/

    All the best to you in your journey!!! 

  • bikenyc
    bikenyc Member Posts: 64
    edited October 2011

    Hey Bejuce,

    i'm curious about your vaccine trial.  I've heard great things about the vaccines in various phases of testing, but my onc looks at me like I'm crazy whenever I inquire.  At 42 and grade 3/ HER2+, I'm feeling really nervous about a recurrance (as we all are). I live in NYC so I'm kind of surprised that no one is participating in any of these trials.  Where did you do yours if you don't mind me asking?

    Best,

    Laura 

  • bella76
    bella76 Member Posts: 113
    edited October 2011

    Hi Santacruzmommy,   Your story is very similar to mine, I have a 5 year old and a 4 month old and was diagnosed when he was 10 weeks old, they also sent me away and thought I had a blocked duct.

    I have started off my neoadjuvant chemo with FEC and it seems to be working, I have done 3 so far, I've got one more FEC and then I am doing Herceptin and Taxatore util January, then I will have surgery in February.

    How do you know you have lymph nodes in both sides positive??  I have suspicions that I do to but I only had one side biopsied.

    Good luck with your surgery, I am dreading mine so much. 

  • LittleFlower
    LittleFlower Member Posts: 405
    edited October 2011

    Hi Santacruzmommy,

    first (((GENTLE HUGS))) I'm sorry you're joining our group. 

    Very great news that the taxotere is working so well for you and that in 3 weeks you'll have your surgery.  For me surgery was a great step.  It's amazing how great I felt emotionally the week after surgery, just knowing it was removed.  Treatment certainly has its ups and downs.  Remember always that this too shall pass.  It seems like your handling it all very well but if you ever have a moment of ***insert any emotion here*** remember, this too shall pass, then get on the boards and let all these wonderful women help you through it.  The other thing to remember is you are not alone....ever.

    LittleFLower

  • thefuzzylemon
    thefuzzylemon Member Posts: 2,630
    edited October 2011

    ((((hugs))) ... as I was reading through your thread, I kept saying to myself..."I feel that way..." and you have really collected a lot of women who also "feel your way"!  So, I wanted to thank you for starting this!

    Yep...it sucks a$$.  But, it doesn't have to take our spirit, personality, drive, motivation, happiness ... we just keep on keepin' on.  I am inspired by you and the women who have posted here.  I'm adding this to my favorites!

  • SantaCruzMommyof2
    SantaCruzMommyof2 Member Posts: 10
    edited October 2011

    Thanks for your posts; it's so great to hear other stories and read these words of compassion, insight and support.  It's affecting me more than I thought it would!  Hugs to you all.

    Pupfoster1, KerryMac, Outfield:  Thank you so much for the lymphodema insight; I will definitely be on top of it and keep in mind the early detection/don't panic.  My surgeon said same thing, can be managed and not be too bad; my oncologist thinks it's a genetic thing, not so much related to weight and fitness?  But I do have a friend here who went through same Stage III, double, etc. and she got it; she's pretty heavy.  I'm not exactly "fit" (before this, I must admit that breweries/beach/ski season were my main "workouts!"), but I'm not heavy either, so who the heck knows!  Don't get ahead of myself, right?  Just cross my fingers and take it as it comes.

    Mauimom, Bejuce, Bella76:  What the hell, mommies??  We get through pregnancy, labor and the psychotic hormonal fluctuations only to get hit with eff-ing cancer!  Sometimes I can hardly believe that THIS is my life right now.  Thank you for letting me know I'm not alone; I've heard it's "so rare" to get breast cancer while nursing.  Yeah, right.  (But those little faces do put things in perspective, don't they?  In a good way!)

    Bella76:  So glad FEC is working for you!  My oncologist was surprised it didn't work for me; he says these aggressive cancers tend to respond well in general to chemo, and I had such an amazing response to Taxotere, he was figuring the same.  As for lymph nodes, I would say to get them checked!  Better to know for sure.  My first biopsy was left (bad) side only and they took samples from tumor and lymph nodes because they appeared prominent on ultrasound.  At the time, doc also did ultrasound on right side since we were there, and said a couple nodes looked enlarged there too; however, I was still nursing and wanted one uninjured breast for baby Ella to enjoy, so I said leave it alone.  Wish I had let him do it because I ended up going back less than 2 weeks later to biopsy right nodes and sure enough, they came back positive.  I was tested for the BRACA (?) cancer gene and I don't have it, so either the cancer crossed over through nodes alone, which my oncologist says is rare OR I have cancer stuff on right side also that has caused nodes to be positive.  My breast MRI looked suspicious on right side too, but kind of inconclusive probably because of milk. 

    SO, they both have to go!  Surgery is set for October 28 as of now.  At the start of all this, I had already decided to go double as preventative anyhow, so when nodes came back positive on right side I was almost "glad" that the choice was reinforced and unequivecal.  I am certainly nervous about surgery for all the same reasons I would be nervous about any surgery, but when friends act like double mastectomy is such a bummer, I truly feel that losing two is not any worse than one!  Positives for me include: 1) never have to second-guess that I did everything I could; 2) I'm all about being symetrical!

    LittleFlower: Thanks for the gentle hug and YES, I'm so ready for them to be gone in a way that I haven't been until now.  This relapse just proved how crazy this thing is, and when you say "emotional relief," I totally know what you mean. 

    thefuzzylemon:  =)

  • chrishat
    chrishat Member Posts: 89
    edited October 2011

    hi,

    just wanted to add a hello since we are kindof neighbors, i'm in carmel valley! i was diagnosed at 44 and have 3 kids too, although my youngest was 7 at the time. i had a bilateral mastecomy and had no problems with it. the recovery was really easier than i expected. i did have an 'oncu-pump' placed during the surgery, which delivered local anesthetic to my chest via some little wire-things, and that was in place for the first week or so.....it really helped with discomfort. i think it's newish.....my surgeon is the only one using them here in monterey....but you might ask about it! i also had 11 nodes removed from one side and 4 from the other, and no probs at all with lymphedema...knock on wood. hang in there.....i'll be thinking about you..pm me any time and i'll be happy to share any info i have about local docs, etc. hugs,

    christine

  • SantaCruzMommyof2
    SantaCruzMommyof2 Member Posts: 10
    edited October 2011

    Thanks, Chrishat, appreciate the local hug. =)

    Met with plastic surgeon today to discuss options for reconstruction; anyone have any thoughts on having tissue expanders put in during mastectomy, to be expanded during chemo following surgery and then going through radiation?  Not sure if I have to start a new post to get responses to this question...maybe I'll do that too.

  • KakaCathFreeSpirit
    KakaCathFreeSpirit Member Posts: 100
    edited October 2011
    Hi santa for me its been a long, long road with the tissue expander in situ, and not a pleasant story for me, but Ive known others that have had no problems, at the end of all what its meant to achieve is quite OK looking, radiotherapy is a change with the skin texture over the pectoral muscle, but once you finally have the change over to the prosthesis, you will see what the purpose of it all was ! Unfortunate for me is that they inserted a larger expander in than my rib contour could cater for, so a small fold was there from day one, some days after recovery, and then new tissue grew under that fold which created all sorts of added pain factor ! But Ive been told that I was an unusual case ! Yep that sounds like me !!! I had a prophylactic mastectomy on the other side at the same time as the change over from expander, and there you can see why they do it this way ! Still no-body explained it to me, I just had to experience it in the dark.
  • pupfoster1
    pupfoster1 Member Posts: 1,484
    edited October 2011

    Hi SantaCruz,

    I had the TE's put in during my bilateral mx and had little to no trouble with them.  They do have a weird, hard spot where they use a magnet to find the filling area, so that was a bit odd to get used to.  I had plenty of skin (was a double D before) so they only had to do one or two fills to get me to where I needed to be.  They were basically a non issue during chemo/rads.

    Take care,

    Sharon

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