Lumpectomy on Feb 1st - Looking for a "Cancer Buddy"

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  • Moderators
    Moderators Member Posts: 25,912
    edited March 2012

    Mereseas, the section Lumpectomy: What to Expect, on the main Breastcancer.org site will walk you through every step of what's ahead of you for your surgery and beyond - and of course the community members here are always ready to answer your questions.

    Judith and the Mods

  • CLP821
    CLP821 Member Posts: 21
    edited March 2012

    Jigadake -

    So glad to hear that you got clear margins and are on your way to radiation. Do you have to have another surgery to have the balloon inserted?  I don't know much about the type of radiation that you'll be getting.

    I had a consult with a radiation oncologist close to my job this past Tuesday and he gave me the results of my pathology report.  Unfortunately, the margins weren't clear this time either.  I'm not sure what my surgeon is going to recommend, but I'll find out this Wednesday.  

    Mereseas-

    I think that taking Thursday and Friday off and having the weekend to recover should be enough time.  I went back to work the next day after my first lumpectomy and while I was okay, it was probably too soon.  This last time I had surgery on Wednesday and took off Thursday.  I would have preferred to take Friday off too, but I've had to take a lot of time off already and didn't want to push my luck with my boss.  Of course, we're all different and you may need more or less time. 

    I've been told I need six weeks of radiation too.  I've heard that redness and soreness of the breast and tiredness are the main side effects.  I hope your surgery goes well on the 21st.  I'll be thinking of you. 

  • Mereseas
    Mereseas Member Posts: 5
    edited March 2012

    CLP821,

    Thanks for the confirmation.  I work for my family business and they are very supportive but it's nice to get confirmation from someone who has had the proceedure that recovery is quick.  

     Hope your meeting on Wednesday goes well.  This seems like a great place to get information and support.  Thanks again.

  • jigadake
    jigadake Member Posts: 31
    edited March 2012

    I went today and had the balloon inserted.  The device they used was called a Contura.  They did do a small incision on the breast and they inserted the tube with the balloon through that.  The incision remained open and I'm amazed it doesn't hurt.  The tube and wires come out from the middle of my right breast and lays on the left. So with the bandage and wires I'm looking very voluptuous right now.  I was exhausted afterward and I think I was just more tense about it than I thought but it actually didn't hurt at all.  I then went to the hospital for a CT scan to be sure the placement of the balloon was correct and it was.  So I go back tomorrow at 8:30 and 2:30 for the radiation treatments.  I go 3 days this week and 2 days next week and it should be over. hopefully.

     CLP821...I'm so sorry your margins weren't clear again.  I'll be thinking of you and let us know how your meeting goes ok.

  • slalu
    slalu Member Posts: 21
    edited March 2012

    You are so lucky to have only dcis. I what is called a partial mastectomy(large area dcis)

    and radiation for six weeks.Not bad at all.More tired, but not too much. Had mammos

    every six months and now graduated to once a year.I feel very lucky. There is more risk

    of invasive cancer because of this, but just watch it closely.

  • Keepn-my-Faith
    Keepn-my-Faith Member Posts: 13
    edited March 2012

    Wow! So many of us in the same boat. I was diagnosed with DCIS stage 0 2/16. I've been to see the surgeon, oncologist and the radiation therapist. I just had the BRAC's test (hope thats right) done yesterday. Results should be in about 2wks. That will determine whether or not I have a lumpectomy or a bilateral masectomy. My main concern was being able to get pregnant after all this is done. Doctors say thats fine but I would have to be watched very closely. That is the upside for me! All of this is new to me, as I'm sure to us all, but we will get through this! We all have eachother for support and we all need to keep the faith!!!

  • jigadake
    jigadake Member Posts: 31
    edited March 2012

    Just back from my first treatment. Really weird but ok. You go in this room by yourself and lay on a table and they hook the five wires I have on to this machine. Then a physicist comes in and checks everything, then the oncologist checks everything and they all go out and leave me in the room by myself and lock these lead doors. Then I hear the machine start clicking and each of the five wires sends a bead down it to the balloon inside...I don't feel a thing just hear it all. I then lay there for about 5 minutes and then the beads come back out. After this is complete the door opens and the nurse and physicist come back in carrying a geiger counter. It showed all clear so they unhooked me and the nurse wipes me off and puts on new bandages and helps me get my shirt on and I leave. Do it all over again at 2:30...not bad at all just weird!!

  • CLP821
    CLP821 Member Posts: 21
    edited March 2012

    Wow jigadake, that sounds like something out of a sci-fi movie!  How are you feeling?  Are the SEs similar to regular radiation?

    I saw my BS Wednesday and she said that I had two more very small areas of DCIS (1mm each) on one of the margins.  She recommends another surgery for the two new areas and to get better margins on another area.  If there's still more DCIS after that, then I'll likely have to have a UMX.  I decided to wait until mid-April for the next surgery.  I'd like some extra time to heal and digest the new information.

  • jigadake
    jigadake Member Posts: 31
    edited March 2012

    CLP821 I can understand why you would need more time for the next surgery. 

    The treatments (have had 6 now) have gone pretty well.  I haven't had any side effects except by about 4 p.m. I'm wiped out.  I'm sleeping better at night so that helps too.  The strength is about the same as regular radiation except it is within in tubes in the balloon inside my breast where the DCIS was taken and they can determine which of the 5 beads has more strength and the time it stays depending on how close to the chest wall or skin that particular bead is. 

    What bothers me is when they take the balloon out she said they don't usually deaden it because it doesn't usually hurt anymore than the shot to deaden it so a little apprehensive about that.  The nurse and doctor doing my treatment said it may sting a little..so hopefully that's all it does but just know I don't have but 4 more treatments on Monday and Tuesday is a relief.

    My daughter came over today and washed my hair and that felt really good. Be glad to get a good old shower when this is over too.

     Please keep us up on your treatment. How are the others of you having treatment doing?

  • Quilted-ta-tas
    Quilted-ta-tas Member Posts: 38
    edited March 2012
    I can't say I would blame you CLP821 for waiting til mid-April for the next round! I just finished reading all the posts on this thread and had to let you know that I laughed out loud when I read your comment "If I have to have another surgery, my husband is going to have to knock me over the head and drag me to the hospital.  I am so done!" That is exactly how I feel - though unlike you I have only had to endure the core biopsy, the double wire localization, and lumpectomy. I should mention however that the most painful event in all of this drama was getting the dang drain removed 12 days post-op. That was a mother of an ow-ie!! Got the news last week that my margins are not clear and am waiting to hear from the BS to see what options lie ahead. Well here we go again. Keep us posted with your news! 
  • CLP821
    CLP821 Member Posts: 21
    edited March 2012

    jigadake - I'm so glad that the radiation treatment has gone well.  Today should be your last day, right?  Are you getting the balloon out today too, or is that done at a later date?  I didn't realize that you aren't able to shower during the treatment time, although it makes sense now that I think about it.  That first shower is going to feel incredible!

    quilted-ta-tas - First of all, I LOVE your user name and the Helen Keller quote on your signature line!  It sounds like you've been through quite a lot.  I hope that you hear back from your surgeon soon and come up with a plan to deal with those margins.  I read one of your other posts and see that you've been waiting to speak to your surgeon about the pathology report for quite a while.  I've had similar issues with the hospital or doctor calling my home number when they know that I work all day and it's in my record to call the cell first! It drives me crazy!  Don't they realize how anxious this waiting makes us?  To miss a call because someone didn't use common sense or check the file is maddening!  Ok, I'm done venting now. Smile It's really frustrating to get the news that the margins aren't clear, and the thought of more surgery, whether it's re-excision, or possible mastectomy, is never pleasant. For the last few days I've been leaning more towards having a UMX...but who knows how I'll feel about it tomorrow?  I'm not usually so indecisive, but this is such a big decision.  The surgeon said either option is acceptable but I'll have to let her know soon if I change my mind about re-excision.  BTW, why did you have drains?  Did you have a large area of DCIS?  I didn't realize that drains are sometimes needed for lumpectomy.  Please let us know what your breast surgeon says!

  • Mereseas
    Mereseas Member Posts: 5
    edited March 2012

    First of all, I would like to say thank you all for sharing your stories and information.  It has been really helpful for me to read this and know what to expect.  I am going in for my partial tomorrow morning and feel much more prepared having found this site.  After my surgery I will definitely be back on line to share my experience.

     Quilted - Having just read your post about drains I will be asking in my call with the doctor today if there is a posibility of drains, so thank you very much for the heads up.

  • lizzy4e
    lizzy4e Member Posts: 8
    edited March 2012

    Hi sally my name is Liz 08/3/201,DCIS STAGE 0, ER+PR+ I also had a lumpectomy and IORT at CTIA in Philadelphia and now I still have some soreness on my breast and arm pit but I am going for a MRI in may to check the inside. So far so good ! I have the faith that Everything will be OK. I hope that you are doing well. If you need a buddy to talk I am Here for you, This is my Three cancer ,Hodgin's Disease and Thyroid Cancer and Now Breast Cancer. I am only 40 years old but I am a Fighter!!1 You keep Fighting!!!

    Take Care Liz

  • november
    november Member Posts: 103
    edited March 2012

    Hi lizzy4e I just saw your post- that is a lot to deal with, thinking about you. Keep the faith and keep fighting. God is able

  • Natters
    Natters Member Posts: 361
    edited March 2012

    Mereseas, do you have any idea how big your DCIS is? I had a smallish one (around 1cm) removed from the back of my left breast last summer. The surgeon was able to cut along the side of my breast and the scar is not very noticeable at all. If you're like me, you will be absolutely fine to go back to work on Monday. I was up and walking all around by the next day. As long as you have a very supportive sports bra and follow their recommendations, you will be able to enjoy almost all your normal activities (just no sports for a couple weeks).

    They will give you a little tiny ice pack to tuck into your bra near your incision and this helps keep down swelling, along with the meds they prescribe. Make sure to take any anti-constipation meds they prescribe if they give you narcotic painkillers during surgery (and usually you get a prescription of them, too). A lot of pain meds can make you really constipated otherwise.

    As for radiation, one problem with telling you about the side effects is that it seems like there is a very wide range of effects for different people. Women who undergo chemo and then a mastectomy are already pretty tired and healing from much worse than what we go through with our partial mastectomies/lumpectomies and no chemo. So keep that in mind. However, I did experience some fatigue from about the last 2 weeks onward - it did not keep me out of work, though. I just had to get to bed earlier and was not as social in the evenings.

    For me, the skin effects were the most annoying part, but plenty of other people get through rads just fine without the skin irritation that I experienced. So it's hard to tell how you will do. All you can do is baby yourself after your surgery and wait for the path report to come back. Then you will have all the information you and your DRs need to make an informed decision about needing radiation.

    Good luck! 

  • lizzy4e
    lizzy4e Member Posts: 8
    edited March 2012

    Hi November

    Thanks for writing me . I have a strong faith and having my family and friends and god I can fight to win. My prays are with you and everyone with cancer.

  • jigadake
    jigadake Member Posts: 31
    edited March 2012

    Finished my last radiation treatment today. After it was over the took the balloon device out.  It did hurt but only for a minute and then the oncologist put glue to close it and now I can shower and sleep on my side...I can't wait for a good night's sleep!!

     Good luck tomorrow Mereseas let us hear from you.  lizzy4e..boy you have been through it..I'm so sorry but you sound like you have a great attitude!

  • scrappylady
    scrappylady Member Posts: 43
    edited March 2012

    Jigadake...Congrats on finishing up on the radiation!! I have kind of dropped off the radar lately w/tamoxifen & other med side effects but am happy to hear you are done w/this portion of your journey. Stay strong :)

  • Quilted-ta-tas
    Quilted-ta-tas Member Posts: 38
    edited March 2012

    Hi Christine! - Finally got a call from the breast surgeon and my nurse navigator... I'll give you a link here to the thread where I posted my story about what happened:

    http://community.breastcancer.org/forum/102/topic/759882?page=105#idx_3141 

    It looks like I have to make a decision too about whether to have "boost radiation" (have to get educated about what that is) OR a mastectomy. Was surprised that the breast surgeon is advising the radiation route, since from the beginning of this journey she was always preparing me for the possibility of MX. As mentioned in that other thread, she thinks in my case that MX would be over-treatment. That said I am still thinking about MX for peace of mind, recurrence risk etc. But I need more information and will soon see the surgeon again, and the Rad ONC and plastic surgeon since I want to talk about options. Pretty much like you I change my mind from one day to the next. But until those appmts I am keeping a question list going and will ultimately make the decision after the appmts.

    To answer your other question, about drains with my lumpectomy, I don't think it is related to the size of the DCIS, just doctor preference. Another friend I correspond with on another thread mentioned that she has only about one quarter of her breast left like me and she did not have a drain. I think I am glad I had a drain for those 12 days post-op to relieve the extra fluid. After the drain was taken out I had burning pain which I believe was from fluid build up. The doctor told me it would take a little time until my body would re-absorb the extra fluids, it lasted about a week. On the other hand my friend who didn't have the drain, her doctor told her he believed that not draining the extra fluid would help to maintain volume in her breast. I guess there are two schools of thought on this matter.

    Love that beautiful cat in your avatar image, looks like the royal blood that rules your home!?! Is that a Maine Coon cat by chance? I will have to post some photos of my felines somewhere, they have been so loving and sweet as I have gone thru this. Let's keep in touch Christine!

    Hello Mereseas! - Thinking of you today! Please let us know how you are doing when you feel up to it. We all have different experiences here and look forward to hearing yours especially if we can relate to something and can help. Smile

    Donna

  • gumshoe
    gumshoe Member Posts: 248
    edited March 2012

    I'm late to the game! Just found this thread.

    Hi quilted! Hi everyone! 

    Nothing much to add except that I have been through a lot of what everyone else has been through here. Like quilted, I'm also in the position of having to decide what my next steps will be.

    I'm really scared of radiation, given my recent infection (still not completely healed) and the current state of my breast, but I'm also really tired of surgery. I wish there weren't so many darned big decisions to make Undecided!

  • Keepn-my-Faith
    Keepn-my-Faith Member Posts: 13
    edited March 2012

    Wow Liz! You are an inspiration and definitely a fighter!!! I pray that things only get better for you and that you keep the faith!!! xoxo

  • Keepn-my-Faith
    Keepn-my-Faith Member Posts: 13
    edited March 2012

    Hi Natters-

    I just read your post. I am scheduled for my lumpectomy April 16th. The radiation therapist said the radiation would more than likely make you tired. So how does it work, after surgery depending on the pathology report, they determine what kind of treatment you have? Just when I think I know what's going on, I read these threads and get new information. It's a really big help because even tho I have a really great support group, no one really knows first hand about things. So you and all of you, are so such a big help and inspiration to me! Thank you all and I pray that we all remain strong and get thru this...

  • SallyGal
    SallyGal Member Posts: 15
    edited April 2012

    Hi Everyone - My journey has taken a turn.  I had the lumpectomy on Feb 1st, then re-excision on Feb 22nd.  All looked good, radiation was scheduled.  Oncologist wanted another diag mamm b/f we start.  The mamm showed that there was still some DCIS inside, so I went for another opinion.  The new surgeon suggested a mastectomy at this point, and my oncologist agreed.  So on Thursday, 4/5, I'm going in for a mastectomy with a free flap TRAM reconstruction.  Long surgery and recovery, but best option for me.  Six months ago, I would have thought that I'd have a better chance of winning the big lottery than I would having a mastectomy.  My, how things change!

  • CLP821
    CLP821 Member Posts: 21
    edited April 2012

    Hi SallyGal,

    I may be following in your footsteps!  I have an appointment this Friday with a hematologist/oncologist to get his opinion on whether another lumpectomy (followed by rads) or mastectomy would be the best option for me.   I went for a physical last week and my GP thinks a mastectomy would be overkill, but the last time the surgeon went in, she found two new areas of DCIS that didn't show on mammo, US or MRI.  Further complicating matters, I was diagnosed with a serious blood disorder when I was in my early twenties.  It's considered autoimmune and I was on immunosuppressants for 17 years.  I'm considered in a partial remission - my blood counts are almost normal, but they still drop, especially when I'm stressed out.  I recently found out that radiation can cause the blood condition and I'm really concerned that if I do the whole radiation thing for the DCIS, my blood condition may go out of remission.  Perhaps the radiation dose for DCIS is low enough to take the risk, but I just don't know.  You sound like you're very comfortable with your decision, which gives me hope that someday soon I will be too!  Good luck with your surgeries!  I wish you a speedy recovery!

  • Mereseas
    Mereseas Member Posts: 5
    edited April 2012

    Hi all,  my surgery went well, took a little longer than originally anticipated since the surgeon decided to take a little more but I was up and about the next day no problem.  The new way they put you out is great - so much easier to wake up and without the side effects of general anth.  Got the full results of my pathology yesterday during my post op visit.  Looks like I am going back for more surgery since margins were not clear.  This time they will take sentinal node as well as more tissue.  I noticed that many of you have also had to do this so that was not unexpected.  The one bummer was that they discovered some invasive cells so I have been bumped up a stage and there is now talk of chemo.  I am also getting the gene test since my doctor wants to know if I have it since that may also change my treatment plan.  I am off for vacation tomorrow for a week - yeah! And then back to surgery when I get back.  It's very helpful reading what everyone else posts - very glad I found this site.

  • onvacation
    onvacation Member Posts: 1,344
    edited April 2012

    Mereseas - sorry for the second surgery.  Have a great vacation!

  • jigadake
    jigadake Member Posts: 31
    edited April 2012

    Sallygal and CLP821 how are things going?  I went to my radiologist oncologist today for my followup and all seems to be well except I am hitting my 3rd week after radiation and my right breast looks like it is sunburned and peeling.  she gave me some ointment and said they should be better in about a week.  I really appreciate everyone's support through all this.

  • CLP821
    CLP821 Member Posts: 21
    edited April 2012

    Hi Jigadake,

    I've been reading the boards a lot but haven't posted in a while.  I went to see a hematologist/oncologist a few weeks ago and he said that he doesn't recommend radiation for me because of my blood condition.  There's a good chance it could knock it out of remission, and since it's a pretty serious blood condition, the risk is too great.  I definitely don't want to be treated for BC and wind up with the same condition that nearly killed me 20 years ago! So, I will have to have a mastectomy.  I'm leaning towards a unilateral with immediate reconstruction, although I haven't had my consultation with the BS yet.  I'm seeing her this Friday and the PS on Monday. 

     Sorry to hear about the SEs from the radiation.  I hope the ointment works quickly!

  • jigadake
    jigadake Member Posts: 31
    edited May 2012

    Sorry I haven't posted...my sister in law had unexpected back surgery and I've been trying to help her since they sent her home without much rehab!!!  The SE is much better although still there but I can now see if fading and the itching is as bad.  

     I'm sorry to hear about you CLP821 but I have already come to the conclusion that if I get DCIS again I may just decide to have a mastectomy myself instead of going through all of this again.  My mom did that in the 70's and she is still going strong at 87!   Good luck to you with whatever you have decided! 

  • Shayne
    Shayne Member Posts: 1,500
    edited May 2012

    im having lx on may 25th - and hopefully SAVI rads after the path report comes back.  My dcis was caught v early - have 1 lesion that is less than 12mm.  

    Thx for sharing your stories - it helps those of us that are just starting our journey..... 

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