PBMX scheduled. Can't sleep....

shabby6485
shabby6485 Member Posts: 679

Hi to all,

After years of biopsies (11 to be exact) and a diagnosis of LCIS, I decided to get a  PBMX. Just scheduled for August.  Now it feels real.

I have not had any doubt that I am making the right decision for myself.

My fear is that they find some occult cancer hiding in there after the surgery.  My last mammo lead to the excisional which showed LCIS.  My last MRI was about 3 years ago and that was clean.

Does anyone know that if cancer is found along LCIS what type it usually is...

My surgeon said if they do find something it is usually early like DCIS?  I am confused.  Maybe I am thinking too far ahead. 

I tell myself the worst case scenerio is that if they do find something, I am one step ahead of the game.  

I cannot torture myself till August.  Yell 

Comments

  • loriio
    loriio Member Posts: 247
    edited April 2012

    Hi Shabby.  I was diagnosed around the same time as you and my PBMX is scheduled for  June.  I met with a MO on Monday and he did say that if they do find something it's usually DCIS, but could also be ILC or IDC.  He reminded me that if they do find something, it will be very early and the BMX will take care of it.  I know there are always exceptions, as well as the possibility they don't find anything else.  Either way, we have done all we can do, right?  I know it's still not helping with the sleeping.  I planned a trip with my family the first week of June, and I'm hoping that will be a nice thing to focus on for our whole family.  I hope you find some peace in knowing you made the right decision and that the worries subside.  Just know you are not alone.

  • shabby6485
    shabby6485 Member Posts: 679
    edited April 2012

    thank you lorlio

    are you having a snb? my doctor does not do them with LCIS.  I really pray all goes well with you.

    I feel confident in my decision and am hoping that this will all be behind me come august.  

    are you having reconstruction? I don't understand about the DCIS thing.  Wouldn't all these mammos pick that up as calcifications?   again, best of luck to you and thank you for responding... 

  • Crescent5
    Crescent5 Member Posts: 442
    edited April 2012

    Shabby I'm one of those rarities whose cancer was found in PBM pathology. Look, it's not the end of the world. It sucked, but in the scheme of things, it was caught so very early. Had I not had the surgery, it's possible the ILC might have still been missed at mammogram this month. I'd probably be looking at the torture of biopsies in the fall when my scheduled MRI would likely have finally found the tumors (maybe). BTW that was my schedule prior to PBM, now I don't need mammo & mri.

    I'm also one of those people who had complications.They sucked too. But here's the thing ... you cannot think about the what ifs. You just can't. Presumably, you considered all of that before you made this decision. So there's no need to worry now. Concentrate on getting yourself into tip top physical shape to make your recovery that much easier. You don't have to do this, but I built myself up to 300 full sit ups. I could sit right up in the hospital the night of my MX without using my arms. Quite liberating! Work up to an acceptable amount (10? 20?). Crunches won't do, you need full sit ups. Concentrate on stuff like that. Keep it positive.

    Had I worried about the crap I was going to go through, it would not have changed the outcome at all. It just would have made me more of a basket case. Tell yourself your surgery will go off fine (chances are it will). If there are any issues, you will deal with them, But the hard part will be behind you: walking into the hospital and saying. "Hi I'm here for my mastectomy." Once that moment is behind you, you're going to feel better already.

    August is a long time to wait with this hanging over your head, especially if you're prone to worry.

  • skipper12
    skipper12 Member Posts: 6
    edited April 2012

    Shabby and Loriio, I am still trying to figure out which route I will be taking.  Every six months since 2009 my MRI's or diagnostic mammograms are finding more enhancements and calcifications.  The biopsies and lumpectomies all show LCIS.  All I know is, if I do have a PBM I don't want reconstruction.  I just don't want to go through even more procedures.  I called my BS yesterday to ask a few questions in case I go forward with the surgery.  My big question is if she will take out a few lymph nodes too.  She said sometimes when breast tissue comes out, so will a lymph node.  I certainly don't want to get lymph edema as a result of just going the preventative measure route. I understand it is a life long problem that one must deal with. It doesn't sound fun!  

    I wish you both the best of luck come June and August with your surgeries....Skipper

  • shabby6485
    shabby6485 Member Posts: 679
    edited April 2012

    Hi Crescent & Skipper12~

    Crescent...  Thanks for such comforting words.  I am gratetful that yours was caught early. My doctor did say that if some occult cancer was found, it would be early (dcis).  I see you were diagnosed with with ILC. Did you need chemo?  Boy does that prove that you made the right decision to do a mx.  How are you doing now?  Also, I assume they did a snb.  My oncologist (NYU) does not do them.  Kind of confused... i am deeply concerned with not being to exercise.  i work out almost everyday now.  i don't want to sit around for weeks and get fat on top of everything else.  I will take your advice and work on my abs.  I heard not to work out chest muscles to much prior to surgery because they need to put implants behind pecs.

    Skipper12~ I was concerned with SNB and was adamant that I didn't want one.  Fortunately, my onc. surgeon is on the same page.   He believes doing SNB for pmx is malpractice.  So confusing because the other surgeon was I considering, does SNB. 

  • Crescent5
    Crescent5 Member Posts: 442
    edited April 2012

    Shabby, I am fine now thank you. I didnt need chemo. I did not have SNB, so once the cancer was found, I had to go back in for Aux node dissection. That sucked, but I'd take the risk all over again if I had another set of breasts. I did not want to worry about lymphedema. However, I wouldn't call SNB for PBM malpractice. Invasive can be found sometimes.

    Not being able to work out was a suck pill, but I really got out there and walked in about a week IIRC. I walked like a normal person at first, and then I found my stride. I like to go nuts on hills and rougher terraine. I just started back with weights maybe 8 weeks out (light weights), but understand, the 2nd surgery (ALND) really set me back. I'm now 4 weeks out from exchange & have been given the OK to use weights again (will not just yet as I had a fall over the weekend & hurt my pecs). I went back to abs very quickly after PBM (was doing side crunches in bed right after drains came out Embarassed) but developed truncal cording (only lasted a few weeks). My PT scolded me for straining too soon. Take it slowly, listen to your body, and you'll get back to it in short enough time. And Shabby? Don't read these boards too much now. You've done your homework. You don't need to worry.

    My son took a pic of me a few weeks after I scheduled my surgery, and I still feel the intense fear when I look at that pic. It makes me sad to remember how scared I was. What I didn't know back then, was whatever was about to get thrown at me, I was going to handle. I chose awesome drs, and they were going to take great care of me. No one on my team was going to let me down. Trust in that.

    Skipper, I owe you a PM.

  • theBCavenger
    theBCavenger Member Posts: 313
    edited April 2012

    Shabby - I had an MRI show horrible things in my rt breast and node involvement. I had a AND and BMX. My reasoning was that I didn't want to look over my shoulder re: the breast left behind.

    When all labs from surgery were in, turned out I had pre-cancer in the good side! SO GLAD I GOT RID OF IT!

    Now, I just found out that it is recommended that I have a hysterectomy... seems like the fun never ends! Anyway, at this point, I just don't want to deal with cancer anymore. So if a hysterectomy is going to help with that, then count me in.

    When I was first DX, I felt like I needed everything to happen right now. So many people on this site tried to convince me that I had some time to decide on what's best for me... It was hard for me to listen! I don't know if you are thick headed like me or not, so I think the best advice I can give you is to take a Benadryl every night to make sure you get sleep. Also, try to keep yourself active within your life, as recovery can be hard, and even the things you hate doing now will be missed once you are told you CAN'T do them!  

    I wish you all the best. 

  • shabby6485
    shabby6485 Member Posts: 679
    edited April 2012

    Thank you, Crescent & DM13,

    I agree, Crescent. As much as I love this board, I find I have a tendency to overread and drive myself nuts.  I realize that everyone will have a different experience but I love to read all the stories~ good and bad.  Sometimes, It is too much.  I now quickly scan a couple times a day. I am ready to do this and all the reading in the world won't change my mind or outcome.  I am excited to get this behind me.  Oh, and getting rid of these saggy timebombs is a plus~ 

  • loriio
    loriio Member Posts: 247
    edited April 2012

    Shabby, I am not having a SNB.  The BS doesn't think it's necessary.  I am meeting with the PS surgeon tomorrow.  We are going to go over options timing, sizes, etc... Once that's done, then it's just the waiting game.  

    And I also agree about reading the boards-it can make things scary.  However, someone mentioned on one of the boards (I think on reconstruction) that the women who have ongoing issues are the ones most likely to post because of the support they need and deserve (as well as the support they can give!)  There are many other women who go through it and move on with minimal issues and the disappear from the boards  Hopefully we'll fall into the latter category, but if we don't, at least we know we have people to talk to.  

    Good luck to everyone! Laughing

  • shabby6485
    shabby6485 Member Posts: 679
    edited April 2012

    good luck to you loriio,

    When is your surgery? Are you having reconstruction? I agree with you on reading the board.  I try to read a couple a day.  When I read a positive story, I log off on that note.  I have a long wait till my surgery and I do not intend to waste anymore time worrying about this.  It has already taken up too much of my precious time.  Again, hope all goes well tomorrow!! 

  • loriio
    loriio Member Posts: 247
    edited April 2012

    Surgery is June 26th.  I will be doing immediate reconstruction with TE.  I am not a candidate for nipple sparing because of where a cluster of atypical cells was found during my excisional.  The PS got his training for reconstruction at MD Anderson in Houston.  He works quite a bit with my BS and the ladies at the breast center say amazing things about them as a team.  I've heard wonderful things about him and found him to be very kind.  He was very quick to remind me that all of the reconstruction choices are my choices and I will be driving this process.  Now I have a break from doctors for awhile.  I can get the kids through the end of the school year, take a quick family vacation and prepare myself physically and emotionally for what lies ahead.  Stomach crunches, here I come!

  • annievan
    annievan Member Posts: 92
    edited April 2012

    Hi there - wanted to join in and tell you, Lorrio, that my surgery is now scheduled for the afternoon of 6/25 - - so I'll be right along with you with the crunches . . .

    In fact, I want to THANK YOU Crescent5 for the wonderful points you've just made.  I need to hear that loud and clear!  I've been driving myself crazy since my finding in early Dec. of ALH, then excisional later in Dec. showing multiple areas of LCIS, ADH and lots of ALH.  BS laid it out in Feb. that I need to go the PBMX route, and so my date has been set today.  I have read and researched and talked about this from every angle for so long . . . so now, I'm going to try to kick my rear into great shape and find some peace before the surgery.  Can so relate to you saying the hard part will be walking into the hospital saying "I'm ready to have M. . . "" - - just seems like that will be very, very hard.  Ugh-

    But. . . here's to celebrating life and how lucky we are to have been given this early, early diagnosis and the opp. to do something proactive.  I'm going to TRY to remind myself of this every minute and try to chill with the worrying. . . I will be going in early June for 6 mth. f/u diagnostic mammos, MRIs and ultrasound. . .just to see if anything has changed.  Other than that, I'm going to try to have some fun, a family trip, get my house organized  (@$##$$@!) and get in shape.  I may try for those 300 sit-ups. . . any other goals to set?  What about hints for getting my arms in great shape beforehand?  They're needing some work big time!

    Lorrio and Shabby and anyone else scheduled. . . let me know if you want to work towards this with me.

     Also, anyone have favorite comedies they could share?  I'm wanting to spend the next few months laughing - - I love "Arthur", "Liar Liar", "Dirty Rotten Scoundrels". . so any suggestions along that ilk, please let me know!

    Thinking of you all and wishing for you some peace - - Thanks so much for all the positive suggestions!

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