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Robin67
Robin67 Member Posts: 15

Hi I am newly diagnosed with 1 area of DCIS and 1 LCIS on one breast, 2 LCIS on the other. I am new to this site. Just wondering if anyone has experience with so many sites being found after never having a call back from a mammogram and what steps were taken. I have a scheduled MRI next week, then possible lumpectomy in January. I'm contemplating having more than lumpectomy but fearful that may be to radical.  I'm 45 and hate to have another 45 years of fear.I'm also afraid that if I have radiaition after a lumpectomy then find out later down the road that I need reconstruction that it won't take well due to the radiaition.  Any suggestions?

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  • Beesie
    Beesie Member Posts: 12,240
    edited December 2012

    Robin, I'm sorry that no one has responded so far.  Certainly with a couple of sites of either DCIS or LCIS in each breast, your situation is different than most.  For women who have small amounts of low grade DCIS, I often warn about over-treatment - we all tend to worry so much about the breast cancer diagnosis that we don't consider that sometimes the treatments put us at greater risk than the disease.  Usually that's not the case, but if the risk from the disease is very low, then certainly that's a possibility.  But in your case, I don't think you should worry about that.  With DCIS in one breast and with the risk from LCIS in both, I don't think anyone would consider even a bilateral mastectomy to be over-treatment in your case. Which is not to suggest that a BMX is what you should do.... only you can decide what's right for you to do.  But certainly it's one of the options that legitimately should be on your list for consideration. 

    I think it's good that you are having the MRI.  MRIs tend to be very sensitive but in your case, that could be good. If there are any other areas of concern in your breasts, hopefully the MRI will show that and that can be very helpful with your decision.  Alternately, if the MRI is clear, that can be helpful too.  If you are uncertain after the MRI, I think what you will want to understand from your doctors is your risk level to be diagnosed again, in either breast. Is that a level that is low enough that you are okay with it and willing to take the chance by having a lumpectomy?  Or is the level high enough that you realize that a MX or BMX is the best option for you?

    Good luck with the MRI.  Let us know how it goes. 

  • SJW1
    SJW1 Member Posts: 244
    edited December 2012

    Robin,

    It sounds like your situation might be similar to mine. They found both DCIS and LCIS when I was diagnosed in 2007. They wanted to do a mastectomy, but I thought that was overtreatment for DCIS. I found a 2nd surgeon who said she would be able to get all the DCIS with only a lumpectomy.

    After consulting with Dr. Michael Lagios, a world renowned DCIS expert and pathologist, with a consulting service that anyone can use, I was also able to opt out of radiation. Using the Van Nuys Prognostic Index, he calculated my risk of recurrence without radiation at only 4 percent. Because of this, the 50 percent risk reduction radiation typically provides, wasn't of much benefit to me. Since you can only use radiaiton once, I wanted to save it in case I was ever diagnosed with something more serious than DCIS.

    Because some DCIS doesn't show up on mammograms, the MRI is a good idea. It can help your surgeon get good margins and help you avoid a 2nd surgery.

    Since DCIS is non-invasive you don't need to rush into any of these major decisions. You can wait for months before you have surgery, if you need the time. (I waited for 6 months). Having a mastecomy, especially with reconstruction is a long drawn out process that isn't easy, while having radiation after a lumpectomy would probably make it very difficult to do reconstruction in the future.

    Factored into all this however, is your peace of mind. No matter what you decide, you need to be ok with your decision for years to come. You don't want to live the rest of your life in fear.

    Please feel free to send me a private message if you have any questions.

    You can also check out more of my story at:http://dciswithoutrads.com/

    Best,

    Sandie

  • crystalphm
    crystalphm Member Posts: 1,138
    edited December 2012

    Robin, First of all, welcome to our groups here, I am sorry you had to joins the groups no one wants to belong to, but we really are great people here. So much wisdom and compassion.

    My Mammogram did not show anything, I found the cancer myself...not good.

    I was in your shoes, but right now, just keep an open mind. Your MRI will determine what sort of surgery needs to take place. The MRI will outline where the cancer is, so then the doctor can give you informed options.

    I personally wanted the cancer gone, and since I did not have to have radiation or chemo if I went with the mastectomy, that was my choice. I ended up having my second breast removed 18 months later because no one told me my remaining breast would be mammo'ed and MRI'ed and biopsied to pieces, I couldn't cope with it all, so off it came. Once you have had cancer, toe other breast is watched ever so carefully and my nerves did not hold up well with that. it did NOT have cancer, but was precancerous.

    Like was said above, it is not so time critical, you can think it through and go with your gut. Read the boards here, lost of information everywhere, and personal stories.

  • Robin67
    Robin67 Member Posts: 15
    edited December 2012

    Thank you all for your feedback. I'll check back after my MRI results. I appreciate you taking the time to respond , it's nice to know you are there:)

  • Robin67
    Robin67 Member Posts: 15
    edited December 2012

    Well the MRI showed another 9mm nodule to go along with my DCIS area and 3 LCIS areas. Arggg!!!

    Md recommending lumpectomies and pathology report to determine next step. I think he believes more will be found by pathology after the lumpectomies. He wants me to have piece of mind that if I have a mastectomy that it was done because I had even more in there.

    If more is not found... Well I'll have meds/close monitoring. I'm not sure I'm going to feel anything but paranoid forever if they are left on. I want to believe the MD that if all margins are clean and with meds, my chances to be healthy are great.

    So darn confused... Wish I had a crystal ball! Don't we all ;)

    Thanks for listening. Any suggestions?

  • 1Athena1
    1Athena1 Member Posts: 6,696
    edited December 2012

    Robin, welcome to BCO, and I am sorry that you are here.

    There are lots of things to consider right now, but you need not rush into anything. Take your time. The paranoia is there for many of us. I do think a cancer diagnosis gives us each the right to deal with our fears and loss of sleep as we see fit. For me, that meant ordering a double mastectomy - and my insistance did not change even after an MRI found that a suspicious formation on the other breast was a fibnroadenoma. I have never looked back. But for you sleep/peace of mind may mean something else. I happen to think that peace of mind is crucial. Do whatever enables your sleep. Cancer is bad enough - we don't need to lose more of our tranquility than we have to. IMO, of course... Some women mourn the loss of their old breats. I was delighted and began looking at new breasts and new clothes within hours of dx. It's all in how it strikes you.

    Best of luck.

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