Newly Diagnosed IDC. Lumpectomy with no radiation?

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Dyvgrl
Dyvgrl Member Posts: 471

Hi, new here. Was just diagnosed with IDC, grade 2 on right breast. Still waiting for BRCA tests, ultrasounds, and MRI but am researching treatments. Does anyone have any experience with docs in Alaska? Contemplating going Outside but not sure we ca afford it. Is it possible to have a lumpectomy without radiation? I'd rather have a full mastectomy than radiation. Any info you have would be greatly appreciated. This waiting just sucks!!

Comments

  • SelenaWolf
    SelenaWolf Member Posts: 1,724
    edited April 2013

    Radiation goes hand-in-hand with lumpectomy.  Lumpectomy+Radiation=Same prognosis/outcome as a mastectomy alone.  If you don't want to have radiation, then mastectomy may be your only option.

  • meadows4
    meadows4 Member Posts: 170
    edited April 2013

    There is a clinical study being conducted in 5 areas in the USA in which radio frequency ablation around

    the tumor bed is done during the lumpectomy surgery.  One site is at the Comprehensive Breast Care Center in San Diego and one is in Arizona.  If you are accepted in to the study, the RFA takes the place of radiation.

    1.
     
    Phase: No phase specified Type: Treatment Status: Active Age: 50 and over Sponsor: Other Protocol IDs: 104603, NCT01153035

  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited April 2013

    I looked it up, turns out they are only taking patients 50 and older Frown. Will be an interesting study tho. I'd much rather have a mastectomy than radiation, that's for sure.

  • Cuetang
    Cuetang Member Posts: 575
    edited April 2013

    While it is rare, please also note that having a mastectomy doesn't guarantee that you won't get radiation, and that depends on many factors (i.e. lymph node involvement, surgical margins).

  • lemon68
    lemon68 Member Posts: 684
    edited April 2013

    I did the shorter course of rads 16/16 with lumpectomy. With only the lumpectomy and NO rads, RO said 30% chance of return, couldnt take that chance. I was told with MX I would have to have rads also.

    Hard decisions, hope you can find what is best for you.

  • bamboogirl
    bamboogirl Member Posts: 27
    edited May 2013

    hi, I was diagnosed with a grade 1, stage 1, 1cm IDC in 2010. I did lumpectomy and no rads. I was aware of the 40% chance of recurrence but I took the risk. I did EVERYTHING you could do lifestyle-wise to prevent recurrence: work less, live in a peaceful enviro, regular exercise, no stress, meditation, curcumin, phytonutrients, vitamin D, coenzymQ10, flax seeds, quit sugar.... you name it, if it has proven to reduce recurrence risk, I did it. My tumour came back less than 3 years later. I'm getting a BMX next week. Should have done it the first time around, as I was told, "if you don't get radiation you should get a MX." It seemed like a radical surgery for a low grade cancer. But now I know better. Thought I'd share my experience with you... all the best with your decision.

  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited May 2013

    Well turns out I have 4 lesions not just the 1. Decided to forego the 3 other biopsies and just go for the partial mastectomy. I'm already physically drained and emotionally spent and I haven't even started!! I never thought it would be so tough emotionally. Nothing like having a body part lopped off to make you think about life differently! Has anyone struggled with family issues? Not having emotional support?

  • sarajaneevans
    sarajaneevans Member Posts: 187
    edited May 2013

    So sorry, Dyvgrl ): ): -My surgery is scheduled for May 16. In my mind I still don't know what to worry about so I am not going to worry until I know definitely to what extent I need to worry -I will find out when I wake up after surgery.

    I am blessed to have lots of family support- My daughter is coming and my ex-sis in law-,my best friend, my son, my granddaughter and a brother and DH of course- I have been told it is going to be a very long day-and I really hate to think of them all sitting around waiting for me and wearing themselves out-but I don't know how to approach the subject with some of them about just maybe waiting to get a phone call.. I hate putting people out  - then I say to myself, it is their decision to be there and I have no control over it so I just need to let it go...so I am trying....

    Maybe your family is just really really scared and they don't know how to deal with your diagnosis? Maybe they are afraid to acknowledge it--

    My neighbors came over today as I was doing yard work and gave me big huggs and apologized for not coming over sooner- they didn't know if I would be receptive to their well wishes or if I would even acknowledge them,or if I wanted to acknowledge the diagnosis, so maybe your family is feeling the same thing-- they just don't know how to respond?

    Best of Luck with your decision..

  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited May 2013

    Thanks sarajaneevans - I think alot of it is denial that anything is wrong. Because I currently have no outward signs of cancer, then it must not be that bad. Some people act as if there is nothing wrong, and others act as if I've been given a death sentence. Most of my support has come from coworkers - many surprisingly have gone through the same thing so understand my thoughts and feelings and seem to know what kind of support to offer. I think some people are very closed and private about it, I'm personally very open and it helps me alot to talk about it. I don't want to be a burden to others though, so I typically don't talk about it much as I don't want to make them uncomfortable. Some days are good and some days are bad - been a pretty up and down week but I'm strong and I know I'll get through it. Fortunately I have an amazing husband and children, and his family has been very helpful so I am very thankful for having these wonderful people in my life. Today I meet with the oncologist to discuss my treatment plan, even though we won't have one until after my surgery. I like being informed and knowing what my options are before hand so I can research and contemplate. As my surgeon always says, this is YOUR journey - everyone is different and you need to make choices that work best for you. Unfortunately alot of these choices are incredibly overwhelming but I'm getting a handle on it now that I know things are moving forward. Waiting for a phone call TODAY hopefully to set my mastectomy surgery date with reconstruction to begin 2 weeks after. Hurry up already!!

  • sarajaneevans
    sarajaneevans Member Posts: 187
    edited May 2013

    I'm sure you are right Dyvgrl- I had an email from a friend who apologized for taking so long to write-he said, " we were both so shocked at the news, we can't stop thinking about it and there are just no words- we can't beleive it"-- I think this is the reaction of so many friends and family at first-- everyone needs time to receive the information and digest it-- some just take longer than others-so you go to the well where the water is ( the place those who accept the news are gathering and who are ready to fight with you) the others will come along in time- concentrate on the support that is there and don't think about that isn't..

    It sounds like you are covering your bases as much as you can- good job- you are not in this fight alone, just remember that and surround yourself for the time being with those who are fighting with you and for you- Good luck-- ((((huggs )))

  • sarajaneevans
    sarajaneevans Member Posts: 187
    edited May 2013
  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited May 2013

    Thanks for the support. It is much needed. Things are starting to heat up as the docs try to work out a surgical date. They called me today and want to start cutting on Tues - 2 days before my daughters HS graduation! I said no, sorry. Doesn't work for me! Sigh. We'll see what they come up with. Really want to get this treated quickly. I'm sitting at the 5 week mark now from being diagnosed. My surgeon is trying to get me done quick in the hopes I can avoid radiation / chemo. We'll see. On a side note, anyone here ever taken Klonopin for anxiety?

  • sarajaneevans
    sarajaneevans Member Posts: 187
    edited May 2013

    ): I'm almost two weeks since my consultation-it is difficult getting the various procedures coordinated. Tough call for you with your daughtes inpending graduation-I would feel the same as you- It would have to wait until after graduation- Cancer can take some things from me,really important occasions like this is not one of them! Enjoy the graduation,try to focus on it for now.Hopefully by tomorrow you will have a surgery date scheduled. Good Luck....

    Happy Mother's Day too...

  • ndgirl
    ndgirl Member Posts: 986
    edited May 2013

    Hi dyvgrl, sorry you have to go though this darn cancer decision too. I was diagnosed March 29, 2013 and full understand the decisions we have to make. I am older than you (judging that you have a graduation coming up), but I also did not want to have rads unless I really had to. I chose to have a simple mastectomy ( I take some issue with the term "simple") and had my surgery April 16th at Mayo in Rochester, MN. Tomorrow I will be 4 weeks post surgery and am doing quite well. I spent one nite in hospital and was released by noon the next day. I felt pretty good, the pain level was very tolerable, much better than I had expected. Only had to take a few Tylenol XS, they gave me some narcotics if I needed but didnt take them until several days later at nite to help me sleep. I am kinda stiff and sore now and getting used to my new body but am adjusting well. I just wanted to get rid of all the cancer I could. I did chose to take arimidex for 5 years, so far no se but havent been on that long either. I understand your wish for lumpectomy and no rads. I asked if I could have that and the dr. said sometimes they do that with older woman and small size and grade but my grade was 3, so I wouldnt have felt comfortable doing that. Wishing you well and peace with your decisions... they arent easy! I was open to my family's suggestions but I knew at the end of the day I would have to make the final one.. had great support from husband, sons and alot of friends. praying for you.

  • ndgirl
    ndgirl Member Posts: 986
    edited May 2013

    Hi dyvgrl, sorry you have to go though this darn cancer decision too. I was diagnosed March 29, 2013 and full understand the decisions we have to make. I am older than you (judging that you have a graduation coming up), but I also did not want to have rads unless I really had to. I chose to have a simple mastectomy ( I take some issue with the term "simple") and had my surgery April 16th at Mayo in Rochester, MN. Tomorrow I will be 4 weeks post surgery and am doing quite well. I spent one nite in hospital and was released by noon the next day. I felt pretty good, the pain level was very tolerable, much better than I had expected. Only had to take a few Tylenol XS, they gave me some narcotics if I needed but didnt take them until several days later at nite to help me sleep. I am kinda stiff and sore now and getting used to my new body but am adjusting well. I just wanted to get rid of all the cancer I could. I did chose to take arimidex for 5 years, so far no se but havent been on that long either. I understand your wish for lumpectomy and no rads. I asked if I could have that and the dr. said sometimes they do that with older woman and small size and grade but my grade was 3, so I wouldnt have felt comfortable doing that. Wishing you well and peace with your decisions... they arent easy! I was open to my family's suggestions but I knew at the end of the day I would have to make the final one.. had great support from husband, sons and alot of friends. praying for you.

  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited May 2013

    Thanks sarajaneevans, think I have it all worked out. PS wants a TE installed. Really upset me at first, but ultimately think it will aid in recon. Sigh. Should be looking at UMX on the 23rd of this month with recon July 2. Hopefully. As we all know, this stuff changes quickly which I find incredibly annoying. Why can't everyone just stick to MY treatment plan?? Lol thanks for the kind words and support, it really helps!

  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited May 2013

    ndgirl-

    Glad everything worked out for you. There are so many decisions to be made along this journey, it can be overwhelming at times. I'm glad I have the full support of my husband and children, I really couldn't do it without them. Today I will be firming up plans so we can get this show on the road. I'm soooo tired of the waiting and worrying. Let's just do it!! I hear you on the "simple" thing - there's definitely nothing simple about a mastectomy. Are you planning on reconstruction?

  • ndgirl
    ndgirl Member Posts: 986
    edited May 2013

    not at this time, I really dont like surgeries, and it seems like it may be a long process, but who knows I may change my mind at a later time. I live quite a distance from Mayo but would have it done there if I chose to. I had 4.3 cm of dcis and a microinvasion of .8 cm and grade 3. I think the only thing simple is for the surgeon! They do alot of them, seems so many being diagnosed. My mom had bc but didnt die from it, she died of heart failure from the radiation treatments, so that is one reason I am leary of rads, they keep telling me that things are changed now and perhaps they are to some degree but it was on my left side, where heart is, so I just wanted the cancer out of me and get on my healing journey! It was the hardest decision I have ever made, but my daughter in law died of bc at 42 and did not want my son and his children to have to deal with this again but here it is! She chose an alternative method which of course did not work. so sad for everyone. Best of luck, will keep checking on you! We are all in this together.

  • ndgirl
    ndgirl Member Posts: 986
    edited May 2013

    not sure why my diagnosis and treatments do not show up at the bottome of my replies, I am new to the boards so maybe someone can help me. I do have those marked public on my settings..

  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited May 2013

    ndgirl-

    understand completely. Sometimes we've just had enough and want life to settle down so we can catch our breath. I don't want rads either - scares the hell out of me! I'm sorry to hear about your mother, I'm sure that was so hard for you and will be on your mind as you make decisions for yourself. I have an aunt who died in 97 from bc - but really I think it was the rads as well - she seemed to be doing so well until then. After a few treatments she went downhill quickly. Very sad. I don't want that to be us! I hear its so much better now, but it doesn't make me feel any better. Found out I'm NOT BRCA positive yesterday so that was a huge load off my shoulders!! Chin up, we'll get through this!

  • Marianc
    Marianc Member Posts: 2
    edited July 2013

    Hi All, 

    Just diagnosed with Grade 1 IDC 1.2 cm lump left breast.  Seeing surgeon on Tuesday.  The doctor did not mention anything about BRCA or HER.  Does that information come later?  My initial feeling is that I hate the choices in front of me for treatment.  It seems from my research and your discussions here that I will need a lumpectomy plus radiation or Mastectomy.  Thanks for your advice. Sick to my stomach

  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited July 2013

    Marian,

    Did you get an MRI? I'd make damn sure there is no other cancer involved before going with a lumpectomy. Lots of women have gone down that road only to have a mastectomy afterwards because they didn't get it all. Wasn't a chance I was willing to take and I'm so glad, because I wound up with a 6.1 cm tumor, a 2.1cm tumor, and 1 out of 9 lymph nodes involved. Had I not done an MRI we would not have thought things were that bad. My mammogram made it look like a few tiny calcifications and that was it. The MRI showed 4 suspicious areas, and instead of getting them all biopsied, I chose to go with the mastectomy. Had surgery May 23rd, had reexcision on June 19th, and am starting chemo July 17th. After that I'll have rads. Really sucks, and wasn't part of my plan but its saving my life!! It's tough making these choices, but I focused on saving my life and everything else is secondary. You'll get through this, one day at a time. There are alot of women here for support and will answer your questions as best they can. Good luck and God Bless!

  • RMlulu
    RMlulu Member Posts: 1,989
    edited July 2013

    Marianc - so sorry that you have been dx with c, but glad you have found these boards and this site. Review your dx while reading that section. Visit IDC thread for lx v mx or bmx by Bessie on 12/14...good info and questions to consider and ask your BC team.

    Make appointments with BS, PS, MO, ad RO and ask question and share your fears and concerns...take an appointment buddy with you to ensure you ask and get answers. Our minds go on overload ... Use your wait to form the best BC team :)

    Breathe...there is no need to rush...there is time to make an informed decision with the support of your BC team. Remember we are each different and this is a very personal decision...there is only what is right for you...body & mind & soul. You will know...until then breathe...stay focus on today. Do not get ahead of yourself. There's no need to rehearse something you may never need to do.

    Sending calm confident thoughts and prayers to you.

    You will be fine brave warrior.

    (((Hug)))

    Cindy

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