No mastectomy;only Tamox recommended,Shocking??
After 6 cycles of chemo and a few rads, I have been asked to go on Tamox straightaway, no mast, no ooph, etc.. which is exactly what I wanted. I dread going under the knife for any reason. I have been on Tamox for nearly 2 weeks now. A month since my last chemo. Does any one of you think there is any danger in NOT doing MAST and going on Tamox?When I consulted another Onc, he went the other way saying Mast is must. Scared about losing my femininity and all the rest of it, new marriage, dont want to spoil it for my husband - whatever is left. God!!!!!!!!! please help anyone of you can..... what do your experiences tell you???
Comments
-
Hi Ravs,
I based my bilateral mastectomy decision on the fact that I had extensive radiation treatment (what they call a "lifetime" dose) in 1994 for Hodgkin's Lymphoma. I wouldn't have had BMX otherwise. I would have opted for a lumpectomy. I was not given an ooph or the option of. My partner loves my reconstructed breasts because he loves me - he thinks what the surgeons were able to do is amazing.
I'm sure others will chime in soon with their experiences.
I hope you find some peace in your decision.
-
You have not had any surgery? This strikes me as unwise, to be perfectly honest. As a boob-less woman, I can assure that my feminity did not reside in my breasts, nor in my ovaries. I was actually more worried about losing the ovaries than about losing the breasts, but after losing both, I can tell you that I am still 100% female and my husband thinks so too.
-
Rav, I know what you mean saying you don't want to spoil your femininity. I don't think there is a single woman, who would want it. It is hard to come to terms with loosing breast/breasts, but most of the times we have no other option. I remember years ago before BC, I would think I'd better die, than loose a breast. How (call me anything) .of me!!!! And when I was DX, I was only praying that it was operable , so that they could remove it. And trust me, mastectomy as well as ooph was the best part in the whole thing!!!! Of course, I miss my old body, everybody does, but it didn't make me less attractive in my husbands eyes. Beauty lies deep skin, especially for those, who love us unconditionally...Please get a second opinion and go for the surgery. All the best.
-
Have you had a lumpectomy?
I am also stage III and have not had surgery yet. After my neoadjuvant chemo ends in May, I will have a node dissection and lumpectomy. I have met with a half dozen doctors in excellent hospitals and they all agree that a lumpectomy is the surgery they recommend. Unless, I feel I won't be able to sleep at night, knowing my disloyal boobs are still attached to me. After a lot of soul searching and research, I feel very comfortable moving forward with a lumpectomy. I always have the choice to go back later for the double mastectomy.
Good luck! -
So much depends upon details that we can't possibly know. I notice you mention metastases in your signature line, and I'm not sure exactly what you meant by that. I have heard of oncologists not doing surgery when their are metastases because they are more concerned with the cancer that has already left the breast. Many people with metastases however, get mastectomes, so again, it is specific to YOUR situation
I can tell you however that although the idea of a mastectomy is fearsome, it is doable. I'm sure throughout your treatment already, you are learning things about your marriage that has hopefully helped you feel as though a mastectomy will not negatively impact it. In the end, however, you need think about saving your life, and follow the recommendations of the doctor you trust the most. One thing I've learned through my experiences with breast cancer is that there's a lot I can live without. Things that used to seem important are really of no consequence whatsoever.
-
Surgery often is not recommended once mets are found-- so you should maybe discuss this with your doc. At Stage III, I can't understand why surgery wouldn't be the next step. . . but at stage IV, the horse is out of the barn already. Although I am hearing more about doctors opting for surgery anyway to reduce overall tumor load. And some stage IV patients are responding so well to treatment and living so much longer, maybe surgery gives an even better chance at NED? I don't have any answers, obviously, but if you aren't comfortable with your treatment plan you should definitely discuss it further with your team.
-
After BC surgery I realized that my breasts and ovaries didn't define my femininty. It's in your heart and your head. I still feel feminine and still a sexual being (although BC has changed it up a little bit) My husband still looks at me with desire. Yes mastectomy does bring issues about body image for awhile, but I believe in our soul we are always the woman we have always been. It strkes me as a little odd that there is no mastectomy with stage III breast cancer. Your cancerous breast is no longer the femininity it once was. For your sake and the sake of your husband, I would want the cancerous cell growth removed from my femininity as a whole. Just my humble opinion.
Barb
-
I totally agree that our femininity is not wrapped up in our breasts or any of our body parts. But, to respond to Barb's surprise about no mastectomy for stage III. It very much depends on the size of the mass and the personal choice of the patient. But, the studies have shown the survival rate is the same for lump + rads vs. Mastectomy. Many stage III need to get rads, regardless of surgery.
-
So many thoughts. Really kind all of you are... I had been to the onc who claims that removal of the breast/lump will not cure the disease. The primary will be removed but the secondaries will then become autonomous primaries and will end up untreatable except by treating with tamox. Which is why she said Tamox for 3 months before an assessment is done. I am happy with what she has recommended as the hospital and the doctors are supposed to be on par with the best in the world. However, even taking support from all of you regarding my feelings about femininity etc.. my husband and I are in conflict now with he asking me to go for surgery and I sticking to my guns of not going under the knife for 3 months at least. My husband took me to 2 other Oncologists who straightaway said that lump+rads or Mast should be done followed by a couple of chemo cycles if required.
That has kind of thrown me off my rails and I am beginning to feel the pressure put by everyone around me now to go for the surgery option.
Josiekat - you are the closest to my diagnosis date-wise, I just finished neoadjuvant chemo cycles last month.
Momine - thanks for your suggestion.
Karina, Cathleen26 and Shanagirl - Any one of you thinks its a risk going for Tamox?
petjunkie - Can you in any way ask your Onc for his advice explaining him/her about my diagnosis?
All - Could any one of you help me with a little research by asking your Oncologists if Tata Memorial Cancer Hospital in Mumbai is something they have heard about and if the treatment recommended by them (tamoxifen for 3 months followed by further assessment- every 3 months) is what is recommended etc??? That would be great help is deciding if the Oncologist can be trusted or should I go for alternative treatment.
-
Ravs, where are your secondaries? If they're out of the breast area (lungs, liver, bones,etc) then you would be considered Stage IV now (technically Stage III w/mets if found after initial dx, but it sounds like yours were found with dx staging scans - is that right?) which would definitely change the surgery optoins.
I had a bmx in Oct 2011 a year after my dx, but that was due to several things - my excellent response to treatment and my original tumor had broken the skin and was still very large and I had several skin mets (apparently IBC). Surgery at Stage IV is very individual and is based on several things. -
I have to ask you Ravs, when you ask if its a risk going for Tamoxifen, what do you mean by that? A risk of what? What are you trying to accomplish with your treatments?
-
It's so hard not knowing all of your stats to ask, but I will ask if my Onc has ever heard of no chemo or surgery for stage III. I see her in about 10 days.
Good luck and take care,
Jo -
Josie, she did have chemo and rads, but I'm not sure what the thought process is for no surgery. I get what you mean about not wanting to go under the knife ravs, no one does, but for me I wanted to be 100% sure there was no breast tissue left that an errent cell could get to (I had multifocal disease). Again, EVERY situation is different in some manner, but for me I needed that peace of mind. I've had reconstruction, and no I'm not perfect, but I'm alive 21/2 years later to be with my husband, kids and family. To me that is what my goal was, and still is.
Take care,
Sharon
Categories
- All Categories
- 679 Advocacy and Fund-Raising
- 289 Advocacy
- 68 I've Donated to Breastcancer.org in honor of....
- Test
- 322 Walks, Runs and Fundraising Events for Breastcancer.org
- 5.6K Community Connections
- 282 Middle Age 40-60(ish) Years Old With Breast Cancer
- 53 Australians and New Zealanders Affected by Breast Cancer
- 208 Black Women or Men With Breast Cancer
- 684 Canadians Affected by Breast Cancer
- 1.5K Caring for Someone with Breast cancer
- 455 Caring for Someone with Stage IV or Mets
- 260 High Risk of Recurrence or Second Breast Cancer
- 22 International, Non-English Speakers With Breast Cancer
- 16 Latinas/Hispanics With Breast Cancer
- 189 LGBTQA+ With Breast Cancer
- 152 May Their Memory Live On
- 85 Member Matchup & Virtual Support Meetups
- 375 Members by Location
- 291 Older Than 60 Years Old With Breast Cancer
- 177 Singles With Breast Cancer
- 869 Young With Breast Cancer
- 50.4K Connecting With Others Who Have a Similar Diagnosis
- 204 Breast Cancer with Another Diagnosis or Comorbidity
- 4K DCIS (Ductal Carcinoma In Situ)
- 79 DCIS plus HER2-positive Microinvasion
- 529 Genetic Testing
- 2.2K HER2+ (Positive) Breast Cancer
- 1.5K IBC (Inflammatory Breast Cancer)
- 3.4K IDC (Invasive Ductal Carcinoma)
- 1.5K ILC (Invasive Lobular Carcinoma)
- 999 Just Diagnosed With a Recurrence or Metastasis
- 652 LCIS (Lobular Carcinoma In Situ)
- 193 Less Common Types of Breast Cancer
- 252 Male Breast Cancer
- 86 Mixed Type Breast Cancer
- 3.1K Not Diagnosed With a Recurrence or Metastases but Concerned
- 189 Palliative Therapy/Hospice Care
- 488 Second or Third Breast Cancer
- 1.2K Stage I Breast Cancer
- 313 Stage II Breast Cancer
- 3.8K Stage III Breast Cancer
- 2.5K Triple-Negative Breast Cancer
- 13.1K Day-to-Day Matters
- 132 All things COVID-19 or coronavirus
- 87 BCO Free-Cycle: Give or Trade Items Related to Breast Cancer
- 5.9K Clinical Trials, Research News, Podcasts, and Study Results
- 86 Coping with Holidays, Special Days and Anniversaries
- 828 Employment, Insurance, and Other Financial Issues
- 101 Family and Family Planning Matters
- Family Issues for Those Who Have Breast Cancer
- 26 Furry friends
- 1.8K Humor and Games
- 1.6K Mental Health: Because Cancer Doesn't Just Affect Your Breasts
- 706 Recipe Swap for Healthy Living
- 704 Recommend Your Resources
- 171 Sex & Relationship Matters
- 9 The Political Corner
- 874 Working on Your Fitness
- 4.5K Moving On & Finding Inspiration After Breast Cancer
- 394 Bonded by Breast Cancer
- 3.1K Life After Breast Cancer
- 806 Prayers and Spiritual Support
- 285 Who or What Inspires You?
- 28.7K Not Diagnosed But Concerned
- 1K Benign Breast Conditions
- 2.3K High Risk for Breast Cancer
- 18K Not Diagnosed But Worried
- 7.4K Waiting for Test Results
- 603 Site News and Announcements
- 560 Comments, Suggestions, Feature Requests
- 39 Mod Announcements, Breastcancer.org News, Blog Entries, Podcasts
- 4 Survey, Interview and Participant Requests: Need your Help!
- 61.9K Tests, Treatments & Side Effects
- 586 Alternative Medicine
- 255 Bone Health and Bone Loss
- 11.4K Breast Reconstruction
- 7.9K Chemotherapy - Before, During, and After
- 2.7K Complementary and Holistic Medicine and Treatment
- 775 Diagnosed and Waiting for Test Results
- 7.8K Hormonal Therapy - Before, During, and After
- 50 Immunotherapy - Before, During, and After
- 7.4K Just Diagnosed
- 1.4K Living Without Reconstruction After a Mastectomy
- 5.2K Lymphedema
- 3.6K Managing Side Effects of Breast Cancer and Its Treatment
- 591 Pain
- 3.9K Radiation Therapy - Before, During, and After
- 8.4K Surgery - Before, During, and After
- 109 Welcome to Breastcancer.org
- 98 Acknowledging and honoring our Community
- 11 Info & Resources for New Patients & Members From the Team