Calling all ladies in their 20's
Comments
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Moonflower - Tamoxifen can cause irregular cycles, but you can definitely still get your period while on it. In fact, some countries use it as a fertility drug (used only in shorter timeframes), so definitely make sure to use some form of protection while on it! It remains to be seen for me whether my cycles will be irregular. Today, I'm just happy it's come back.
As for the kids thing, I understand what you're going through completely. I have had several people get pregnant around me since I miscarried in 2010. I ended up getting chemo for that situation (it was a molar pregnancy that wouldn't resolve on its own) and shortly after I finished the treatment for that I was diagnosed. Anyways, I get mixed feelings about others around me getting pregnant. I WANT to be happy for them, but it can be hard to feel happy about it 100% of the time. In March, the baby we lost would be turning 1. Instead, I lost a boob along the way and we are forced to wait again. Our time will hopefully come down the road. I am trying to remember that when we do finally have children, we will be that much more grateful for them.
sjenson - I totally get your concerns. They were the same ones I had. I ended up with a mastectomy. They told me that they were pretty sure that I didn't have lymph node involvement and they were right. Of course, it could have gone the other way, but I was willing to chance that. I really wanted to avoid radiation for the same reasons as you. They have gotten MUCH better at targeting specific areas, so that's important to keep in mind. Even if they have info from long term effects, it's based on how they USED to do it. Which breast is it? Your heart is behind your left breast, so if it's your left breast, you will want to include that in your decision process. Mine was on the right, but I still didn't want to take any chances. Sometimes I wonder if I should have let them take both breasts and not just the one, but I kept my left one (the good one) so I could possibly breast feed in the future. I figured that I could always decide later to remove it, but I couldn't get it back if it was already gone. Another thing to consider is how much breast you have now and how much they would need to take away. For women with smaller breasts, a mastectomy may be better because a lumpectomy would nearly look like a mastectomy. If you're undecided, I'd recommend a lumpectomy because you could always change your mind later. Are you getting chemo? If so, maybe you want to ask them if you could do neoadjuvent therapy (chemo before surgery) since that would give you more time to decide. The outcomes are supposedly similar for neoadjuvent (chemo first) and adjuvent (chemo second) therapies. Hope that helps a little.
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Sjen: How much time do the docs recommend you take to make your decision? If you have the time and a potential family history you may want to consider genetic testing. That may change how you feel about the decisions. Also, not to sound snobby but have any of your docs been at a top center. For instance MDA, dana Farber, sloan kettering, ect.... those docs are the best and it would be worth hearing from them.
The only thing about genetic testing is if you test positive, getting life or disability insurance will be pretty impossible. as it is though you have many years of being NED before you are elibible. Ok, now I will stop all the debbie downer stuff. This decision is hard and yours alone to make, that being said have you asked how many people have to get revision surgeries for clear margins of their tumors. We have lumpy young perky boobies that make size dx hard to be accurate on. Also, what other tests have you had other than an MRI and US? Have you had a pet, or a SNB, are they sure its not in your lymph nodes? Mine were not really enlarged on my US and Mammogram but they were still infected (ok still a debbie downer). You are doing ALL The right things getting multiple opinions.
Sorry, sometimes more info makes advice easier. Do you have kids? Is being able to nurse a big deal for you? How to you feel about having to have a revision of your lumpectomy or go back in for MX if needed. Where is your lump. Would it be easy to get recon to fill your divet if needed. (which is easer than an implant)?
OK, I'll stop, this is all a crazy alot to digest, but we are definately here for you! Big Hugs and Deep breaths! You'll get through this.
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Hey girls. Thank you so much for the responses as it is good to bounce these off of people that are not in the medical field taking care of me and have gone through it. Unfortuntely, I am also in the medical field and work at a Children's Hospital in an ICU. I feel like I know too much too which makes me even more fearful...granted this is totally different. Anyways, I did have gene testing and BRCA 1/2 came back negative...so that was a relief! I am on week 2 and they don't want to be pushing it past week 3. I have a surgery slot open for me next week so I need to decide pretty much..now. My lump (from what they know) is small, less than a cm and is at the bottom of my boob far enough away from the nipple. It doesn't appear to have any lymph node involvement so we will see. We will be doing the SNB in surgery and go from there at this point. I live in the Milwaukee, Wisconsin area so yes around big centers. Froedtert Memorial Lutheran Hospital in Milwaukee is a big medical center and well known in the US for Cancer Care. They are my second opinion and I will be sticking with my first.
I understand that a unilateral has those risks, but yes HOPEFULLY someday I will have kids. I just got married 3 months ago...no kids...want them. So, I guess in the most ideal situation I would love to be able to have kids and breast feed. I am not considering a bilateral because I would like to keep one of my own if there is no increased risk. Since there isn't because the BRCA is negative I would take my chances I guess at this point on doing just the one. I think what scares me is the worst case scenario is it spreading and me having to do radiation regardless of a surgical option..I guess that is out of my hands though...
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Just feel lucky you had the choice
My tumor was 15 cm and I am 28, dx at 27 in Oct! In terms of all of your choices, if its that small and there is truely no Lymph involvement and you want to have kids and are willing to be super vigalent (sp)... then I would say go for the lumpectomy. But be cautions when you are pregnant, if you feel a lump make sure it gets checked out. My lump showed up a week after I stopped BF, truely no lump bf (had annual exam a few weeks before). They can come fast and hard, and when you are preggers or nursing don't take any chances, get the US. I feel like I don't need to say it since you are in the med field, but I did anyway. My tumor was so large and so advanced that our baby is going to be an only child.
I thought I was ok with it, but there are days now that I think I am not. Stupid cancer. Anyway, if you are comfortable with your doctors and your screening, then go for the Lump. Again, just be careful with the extreme ER increase during pregnancy. For me it was (pardon the insensitivity of this comment) like a starving fat guy at a buffet line... it just gorge and gorged on my post preg ER 
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MMM - I've heard of large tumors, but this is the first time someone I've communicated with has had a tumor that size. I am glad you got it checked out right away and are taking care of it since I hear about many women ignoring lumps while breastfeeding thinking it's just a clogged milk duct.
As for the kids thing, I always wanted two, but I think at this point, I should feel lucky if I end up with one. It's always hard when WE don't get to make the decision but the cancer does it for us. I don't know what your ER status was (was it highly estrogen positive, or just weakly estrogen positive?), but my oncologist at Stanford University has done research on pregnancy after breast cancer and there doesn't appear to be any higher risk of recurrence overall. Of course, every case is different, but just wanted to share what I've been told.
sjenson - I wanted to tell you something else about lumpectomies vs mastectomies, and hopefully I don't confuse you further! I was told by my surgeon that even with a lumpectomy, I may have trouble breast feeding in the future and that it may not feel the same sexually. I know these are not easy questions to ask your surgeon, but I recommend asking anyways. I am part of a young women's breast cancer group and there are those who chose to go with a lumpectomy who have said that it just doesn't feel the same. I don't mean to make the decision harder for you, but wanted to give you some other things to think about. I think MMM also came up with some good questions/things to think about.
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Thought I'd start posting my hair progress....
Here is a picture of me on January 9th after the Look Good Feel Better program (put on by the American Cancer Society). If you are able to find a program in your area, it's free and you get a bag full of make-up you can take with you and they show you how to pencil in eyebrows and work with all sorts of chemo/treatment related issues. I hightly recommend it! I'll post my 4 month post chemo picture next week! My hair is really thin, so it doesn't look like much, but it's definitely growing!

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kk. I an 99% er pos so very. My tumor was 15cm mushed xuring the mammogram. And pathologically 9x6x4 so roughly the entire upper hemisphere. I was not given a mx choice but before we knew the size its what the hubs and i had been discussing. I do wish i had gotten my second opinion bf surgery. Mda sd they would have done chemo first.
Im am on weekly taxol #9, next in fac starting feb 20. With the taxol i still have most of my body hair and even still some of my head hair. Though i know it will fall out for fac. Have any of you gained weight. This taxol is killing me. Ive swelled up like a freaking balloon... -
MMM - You're right that's very ER positive. I was just 10% ER positive, so not too far off from being considered triple negative. As for the Taxol, are you able to get any exercise? I know the bone pain was rough on that one, so it's hard to get moving, but if you can, it may help with the swelling. Also, trying to focus on a more anti-inflammatory diet (ginger, low sugar, etc) could help. I didn't gain, but actually lost 10 pounds during the course of chemo. I never threw up (though I was very nauseous and fatigued), but just ate more fruits and veggies and cut out the added sugars as much as possible. You have just 3 Taxols left right? How are your other symptoms?
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MMM - Oh, and I agree that they should probably have done chemo first with a tumor that size, but I have been told that the outcomes are similar, so don't second guess that too much.
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hey
Am through chemo first coz my tumor size is 8 cm and it s possible to shrink it a lot of patients managed to shrink their tumors through 8 rounds of chemo. MiniMac u should have gathered more information before making ur choice I want to have a lumpectomy as my tumor shrinks hopefully but mastectomy is still an option if my tumor fails to shrink I have a question though Did all this leave us with scars after we finish evrything? can we have esthetic surgery? plastic surgery can we get rid of scars? I cannot stand seeing my beautiful body ith scars then am a cabin crew and I go on medical check ups a lot and they will kick me out if they find a scar out of surgery on my body all those thoughts are killing me
then I told the airline I work for that my mum is sick not me coz am quite sure I will lose my job and get only some money from them if they know they gave me 3 months to join back but I might extra six months after and I ask whether chemo stays long in blood after I finish it coz when I will join back ( I work for an international airline by the way) they will do me a medical checkup coz they grew sceptic about me delaying gettin back i will go for all kind of check ups blood urine chest xrays heart lungs... a whole medical assesement as the same as I had I dnt knw anyone to knw abt my BC and I pray that they wont figure out wat shall I do? shall I ask my doctor?KK11 I hope u get pregnant and have the child u dreamt of e had enough pains in our life but with BC we learn to be patient and optimistic I have a friend who had children after three years of finising her treatments and she had twins
so keep positive God help us and surprises us with the god and the bad good things will be waiting for u
u r still young and lovely and u lll be a great mum I have learnt to be patient and optimistic and to get staisfied with wat I have Smts I feel so down and i feel that i will finish jobless single and sick am 24 I should be well and enjoyin my career i feel insecure as well and i hope this nightmare ends soon and i get back to be as healthy as before 
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Rosaa - There will be scars no matter what you do (mastectomy or lumpectomy), but they should be well hidden under your clothes, so I doubt it will be a concern for your work. The port could cause some scarring, so have them put it further down (out of the bikini line sight) if you haven't already had it put in. Otherwise, there are scar creams you can use to minimize the scarring.
As for your work, I'm sorry you didn't feel like you could be honest about your situation. In the US you would have job protection if you had to take a disability leave, but I'm not sure what country you're in. Also, the US has laws that require breast reconstruction (even lifts or implants on the other side if you have only one side removed, for symmetry) to be covered under insurance plans, but again, it may be different in other countries.
Thanks for the positive wishes about having children. I know I'm not alone as there are others on this site who are also forced to wait. I can only say I'm more than 3 months into Tamoxifen, so that's 3 months closer to having a baby. And if I ended up with twins, that would be fine with me! My husband might freak out though lol!
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sjensen29, We can not tell you what you should do because that is a decision you have to make on you own how you would fill. I am 28 and just had a double mystectomy because I knew that it was what was best for me and though I am very sore I still do not regret doing it. I will also have to do radiation after I get done with chemo and I understand your fears of how it will effect you in the long run but think about it like this, every thing you do in this life you do has an effect but you do what you have to do to live with out the fear of long term. The best I can tell you to do is research, look things up on the internet, try to get in touch with American Cancer Society to see about talking to someone your age that has about the same type of cancer you do and may be they can help you! All of this is very scary when you first find out but the more you learn the easier it is to make decisions. I wish you the best of luck and know that you are not alone we are always here for you!! God Bless
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I feel almost a little silly posting here as I am still so unsure about what is actually going on. For the last two days I have found comfort in reading this thread. I felt like I have been through all of your journies and have some peace seeing all of you beating your diagnosis. I want to give you my history and then my current situation and will gladly accept any and all advice/support.
I am 26 and have been married for 5 years. I have two amazing (sometimes beyond silly) children. A 4 year old son and a 3 year old daughter. I was diagnosed with endomitriosis at age 12 and then polycystic ovarian syndrome at 19. Because of this I have been a "regular" at my doctor's office for so long that I don't even wait in the waiting room anymore, just go in the back and sit and chat with the nurses until it's my turn. I was told that it would be beyond difficult for me to have children, but God had a different plan. 2 weeks before my wedding my husband and I found out we were expecting. Then 6 months after my son was born, we were pregnant with our daughter. Fast forward to last year and my ovaries/uterus had finally given up. I first had an oomphectomy (removal of my left ovary) and then in October had an ablation performed.
I went to my doctor Friday for my 3 month check up where he found a lump in my right breast. I had noticed it a few months ago but was so oblivious to the fact that women our age can actually get diagnosed with bc. It started pretty small, almost the size of a grape. When my dr did the exam his facial expression changed and excused himself from the room. I felt for myself the lump and it is about the size of a ping pong ball (but not as round, more flat). He came back in the room with orders in his hand and sent me downstairs to the imaging center. They performed an u/s and then a mammogram. This was at 4:45 and I had to leave to pick the kids up from school. My doctor called last night and said that he wasn't going to worry me but he felt it necessary for me to have a biopsy. He said he scheduled it for Monday afternoon and then would meet me at his office afterwards. Is this normal?
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CourtP ~ My initial reaction to your post is WOW! It sounds like you have a great health team that cares about you
You are in great hands. Waiting is the worst part. Try not to worry. Feel free to post as much as you need. We are here for support
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CourtP - I agree with Nanna. You seem to have an awesome team. Some of us have had to fight to get our doctors to take us seriously. It's nice to know there are people who don't need to fight to get things taken care of. Anyways, I hope it comes back as just a cyst. The waiting is hard as Nanna said, so try to keep yourself busy this weekend. We are here for you no matter what!
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Thank you ladies. I feel almost like I am making something out of nothing right now because I truly don't know if anything is going on at all. I have no family history of bc. But my husband is being so supportive and has tried many ways of keeping my mind occupied. I just keep playing the whole situation over again and the look on Dr. S' face. I've known him for 14 years and can tell that he is concerned about something.
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Hey girls
I caught a cold
but am ok as well i talked to a cosmetic surgeon and he told me that it is possible to deal and remove all scars left from surgery they have a new technique where they use fat and even tissue with blood to remove them . It is early to talk about that nw i have first to deal with chemo and surgery !!! but someone that is used to look beautiful will feel dying when she sees herself left with scars and no hair
((( am sad coz I found on another thread a little girl aged 15 years that is newly diagnosed with BC she feels so lost and she asks whether she could find someone her age to talk to . I told her about this thread and how many lovely women willbe here to support her . For my job it is abroad so not the same law as in USA that s y I need to have no scars when I join back wish me good luch girls I hope u r all doing well and for the new ones Welcome even if i feel really sad for you coz u r here but we will help eachother as always we are fighters 
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Court, you are very blessed to have such a caring attentive physician
Right now, and if it is positive is probably the hardest part. But know that no matter what happens B9 or cancer, we will be here for you as much as you want! Also, know that with the kiddos, it does make it harder, but they will be fine when its all said an done. I was more worried about my son, and traumatizing him, but he has adapted wonderfully. We all hope that you are part of the 80% of B9 lumps, but if not we are here. Big hugs and keep us updated! -
kk- Thanks for the info on your period. I'm starting to get concerned. It's been 8 months since my last chemo and no period yet. I guess I should de-stress and maybe worry after a year if that happens. Some days I feel like I'm going to cramp but then it just goes away. This may be TMI but my discharge seems to have returned to normal. So I'm taking that as a good sign. I'm no longer drier than the sahara down there.
( oh and on my hair...it's only been 8 months since my last chemo. And I have had my hair trimmed once. She may have cut more off than I would have wanted so I think I just need to be more patient. I actually had my friend cut the back last night because it was much longer than the top. It looked like a mullet...so I had to nip that in the bud.) Also, my doc gave me info on the copper birth control. I may try it if I need to but at the moment I don't have a significant other so I'm not worried. But I def would if there was a chance I could get pregnant. Moon- I started Tamoxifen about 5 days after I finished radiation. They were going to give me a bigger break but I am on a clinical trial and I had to start within 3 months of finished chemo. Plus I didn't want to wait too long because I do want kids one day and I didn't want to prolong the tammy any more than I had to.
sjenson- I can only tell you from my experience that I really didn't have much of a choice. My cancer was in my lymph nodes already so I would have had to have it either way. But I did only have a lumpectomy and I am at peace with this decision. I just couldn't stand the thought of losing my breast. But I know from talking with others here that it is doable. Nothing about this journey is easy, but we get through it the best we can. I think it's perfectly normal you have so many questions and are indecisive. It's a big decision. I was pretty indecisive myself.
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Melanie_Ann - Have you talked to a gynecologist about the lack of periods? My fertility specialist said that most will get their periods back in 6 months and most of the rest will get it back within 12 months of finishing chemo. I don't think there's an exact science to this, but I would definitely talk to your doctor if you don't get it back in the next few months. I did want to add that I did not get a Zoladex shot to put my ovaries to sleep and I have heard that it can take longer if you did get the shot, so if you did, then it could just take a bit longer. And another thing is with Tamoxifen, you can have irregular cycles, so that of course doesn't help matters. So when did you finish radiation? I am sure it will feel good to say that you've got 1 year of Tamoxifen under your belt! I can't believe I've already been on it for 3 1/2 months! 5 years still seems like forever, but 2 may just fly right by! Oh, and as for the hair, I think I'm also going to have to cut the back really soon. I'm getting close to having longer hair than my brother again (of course his is REALLY short)!
CourtP - How did the biopsy go? Did they say when you'd get your results? I know the waiting is hard, but you have found the right place for support.
Rosaa - It's really hard when you are experiencing so many changes that affect the way you look all at once. For me, it was hard every time I was leading up to one of those things. Like my mastectomy. I started to freak out closer to that date. Then it came and went and I had to focus on getting physically well and I quickly realized that only me and my husband (and all of the medical professionals) are going to see that it's imperfect now. Most people have no clue unless I tell them. And then I started chemo and I had a crapload of anxiety leading up to the day I was losing all my hair and decided it was time to shave it. I tried to have fun with it (as much as one can) and just cut it myself a week or so before (figured I couldn't go wrong since I was going to lose it anyways) and then I cut it to different lengths the days I shaved it to see what it might look like growing in. I felt SO much better after shaving it, because it can be traumatizing having it come out in clumps and I frankly, it was exhausting picking up the hair everywhere. It turns out I have a good shaped head, so I looked better bald than I ever thought I would. I guess I'm sharing this because if you set your expectations low (for how you will look), you can only be satisfied with the result. And in the end, I think when you are stripped of your hair and your breast, you realize how much deeper your importance is, that looks are NOT the most important thing in life. I like to joke with my friends who talk about their bad hair days saying they should shave their head too since you have very minimal maintenance that way. The hair is coming back. The boob will not, but it won't be long before no one on the street will have a clue what I've been through. You will get to that point too.

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kk- I haven't seen my gyno...I've been meaning to make an appointment and will soon. I didn't get the shots to stop my period. We talked about it, but I decided against it. I finished radiation in August so I've been on tammy now for almost 6 months. I'm not too far ahead of you.

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hello
Hope evryone is ok
has anyone felt that his breath is different during chemo? I smell badly and I feel chemo on my stomach the whole time
((( and I havnt gone out for days weather is so cold
and I dnt have a good apetite for food
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What anti nausea meds are you on, if any? I know here alot of us get zofran, phenegran or the generics for those to help. Also, sometimes it could actually be heartburn from the chemo so ask your onc if you can take pepcid or some other anti heartburn meds. I know they give me pepcid during my chemo. An increased sense of smell is definately a side effect of chemo. I haven't had it but I had it when I was pregnant. I thought I had BO all the time, but no one else could smell me. I wouldn't worry about it. Ask one of your friends who you trust if they can "smell you" but its prolly just a SE of the chemo
Sorry it so yucky for you. Feel better rosa. -
CourtP ~ How u holding up? Any news lately?
Rosaa ~ I did have a change in smell. I have always had a sensitive nose. I noticed that my breath and body smelled different, kinda like old lady! LOL No one else noticed the smell. I finished chemo in June, and I still get wiffs now and then...

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Hello ladies looks like you all have been busy answering questions, well I have another 1 for you....its been 3 weeks since my mastectomy and I had my expanders put in and though things have been going good I have broken out in a rash across my chest that just will not go away. My PS seem to think it was due to dry skin but I have been using lotion and it still will not go away and its itching so bad that I feel as if I could claw my skin off! N E Way my question is did any of you have this problem, what can I do to make it go away?? I know Im gonna ask my Onco tomorrow what I can do but right now Im going crazy I just want the itching to stop!!! Anyway hope all of you are doing well....Rossa hope you get over your cold soon!!
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kk11: Your hair is growing, and it looks so... cute!
I took a picture this evening. This is what my hair looks like... I finished my chemo October 3rd. I take 5000mcg of Biotin daily, take a mulitvitamin daily, use Nioxin Intensive Therapy Hair Booster daily & Nioxin Scalp Treatment #2 daily.
One more bit of good news... I found out today that start my full time job on Saturday! Yeah, this year is starting off great! : )
Have a great weekend ladies!
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CourtP: Wow. Your health team sounds great. Good Luck with everything, and keep us posted, we are here for you!
Rossa: I hope you start to feel better! I felt that my sense of smell was a bit off. I also felt that I smelled, and others never noticed, actually I still feel the same way (for a few days) when I reveive my Herceptin treatments... usually a nice long bubble bath helps!
Still no word on Tamoxifen... I'll keep you posted!
Take Care!
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Hi ladies,
Do I wrote a week or so ago and was having a difficult time with choosing a mastectomy vs lumpectomy because of the long term risks of radiation. We decided to go into surgery and play it by ear depending on ow the frozen cuts of the sentinel nodes came back. 2 sentinel nodes were negative so we went ahead with the nipple sparing mastectomy. Has anyone had this done..? How do you feel about it? I am now day three post op...just had surgery Monday. I have two drains which I can't wait I get out. I finally looked at my boob the other day and feel really light headed every time I do. The whole thing win it being numb is just reallybfreaking me out... Please tell me the that I will b able to get past it! I have only touched th nipple briefly an just can't do it..
I am also wondering if anyone had the oncotype gene tests done. Since my nodes were negative and the size was still under 2 cm they check this to see what the risk of reoccurrence is and whether one would benefit from chemo. I just feel like its never out of the woods...I guess I'll never be. I am just ready if this nightmare to be over with and not have to deal with it. I know that sounds like a dream but it is so hard to stay positive. My family and friends are so happy everything is coming back good so far, but how does someone even live with this fear forever?? Sorry needed to vent a bit, but seems so hard to stay positive when I could still need chemo and still could come back someday,, -
Sjensen Hi why did choose to have a mastectomy while u had the choice to have a lumpectomy? am as well confused bteween both
Girls has anyone had his hair growing back during chemo?? my hair fell and started to grow back !!!! and i feel some changes on my lump i think it started to shrink i hope it ll vanish
I just hav two rounds of chemo n the 3 rd is next week i feel so good i think I beated chemo
I can go out and i dnt feel tired no nausea or pain and am keepin a diet n am keepin away from sugar n sweets
how s evryone??? -
Sjensen Hi why did choose to have a mastectomy while u had the choice to have a lumpectomy? am as well confused bteween both
Girls has anyone had his hair growing back during chemo?? my hair fell and started to grow back !!!! and i feel some changes on my lump i think it started to shrink i hope it ll vanish
I just hav two rounds of chemo n the 3 rd is next week i feel so good i think I beated chemo
I can go out and i dnt feel tired no nausea or pain and am keepin a diet n am keepin away from sugar n sweets
how s evryone???
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