restaged from DCIS Stage 0 to invasive Stage III
:-( so much has been going on - every test comes up worse than the previous...
also said that I am >90% ER >90% PR
they biopsied 3 nodes...all positive....
Elevated calcium found through Pre Surgery Physical...now a PET scan has been ordered...
can anyone tell me what I am talking about?????
Comments
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Hi Connie
welcome to the stage 3 boards. I am sorry to hear you have breast cancer and things have gone from relatively godd bad news. to worse news. You must be reeling.
Getting staged is a difficult process....with waiting then hearing. Soon you will have a treatment plan and can get down to the business of treating your cancer to make the best of this bad situation.
We will wait with you for your PET scan...
Know that whatever is found you will have a plan..and treating BC has come a long way.
Being er/pr positive is a good thing..it gives you options for very effective treatments.
I just entered my 7th year of survival and am in excellent health, although the experience is totally life changing..much of my life is as before and I am happy.
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This is the worst part - the unknowns, the waiting..and the last thing you want to be is patient or a patient especially when you likely feel fine.
EP/PR is not a bad thing - means that you will be eligble to take an antihormonal like tamoxifen or AI like Femara after chemo/radiation/surgery, etc
Positive nodes - means you are staged as stage 3. Good news is they will give you everything in the arsenal. Is chemo fun? No - but it is doable and you will know you have had all the treatment available.
Elevated calcium could mean nothing. Have you been on a medication?
I was diagnosed stage 3 (originally thought stage 1) with 5 positive lymph nodes and 95% er/pr in June 2008. I just ran my 8th marathon (never ran one before cancer) and qualified for Boston. Life after cancer.
Keep us posted!
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I am on medication for bipolar and diabetes.....take a multi vitamin also...............Grade 3 stage 3....what is the difference?
I am RELIEVED to hear about both of you - this stuff is scaring me!~~
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Stages - these are the I II III or IV - determined by many factors such as size of tumor and lymph node involvement and er/pr her2 status and whether it has metastasised (spread to other parts of the body). Grade is the rate at which the cancer cells multiply and can be 1 2 or 3. I tends to be slow growing tumors, 3 are fast aggressive tumors. Hope this helps.
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Connie
I'm so sorry you had to join our stage 3 club but its a awesome group of people who will give you support when you need it. We understand what you are going through especially me as I told you before I went in surgery stage 0-1 and came out stage 3a. It's scary and I'm sure you are in shock. Whatever you are feeling is normal.
I don't know how I would have made it this far without the support of this site. I know the road is scary but you can do it just like we have and are. This is my first week without chemo. I never thought this day would come. You aren't alone we are here when you need us. Stay strong! -
Dear Connie,
Less than a year ago I was where you are. They thought I was stage 1 or low stage 2a with no nodes. After lumpectomy and sentinel node biopsy all three nodes were cancerous and with big node tumors! After mastectomy I turned out to be stage 3C with a ton of nodes. I couldn't believe it and I cried for a long time. But almost a year later I am through treatments and feeling pretty good.
Stage refers to how advanced the cancer is. Grade refers to how aggressive and fast growing the cancer is. Grade 3 is the most aggressive and fast growing -- BUT it is also most responsive to chemo. It is the grade 3 patients who have the most "pathologic complete responses" which means the chemo totally kills all the cancer.
90% ER+ is great! It means 90% of the cells in your tumor have estrogen receptors on them (i.e. grow in response to estrogen). That's great because doctors can control how much estrogen your body produces. It means the hormonal pills will help you a lot.
YOU CAN DO THIS and you will come out the other side. We will be here to help you, whatever the tests say. Even stage 4 patients are living longer and longer with BC as a chronic disease.
Are you having chemo first or mastectomy first?
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I am sure people have told you this is the hardest part, but it really is. On my initial Mammogram US I was told DCIS, 5 days later it was a 15cm invasive fast growing, the 4 days later after surgery it was stage 3A and then upon a PET scan at MDA I was stage 3C. All this means is how far your cancer has moved and how aggressively they will treat you. Like it was said above, they will throw the whole best of your chemo and rads options at you to get you better. It still sucks, but they know exactly what to do. It almost seems harder to be a lower grade and have to depend oncotype tests and instinct with treatment options. Here, in stage 3 you will get a strong chemo regimine and then prolly a full course of rads. Big hugs, and good luck! We are definately here for you. The PET scan was kind of my final step in the whole "always the worst case senario" of my beginning BC journey but I stopped at stage 3 and hopefully you will too!
Really the PET scan isn't bad. You may have a weird diet the day before and they will prolly tell you change how you take your meds. On the day of, usually you need to fast, and then they inject you with the dye, you rest for an hour and then you get a special CT scan. It really wasn't bad, no worse than any of the other scans. Only thing is to watch physical contact with people for 24 hours. You can pour them a glass of soda, but don't hug or kiss or cuddle. (at least thats what I was told).
Again, big hugs through all of this!
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I was told it is 12 cm based on testing. I am having surgery then on to treatments as far as I know (with the way things are changing with every test nothing is written in stone!)
Thank you for the heads up ! I need to know going in what is going to happen. When you talk about using hormones, that worries me because of the bipolar issue. I cannot have hormones (couldn't be on birth control etc)...
Going to be here asking a lot - hope you don't mind...this originally was supposed to be DCIS stage 0 mastectomy would cure it...........that was on 9/18.
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Connie, the drugs are ANTI-hormonals. They actually strip your body of estrogen, which is what ER+ bc feeds on. The oncologist will adjust your meds around your comorbidity.
Hang in there sweetie. The beginning is the hardest.
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OH OK <whew>!!! THANK YOU - little brain scattered lately ......
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Since you have not yet had surgery you cannot be properly staged. Am I correct that the thought is part DCIS, part invasive? The grade of your cancer is known from the biopsy results, but your staging cannot be decisively done until after surgery. Here is a link to staging descriptions from this site:
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Very understandable mistake! I knew zip at the beginning of this "journey." And speaking of brain scattered, I can totally relate, lol!
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yes it was original diagnosed as DCIS but has changed since then due to 2 biopsies (2 done on rt breast and 1 under arm), bone scan and MRI....all that came back and she said stage III...maybe stage IIb but not likely..
She did tell me that they cannot be sure until after final pathology.....at my first appt with her she said a mastectomy would cure it with no further treatment - 10% chance it could show up on the other side - I didn't want to take that chance so I decided bilateral. All these additional findings have been in the last week............
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