Survival?
I couldn't sleep last night, everything in the literature confirm that young BC ladies have more aggressive and worse survival rates. Just wonder if you have heard or read something more hopeful? I will start my chemo next week, I know it is going to be difficult and I keep telling myself it is a phase and all will get back to normal within months but I can't stand the idea of going through this again and again! I know that there are no answers out there but I want to hear a good news!
Comments
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Abby: I have seen in some places that young women have worse survival rates. I think, however, that is based on the assumption that young women have more aggressive cancers. That is not always the case. I have just turned 39. I was diagnosed in February with hormone receptor positive, HER2 negative, Grade 2 cancer. Not great, but not the typical diagnosis expected for a younger woman either. Also, our younger age gives us some advantage too in that, typically, a young person has fewer pre-existing health conditions that my affect their ability to tolerate treatment as well. Again, this is not always the case. Remember, we have already defied the odds once (not in a good way) by being diagnosed younger than most. There is no reason to believe prematurely that your cancer is very aggressive or advanced. I don't see your stats in your signature. Have your doctors given you any indication of your ER/PR and HER2 status, lymph node involvement (if any), whether there is lymphovascular invasion, and the grade and stage of your cancer? Those things can significantly affect treatment and prognosis.
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Abby I was 34 years old when I was diagnosed with a Stage 1 cancer. I went 19 years cancer free and had a local recurrence last year, also a Stage 1 (even smaller than the first time). I STILL have a good prognosis (at 54, I still consider myself relatively young).
I know how scary it is to be diagnosed at such a young age, but you WILL get through chemo and go back to your life. Trust me. PM if you would like to talk more. Joan
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I think that's exactly how I felt a few months back. (chemo done, rads just finished) All I could do was read worse case senarios. I'm 36 and my baby was only 15 months old when I was dx. All I could think of was not being here to see him grow up. I had a mini meltdown after reading a blog about a girl who passed away, I was a wreck, I soon realised it wasn't helping me reading this stuff so I tried to concentrate on reading more positive stuff. I felt better during chemo as I felt that it must definitely be killing something as it was tough enough at times. I have my dark days and still get scared but not that blind fear I had at the start. Best of luck with your chemo
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First, one of the main reasons our survival rates are worse is because our cancers are usually diagnosed at a later stage (due to misdiagnosis, the "your too young for breast cancer" mentality). Second, it is true that the our cancers do tend to be more aggressive in nature (Grade 3, her2+), but not all of them are and even so, surgery and chemicals are very effective means of treatment (i.e. even with aggressive features in the cancer, it is never a hopeless situation). Lastly, younger women are known to have a much harder go of breast cancer psycho-socially. Cancer is a major shock for us at this point in our lives, and the impact we feel from it is often extremely major due to the fact that we are still early on in our relationships, careers, finances and adult identity, and breast cancer can throw all this out of wack in a serious way.
I am not going to tell you that you will "get back to normal in a few months" as you have written, but I do understand how you feel. Unfortunately, there is no getting around it- cancer is a big deal and I think the impact on our lives is often both immediate and delayed. My advice is dont rush yourself to get over it and on with things (it can just makes it harder..) and do whatever it takes to find other young adults with cancer to hang with. And remember- cancer isnt going to change your personality, but it might change your interests and values and this may not necessarily be for the worse, ok thats all of my wisdom for now
I was diagnosed almost a year ago at age 32.
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lanagraves,
Thanks for your encourging words, I agree with you. The stage, grade, hormone status all play a role of how seriouse is the disease. I am just thinking that now the fact that we have it will put as at a higher risk of getting it again, and it will be a life long worry!
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Kayb,
Thank you for sharing your sister's story! Congratulations to her and wish her a long and happy life
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Abby20,
The type of information you are referring to is a broad generalization based on studies of large numbers of people. This means that it cannot necessarily be used to apply at the individual level. YOUR survivability depends not on your age but on the characteristics of your tumor, the treatment and how you react to it and lifestyle factors that favor or do not favor full remission. It's a good idea not to get too caught up in the many general things said about BC - although I understand your concern, and it happened to me too at first. But bear in mind that BC is a variable disease, or group of diseases, and too many factors are at play for sweeping statements to be applicable to us as individuals.
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Hi Joan
Im on chemo now after 12 years clear TN also. Came back in same breast. When you were chemo does Tumor markers get wacky? I had also scans after diagnosis they were clear. During treatment did they scan you alot? Did your doc feel Cytoxin /Taxotere is strong enough? How many did you get?
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Hi Netty: I don't think my tumor markers got wacky - my doc told me they were fine and I never pursued any more information. I had no scans at all during treatment. Because of insurance issues and fears about excessive radiation, they scan a lot less than they used to.
My doc recommended Cytoxan/Taxotere and that is what I got. I was originally scheduled for 4 rounds, but, because they couldn't find a senitinel node during my BMX (the fact that I had had an axillary dissection 19 years prior made it impossible to map), I wondered about whether or not I was truly node-negative, as both my BS and MO thought. No one really knew, but since my tumor was so small and I had no LVI, they assumed I was negative. So I asked them to treat me as though I were node positive, just in case and got 6 rounds of T/C. I do remember the doc saying that he wouldn't consider giving me adriamycin - I think his impression was that my cancer was really very simple and he didn't want to mess with my heart. The best to you! Joan
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Im one of the patients who ask about my bloods and exact number .Alot of docs dont tell the patients the number cause it causes unecessary worry. So your doc would just all was fine. No scans?? Good for you no stress. The number flucutuate with chemo.
I just had Pet, MRI of complete spine (7 hours) , MRI of both Breast, Bone scan, Cat scan of upper thorax( all with contrast) just 60 days ago. yes all clear and bone scan again and cat scan. Im having 4 rounds of the T/C maybe she will give me 2 more. Lets see.
Oh is this a primary or local recurrence? BTW I also had CMF (chemo)12 years ago.
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They are calling it a new primary Netty because of the time that went by between diagnoses (19 years). But I don't think it makes much difference - still a small tumor (9 mm) and hopefully it won't give me any more trouble. I can't do this a third time!
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I dont blame you. Why dont they give you so all these scans? Did they do it thru treatment? Guess maybe I have a primary.
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I was diagnosed at 38 and I am now proudly 50!
Everyone is different so this is my experience. These are the things that worked for me:-
+ we are all individuals, so while I would hear what happens in 'general' I thought 'I am me', so I choose not to buy into what happens in general. I had my own sense of strength and I would need to drawn on that now. When I was told I had a 1:10 chance of making it to 5 years I can still remember saying to myself 'you don't know me, you don't know how strong I am'. As it turns out I was right, not them!
+ I realised that there was 'no getting back to normal' for me. I was changed and my life would need to change, I couldn't go back to who I was, because who I was = sick. I needed to create a different life and that is what I did. Let go of friends that didn't fit me any more etc. It was hard but worth so it.
+ I was scared of 'it' but what was 'it' exactly? I went through a process of naming all of the things that I lived in fear of, every last one of them. That way I could isolate and explore what I was actually scared of and then why I was scared of it, one by one. I then looked for proof that my thoughts were wrong. i.e. read books about people who had survived, learnt as much as I could about cancer, treatments that seemed to take the power away from the fear. It was quite a process but it really helped me find evidence of positive things rather than negative things.
Hopes this helps
Gai
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Joan: you are amazing thank you so much for sharing your story, hope you will get through the second one pretty smoothly and will never see it again.
I just had my second session of chemo yesterday, my hair fall down today and I am thinking when all of this is going to end! -
Gai: Congratulations! I agree, everyone is diffrent. We don't know yet what brought it to us but it is very likely that we got it for different reasons. I am still resisting the idea of "no getting back to normal" I love my life, I was happy and all looked perfect, we just had a baby and we are very much looking forward to watch him growing up. Why do I have to change? I have been always sensible in my lifestyle, very health consciousn (being a health specialist myself!) cancer never crossed my mind, but unfortunately it is a fact now.
I am scared now, and I see a scary future. I had my second session of Chemo 2 days back and have 4 more sessions to go, but end of treatment is not the end of this nightmare. I started to fear the unknown, what if I have it somewhere else and I don't know. I started to hear stories about ladies who were diagnosed with stage I just like me but then found it out in other organs! I guess I have to learn how to control my fear to be able to live
Thanks again for sharing your inspiring thoughts and wish you a fearless life -
Hi Joan
Now they tell me it's a new primary and being treated as. She said what's the difference anyway. That's what I'd like to know. So many women mention it so much. Recurrence and primary all the time. My doc is getting on my nerve. Said we ask to many questions and has to spend too much time with me when she has others that are truly sucker. Once in order to shut me up she said if your not happy find another doc. To this date she has yet answered all my questions. Always in a rush. Ugggggg -
Thank you for posting this. I am 26 and I, too have been freaking out over the survival rates being less for women under 30. Google seems like my worst enemy at this point, it's heart breaking to read 1/2 the stuff I come across online.
My friends and family keep telling me how fortunate I am to be young and have my entire life ahead of me, "You found this at a young age" is supposed to give me optimism I guess. I know it's an awkward unfair situation and there is nothing anyone can say to ease my fears. Thanks again for posting, reading that I am not alone is the only thing that has helped so far...
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I was diagnosed in last May (2012), and holy cow I have had some major issues with Survival Rates. I just turned 34. I am Stage IV. In a matter of less than one month, I had BC, then I had, IDC, then in my Lymph Nodes and then found out it was in my bones (spine and ribs). I have been on the biggest emotional roller coaster (and the steriods for my chemo make the ups & downs even worse). My world became dark and hopeless.
The book I read said that I had a 5 - 20% five year survival rate. I didn't know if I was going to even make the year. I was devastated. I watched my son "graduate" kindergarden and seriously wondered if I'd ever see him finish a school year again. I wrote my will and spent a lot of time crying with my family. I told my parents and husband that I knew it wasn't fair, I was supposed to out live them, but the odds were that I wouldn't'. My doctors wouldn't give me a time line, so I felt like I had no time left.
I completed my 4 rounds of Chemo - TPC, and then had my scans redone. You can not imagine the relief, when my doc's said that my bones were healing. They have not used the words remission, or shrinking, or anything that gives me too much hope, but "healing" has changed my way of thinking. I am going to do another 4 rounds to "heal" some more.
I am sitting in the chemo chair right now - Round 6! I hate putting myself through the torture which it causes, but now I think to myself, it's worth it. I think that every round means more time with my family. I can see the light now. I don't feel like I am dying anymore. I feel like after Round 8 - I can start a normal life again. I'll still live with Cancer, but it won't be my whole world anymore. I think that now, I've got some time back. It's not so scary anymore. "Healing" means that maybe I can become a BC Survivor someday soon.
I know that each person is unique and their diagnosis is unique. I hope that you will find your own way of "Healing", so that you can see the light and the darkness that BC creates will begin to disapate.
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mcmanus33,
Thank you for sharing. My heart aches for you, your post was so beautiful. I wish I had a way with words so I could accurately express how it made me feel.
Focusing on the light is the only way to keep your sanity... Enjoy everyday with your family. Someone offered some advice to me when I was whining that this isn't fair for my kids; they told me that my kids would be stronger, more sensitive, well rounded compassionate individuals from this. Things that happen to us mold who they are.
I hope chemo today wasn't too hard on you, and keep sight of that light! Thinking of you.
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Oh my gosh I spent so many nights on Google freaking myself out when I first got diagnosed! One of the hardest nights was a page I came upon where a husband had these amazing, beautiful, heartbreaking photographs documenting his wife's journey through cancer, and I didn't realize at first that she had not survived. It was all of my fears realized in that moment- that this life I've been building and working on plans to continue learning and growing might not be as long as I thought before cancer. I was a wreck for days after that one. Because this isn't a normal narrative, cancer threatening to take half the years we'd previously anticipated without this major threat to strip this future we have no idea about anymore.
It's normal to worry about the future. And it's normal to mourn the past. But I am learning to appreciate the gift that is being present now. I check out a lot, and am in my head all the time. But when I am fully attentive to what is going on in a moment, I am okay. I am where I need to be. Sometimes I need to remind myself a few times a day, and lately it's been a near impossibility not to worry about my upcoming results from my first scan since September brought news all things were stable.
I learned a lot last year, as my friend and I helped each other through our cancer journeys. LaTrease had a very aggressive recurrence of a rare cancer, and our experiences were very different, but she and I could bond over those things that felt so lonely- like, few people understand what it's like to experience chemo in my friend group, so it was comforting to have a friend who got it, who'd been there, and who was there for me even as she was fighting her own battle. We spent time mediating, and a group of 4-6 friends would go over to visit and we would meditate, pray, send her reiki and loving energy as she got sicker. I can't really describe the experience of walking with someone through their end stages with cancer while I was just beginning it, but LaTrease gave me strength by showing us all how to live fully, laugh often, and love deeply, and how to put your own self aside for others in a way that was just so graceful, and raw. She was 38 when she passed, and it was humbling, to say the least.
So maybe I have a different perspective, but I'm trying not to worry too much about what's going to happen in 5 years- I'll know when I get there! I had a lot of time to sit with myself, and reconcile my life. If this is it, I thought after diagnosis, I have had a full, wonderful life full of love, mistakes, adventure, travel, incredible friendships and community, excitement, heartbreak, education, humility...and I can honestly say I would be satisfied with this early experience...but I really don't think I'm done with the story yet. This is a formation into something new, something that asks of us, or rather, demands of us an inner strength unmatched by other challenges we may have experienced before. At least, that's what it's been for me.
Am I scared? Oh course, terrified. When I see the fear in my lovers eyes that I might not be around for another 30 years, or I think of my nephew who's only 3, and whom I want to be there for as long as possible. There will always be things to be scared of. But I will never forget that we can always find ways to let the light in through the darkness.
Hang in there. One moment at a time.
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