Bilateral mastectomy LCIS, DCIS Grade 3

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Tinanicu
Tinanicu Member Posts: 103

Hi, I am 41 and recently diagnosed with DCIS, LCIS, Grade 3 comedo necrosis, ER+, PR+ in my rt breast. This was found on my mammo which was my second ever mammo. My first showed nothing. The second mammo showed 2 small clustered microcalcifications just behind the nipple. I went for a stereotactic biopsy but it was too close to the nipple to perform, so they attempted an ultrasound guided biopsy but they missed the area. So I had an open surgical biopsy with wire localization which showed the above dx from the larger area. They did not biopsy the second area. I went for an MRI which showed a clean left breast but the right still has the unbiopsied area.

I just found out I have a family hx on my dad's side (I don't know them well). My paternal grandmother died from BC at 31 yrs old and 3 of my first cousins had BC in their 40s ....1 died and 2 had bilateral mastectomies. I know one of the cousins tested negative for BRCA and I'm waiting for my results on that.

So, because of my family history, young age, and the fact that I have two young children with autism that will need me to care for them til I die, I decided to have a double mastectomy. But, now I am wondering about the possibility that there may be invasive BC that may be found after surgery which worries me...and I'm not a worrier in general. But odds seem to keep working against me in life.

Also, since I have LCIS which most care less about, I wonder how long I had that and if it may have been the cause of me having so many cases of mastitis while breast feeding (clogged ducts).

Can anyone relate?

Comments

  • danawp
    danawp Member Posts: 99
    edited May 2013

    I dont have lots of answers for you, but I understand your worries.  I was dx with DCIS and was tested for BRACA because of family history (not as extreme as yours, but enough to make me worry).  BRACA was negative! (even though I was pretty sure it would positive).  I decided on a BMX -- one side was no choice because the DCIS was very wide spread, but the other side was preventative.  I was very worried that they would find something invasive in one of the sides once they were in there.  Good news was they didnt.  So, I just wanted to assure you that it may stay as is -- Stage 0, noninvasive.  You will read plenty of stories where people went into surgery at one stage and come out a worse stage.  I know I did, and it terrified me.  But, I wanted you to know there are stories, like mine, where I went in Stage 0 and came out Stage 0.  Hope that helps alittle. 

    Being dx is so scary, and the unknown is terrifying...but I read on this board, something like, "Dont go there until/unless you have to go there."  I clinged to that and tried to keep myself from worrying to much...With DCIS there is still a good chance that this will be noninvasive.

    Hang in there!  And these boards gave me great advice to prep for surgery.  You will get good information and good support here.

  • Tinanicu
    Tinanicu Member Posts: 103
    edited May 2013

    Thank you. I'm glad you did not have a worse outcome. I also did not worry about having BC prior to my biopsy results because the odds were 80% are non cancerous. But, I was the 20% unfortunately. Also, the odds of having a child without autism is less than 1%, yet I have two. So, I'm kinda skeptical nowadays. Maybe I should play the lottery!

  • ballet12
    ballet12 Member Posts: 981
    edited May 2013

    Hi Tinanicu,

    I have no scientific basis for saying this, but when you wondered if the LCIS caused mastitis, I think the other way around.  Since cancer can be related to inflammation, it's possible that the frequent mastitis in some way played a role in generating or facilitating the development of the DCIS/LCIS.  I had mastitis and then had multiple biopsies of that same breast, first for atypical ductal hyperplasia, a pre-cancerous condition, and then DCIS.  Best of luck to you.  I hope they find nothing invasive, and got it all in time.

  • Tinanicu
    Tinanicu Member Posts: 103
    edited May 2013

    That makes sense. I tried looking for answers online regarding mastitis and DCIS or LCIS but did not find anything. My affected areas are very small so I hope that I don't have evidence of invasion on the next path report.

  • ballet12
    ballet12 Member Posts: 981
    edited May 2013

    Well I also hope you don't have invasion.  Usually, if the area(s) are small, then invasion is less likely.  Hopefully the odds are in your favor this time around.  You deserve it! 

  • Tinanicu
    Tinanicu Member Posts: 103
    edited May 2013
  • cinnamonsmiles
    cinnamonsmiles Member Posts: 779
    edited May 2013

    Hi, I wouldn't say that LCIS is much less cared about. ILC from what I have read is a very sneaky invasive cancer that can hide from mammograms.

    A little background on my DCIS: I had a greenish non-spontaneous discharge from certain nipple holes in 2007. My primary doctor couldn't get the discharge to come out. She always beleives me so she sent me for a mammogram then to what I think what a breast surgeon. The breast surgeon was nothing but humiliating. I explained that the discharge was only emitted when the breast was squeezed during sex. He said my mammogram was fine, and that I should just have my boyfriend stop doing that. That was it. I was too timid back then to show them how to get it to come out.

    Fastforward to August 2010...the greenish discharge turned bloody. I didn't bother calling the doctor because no one believed me back in 2007 (I am NOT the timid anymore since cancer). In October 2010, I found a lump while massaging myself (I was sore from lifting and carrying a bucket of rocks earlier that day). Turns out it was DCIS. I KNOW it was the same milk ducts the green discharge from 2007 because the bloody discharge was from the same nipple holes and the lump was on the same side of the breast that corresponds to the nipple holes.

    So I figure it took around 3 years to develop into cancer. My lump had DCIS, grade 1 and ADH in it.

  • Tinanicu
    Tinanicu Member Posts: 103
    edited May 2013

    I know the women who have LCIS care about it, but most of the medical professionals that I've talked to downplay it.

    Glad you found it while still stage 0. The doctors should have taken you more seriously!

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