Angry and Scared
I know everyone on this board is going through so much. I read all the entries and feel for everyone. I've recently been diagnosed with DCIS. It really not such a big deal, it was caught early because of my yearly mammogram. Due to high family instances of breast cancer (mother, aunt, sister and first cousin), I'm waiting for results of genetic testing to proceed with surgery. I've pretty much made my decision to have a bi-lateral mastectomy if I test positive for BRCA2 gene mutation. Dang-it, I was doing fine with all this and approaching it as a huge biology lesson, then everything came crashing in on me tonight. I broke down and cried. I don't want to lose my breasts but I feel that don't have a choice. Do I want to live or do I want my breasts? How do you deal with all of this??? I'm also stressed about the financial situation. I recently separated from my husband and have no regrets as far as that goes, but my financial situation is shaky. I'm sure you all have been through so much more than I will go through. I know in the end it will be okay but the road ahead looks bleak.
Comments
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Hi dksmith. I am curious as to your diagnosis in your signature. DCIS can't be stage 2 only grade 2. DCIS by nature is always grade 0. Are you sure you were not dianosed with IDC? Just letting you know.
As for the BRCA, don't forget, it is only present in 15%, even with a strong family history. It could still be negative and I am hoping that is the case for you! Hugs.
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Yeah, I had that wrong. This is all new to me. That should have been grade 2, you're right. I changed it in my diagnosis section. Hopefully I got it right now.
I know it may be negative, and that is what I'm hoping for. Just trying to mentally prepare for the worst so that I'm ready. I decided I should have a good-by party for them.
I thought Christina Applegate did something similar, but I could be wrong.
Thanks for responding.
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Hi, dksmith - it can all be very overwhelming and the emotional response is just part of it. Someone on this board said, 'DCIS is breast-threatening, not life-threatening' and that helped me keep it in perspective. The initial phase of diagnosis and determining your treatment path is the most stressful, even more so than recovering from surgery! Once you get all of the info, make your decision, schedule your surgery, you can just let the burden of finding your treatment path go. It's a crash course in oncology and very stressful! If you can, take breaks from it all. It helped to be around people that made me smile. Sometimes it felt like a break to not think about cancer for 5 minutes, but it does help. You will get through it and be stronger for it. I was diagnosed almost exactly a year before you and had to have MX (opted for BMX), and life is mostly back to normal. Except I appreciate everything more and have no time for things and people that are not worth the time! I wish you the best in your treatment path. You will get such valuable help on these boards, so ask lots of questions. Best wishes!
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MX = Mastecomy and BMX = bi-lateral mastectomy?
I think I'm going to try to take a break from research today. Thanks LAstar for the response.
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Yes to the abbreviations above. Did you get your BRCA test results yet?
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No, I won't get the results for a week. I'm kind of thinking that it will be positive - kind of preparing for the worst. I see you had a BMX with reconstruction. If I'm reading your diagnosis correctly, you had the reconstruction right after the BMX? How long did it take you to recover? I'm stressing about my money situation. I've read that BMX/reconstruction can take anywhere from 3-6 weeks for the recovery period. I don't really have any savings, and my work doesn't offer any short term disability. I've sent an email off to my nurse navigator asking if she knows of any short term disability available. Yikes!!!! I know I'll get through this. It's like looking at a huge wave in the distance. You know it's coming, and you know you'll get through it and end up on the other side, but you still see it looming.
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I have a friend whose mother and sister are BRCA positive but she is not. You never know! Fingers crossed for you.
I had the first stage of my reconstruction done in the same surgery as the MX. It was a long surgery and it took about 5 weeks before I felt like working. I didn't have short-term disability insurance either and really wished that I had. I'm a contractor and work at home, so no work = no pay. Somehow it all worked out. I had four surgeries last year and stretched them out across pay periods so I was never without income. If this process teaches us anything, it's what is really important. The rest just falls away for a while. Waiting is the worst!!! Trust that your fears are worse than the reality, and our bodies are a lot stronger than we think.
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dksmith-I know EXACTLY how you feel. I too had a fairly strong family hx but no first degree relatives; I do have breast CA on both sides of my family however. My BRCA1/2 were neg. Regardless, (I'm the same stage/grade as you)-I go through feeling up and down, sad, angry, grateful and pi$$ed. I have periodic meltdowns too and this diagnosis has certainly given me a side of ADHD to boot. Very distracted, and in a way, it's the tougher to have as you have many options -if it were invasive, it would be black/white. As it stands, I may get away with lumpectomy, but they found additional disease on MRI, and on the left, MRI found something the mammogram didn't. The more they find, the more I think about it all....I want it all gone. I don't want radiation. But that is just me. There are so many whatif's with DCIS-and nearly too many options. It's frustrating. This forum is perfect-for all that you are feeling. Hang in there. All you are feeling seems to be par. Rely on your support systems, ask your medical team tons of questions. We are all here for you.
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It has been three years since my mastectomy. Have a history of female cancer (cervical in 1994). Couldn't afford the BRCA test when I got DCIS in 2010. First doctor I had would only do lumpectomy, not mastectomy. I didn't feel good about it with my history and my family history so I found another doctor. The other doctor totally agreed with my decision and made me feel good about it. This is a very personal decision and you need to do what is right for you. The literature that I found (may not have been accurate--so much info out there) indicates a very slight higher risk for those that get lumpectomy. I also had high grade etc., the worst kind, so for me I felt it made sense. I am going to get my breast rebuilt, chose not to at first, sometime within the next year. Anger, fear, crying are all normal. We don't really have a support group where I live, but in some places they do. You might check with your hospital. It would probably help. There are times in our life that are tough. This is one of them. The only thing I can say is hang in there. It got better for me--three years since mastectomy. I don't take things for granted now. I think I enjoy flowers more, the sunshine, birds, my cat, and especially my family.
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I think it is totally normal to be angry and scared! This is cancer, despite what some people say about DCIS being a "pre-cancer" because the tx's are similar (except the chemo) and the effects are just as hard on the family and on us. We are in a place with too many choices too...nothing is cut and dried like having IDC.
I chose lumpectomy and rads. Still not sure about the AH even though I am highly ER/PR+. That scares me more than the rest does! So, will pray you all find peace in the coming months/years. This is a really rough thing to go through!
Hugs!
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Thank you to everyone for the kind responses. I found out that my genetic test results were negative for the BRCA2 gene mutation. It turned out that my first cousin was diagnosed in 2006 with a variant of the BRCA and 'this has an uncertain signifigance and the risk of breast or ovarian cancer cannot be established.' My genetic counselor called to see if other woman had tested the same and if because of more test results coming in the same as my cousin, her original diagnosis had been reclassified. Turns out it had, and after 7 years my cousin finds out that she had the BRCA2 gene mutation. This was good and bad news. Good news for me because now I could be tested for a single sight mutation and my price from Myriad dropped from $4000 down to $475. Bad for her because now she knew for certain she had the gene mutation and flew to New York to tell her brother and his family.
Turns out I tested negative for gene mutation. Huge sigh of relief and my feet were doing the happy dance! I felt so bad for my cousin. Why hadn't Myriad tried to contact her about the reclassification? The doctor that had performed the testing had retired, and the office that she had it done at had closed, but still - shouldn't something be in place to contact those that are reclassified?
Now my path seemed clear. I had made my decision ahead of time. If I tested positive - then it was clear my choice would be bi-lateral mastectomy and reconstruction. If I tested negative, then I was going with a lumpectomy and radiation. I had my lumpectomy on Tuesday, and felt so good, I was able to make it to work on Wednesday. I will get the pathology results by tomorrow and I'm pretty confident that the margins will be clean.
My gut tells me that cancer is not done with me. If this happens again, I'm definitely going with the bi-lateral mastectomy, even if I don't have the gene mutation. I just feel like I bought a few more years with my breasts, then it may be by-by ta-ta's!
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Yay! Congratulations on your good news and on being past the surgery. Best wishes for a great pathology report so that you can be done with treatment soon.
So sorry to hear about your cousin. It does seem that there should be some system in place to contact her, but maybe the world of BC changes so quickly that it can't be done or maybe it was her retired doctor's responsibility. It's good that she knows now.
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