Went into Surgery Stage 2, Came Out 3A
I was in total shock yesterday when the doctor said my path report after BMX was 3A. It has actually made me feel more scared that I will not be able to see my 6 and 4 year old grow up. Part of me knows it's silly but then I wonder if 9 of my 9 nodes were positive, how many more are positive that my BS didn't find/remove. He is very conservative and didn't "feel" cancer in the others and with his experience, didn't see benefit removing more. He said that with my new staging, chemo and rads are definite and that I'm highly treatable (again very conservative in what he says). Just want to hear someone in the medical field say I'll be cured, but I'm sure nobody can say that.
I see my ONC again on Monday and find out when chemo will begin. Just want this cancer gone! At least my margins were clear.
Anyone else have new staging after surgery?
Comments
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teeballmom
My staging didn't change since I haven't had surgery yet. I just wanted to send you big (((hugs)))! We can get through this. Chemo is doable and if you have any questions you can pm me. Or If you just need to talk.
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tball...I'm sorry you've found yourself here with us, the III forum is full of support and info though, we've been through it all. My stage didn't change, I did chemo before my BMX. Chemo isn't easy but very managable with the help of meds and it will clear up any loose BC that got away, that's an advantage to a III dx. During chemo I saw my tumor shrink and IBC leave, it was very reassuring seeing it work. Here's hoping everything goes well for you and congrats on clear margins. Come here often, we're here.
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Same thing happened to me. About six months ago I went into UMX surgery expecting to be staged at IIb with no nodes. After surgery -- IIIc.
Chemo was not nearly as bad as I expected. You can do it!
I am Her2 negative too, but I am really Her2 low (Her2 1+). From what you say, I'm guessing you are Her2 low as well. (Are you Her2 2+?)
Personally I would definitely take Herceptin if my onc would give it to me, which he will not because it's not approved for low Her2. If you are on the borderline and you can get it, I'd say get it. They are doing a trial right now to test whether Herceptin benefits low Her2 people. I believe they will eventually figure out it DOES.
Also look into all the clinical trials you can, not just at your cancer center or hospital but in other places in the surrounding areas. Not all clinics run the same trials. You can have primary treatment at one cancer center and be on a trial at a different one, in many cases.
I feel much better now than I did even one month ago much less five months ago (when I was crying every single day). I cannot promise you that all will be okay, but I can encourage you to BELIEVE ALL WILL BE OKAY because it very well may be. Stats are changing for the better all the time. There are lots of stage 3 survivors on this board. You can do this!
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Thank you jennyboog and tectonicshift. I'm just feeling really overwhelmed right now and tomorrow will be better, I'm positive of that.
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teeballmom, Ugh...you've been through some crap lately, eh? I was also blown away by a stage 3 diagnosis after my surgery pathology came through. My son was 8 years old and I felt the same as you. Now he is 14 and I treasure every stage I get to go through with him. Well, not the mouthy stages..hate those, lol.
No, you won't get anybody in the medical field to say you will be cured. But, you could be in remission for the next 40 years...so good enough, right? Try not to think about all the "what if's'' out there. There are so many of us that are on the other side of treatment and doing fine. Keep that in your head and come here often, cuz we get it. You can do this!!
We don't like adding another sister to our group...but when a new one comes along, we grab her hand and hold on.
Hugs!
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I went into surgery thinking I was Stage 1 and woke up to news that i was Stage 3. I know what a huge blow that is. I had 6 positive nodes that didn't show up on the MRI, and what was thought to be several small tumors were actually attached by DCIS, making my official tumor size over 5cm. Ouch. But I'm almost a year out now, and the good news is that the treatment is totally manageable - not fun, but doable. My hair is growing back, I just ran my first-ever 5K, and I feel great. The period right after diagnosis was the most difficult for me, and I think you'll start feeling better once you have a treatment plan in place and are working to get that cancer out of your body once and for all. You can and will do this!
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This is the article that makes me think you should do Herceptin if you can. Good luck!
http://www.nejm.org/doi/full/10.1056/NEJMc0801440
sorry -- broken link now fixed
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teeballmom, take deep breath and listen to the wise women here. Looking up Stages can be deceptive as the prognostic information is always based on older statistics, usually five to ten years old. So many changes have come down the way in those years, that based on recent changes in protocols, I'm sure we'll see improved statistics in a few years.
There's not a big difference in Stage 2B vs Stage 3A (I ended up moving into Stage 3 after surgery, too). If anything, the drs take a more serious look at you and follow you up more closely. I like having that security blanket. -
I'm only stage 2b with lots of nodes,,when feeling down I come to the stage 3 site cuz you are all so positive and so many are NED for so many years and it gives me hope..Had a very tough time with chemo and surgery and never thought I would make it threw but I did and now my last herceptin is 6/19 and excited and scared to death all in one..I love this site everyone can relate to each other in a beautiful way..you will get threw it may not be easy at times but you will and you will be so much stronger for it..I thought of my kids and said I had to keep going even at my sickest which was most of the time...I have a child with cerebral palsy which made me to keep going...you can do it and good luck.
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My surgeon expected to find 3cm lump after the second surgery to clean up margin it turned out to be 7.3 cm Invasive Lobular is sneeky. The size of the lump made me stage 3
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teeballmom- Sending you lots of HUGS, positive calming and healing prayers, thoughts and energy. I don't have any comments about the staging but if you are eligible for the Herceptin B-47 clinical trial, I can share with you about my ongoing experience this trial. I am participating in the Herceptin B-47 clinical trial (phase III trial) that opened up earlier this year and is determine if low positive HER2's benefit from the use of Herceptin. Typically, those HER2 (+1) and (+2)'s are considered negative and do not receive Herceptin along with their chemo. However, after reviewing prior clinical trial data, it was determined that some in those prior clinical trials were not true HER2 positives. I was randomized by the study and am receiving the Herceptin. There is no placebo on this clinical trial, either you receive it or don't. As everyone says here, chemo is doable and it truly is. I've been fortunate to have minimal side effects and the ones I have are very tolerable and managable. There is lots of wonderful support here and on the chemo threads so help is only a click away!!!!
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I went being told I was stage 1 and came out stage 3. Half of all my nodes taken we positive and I was pregnant at the time. The odds between 2b and 3a are very little difference.. I to had a 5, 7 and 8 year old at the time and pregnant.
I not have a 8,10,and 11 year old and my baby is 2 and half... There is TONS of stage 3 survivor stories! You will be ok!!!
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Thank you everyone for the encouragement. Just feeling down today and the fact that our really good friends and their new baby who took care of me and our 6 and 4 year old these last two weeks drove back home to So CA today so that's probably adding to how I'm feeling. It feels like I've lost one of my safety nets today. They were so wonderful to put their lifes on immediate hold for 2 weeks to help us. We took them out for a thank you breakfast and the tears almost just started flowing in the middle of breakfast. Really thought I was going to lose it at the restaurant.
In regards to my HER2 status, what my ONC said was that even though my testing came back that I am HER2 negative, my HER2 Copy Number was greater than 6.0 (mine was 6.2) so I am eligible for the Heceptin treatment (and my ONC said it will be part of my treatment). I am glad she is looking at everything and just wish it was Monday already so I could find out what my treatment plan will be.
I'm working Bingo at our 2 boys' school tonight so at least for several hours tonight my mind can focus on something else other than cancer.
Take care everyone!
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teeballmom, I got my dx in 9-10 and had neoadjuvant treatment. I was staged as a 2 at the time and then had chemo followed by surgery in 4-11. I went into the surgery having been told the chemo shrunk the tumor but when I came out of surgery I was staged as a IIIA. I was devastated! I just didn't understand what happened, how it could have changed but then my NO saw how shocked I looked and explained to me that I didn't have a change in staging, it meant that I was always a III and they didn't know that until I had surgery and that is the point where you know your real staging. It was still hard to accept but the more I thought about it the easier it was for me to accept that I was always a III and they just didn't know it. I went on to rads and that was okay. I know the Herceptin, chemo, rads and surgery knocked the cancer out of me.
I'm a year past treatment including my year of Herceptin, my hair has grown back and I'm feeling good. I'm on 5 years of Arimidex and have been on that 9 mos. already. I'm finding Stage III doesn't matter anymore and I'm getting on with life. I have truncal lymphedema and that bothers me but after coming through this, I know you can do it. I'm followed closely, at first 3 mos. by my MO and 6 mos. by my BS and 6 mos by RO. I've had mammos, MRI, ultrasound, everything is fine. It hasn't been an easy journey but this website has so much info to help you through.
Your friends sound wonderful and I'm so glad you had them with you and now you have a new set of friends here to help you. My MO is so upbeat right now with me and her findings of late on Herceptin that she said they can't keep up with the statistics, they're all old and when the new 5 year stats come out even they'll be old but they'll show how treatment is succeeding for us. You can see this by the many women who check in who have been dx so many years ago. I feel like you and I will join them and you have every reason to believe you'll see your kids live their lives and someday make you a grandma if that's what you want.
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Fitz33: Thank you. I am very thankful for all of my new friends here and so happy I found this site. I don't know where I would be right now mentally if it wasn't for the wonderful group of friends I've met here. It just seems that all I have on my mind is BC and I don't want to constantly bombard my DH with it. He's stressing a lot about it and I hate to worry him any more than he needs to be. He's so supportive but I want to get back to talking with him about our future and growing old together. I'm just not there yet in my thought process. I will be, hopefully someday soon.
I've decided that I'm going to start a written journal soon of positive things I will look forward to and the things I'm doing to get to that point, but definitely at the top of my list is that my DH and I will see grandchildren someday.
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teeballmom, Just be sure to take someone with you when you see your MO on Monday. Talk of treatment can be a bit overwhelming and it's helpful for someone to take notes or ask questions that you won't think of...that reminds me, it's also helpful if you have a list of questions ready to ask your MO. If you haven't been asked yet if you want a port they'll probably ask you then and you can decide. My BS said I needed one and I didn't even know what a port was and I'm glad I got it, in fact, I just had it removed recently. My RO said it was time to come out even though I wanted to keep it longer and I just saw my BS and she said it's time it came out because they only like to have them in a year after chemo and then it's time to get on with your life.
You'll probably lose your hair. I thought I could handle that okay but when it happened I didn't do so well. Talk about devastating! I waited until after I started chemo to get a wig and was sorry I waited. I just didn't want to think about it and then was sick from chemo trying them on and couldn't wait to leave the store. The one thing I did right was have my hair cut the day before starting chemo, short but not real short, something I could live with and my hair didn't come out until between the second and third chemo so I was lucky for awhile. You might want scarves and I wore those too. At home I just went topless but you'll have to explain it all to your kids. You'll take it harder than they will...kids are so resilient. Maybe you'll have friends who can pitch in at times you might feel overly tired. Some women here worked all the way through chemo. You just never know how it will affect you until you go through it. I hope it is easy for you, or as easy as it gets. The nurses who administer it are usually quite wonderful and caring and understanding. God bless them.
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Fitz33: My DH is coming with me on Monday. Thank goodness because I think I'll really need him there. My BS said he will put my port in but he's going on vacation for 2 weeks and it looks like if I wait for him, I will probably need to have my first treatment through a vein instead. That's one of my questions to the ONC on Monday because I really don't want to wait for him to return. She probably knows someone else who can put it in. It's a small medical community but she'll know someone else, I'm positive.
I did order 3 hats already because I don't want to wear a wig and have to maintain it (I am very lazy about my own hair and just imagine I would let a wig get really nasty so best probably not to have one), but with that said, the hospital I go to has free wigs and hats that they give their cancer patients, so in case I change my mind, I do have that option available at least. Our 6 and 4 year old know that Mommy is going to lose her hair and they are excited about helping Mommy cut her hair off the day I ask DH to shave it. We told them that I will have my hair shaved like we shave theirs but just more will be taken off from Mommy's head than theirs. They've even offered to paint my head pink, red and black (not sure why these colors) and then said when they're done, I can wash the colors off. I'm amazed how resilient they really are. They ask me quite a lot of questions when I go to the doctor, but they seem to take everything in stride. Depending on my treatment schedule, though, we may put them into summer school full time so they're kept busy during the summer and don't have to hang around me all day, especially if I don't have an easy time with SE's. I really like the nurses I've met at the ONC's office. This is our 3rd visit with her so I'm getting to know her nurse really well, although I doubt she'll be the one administering to me (I wish).
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Same, I went in to surgery as IIa and came out as IIIc (after neoadjuvant chemo!) now testing for IV and still haven't even finished initial treatment!! Ah well ... Such is life! I can't afford to get caught in the stats... Just live well and keep on keeping on... anyway I figure I could get run over by a bus tomorrow so why fixate on BC
Teeballmum so glad to hear you like your nurses they are really important. I got a wig but wore it once yuk! I wore scarves. My sister had
bc first diagnosed when her kids were 12 & 6 she was always very honest with them and they
handled it pretty well. She died in 1999 when they
were 11 & 17 they had a rough 2-3 yrs but both
are very stable now and talk very normally about
their mum. Not a perfect childhood for them but they are both good, successful and happy people. -
Yes, me! I went into surgery a stage I and came out of surgery a stage IIIa, just like you. At the time I had a four year old and an eight year old. I was 44. I had one node that slightly lit up on a PET scan that looked benign on the CT scan and they attributed this to the recent biopsies. My tumors on the mammogram looked "diffused" as one surgeon put it. I had nothing really large or popping out. The tumors could not clearly be seen on the mammogram. But there were "tumors". Well I woke up from surgery with two positive nodes and then the next day after pathology, there were two more. At the time, I felt that because they were the sentinel nodes, this was good but later I realized that the sentinel nodes are really the same as the axillary nodes. I know, it is very horrible to adjust to this news. But you will find ways to cope. It has almost been two years for me. I know this is not long, it feels like just yesterday to be honest. I just want to let you know that you are not alone and I know how you feel about worry and young ones.....
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I encourage you to visit some of the chemo threads especially those which were started during the last few months. You will find great support and tips and help about chemo. I'm on the April/May 2012 chemo hangout and found the gals on that thread so helpful. Doesn't matter when you start your chemo.... please join us !!!!! If you have questions, do not hesistate to ask. As you have already found out, there is a practical side to our journeys so getting a little guidance and helps make the chemo very doable. Looking forward to seeing you there!!!!
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They actually didn't "stage" me before, but were saying my primary tumor was "around" 3cm and none of my nodes lit up on the PET scan. Flash forward after surgery, primary tumor was 6.5 cm and 13/15 nodes! What I wish more docs would do is to tell a new cancer patient something like "at this point this is what we see----once we do surgery we will be able to tell you more, it could be more than we see now or less----staging will not be done until the FINAL pathology report comes through"-----or something of the like. It's all so new to us at that point that we have no idea that the initial pathology report will most likely change.
Don't freak out about Stage III, you'll get the big guns so to speak. And just because you are stage III doesn't mean you WILL reoccur, I've heard of Stage I's reoccurring and some Stage IIIer's living 20+ years! Remember you are NOT a statistic!!!
Take care,
Sharon
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My staging was 3 even before surgery, but I had hoped for no cancer in the nodes after neo-adjuvant chemo, and that didn't pan out. So I can relate to the shocked feelings.
It was hard for me too to come to terms with the idea that this is a chronic disease and not something you can ever fully put behind you. As time passes and the effects of treatment fade out, I increasingly feel OK about the whole business. The disease may be chronic, but survival rates are really pretty good, so I choose to focus on that and move on as best I can.
I think a journal of positive goals is a really good idea. Make sure to include some short term ones as well. It really helped me through treatment to set up "treats" for myself along the way. I would buy a present for myself after each chemo, for example, preferably something pretty, like a new scarf or a nice perfume. We also took trips and visited friends in the country. Whatever you can do to make that time pleasant and fun will help it go by faster.
Oh, and if you possibly can, get a house cleaner. If you can't get one, when people ask if they can do anything to help, have them come clean your house, seriously. You will have less energy, so take steps not to waste it on boring stuff. As my surgeon said, this is the time to put yourself first without guilt of any kind.
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I'm still a little freaked out but doing better today.
It was good to get out last night and work the bingo fundraiser for our boys' school and thought (originally) it was fantastic that I was working in the kitchen area with the mother of one of his classmates. Talked about my surgery (small school, word spreads quickly) and then she tells me of a relative of hers with BC who died leaving a couple of small children. Even said "it's so sad". Gee, thanks, really didn't need to hear that. I will say that after being on my feet for 5 hours straight, I slept really really good.
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TectonicShift: You would think a nurse would know better. Sometimes I really don't get what people are thinking when they say stuff like this.
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You'd think!!!!
I actually complained to her supervisor.
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oh yes, brace yourself for the sad puppy dog eyes and the "my friend's sister's husband's great aunt betsy" horror stories. Glad today is a bit better for you
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Argh! What a great thing to tell you. Yes, people will say the most unfortunate things.
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I also went into surgery as stage II and came out stage IIIA. At the time, my children were 4, 6 and 8. I even had one node with cancer coming out of it. I was also terrified.
That was over 6 1/2 years ago!!! My children are now 11, 13 and 15! I never thought I would still be here but here I am.
That exact thing happened to me at my children's school. A mom I hardly knew came over to me and I thought she was going to tell me that her aunt had bc and was treated and is fine now but what happened was the opposite. I don't know why people do that?! I quickly learned to stop people and say, "I don't want to hear what you are saying unless it has a happy ending."
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Caaclark: Thank you for your post. It almost feels like a re-diagnosis and I'm reacting the same way I did right after my "you've got BC" call in April. At least for the summer I can avoid the looks and stories from the other moms. Come August, I'm assuming those looks and stories may occur more often since I will probably be in full chemo treatment.
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