Newly diagnosed

Jeannie57
Jeannie57 Member Posts: 2,144

I was diagnosed with ILC, grade 1, ER/PR+, HER- on January 27th.  First I was told it was small, then the MRI said it was big, all over, and in my nodes, then ultrasound biopsies ruled out the left breast and said the nodes looked good, then MRI biopsy said original tumor was small, then lumpectomy.  Margins weren't clear and 1/3 sentinel nodes were cancerous.  So now I have to have a mastectomy and take lots more nodes.  I feel like I am on a wicked rollercoaster.  I am thinking I should just have a bilateral mastectomy and be done with it.  I wish I were brave enough to not have reconstruction but I am afraid I would not be happy.  It seems so much easier, though.  I see the breast surgeon again on the 27th, the plastic surgeon on March 5 and surgery thereafter with next treatments to be determined.  Anti-hormonals for sure.  I am feeling overwhelmed, tired and scared I won't have the strength to endure, although I do have a strong faith that has helped me so far.  Cancer sucks.

Comments

  • momof3boys
    momof3boys Member Posts: 896
    edited February 2012

    Hi Jeannie

    Sorry for everything that you're going through, but this board is wonderful and the ladies and gentlemen here have a wealth of knowledge and experience.

    I was diagnosed with ILC in November. From what I learned from my experience, it is hard to see and hard to detect because it does not form a "lump" but more of a "line"... It also has a slightly higher percentage rate (my BS said 20%, my PS said 30%, from their personal experience) of occurring at some point in the opposite breast. That, coupled with a few other reasons, made me decide to have a BMX. I also did immediate reconstruction with TE's (tissue expanders) and will have exchange surgery at some point this year, after chemo and radiation.

    I'm 43 and knew that I did want reconstruction, lots of women don't. It's a personal decision.

    Have you met with an oncologist yet? I met with mine before surgery and am glad I did. She was able to communicate with my surgeon about where she wanted my pathology done, and what testing she wanted done. It seemed to move things along quicker and was more reassuring for me.

  • karen1956
    karen1956 Member Posts: 6,503
    edited February 2012

    Jeannie.....welcome to an amazing group of women....sorry you have to go down this journey, but glad you found bco.....I had bilat.....good thing as prophy side was pre-cancerous.....also chemo, rads, ooph and AI's....I knew I had lymph involvement even before surgery.....also too much cancer in breast to consider lumpectomy....I have no regrets doing bilat.....I did TE expander then implant recon....Remember...its one day at a time.....its a hard journey but a DOABLE journey....I just marked 6 years since Dx.....

  • JFV
    JFV Member Posts: 795
    edited February 2012

    Dear Jeannie, Sorry you joined our club.  I remeber getting all sorts of weird information during testing regarding my ILC.  It made me crazy.  Cancer is a long tough road.  Remember you don't have to be brave.  You just have to do it.  

    I ended up with a bilateral mastectomy with immediate silcone implants.  I am small chested so I came out of surgery looking close to they way I looked going in (only "perkier").  I knew going in that my tumour was too big for lumpectomy so I was already thinking about reconstruction early in the game.  Turns out I had quite a bit of cancer and pre caner in the breast with the big lump and SUPRISE ! cancer in my other breast.  So, I was glad to get rid of both.

     I remember deciding on the bilateral when I realized I would need to have the "good breast" tested every six months and I couldn't imagine facing the worry over and over again.  Of course I didn't realize how many other tests I would have over and over again after cancer treatment. 

    OK I just rambled quite a bit.  Sorry about that !  See if your surgeon has someone in his or her office who can spend some time talking to you about all the options.  My surgeon had a nurse who sat with us and reviewed my surgery and reconstruction options.  It was helpful.

    Good luck ! 

  • ALittleBitBritish
    ALittleBitBritish Member Posts: 627
    edited February 2012

    Hi Jeannie,

    Sorry you ended up here, I am about a year ahead of you. Looking back it was a crazy time of decision making, looking for a solid medical team and researching like a crazy person Frown

    My advice to you, take your time, do not rush into anything you are uncomfortable with and don't be afraid to question everything you hear. EVERYTHING!

    I phone the 'Y-me' website helpline numerous times, to get support from similar diagnosed ladies. That really helped me, especially when my mind was spinning at 2am...on a regular basis...thank goodness that doesn't happen anymore..

    No one knows what it is like this journey, and everyone's journey is different.

    You will get through all this. Be kind to yourself, and do try to do things to take your mind off this. It is easy to let this consume you. I joined a support group at the nearby hospital and that helped, as the people attending all 'get it'...

    You will be okay.....Smile 

    Hugs,

    Ali 

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2012

    Hi Jeanne,

    I have a nearly identical dx as you, yes some node involvement, dx on 9/29/11.   Right now I'm finishing chemo (AC DD followed by 12 weekly Taxol), then radiation, then after a waiting period, bmx and recon. I'm having the bmx because of the very nature of ILC as others described--hard to pick up on mammograms. I had five regular ones over five years that were clear. I found my lump myself through a BSE in mid-August.  I also have very dense breasts which add to my belief that I'm not protected with mammograms. Even ultrasounds don't pick up our type of BC. I had my lumpectomy with clear but close margins on 9/29 and that's when I found out for sure.  

    What I wanted to share with you is that if you search ILC, you'll find it has a bit more positives about it than IDC. That information made me feel a lot better. Make sure you read the scholarly studies, though.  There's a lot of crap out there that can just scare you...

    Welcome to the ILC club. We're here for you.

    Claire

  • Momine
    Momine Member Posts: 7,859
    edited February 2012

    Hi Jeanne, sorry for your diagnosis and the rollercoaster you are on.



    I too have/had ILC. I opted for the double mastectomy, and although the "good" breast had been clear on all the scans, they did find some cells there too, so I am happy it is gone. ILC is a sneaky bugger and I was never all that attached to the boobs anyway. I just knew that endless mammos and biopsies would freak me worse than not having boobs.



    Initially I took it for granted that I would have reconstruction. But the more I get used to my boob-less self, the more I doubt that I will go for reconstruction. The nice thing is that you don't have to decide now. Deep breaths. Try to give yourself a little room to process all this (not easy, I know). When you talk to the PS make sure to get the low-down on delayed reconstruction and don't let yourself get bamboozled into starting the process immediately if you are not sure that is what you want.



    Also, you really ought to consult with an onc before they operate.

  • seacretgardn
    seacretgardn Member Posts: 269
    edited February 2012

    Hi Jeanne, I'm sorry you have to be here. I wish I had found these boards prior to my surgeries, so much information and support.



    MRI in Sep did not even pick up my ILC, or nodal involvement but did light up something in my other breast. US did show two areas in my left breast and then biopsy confirmed. That should have clued me in regarding the strong possibility of needing chemo.



    I had bmx with immediate tissue expanders placed. I was so torn about that decision and felt a bit "talked into" it by the ps and my docs. one of my breast surgeons even had the same surgery.



    I dont tell you this to sway you or make your decision more difficult, but I HATE these expanders. Had I known I would def be getting chemo that would have made my mind up for me. There are other reconstruction options, but I don't feel it is important to me. Everyone is different.



    I will have mine removed as soon as I can, perhaps even before radiation if the roc suggests, and choose not to have any further reconstruction.



    I do know many woman are very happy with their results so you may want to check other threads.



    I declined the MRI guided biopsy on my right breast and after my bmx it was confirmed that there was a small DCIS area. So I am glad I made that decision.



    Keep talking and asking questions, and i hope you have Drs you feel comfortable with.



    You know yourself best, trust in yourself too.



    Blessings and best of luck,



    Laura

  • kt1966
    kt1966 Member Posts: 1,326
    edited February 2012

    Hi. I'm 8 years out from a unilateral mastectomy for my ILC (& a bit of IDC thrown in for good measure). When I was diagnosed I wanted a BMX but the surgeon said it wasn't necessary...

    Guess what, I still want the other boob removed as I still worry about getting ILC in it- and as its so hard to detect having regular scans doen't give me peace of mind! I thought by now I'd forget about it, but no!

    Not everyone is like me I know, I may be a bit of a worrier...but still....

    Unless something shows up I can't have another mastectomy unless I want to pay for it myself (no insurance), so in hindsight I wish I'd pushed for a BMX to start with.

    (I haven't had reconstruction & in summer it would be nice to go braless at home without being lopsided)Smile 

  • mary625
    mary625 Member Posts: 1,056
    edited February 2012

    Dear Jeannie:



    You are in the right place to connect with women with similar diagnoses. I had a very large tumor, around 7 cm, that was 1.8 cm by the time of surgery after chemo. ILC, of course. Did not show up on mammograms, and I found it myself. I have extensive node involvement. I'm headed now to rads and hormonal therapy after recovering from my BMX on 2/6. They did not find cancer in the other breast, but I am still glad I did it. I did not do recon. I just felt I was dealing with too much already to extend the process for up to another year with a possibly bad aesthetic outcome due to the rads.



    Wishing you all the best...

  • Galsal
    Galsal Member Posts: 1,886
    edited February 2012

    Although you really don't want to be here, this is a place of support and knowledge! 

    I'm glad that I chose to have a bilateral mastectomy.  Despite all tests, there were things building on the "good" side.  Although thankfully the tumor size was as the MRI showed it to be, that could easily have not been the case.  Additionally, there were other types and locations of the breast going on that showed on the final pathology report. 

    Yes, I had a twinge after getting home following the surgery of "did i do the right thing".  Just a twinge.  I knew deep down that I HAD made the right choice.  The final report was merely proof that I'd done so.

    Recon for me will be later, after any needed treatment beyond hormones.

  • Jeannie57
    Jeannie57 Member Posts: 2,144
    edited February 2012

    Thanks to you and everyone who has replied.  I have decided to have the bilateral mastectomy.  I am going to a well-regarded cancer center here in Seattle where everything is coordinated between doctors.  I have met my oncologist, so she is aware of what is going on with me.  I like her. I will probably talk to her before the next surgery.  I appreciate everybody's comments about not rushing in to reconstruction.  I'm looking forward to talking to the PS, asking lots of questions and then making a decision.  I am feeling better today as I process the news.  I am a fighter.  Thank you so much.  I will be reporting back!

  • kt1966
    kt1966 Member Posts: 1,326
    edited February 2012

    Well done, you!

    It is definitely good to take control & do lots of research and find the solution that sits best with you.

    It sounds like you are doing all the right things & I wish you well. Please do let us know how you are getting on Smile 

  • Momine
    Momine Member Posts: 7,859
    edited February 2012

    Jeannie, good girl! Do let us know how it all goes.

  • JFV
    JFV Member Posts: 795
    edited February 2012

    Good going Jeannie !  We are all wishing you the best and thinking of you !

  • texasdonna
    texasdonna Member Posts: 36
    edited February 2012

    Hi Jeannie! I'm so glad to know you've got a good team of docs. That's the most important thing, besides this group of gals for support.  I had a BMX with tissue expanders in Jan. '08, with my breast surgeon and plastic surgeon coordinating everything at the same time (2 surgeries back-to-back, 3 hours each). I was in a surgery center overnight and home the next day with one drain in each side. A little sore at first, but mostly from the chest heaviness. Couldn't lay down flat in my bed for 3 or 4 weeks, so I slept on the couch at an incline and watched old movies. The most important thing for me at the time was rest and lots of interaction with friends and family. I honestly look back on it now as one of the best times of my life. Flowers, poetry, lunches brought in, hearing from old friends, my sister and mother-in-law and kids coming to visit. I was 42 at the time, but my kids were older at 20 and 19. I found myself feeling very thankful that it was me going through this an not my sister, who had young children. Odd, but I was at peace with it. Best of luck to you, and I'll keep you in my prayers!

  • Jeannie57
    Jeannie57 Member Posts: 2,144
    edited February 2012

    Thanks for sharing your story with me. What is the Y-me website?

  • msphil
    msphil Member Posts: 1,536
    edited February 2012

    Hello sweetie, I know what u are going thru I went thru a roller coaster ride also, I was diagnosed then got a call and siad it was a mistake and I didn,t have I called my Fiancee for thru all of this we were planning our wedding, so I called him and family and friends to say I didn,t have IT.  Then yet another call and siad that they were sorry but mix up in lab showed it was indeed me, But the names were different Phyllis(me) and Patricia Wilson do they look alike to you? Well I went on to have a total mastectomy, was given option of Lumpectomy but I figure I,d have better odds of surviving, did reconstruction body rejected it and it hardened, it was removed so u see I too went hru it, But (Praise the Lord) I am now 18 yrs cancer free, God Bless and you are in my prayers and for us ALL.   msphil    (idc, stage 2, 3 nodes involved, L mast,chemo and rads and 5 yrs on Tamoxifen) 

  • tenaj
    tenaj Member Posts: 1,052
    edited February 2012

    Jean57: it's good you found this site before your surgery. Im sorry that you have to join. The ladies here are wonderful, knowledgable & so supportive. I wish I had found this site when I was diagnosed. It wasn't until 6 months later. I too have ILC. I knew immediately when I was diagnosed that I would have a bilateral. There was no way I wanted to have mamo's, MRI's every 6 months. Every year I was tortured with anticipation & anxiety. My sister had BC & there was always concerns. I decided on reconstruction with TE & had the exchange 5 weeks ago. It is doable!!!! I'm not sorry about my decisions so far. Good luck. Keep us updated & you will have lots of support.

  • beth1965
    beth1965 Member Posts: 455
    edited February 2012

    Jeannie- i got a bilateral mastectomy and all nodes out on one side a few weeks ago. I can't honestly say this was a decision that was easy but it made the most sense for me to have a better chance at living a long life.

    I had a 9cm tumor which did not show on mammo or ultrasound 3 weeks prior to diagnosis. That scared me enough that it was found only because it grew so big i could finally feel it. I now from this site have learned that ILC hides like this and realized this could easily happen to the other breast and i have to go through everything again and hope i am strong enough to make it through surgery,chemo possibly rads  more than once. I am not so sure i am that strong physically or emotionally. So again the decision made sense to me.

    I was not able to have reconstruction right away it does take a bit of getting used to but i am dealing with it. I do hope to get recon in the near future if possible.

    I am sure everyone feels differently deep down and the answer may be different for each person. You have heard many stories and opinions in this thread i am sure you will do what is right for you.

    You have all of us to help you through this hopefully this helps.

    And yes Cancer SUCKS!!!!!!

    Hugs to you  xoxoxox -Beth

  • newfmama
    newfmama Member Posts: 107
    edited February 2012

    Jeannie

    Y-me is another website providing support for breast cancer. Www.y-me.org. You can get paired up with a breast cancer survivor who you can talk to.



    Take it one day at a time & lean on your new friends here.



    Hugs,



    Deborah

  • Galsal
    Galsal Member Posts: 1,886
    edited February 2012

    keep asking questions as you go through these processes.  it's the only way I could cope...that and this site!

  • Jeannie57
    Jeannie57 Member Posts: 2,144
    edited March 2012

    I met with the surgeon yesterday. The grade has been upped to grade 2 and there was a lot of cancer in one sentinel node, so chemo is in my future and possibly radiation. I meet with the PS on Monday and will get some kind of recon. down the road after expanders are put in during the bilateral MX. The docs' and op room schedule is such that I have to wait a month or so before surgery. I hope the other nodes are not too cancerous. In the meantime I hope to work out a lot, especially on my core, and try to get in better fighting shape. I am not an athlete or anything, so there is a lot of work to be done. This is all so distressing and scary. I am afraid the chemo will kill me, frankly. My body has had a lot of bad drug reactions. It helps that I can write here and read your encouragements and stories, especially as this has been such a bumpy ride so far, with so much good news being snatched away the further we get into this. Thanks.

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

    Jeannie

    sorrry to hear that you are joinng the club... I had ILC-had  a lumpectomy then chemo and radiation--- I feared chemo most and while it was unpleasant, I was able to work and deal with my two young children--- everyone is different and no one knows what their reactions will be.  I don't tolerate drugs well so I had every expectation that it would go badly--and it went much better than I thought.  I had 4 rounds of A/C.

    However,that is not where you are right now.  If you can stay focused on one step at at a time, it can be less overwhelming.  I waited about a month from dx to surgery.....

    deep breaths--one step at a time.... 

  • wanda123
    wanda123 Member Posts: 2
    edited March 2012

    hi i just was diagnosed with infiltrating ductal ca with invasive lobular ca - 1.5 - 2 cm; don't know staging, it is mutlifocal also- had mri and suppose to have biopsies if anything lit up like ca- radiologist thought there was some spots at outer quadrant but dr. said never mind to biopsies because breast needed to come off; it is estrogen sensitve - don't know if her?; have not had pet scan; don't know if in lymph nodes; diagnosed march 1st and met with her march 20th and i have questions re procedure for best results for reconstruction.  i am 47 yrs old and my husband is 7 yrs younger than me and i am worried re what he thinks.  i have decided bil mastectomy - it is not in rt breast at all- but don't want to be looking over shoulder anymore. 

     I asked for 2nd opinion in toronto, canada because think they have more up to date procedures- she was little upset with this...anyone know of anyone good re surgeon.  i was looking into Dr. McCready re Princess Margaret HOspital but he is not in till end of April and i don't know if i should wait that long?  My doctor said i should be ok for 6-8 weeks...i am questioning that and wondering if she shoud be a little more aggressive in finding me help.  i am worried more about getting help then the decision to have both breasts removed.  She was insulted that i wanted to go away but told me she wouldn't do skin sparing mast unless i was having reconstruction right away and wanted to remove just one breast.  She said she would do lymp node biopsy of sa node when does surgery - but shouldn't that be done while i am waiting , and can this be done with incision under armpit??  She said she would do sentinel node biopsy when doing mast and if couldn't get die there then would need axillary node dissection and that caused me ++++ distress because i have bad rt shoulder and can not or will not do dissection with possibility of injuring or weakening lt shoulder...lt causes me much grief- winged scapula and neck discomfort.  i am not prepared for that>....any suggestions....and is 6-8 weeks to get in to see another dr. too late??? i am concerned....i don't know stage, if in lymph nodes, and extent- she was doing this when mastectomy performed - has anyone else had done before mastectomy...she removed lump and surrounding tissue by surgery already because they couldn't get sample by biopsy- should i not have extent and staging by that???i am confused???why do i have to wait for that info after mastectomy??? seems like buggy before horse???

  • wanda123
    wanda123 Member Posts: 2
    edited March 2012

    hi i just was diagnosed with infiltrating ductal ca with invasive lobular ca - 1.5 - 2 cm; don't know staging, it is mutlifocal also- had mri and suppose to have biopsies if anything lit up like ca- radiologist thought there was some spots at outer quadrant but dr. said never mind to biopsies because breast needed to come off; it is estrogen sensitve - don't know if her?; have not had pet scan; don't know if in lymph nodes; diagnosed march 1st and met with her march 20th and i have questions re procedure for best results for reconstruction.  i am 47 yrs old and my husband is 7 yrs younger than me and i am worried re what he thinks.  i have decided bil mastectomy - it is not in rt breast at all- but don't want to be looking over shoulder anymore. 

     I asked for 2nd opinion in toronto, canada because think they have more up to date procedures- she was little upset with this...anyone know of anyone good re surgeon.  i was looking into Dr. McCready re Princess Margaret HOspital but he is not in till end of April and i don't know if i should wait that long?  My doctor said i should be ok for 6-8 weeks...i am questioning that and wondering if she shoud be a little more aggressive in finding me help.  i am worried more about getting help then the decision to have both breasts removed.  She was insulted that i wanted to go away but told me she wouldn't do skin sparing mast unless i was having reconstruction right away and wanted to remove just one breast.  She said she would do lymp node biopsy of sa node when does surgery - but shouldn't that be done while i am waiting , and can this be done with incision under armpit??  She said she would do sentinel node biopsy when doing mast and if couldn't get die there then would need axillary node dissection and that caused me ++++ distress because i have bad rt shoulder and can not or will not do dissection with possibility of injuring or weakening lt shoulder...lt causes me much grief- winged scapula and neck discomfort.  i am not prepared for that>....any suggestions....and is 6-8 weeks to get in to see another dr. too late??? i am concerned....i don't know stage, if in lymph nodes, and extent- she was doing this when mastectomy performed - has anyone else had done before mastectomy...she removed lump and surrounding tissue by surgery already because they couldn't get sample by biopsy- should i not have extent and staging by that???i am confused???why do i have to wait for that info after mastectomy??? seems like buggy before horse???

  • kt1966
    kt1966 Member Posts: 1,326
    edited March 2012

    Hi Wanda.

    Sorry you are so worried.

    One thing at a time- likely the cancer has been there for a while- so a few weeks won't make too much difference. They should know the grade of the cancer from the biopsy/lumpectomy (which did you have?) and I see its ER+.

    They won't know the stage until they can see if its in the lymph nodes & the total size of the tumour.

    Its a good idea to get a second opinion if you can, you may be able to do neo adjuvant hormonal or chemo treatment or something. Usually lymphnodes are taken at time of sugery.

    I hope you have more answers soon. Try not to worry too much, hard I know. 

  • Jeannie57
    Jeannie57 Member Posts: 2,144
    edited April 2012

    An update:

    I had BMX on March 29 with SNB on left and AND on right. Pain meds made for a lousy week of nausea until we figured out Phenergan suppositories worked. Left side very little pain, right side horrible possibly because uninflated TE is on a nerve or a drain tube is on a nerve. Looking forward to getting 3 drains out soon! Pathology and Oncotype came back pretty good. Left breast was truly prophylactic MX as no cancer was found. Cancer in right breast was not beyond what we already knew from dirty margins from lumpectomy. Cancer in 2of 28 lymph nodes added to I cancerous SNB means 3 total, so still stage 2. Oncotype is at 13, so that's considered low. BRCA 1 &2 negative. Chemotherapy is a possibility now, not a requirement. I am interested to hear my oncologist's reasonings for whatever her treatment plan is so I can continue to kick cancer to the curb! I have learned so much ---more than I ever wanted to know, truly---about breast cancer since I was diagnosed on January 29th. I have learned much of it here on bco, so thank you all of you for that. Still a long road ahead with multiple decisions to make and tests and treatments to endure, but I can do it, just as many of you have done it. For those of you newer than me, deep breaths. Learn what you can but remember to take time to enjoy yourself, too.

  • Jeannie57
    Jeannie57 Member Posts: 2,144
    edited April 2012

    Hi, Wanda, so sorry you are going through this. First, my surgeon said a good guideline is to have MX by 3 months after diagnosis, so it seems you have time for your 2nd opinion. I believe nodes are only biopsied during lumpectomy or MX. Be sure you swing your arms around after you get your mapping injection and walk up and down the halls a lot to get the dye moving. I remembered my old high school cheers and did those --against cancer instead of another team! It would be unusual for the surgeon not to be able to find the sentinel node unless she is inexperienced, which is a good question to ask of her. There is a lot of waiting involved in cancer ( I was only diagnosed 1/29) as tests and surgeries are done. I have learned that pathology is the final and best answer to everything, so until you know how much cancer the pathologist actually finds and what the node involvement is, it can't be staged. And staging is just a way to wrap your head around it. You're going to fall into one side of the statistics or another. It just helps in knowing how to plan the very best treatment for you. Overall, I've found that it's a lot easier if you can try to focus on next steps and not the entire course of treatment. Good luck!

Categories