recurrence questions

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tanya01
tanya01 Member Posts: 74
edited June 2014 in Stage I Breast Cancer

Has anyone ever had their ONC give them a percentage of their cancer coming  back. Mine said I have a 81% chance the it will NOT come back.  For some reason this does not make me feel any better.  I am 29 years old, I had 3cm tumor stage 2a  IDC  0 nodes and PR- basically ER-  (+2%).  But I am also BRACA1+ . I was just curious if anyone has heard this as well and how do they know that? Should I let it ease my fears?  I am just 3 month out from my last chemo and I am freaking out!  Thought of a recurrence consume my day and id brining me into a depression state.   I am currently trying to find some good support groups. I just don't want to go into a group where these has been a ton or recurrences I just have a feeling that will not help me but make it worse. Grrrrrrrrrr

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Comments

  • jancie
    jancie Member Posts: 2,631
    edited January 2012

    Tanya - what you are feeling is normal but as time moves forward those frightening thoughts will enter your head less and less.  Sure we can get percentages but you just never know.  Live today and enjoy today and TRY not to let cancer rule your life.  I know....easier said than done.

    I was in your shoes for a year after my dx but now I feel as though I have more control.  I am also in counseling and have been for the past 2 years.  I highly recommend it.

    I just really want you to know that what you are feeling and thinking is normal.  ((((( hugs)))))

  • Wendyspet
    Wendyspet Member Posts: 246
    edited January 2012

    Of course it doesn't make you feel better--this whole thing is a mind bend.  It is for me, the hardest part of the whole treatment.  Wondering, worrying, and what-ifs.

    Definitely it recedes, but it takes some time.  Maybe talk to your onc about a support group or anti-depressant.  BC plus the internet equalled alot of wasted time for me.

  • peggy_j
    peggy_j Member Posts: 1,700
    edited January 2012
    I think this feeling is completely normal. A few months after I finished rads I felt a lot of anxiety (and had really bad insomnia) thinking about the risk of recurrence (recurrence in that breast, a new primary in the other breast, etc). My first approach was to become a control freak about food (all organic, all the time, 6-9 veggies a day), using healthy cosmetics, avoiding BPA, etc. That's not bad but I went overboard and it made me feel anxious about everything I came in contact with.  On the advice of my MO's nurse I backed off on trying to control everything and like jancie I talked to a counselor and got other support. (and like you, I had been avoiding support groups in part because I didn't want to hear new things for me to worry about.) Our local support center also offers classes for cancer patients that aren't support groups, per se. I go to guided imagery 2 times a month (like meditation, it's very relaxing) and there are exercise and other classes for cancer patients who are currently or completed Tx. Maybe something like that could be an option; you can meet people who've gone through similar things without spending 1-2 hrs talking about it directly. Good luck!  You're going to get through this phase.
  • tanya01
    tanya01 Member Posts: 74
    edited January 2012

    Thanks everyone for the support. I feel like I am going crazy with all of this stuff. and to be honest I feel like I can talk to my family about it either. I am sure they are all sick and tired of hearing me freak out about this. I have tried to talk to my boyfriend about it and all he ever says it done worry about what could be.. its so frustrating when I feel like no one close to me understands what this feeling is like.

  • Miller1353
    Miller1353 Member Posts: 84
    edited January 2012

    Hi there,

    My stats are somewhat similar to yours. I am ER- (1% positive)/PR+ and her2neu-. I am BRCA1+.  My onco quoted a much higher recurrence rate. Please PM if you would like to discuss what I have been told. I do not want to add to your anxiety, so let me know if you would like more info.

    Dawn

  • pejkug3
    pejkug3 Member Posts: 902
    edited January 2012
    My onc said I had a 23% recurrence rate that was cut in half by chemo and Herceptin and in half again by Tamoxifen.

    STatistics are funky math.  I was 35 at diagnosis and statistically speaking, I shouldn't have had BC at all.
  • voraciousreader
    voraciousreader Member Posts: 7,496
    edited January 2012

    Forget about the statistics that the doctor threw at you!   Here's a better number to focus on.  Today there are close to 3 MILLION breast cancer survivors in the United States. Hope that puts things into perspective for you!Laughing

    Thoughts and prayers to you and all of our sisters...

  • peggy_j
    peggy_j Member Posts: 1,700
    edited January 2012

    Tanya, I hear ya. If someone hasn't gone through this they really can't understand. I love having my guided imagery group; we don't always talk about health issues but when things come up they really understand . They are my tribe. Hope you can find a group like that.

    Voracious thanks for your great stat .

  • momand2kids
    momand2kids Member Posts: 1,508
    edited January 2012

    hugs all around---

    So, at one point, there was some data thrown my way--- something like "you have a 92% chance of this never coming back"....and I was whining to a colleague about how I wanted to be at 100% and he said something I have never forgotten.  He asked me "do you want to live in the 8% for the 92%?"  I decided right then  I would live in the 92%.... for my kids, my h, myself..... 

    I am not saying it was easy, but for me, somehow making that decision really turned my thinking around.  I am farther out--- and honestly, don't think about bc most days---- and I operate on the assumption that it is not coming back.  If it does, I will deal with it, but I am not planning on it.... 

    counseling can help--we all have to move through this in whatever way works for us-- I did find counseling really helpful in the first year..... 

    Statistics are just that--- and you need to know that they always give you the worst case scenario..... 

  • tanya01
    tanya01 Member Posts: 74
    edited January 2012

    Hey Ladies!!  I thought I would share these great photos that my BF took. I think everyone that has gone thrugh what we have to have a great photo session.

    http://www.rj3photography.com/Portraits/Tanya-S-Portraits/19214251_GfhrxD#!i=1498539970&k=FRfL46F

  • shells43
    shells43 Member Posts: 1,022
    edited January 2012

    Beautiful! I love the black and white photo! You look terrific.

  • Makratz
    Makratz Member Posts: 12,678
    edited January 2012

    You are gorgeous!!!  Love the photos...so did my husband!  ;)

  • Moonflower83
    Moonflower83 Member Posts: 92
    edited January 2012

    I can understand your feelings, although no one told me my prognosis. And I just didn´t ask.

    I´m done with chemo now, my last session was a week ago and of course I feel lost. I often ask my boyfried, if everything will be ok. And of course he says yes...but we both know we have no guarantee.

    I´m 28, no family history, I don´t smoke, don´t drink and I got breast cancer. The chance to get it under the age of 30 is under 5% I think?!

    So I don´t listen to statistics. It is hard to deal with this but we have to. 

    I like your pictures :-)

  • learnin
    learnin Member Posts: 205
    edited January 2012

    Hi Tanya

    I see from your prev posts that you had a bilateral mastectomy. Being BRCA positive, that was a very smart move, and I hope you feel positive that you faced this beast head on, and did what you could to dramatically reduce your risk.



    I am also BRCA pos (2 in my case). After seeing me go through everything, my 2 sisters (also BRCA pos, no cancer) eventually had prophylactic mastectomies. "not interested in catching cancer early, I don't want to get it at all". I think you said you have a sister who is also being proactive?



    As for the stats, yes my onc gave me stats. I was stage IIIc so my chance of recurrence was alot higher than yours, and I have indeed developed mets now. I didn't have a lot of surveillance looking for mets - only based on symptoms. Last bone scan had been 3 yr prior. But in hindsight, I am glad I didnt find out earlier (can't say if increased testing would have found them earlier or not) I had some fantastic international travel and remote wilderness canoe trips - even ran a marathon. And I wouldn't have dared do that had I known I had mets. Now nothing can take those experiences from me.



    You asked how they know the stats - there are statistical tools for health care providers in which the punch in all the data about your tumour and it calculates your statistical chance of recurrence based on women in prev scientific studies. One use of a tool like that is to calculate survival advantage from chemo, to help women make that decision. But keep in mind that treatments are always improving, so your odds may be even better than quoted.



    Being BRCA pos, am I out of line if I ask what you have decided about ovaries? I see you are still very young, and don't know if you have kids yet.

  • learnin
    learnin Member Posts: 205
    edited January 2012

    PS gorgeous photos! Thanks for sharing them

  • Myleftboob
    Myleftboob Member Posts: 1,469
    edited January 2012

    Love the pics.  You're very photogenic.  Really love the sundress too!

  • tanya01
    tanya01 Member Posts: 74
    edited February 2012

    Thank you!  That is one of my fav too!

  • tanya01
    tanya01 Member Posts: 74
    edited February 2012

    Hey Ladies.... I wanted to give you an update. First and foremost thank you all so much for your support and well wishes. It really helped me get through all of this and helped me stay strong.   I had my Scan done on Monday and I got the call today. It was a very long two days. I hope I never have to go through that again, but my scan did come back CLEAN!!  I was the best birthday present I could have received. Again thank you all so much for being my support when I needed it the most. You all rock!

  • SnSeattle
    SnSeattle Member Posts: 2
    edited February 2012

    Hi all-I'm new to this site and I hope that I can share without causing too much fear and anxiety to you.  The reason I say this is because I've experienced what you all have spent so much time worrying about.  My recurrence occured about 10 months after my bilateral mastectomy.  The doctors were much more shocked then I originally was because this sort of thing is just so uncommon.  My current anxiety stems from wondering if treatment (dose dense ACT  & Rads) is going to keep me from another recurrence and that's what brought me to this forum.  I have placed my life in God's hands and I know that whatever happens is part of His plan for me.  No, my faith is not perfect.  I have my moments of worry and fear, but I know these are thoughts and emotions that I can change if I look to God for help.  My question to this forum is, is there anyone else out there that has experienced a recurrence that happened so quickly?  I'd love to hear from you. 

  • SpecialK
    SpecialK Member Posts: 16,486
    edited February 2012

    tanya - beautiful photos!

  • momof3boys
    momof3boys Member Posts: 896
    edited February 2012

    Hi SnSeattle

    Sorry that you're facing this again. Can I ask what treatments/ surgeries you had when first diagnosed? Did you have the Oncotype testing done? Maybe that info will be helpful to those that have experience a recurrence?

  • SnSeattle
    SnSeattle Member Posts: 2
    edited February 2012

    I was diagnosed Sept. 2010, had a lumpectomy (positive margins) in Oct. 2010, Bi-lateral Mastectomy Nov. 2010.  Then on follow-up with ONC surgeon (Sept. 2011) punch biopsy performed with 2nd DX.  Followed by Chest wall resection (Oct. 2011), then dose dense chemo started (AC) Nov. 2011 (4X). Now on weekly Taxol (12X). I'm ER/PR+ and just hoping to connect with someone who's in the same boat to see what treatment they are/have followed and whether they've had any success.  Thanks!

  • She
    She Member Posts: 503
    edited February 2012

    Throw the stats out the window.  No one can predict whether you will or will not recur.  But the chances are you will either 100% not recur or you will 100% recur.  You can't 80/20 60/40 recur. 

    None of us got BC by choice.  How we react to the dx is our choice. How we react to the possibility of recurrance is our choice.  If you choose to worry you will.  I personally chose to get out and live.  I chose not to give BC more that it took without my permission.  You can do the same.  Push those worries aside and choose to not give cancer any more ground.

    I'm one of those people you wouldn't want to meet at a support group.  I've had three different primaries.  Instead of worrying you might find out more things to worry about, why not look at it from a different perspective.  Maybe you'd meet some women who would inspire and encourage you.  It isn't easy and takes some practice, but maybe you'd Learn Not To Worry Until You're Told There's Something To Worry About!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2012
    SnSeattle - I can't answer any questions since I am so not an expert.  I am so sorry for what is happening in your life.  What I can tell you (as someone prepping for a BMX for all the reasons that a lot of us decide on it) is that I am grateful you shared that it is still possible for recurrence to happen.  I think we know in the back of our mind that they can't get every spot of breast tissue, but you don't hear about recurrence after BMX often.  Instead of being worried or afraid, however, I will choose to look at it as just more information to file away.  Even though I am early stage, my BS very clearly told me that (even if my nodes are clear at surgery) I could still very well end up with mets someday.  They just don't know.  So we do everything we think, and the drs. tell us, we need to do to minimize the risk and then find a way to live our lives as happily as we can with the reality. Sending Light and hugs.
  • dreaming
    dreaming Member Posts: 473
    edited February 2012

    I was given 70% survival, and as you can see it was years ago, but still I have follow ups, I pay attention to any changes in my body.

    I was never consumed by my cancer,never thought I could die. The only change in my life is not to be around negative people; I do not do nothing that I do not want, I am not any longer the yes lady.

    I post because I want to hear from a long term survivor, am I cured? no, I am in remission.

    I work with cancer patients,I keep busy.

  • Blessings2011
    Blessings2011 Member Posts: 4,276
    edited February 2012

    Tanya - 

    I was recently told by someone that I had the maximum surgery for the almost minimum dx (DCIS 3 cm plus IDC 1.5mm and .5mm). I decided on a BMX for many reasons, and I have never regretted it.

    However, with tons of family and friends telling me "They got it all" "You are now cured!" "Now you are cancer-free!" it was a sobering moment to sit in my MOs office and hear her say that every single person who has had cancer has a chance of recurrence.

    That's just the way it is. Even with all my breast tissue gone, there may be another rogue cancer cell in my body that decides to grow. (Watching Dr. Oz the other day, he said that we all have cancer cells inside of us. Only in some of us, those cells decide to grow.)

    So the MO told me that right now, without meds, my chance of local or distant recurrence (mets) is 1% to 2%. But she still wants me on Arimidex for five years.

    Soooooo...how do I initially respond? DANG! I'll be in that 1 - 2% group! I am also the person who, when she sees smoke rising up anywhere near my neighborhood, am certain it's MY house on fire - even though that smoke may be 20 miles away. I also know that I could get run over by a truck as I walk to my mailbox. (But I hardly ever think of that...Wink)

    Here's the reality - statistics can be used in many different ways, and I choose to not listen to them if they are going to frighten me. I'll follow my MOs instructions, and do the best I can to get my body healthy in as many ways as I can. But at some point, I have to stop thinking about cancer, and get on with the business of living.

    p.s. You are GORGEOUS, Girlfriend!!! And your BF is a terriffic photographer....

  • Califgirl12
    Califgirl12 Member Posts: 92
    edited February 2012

    Dreaming--it's so refreshing to hear from a long time survivor. I love your attitude about not doing anything you don't want to do....I am very new to this new-reality and feel the exact same way. I always said yes to be a people pleaser. I have this intense inclination to stop wanting to please everyone. I want to stop obsessing about the cancer and I am sure once I have completed most of my treatment I will start back to my Regular Life. We are going on a Disney Cruise next week with our daughter and niece, then the RADS start immediately after. Funny how the universe works with timing....we planned this trip way back in July before this whole Cancer Drama was discovered. Thanks for sharing.

  • dreaming
    dreaming Member Posts: 473
    edited February 2012

    Califgirl, you are most welcome. I can really spoil myself now and not feel guilty, being "irresponsible"for the first time in my life, hope you had a grand time at Disney, I went there again without my kids[now adults] it was fantastic, specially at night.

  • JoanQuilts
    JoanQuilts Member Posts: 633
    edited February 2012

    My onc told me that without chemo I had something like a 25% of a distant recurrence (metastatis), but that the chemo would cut that by about a third - bringing it down to 15%.  I found that shockingly high.  I thought that with a 9 mm tumor and negative nodes I would be somewhere in the 90%+ NO distant metastatis range after chemo.

    I know that there are many factors that go into estimating recurrence, but he still told me that tumor size and node status remain the biggest predictors and my tumor was so small - very disappointing that I can't even count on early detection, which is something over which I did have control (my new tumor was found during my yearly mammo/sono).

    Local recurrence after my BMX is about 1% in each breast, but I don't worry about a local recurrence.

  • angellinda
    angellinda Member Posts: 7
    edited February 2012

     I don't know what to think or believe. I don't know or trust my body. I have so many different feelings. So much endless pain. Being a Triple Negative Breast Cancer survivor. But I never had a pet scan, CT scan, MRI or anything.. I got diagnosed in 2010. Then my husband was jobless and he is still to date. So we have NO income at all. So since I was poor I did things the hard way.. Without needful meds and what not! May have made me stronger.. But endless pain and side effects are horrible!! I feel my left breast that had the lumpectomy aches and throbs.. But I sometimes can feel something.. But I have so much pain and spams all over.. I don't know where to begin!! Thankfully I have a gal 3 years out or more by now.. that has so many aches and pains  Etc.. We just share..  But she didn't get into Chempopause and gets all of these horribly prickling painful neuropathy/Hot  flashes that accompanies it!!  She had a hysterectomy when she was in her '20's.When I asked my oncologist. How do you know for sure my Cancer is gone? He says.. They didn't see anything in a microscope! I taught.. if 100 cancer cells can fit on the head of a pin. Did they look well? So he did a blood test to prove it was gone. Back in September of 2011. I can only Hope, pray & wish you're all safe and won't come back and I'm once and done too! Wishing you all wellness & helaing.

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