Bc found at pbmx without any previous findings in either breast

Pointvalue
Pointvalue Member Posts: 146

Hello,



I am having a pbmx in a few weeks due to my significant family hx. My annual mammo/mri have been stable for over 6 years. I am looking for literature on this subject but can not find any info. Many of you have had precancerous findings or cancer in one breast which prompted you to be vigiliant and have a pbmx.



I know there must be other women like me who just can't take the anxeity of 'wait' and 'see' for something to crop up to be proactive. Please share your stories with me. I would love to hear how you handle this gray area and what you do to be vigilant.



Thank you,



Elise



Thank you

Comments

  • lisag46
    lisag46 Member Posts: 23
    edited July 2012

    Hello Elise,

    I have a very strong family history of Breast as well as Ovarian cancer on both sides. I met with  a breast surgeon today, and will meet with a Plastic surgeon Friday. I will be having a PBMX as well as reconstruction and hysterectomy in two weeks. I have had three surgical biopsies over the last 5 years each time finding ADH etc. I am tired of having pieces of me taking out as well as the fear and anxiety every time I have a mammogram. So I took matters in my own hands.

    Hope this helps,

    Lisa

  • Pointvalue
    Pointvalue Member Posts: 146
    edited July 2012

    Hi Lisa,



    You have been through a lot! I have not had any atypical cells or biosopies . I am exhausted by all the testing. It is such a personal and emotional decision to make. I am nervous something will be found post pbmx .

    I was wondering if you have had MRI as part of your surveillance? MRI is such a valuable imaging tool for women with dense breasts. My wish is for all women be offered MRI in conjunction with mammography.



    Always,

    Elise

  • vmudrow
    vmudrow Member Posts: 846
    edited July 2012

    I chose to have PBMX because of ALH - precancerous.  I was tired of the worry, testing, biopsies.  I have been very happy with the whole process.  Let me know if you have any questions.  There aren't too many ladies that have masectomies without having more than ALH or ADH, unless they test positive for BRCA.

    Hugs, Valerie

  • rosetx
    rosetx Member Posts: 121
    edited July 2012

    I also had a PBMX because of personal history and strong family history.  I had many biopsies and prior ADH.  My mammograms always came back showing something--most often calcifications noted as "probably benign."  My MRI didn't show anything of concern.  A high risk and breast cancer specialist recommended a PBMX for me based on my very high risk factors.  The surgery, 6 weeks ago, revealed DCIS as well as extensive ADH and ALH.  That was just my experience, but I would imagine that for most people the mammograms and MRI's are quite accurate.

  • Pointvalue
    Pointvalue Member Posts: 146
    edited July 2012

    Hi Valerie,



    Thank you for your reply. It's such an emotional decision. I am so torn. It's the unknown that is getting to me. Deep in my heart I know it's the right decision. I guess I am afraid they will find something lurking that was not detected by any screening tools.



    Thanks for letting me rant!



    Elise

  • Pointvalue
    Pointvalue Member Posts: 146
    edited July 2012

    Hi Rosetx,



    Thank you for Sharing your experience with me. Such a tough choice! I am really anxious about the whole thing. I wish there was another way.



    Elise

  • Rubbermammoball
    Rubbermammoball Member Posts: 2
    edited July 2012

    In December of 2008, I had stereo-tactical in 5 spots for microcalcifications in both breasts, in the process,  I was diagnosed with ALH in the right.  I had that surgically removed.  I have had diagnostic mammograms in one or the other breast every six months since Feb. 2009. ( I just remembered the biopsy I had when I was 18.)

    Last week I had the tomo 3d mammogram, and as a result discovered two complex cysts.  They were aspirated today.  One was clear, the other bloody.  I will have the results on Tuesday.  I have a small palpable lump right now.  I actually thought that was one of the ones they were aspirating today, but I guess not because it's still there.  I feel too stupid to mention it now.

    Needless to say, I am also thinking about a PBMX.  Not only is it emotionally draiing, its a huge financial burden.  In 2009, I spent $6000. out of pocket...and I have good insurance.  I am a single mom with a wonderful daughter in nursing school. 

    I collected all of my radiology reports today which basically tells me that regular mammograms are close to useless for me,  due to the density of my breast. (Another high risk factor.)   One report says "physical examination is of primary importance to this patient."  In between mammograms, I have to have clinical exams.  Besides the risk, its like looking for a polar bear in a snow storm.  My sister was diagnosed 2 years ago. (Another high risk factor.)  She discovered a lump 3 months after a mammo.  It was never revealed on mammo, even after confirmed diagnosis. She had a BMX, and is suffering through menopause and arimidex.

     I am a little confused as to why they have not suggested MRI for me.  I don't want to soundpessemistic, but I feel its not a matter of if with me, but when. 

    Forgive my rambling, and writing.  My eyes are tired and the display on my laptop is small.

    Any and all opinions are welcome.  I am totally exhausted from all of it. 

  • loriio
    loriio Member Posts: 247
    edited July 2012

    I had a PBMX for LCIS on June 26th. I had a MRI the week before to see if anything else showed up. Nothing else did. My pathology from the BMX showed a microinvasion of ILC on the left. Who knows how long it would have taken to show up in screening had I not had the surgery? That's just my experience. But my doctors felt strongly I was headed for trouble and they were right.

  • lisag46
    lisag46 Member Posts: 23
    edited July 2012

    I am afraid they will find BC when I have the PBMX. All I know is for the first time in a long time I feel relieved that this will soon be over and I can get back to my life again.

  • SelenaWolf
    SelenaWolf Member Posts: 1,724
    edited July 2012
    If a PBMX is going to give you peace-of-mind going forward - and you've indicated that it will - then this is the right decision for you.  Stress can be a huge factor, not only in quality-of-life, but it may, also, have a detrimental effect physically.  You need to do what will enable you to relax a little and enjoy life.

    If the PBMX does find evidence of breast cancer - and chances are greater that it won't - but if it does, then ... well ... it will be gone.  You have done everything you can to be vigilent with screening and if your screening protocol hasn't, yet, uncovered anything significant, then chances are that there isn't any lurking cancer or, if there is (and it's a big "if"), it's still very, very small and you will have various treatment options.

    Hang on to that relieved feeling.  If you believe that you've made the right decision for YOU, then you have.  Don't sweat it out until you have reason to.
  • Pointvalue
    Pointvalue Member Posts: 146
    edited July 2012

    Hi Rubbermamma,

    Have your doctor push for MRI. Having a first degree relative increases your chances along with dense breasts. How old was your sister when dx? If she was dx before 50 I can't imagine why an insurance would deny you.



    Always,



    Elise

  • Rubbermammoball
    Rubbermammoball Member Posts: 2
    edited July 2012

    Hi Elise,

    I don't think it would be denied, it just hasn't been suggested by the doc.  I am going to make an appointment with my gynecologist, for my clinical exam.  I think I will bring it up then.  I think I have decided that I will ask about the pbmx.  I am tired of the exams, costs and worry.

  • SarahsMom
    SarahsMom Member Posts: 1,779
    edited July 2012

    I am proud of you ladies for making such a tough decision regarding the PBMX! If my every 6 month visits continue to be mysteries, biopsies, we don't know ,and we think nothing is wrong, then I am wanting to move in the same direction with surgery. I am sick of the psychological angst.  I am lucky to be in the military medical system, so the cost for my ductal excision, et al was not out of pocket - I know you are all saddled with the financials bills with this stuff, as well. Anyhow, just wanted to high five you! I wish they had a thumbs up ability on these posts!!

  • lisag46
    lisag46 Member Posts: 23
    edited July 2012

    Insurance denied my PBMX! BS said I had to have yet another lumpectomy....if it has malignant cells than I can have BMX. Wow Really? Very Disappointed.

  • Pointvalue
    Pointvalue Member Posts: 146
    edited July 2012

    Hi Lisa,

    What type of insurance do you have?

  • Infobabe
    Infobabe Member Posts: 1,083
    edited July 2012

    lisag46

    That totally sucks.  See if you can appeal this interference with a medical decision.  Make some calls and raise hell.  Write and call your Congressman and state reps. and senators since they are the ones favoring insurance companies.  See if your doctor can do anything.  The squeaky wheel you know.

  • lisag46
    lisag46 Member Posts: 23
    edited July 2012

    I have Starmark Insutance through work. Working on a appeal. I have had three DRs recommend a PBMX.

  • Pointvalue
    Pointvalue Member Posts: 146
    edited July 2012

    Hi Lisa, what state do you live in? Have you been gene tested?

  • Infobabe
    Infobabe Member Posts: 1,083
    edited July 2012

     lisag46 

    That is good you have an appeal going.  It is so hard to be aggressive when you already feel like crawling into a hole.  Insurance companies like to hit them when they are down.

    Perhaps you have someone who can help fight on your behalf.  Best wishes for a successful outcome.  Let us know how this progresses.

  • lisag46
    lisag46 Member Posts: 23
    edited July 2012

    I live in Texas and yes I have been tested on all three and they were all negative.

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