Stage 4 or Stage 2 ?

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I'was diagnosed with Stage 2, Jan./2012, 5cm, R-Mastectomy, lymph node remover 3/13,.....and I finished chemo over 3 month ago, and then finished 33 times radiations.

I went to see my Oncologist to start anti-hormone treatment...But I got shocking news from him. he said  that 1.4 cm shadow thing on my liver grew up 1 cm more...so now 2.5cm.He never told me about tumor on my liver after my first CT. His assistant PA told me after first CT result, that showing something 3mm thing on my lung, too small and can't tell it's cancer or not. ...After chemo , this thing's disappeared, then it's a cancer...But if it stays same size and nothing changed, then it will be scar tissue....This is all they told me....and keeping saying that I am Stage 2..... After I finished chemo, I asked PA of taking CT scan, but she said I don't need to do CT Scan now, because you are Stage 2. I reminded her about my lung condition, make sure it's not cancer....Ironically, that 3mm tumor was disappeared from my lung.....so....obviously it's cancer.....If I didn't ask to do CT scan, they couldn't find that my liver cancer's growing.....Funny thing is that my Dr. even don't know my age, he has treated me last whole year....I don't expect that he remember my age , but at least he should know around 20th, 30th, 40th, 50Th.... so he can treat his patient with proper drugs due to their age and health.....I'm 51 years old, but my Dr. said that you are 40 years old, how come you finished period so early...Should I laughYell hahahahaha.....

Ladies ! Have you ever had this kind of expirience ???

Actually you are Stage 4, but The Doc treat you as Stage 2 for a year !!! Yell

Comments

  • Momine
    Momine Member Posts: 7,859
    edited February 2013

    That sounds really crazy, and I think you need a new onc. I am so sorry.

    It also sounds to me that you probably ought to report this to the medical board in your state.

  • sunny5
    sunny5 Member Posts: 12
    edited February 2013

    Hi Momine !

    So....I'm not only one thinking crazy....now, I'm afraid that I might miss the chance to do surgery....For Liver cancer it's impossible to do surgery if the size is over 2.5~3 cm.

    I took CT right after I finished chemo....3 month ago, it was 2.5cm......

    Probably, it grow up very big now for last 3 month.....

    and I heard that it's very hard to treat the Liver cancer with Chemo.....

    By my understanding ( I'm not a doctor though....), if something suspicious thing show up on the Liver in the CT scan, they should be cautious and should do more advance test, such as biopsy, ultrasound, MRI......etc.....1.4cm is not that small, isn't it ?

    AND HE DIDN'T EVEN MENTION IT TO ME, AND SAYING....

    " YOU ARE STAGE 2 NOW "

    I will change the Dr. definitely after I see my last CT Scan result. 

    Thank you for your kind advice, Momine!

    ________________________________________________________________________

    Dx1/25/2012, IDC, 5cm,  Stage 2,  grade 3, 3/13 nodes, ER+, PR+,HER2-

    Chemotherapy 3/08/2012, Taxotere, Cytoxan

    Surgery 5/17/2012, (R)-Mastectomy

    Surgery 6/6/2012, (R)-Axillary Lymph Node Dissection

    Chemotherapy 7/20/2012, Taxol

    Radiation Therapy 12/27/2012 (33 times)

  • edwards750
    edwards750 Member Posts: 3,761
    edited February 2013

    Bless your heart Sunny. I can only guess the ONC wanted to "watch" what is on your liver in a wait and see approach but at the very least he should have been forthcoming about seeing anything on the scan. My sister has scans because she has lobular carcinoma; the cancer that is hard to detect on mammograms. I have Stage 2 IDC. A micromet showed up on the SN so I went from l to 2. I know my sister has scans and the drs have spotted a few things - she had a place(cant recall what they called it not a lesion) on her lung that the dr said probably has been there for 10 years or more. They collapsed her lung and removed it. She is not a smoker and the dr said those whatever they are called things(sorry) comes from a disease transmitted by birds and prevelant in the south...go figure. Did they say you were Stage 1V? I think it is time for you and your ONC to have a come to Jesus appt. My first question would be why didnt you tell me followed by what are you going to do about this thing on my liver given chemo wont take because it is too late? I would change ONCs too. There are lot of good ones out there. Keep us posted. Diane

  • mamabee
    mamabee Member Posts: 546
    edited February 2013

    ((Hugs)) to you Sunny. I agree that you need to see another oncologist. Can you get to an NCI comprehensive cancer center? In the LA area those are City of Hope, UCLA, USC & UC Irvine. I'm so sorry you're going through this - take care.

  • Grace2U
    Grace2U Member Posts: 18
    edited February 2013

    Sunny....so sorry you are being treated so unprofessionally. Since you live so close to City of Hope, call there and they will see you right away.

  • sunny5
    sunny5 Member Posts: 12
    edited February 2013

    Dear edwards750,

    I figured out the same way you guess....I guess he wants to watch that thing how it change and approaching it depends on....but he didn't order me to take CT scan at least every 3 month....and after I finished my chemo, he didn't even show up, Instead, his PA came to me and saying I'm still stage 2, I don't need to take CT scan.....Anyway I took CT scan 3 month ago, so they must be received my CT result....but they didn't tell me the result for last 3 month.....now he's asking me to take  another CT, and after that I need to do biopsy and aggressive  chemotherapy again......

    IS UCLA GOOD ? IS ANYBODY GOING TO UCLA FOR CANCER TREATMENT ?


  • sunny5
    sunny5 Member Posts: 12
    edited February 2013

    Hi, Ladies !

    I'm so afraid since I heard news of Liver tumor from my ONC.

    I can't sleep, eat, so sad, headache, nausea,and can't concentrate anything....

    So I'm taking the pill those left over from my last chemo which is ATIVAN every 4 hours, seems like helping me come down and sleep......

    I'm afraid that my Liver tumor might grow so big, and might not have any hope....

    I thought that I might live for 5 years at least, if I'm stage 2.....

    I have 3 sons,( 19, 15, 13 yrs) I wanted to live until my youngest graduate high school...but now I feel like it's impossible.....

    Is there anybody got Liver mets ? and how do you treat Liver mets ?

    What's the chemo drug used ?    Is surgery going to be done ?

    The day after tomorrow, I'm going to see my ONC. and find out my CT result...

    But I can't wait.......Please, give me any information of Liver mets if you know, I'ii be appreciated so much......Take care Ladies....

  • Moderators
    Moderators Member Posts: 25,912
    edited February 2013

    (((((Sunny))))) We are so sorry for what you are going through! 

    You may also find it helpful to read this section in our site:

    http://www.breastcancer.org/symptoms/types/recur_metast

    And yes, get another opinion!! 

    Gentle hugs, 

    The Mods

  • rozem
    rozem Member Posts: 1,375
    edited February 2013

    sunny...i am sorry you are going through this waiting period.  There is a liver mets section on the stage iv board that you can read/ask questions although it sounds like you are still in the testing phase and don't have a firm diagnosis.  Also there is a section on the stage iv forum called "if you are not a stage iv and have questions post here" you could post your questions there in the meantime.  Hoping you get all your answers at your onc appt

  • sunny5
    sunny5 Member Posts: 12
    edited February 2013

    Dear ladies, I'm back...

    I went to see my ONC today, and CT result was worsen....

    Now I got 2 tumors on my liver, first one got bigger to 5.7x3.5 cm and the new one is 3.4cm. My ONC told me a week ago that I might need  biopsy and aggressive chemo again...But today he said that chemo doesn't work for me, so only option is anti-hormone treatment. So I asked him that if I have this treatment , how long am I going to live?

    His answer was that 1 year....if I don't have this treatment, then 6 month......

    And he is keeping saying that he gave me best chemo treatment before....

    I told him I'm going to see second opinion...and he said he'd like to recommend doctors from UCLA, UCI ans CITY OF HOPE ....I told him 'NO THANKS' and I will look for my own....I went to new ONC  today, and he looked at all my files and CT results and how he treated my cancer......he was so upset....he even thinks that he is so careless and it could be sued.....

    My new ONC order me to take biopsy for my liver and MRI for my brain.....

    Because I've been having headache since 4 month ago...

    New ONC said that my liver tumor need biopsy, so we can find out exactly what kind of cancer it is.....it could be same as breast cancer or it could be something different......he can treat my cancer depends on what kind they are.....I think I met right Doc this time..... Oh~ one more thing....my old ONC called me three times today personally. saying that he really care about me and wants to make me live long life and he looked at CD of CT again, and find out that I might be able to do surgery, so he wants to recommend very good surgeon for me....Money Mouth.....Well...it was FIRST time he called me personally regarding my cancer care.....Yell hahahahahahahahahaha


  • Angela-R
    Angela-R Member Posts: 273
    edited February 2013



    Hi Sunny



    You have had a really tough time and it hasn't been fair.



    I am glad you have a new onc. You sound happier when you talk about him.



    Please don't believe you only have a year. There are plenty of women on the stage IV boards who have had a similar diagnosis and are still here years later. Please believe you WILL see your youngest graduate.



    I think I have a different type of cancer to you so I don't know much about the hormonal drugs, but there are other ladies who can tell you more. Keep asking the doctors questions and also the stage IV ladies. The more you understand it the better you will feel. It is still very scary but in time you start to feel better about it.



    I am sending you best wishes from down under.



    Love Angela

  • sunny5
    sunny5 Member Posts: 12
    edited February 2013

    Thank you very much for your kindness, Angela

    I got new doctor and trying to forget old doctor, but I'm so upset again today.

    I looked at the all my records now, and find out that I'm eligible for Herceptin therapy.

    It shows that at FISH ( Fluorescence in Situ Hybridization ) TEST.....But my ONC told me that I'm Her2- , so I can't have Herceptin treatment....He told me that yesterday when I asked him that the anti-hormone treatment is only option for me.

    I think he really doesn't know what he is doing.....Yesterday, I complained that why he didn't tell me about my liver tumor from first pet/ct scan result ?....and if I had biopsy and then the tumor could be removed by surgery easily, because it was still small that time.....and  then he answered me that Breast cancer stage 4 can't do surgery, useless, it will come back soon again......whatever I do, for stage 4, they only survive about 2 years with treatment, and without treatment for 6 month......

    Ironically, he called me yesterday afternoon, and saying there's possibility I could have surgery and he wants to recommend very good surgeon.....

    Today, I called the State Medical Board to report his malpractice, and they will send me forms to fill out.....I hope they investigate my case.....Take care Ladies.....

    ______________________________________________________________________

    Dx1/25/2012, IDC, 5cm,  Stage 2,  grade 3, 3/13 nodes, ER+, PR+,HER2-

    Chemotherapy 3/08/2012, Taxotere, Cytoxan

    Surgery 5/17/2012, (R)-Mastectomy

    Surgery 6/6/2012, (R)-Axillary Lymph Node Dissection

    Chemotherapy 7/20/2012, Taxol

    Radiation Therapy 12/27/2012 (33 times)

  • kathleen1966
    kathleen1966 Member Posts: 793
    edited February 2013

    You must sue that doctor if he was that incompetent.  However, Herceptin could be the drug that keeps you in remission for years.  Especially if you have never had it and therefore have not built up a resistance to it. Although your initial doctor mishandled your case, there is much hope for you. I am soo very sorry you were in the wrong hands the first time around.  But your new oncologist sounds like he/she knows what's going on with you!

  • barsco1963
    barsco1963 Member Posts: 2,119
    edited February 2013

    Sunny - It is not right what you have had to go through thus far. It sounds like your new onc is very aware of your situation and is going to provide you with the proper care and treatment.

    I have been on hormonals for 1.5 years for liver mets and have done extremely well. I do hope that you find something that will take care of those nasty lesions and shrink them away to nothing.

    ((hugs))  Keep us posted.

  • Chickadee
    Chickadee Member Posts: 4,467
    edited February 2013

    Sunny, submit the complaint and block that old Dr's phone number. He is an idiot.



    A stage IV diagnosis is not what any of us wants to hear. your next task is to educate yourself about your prognosis and Move on to your new oncologist. He sounds like he is putting your health information together and will get you on a good treatment plan soon.



    My liver progression was from 2010, I'm still here, its not growing and I don't plan on going anywhere soon. If it grows some more there are many more treatment options yet.



    Some stage IV ladies have cleared their liver mets completely from different treatments. It can happen. Let your new team reassure you and get you moving forward.

  • sunny5
    sunny5 Member Posts: 12
    edited February 2013

    Hi! Ladies,

    I feel better already after hearing that stage 4 ladies are doing good with liver mets.

    You ladies are giving me HOPE that I would be able to see my youngest's high school graduation....I hope my brain is o.k. too.....since I found out about my liver mets, I have a headache everyday....I've had a headache for last 5 months occasionally....kind mild....I told to my onc before, but he didn't pay attention, so I thought that probably due to chemo....when I told my new onc about it, he wants me to take MRI for brain....When I told to my old onc (yesterday when he called me) about taking MRI for my brain, he said that don't worry, you don't have brain tumor because the brain tumor progress very fast usually, but your headache is mild and goes on for 5month.....well...I hope he is right.......I have question for stage 4 ladies....If you are diagnosed with breast cancer stage 4 beginning, aren't you supposed to do radiation treatment on your breast ?.....my new onc said that I'm not supposed to have radiation treatment due to stage 4.....but my old onc wanted me do radiation therapy even though he found out that I'm stage 4....that's not right he  said....because he received my second CT result before I started radiation therapy......he could stop it.....or maybe he didn't even look at my CT result.......Ladies, Is it true that if you are breast cancer stage 4, you shouldn't do radiation treatment on your breast ?

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited February 2013

    Sunny,

    I am so glad you've found a new onc. Stage IV breast cancer is nothing we want to have but many of us live normal, happy lives for many years. Stage IV patients do have surgery and there are many chemos to try even if one doesn't work. Good riddance to your old doctor!

    Caryn

  • sunny5
    sunny5 Member Posts: 12
    edited February 2013

    Hi, exbmxgrl !

    Thank you for encouragement and I have question for you.

    Did you do radiation therapy on your breast ?

  • Chickadee
    Chickadee Member Posts: 4,467
    edited February 2013

    I had no initial radiation, it wouldnt have helped. I was not symptomatic at all. When I started out stage IV the primary tumor became a secondary concern and also a measurement of response to my treatment. I did not have surgery or radiation but went directly to anti hormonals. The primary tumor shrunk by 80% in the first quarter of treatment and I was stable with bone mets for 18 months before the Aromasin failed and the liver became involved. A couple of AI changes didn't keep the liver in check until Xeloda started last April. Since then I have been stable with some regression.



    Listen to your new Dr. Of course continue to advocate for yourself and learn everything you can. We are all pulling for you.



  • sunny5
    sunny5 Member Posts: 12
    edited February 2013

    Hi, Chickadee !

    Thank you for your kind answers and advice.

    I think My new onc was right, he told me that I shouldn't have radiation treatments.

    My old onc should to try to treat my liver cancer first, instead of giving radiation.....

    I'm going to have MRI and liver biopsy 2/19/2013....and I will post my result and my new treatments later....I wish all you ladies are being well and healthy and strong....

    I'll try, too ! Smile

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited February 2013

    Sunny,

    No, I had a bmx because it was thought I was stage IIB but two months after my surgery, my bone met was found by accident. I had no symptoms and no pain but I did have radiation to to bone met to kill it, so to speak. It is now necrotic (dead) and I have been on Arimidex and Aredia and NED, for close to17 months. So rads can be given for bone mets that are not symptomatic to get rid of them, not just for pain relief.

    Caryn

  • Chickadee
    Chickadee Member Posts: 4,467
    edited February 2013

    Sunny, to avoid confusion, it's not liver cancer. It's breast cancer with metastasis to the liver.

  • sunny5
    sunny5 Member Posts: 12
    edited February 2013

    Sorry about that, Chickadee,

    Maybe I should put ' liver tumor' or 'cancer on liver '....^^

    I tried to simplify and made mistake.....sorry for confusion, again.

  • karody
    karody Member Posts: 89
    edited February 2013

    Ass.  Isn't it shocking when our survival is just a "ho-hum" job to someone?  You have obsessed about every detail trying to survive and he can't even glance at your age on the chart right in front of him?  He is fired.  Hope you can find a better one.

  • edwards750
    edwards750 Member Posts: 3,761
    edited February 2013

    sunny...good grief girl bless your heart. You have to enough to deal with and now a Dr who steered you in the wrong direction. I understand these guys are humans and not perfect but they are also humans who are in control of what ails us and how to keep us living. I agree he shouldnt be giving you an expiration date. He doesnt know and should have told you that. I think the days are long gone when we take our drs word as final. Not saying there arent a lot of qualified drs out there and we need them but every now and then there is one who is clueless and he is playing with your life. It is like against their Hippocratic oath to say they dont know. You and the rest of us have to be our own advocates. I would think UCLA would have some very qualified doctors but like Johns Hopkins or MD Anderson or Mayo Clinic I am sure there are ones who arent as qualified as others. With our disease we do have options. Dont worry for a sec about saying liver tumor instead of bc metasizing...it is confusing sometimes. All that is important is that you know what you are dealing with and what the alternatives are. I think it was very telilng the dr called you back several times. He knew he had screwed up. That afterthought of his could have cost have been a disaster. On a much lesser note I took my youngest son to see the dr because he was upset he was so short. I am not tall - 5'-2" and husband is 5'-9" and several sibs are just under 6 feet...anyway they measure your bones...sorry blond moment....he came back and said my son would be about 5-5 maybe. I decided to get a second opinion...didnt really like the dr anyway - very cocky. The dr calls me and obviously ticked because I would question his expertise and volunteers to talk to the next dr I take my son to...I am like why would I do that he can read an xray. Didnt like it at all...My son is just under 5'-9"...okay not even close to being a big deal just a story about drs and their egos and incompetence. Good luck...keep us posted. diane

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited February 2013

    Sunny,

    Just say liver mets. It's pretty standard, and easily understood, if you just say bone, liver, lung mets etc. Hope you're having a good day.

    Caryn

  • sunny5
    sunny5 Member Posts: 12
    edited February 2013

    Hi, All ladies ! Laughing

    Yes, from now I'll call 'mets' , actually more simple. Thank you, exbrnxgrl.

    Karody, you're right, he could look at the chart, but he even didn't want to be bothered to glance at chart that moment....I was complaining about my joint pain that time, then he should be serious and find out the causes, but that's all he was telling me about my joint pain, no more discuss about that....and then I didn't even ask him what's the causes of my joint pain, because he couldn't even assume my age.....so CARELESS and NEGLIGENCE......

    edwards750, I'm glad your youngest grew up tall.....I understand the Drs. are humans, too. and they also could make mistakes, but my old onc case is utterly CARELESS and NEGLIGENCE....They're dealing with the patients who have deadly disease, they should be more cautious and prudent....How much are they charging for our treatments ? the charges are unbelievably high....What really made me mad was that he was telling me, that even if he has treated me as stage 4, it will be same result, only you'ii live for 2 years, that's the stage 4's average survival rate,..( when  I complained about his treatments as stage 2).....It sounds like it doesn't matter whatever they do to stage 4.... because they're going to die in 2 years....That's how I understood....I couldn't see any remorse or sorry for his mistakes.....

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