invasive ductal carcinoma.....what now?
Comments
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pooh612-did you have a plastic surgeon? My lumpectomy is a mess... Horrible scar with puckers and nipple pointing off to one side. -
Naiviv, Did I understand that right? You said that life expectancy is 10-20 years PERIOD? So technically, even if I beat it I can still only expect to live 10-20 years? Somebody forgot to tell me this part. My grandkids won't even be in high school in 10 years -
Jo6202 ......no i did not have a plastic surgeon .......my scar did retract also ,so its a little puckered but at 11:00 on right breast . the scar is totally skin color now .
The surgeon moved some tissue around in there to fill the cap so to speak so its not perfect but you have to look twice to notice that there is a slight difference .My nipple is a little higher than he other by about .5cm and a teeny bit of to the side ...but I think it looks okay .......
Scars can be fixed as well as asymmetry......had a friend who just went for fat grafting and she is pleased with the results......I could do the same but the thought of more surgery gives me too much anxiety . -
J6202 ..I just notice that you had surgery in |August ....I remember that I was not happy either after surgery ..everything looked messed up .....and so tight ..like my breast had been traumatized ..During rads and during the healing time after things started to loosen up and my breast went back to its jiggley self. The retracted scar even loosened up a little .....so hang in there ...it will look better in a few months . -
pooh,
Thanks for the info. I did talk to PA today and she said she has seen worse and I still have a bit of a Seroma that may be pulling on the nipple. I promised to give it some time. Start rads on Monday and that may change the size and look some too. Trying to learn patience...just not a fast learner :-) -
I had a few pretty rough days emotionally. I was a wreck! I think that the Ativan May have played a part in it. I know it's for anxiety but I think it made me feel depressed and worse! It makes me sleep like a baby so for nighttime it's awesome! Anybody else have Ativan make them feel more upset?? -
I love ativan for taking anxiety away but it does make me a bit depressed.I have bad anxiety so I feel like the benefit is worth it on occasion and I remind myself when I feel emotional or depressed that it is the medicine and is temporary. It's really hard to get a balance. My doctor thinks an antidepressant would be best for anxiety and depression but it takes a while to kick in.
I think you will be up and down for some time. It is really good to talk about it here since so many have similar experiences. Hang in there. -
Not wanting to speak for naiviv, but I believe she meant that looking at 10 and 20 year survival statistics there was no difference between lumpectomy and mastectomy for survival rates - not that 10-20 years was the survival rate.
There are some plastic surgeons who do one-step direct to implant reconstruction, some who do tissue expander placement at the time of mastectomy with silicone or saline implants after expansion is complete, and some who do autologous flap surgery, which is using your own body tissue to rebuild breasts - taking it from tummy, hips, thighs or buttocks. It is important to fully research these options and decide what type of reconstruction you would prefer. Not all plastic surgeons do all types of reconstruction, and it is also important to understand the risks involved in all of the various types. -
Annie, I've been catching up on your thread and I noticed that no one replied to your comment/question about 10 and 20 year survival. What naiviv was saying is that studies have shown that the survival rate is the same, 10 years post-diagnosis and even 20 years post-diagnosis, whether one has a lumpectomy + rads or a mastectomy. In other words, at 10 years, the survival rate for those with early stage BC is probably around 90%, and this is true both for women who've had a lumpectomy and for those who've had a mastectomy. Similarly, at 20 years, the survival rate (which is probably in the range of 80%+) is the same whether women had a lumpectomy or mastectomy. naiviv was not saying that women with Stage II only can expect to live 10 to 20 years. Most women diagnosed with early stage breast cancer live long full lives - many more years than just 20 years - but there aren't a lot of studies that continue to track women beyond 10 or 20 years. So the studies only report results for 10 years or 20 years.
Hope that clarifies!
Edited to add: SpecialK, we were replying at the same time! -
beesie - it is that "great minds" thing, right? -
Absolutely! :-) -
Anniee,
Do you know what your receptors are? ER, pr, her2. I am triple negative. If you are as well, I may be able to answer a few questions.
I am 45 years old, IDC, diagnosed August 2012 and did ACT chemo, BMX, and radiation. -
it makes me kinda feel "out of it". I know that being depressed to a certain extent is going to happen but I was not able to get this "I'm going to die soon" feeling out of my head. I didn't take it yesterday during the day or today and I had a few "moments" but nothing like when I took the Ativan during the day.
Another thing, why does everyone want to tell me now about someone they know that knows somebody whose friend had breast cancer and they are fine now so "you'll be ok". I know they mean well but it honestly is irritating me. I feel bad for feeling like that but I wish I could just tell them that there are a lot of types, grades, stages and they aren't all the same! A breast cancer diagnosis is devastating no matter which one it is but....I don't know, it just bugs me. -
THat kind of comment pisses me off too but then lots of things do these days. I think when we are given a life threatening diagnosis it is a lot to process -
thank you, I have to admit I was a little worried about the 10-20 thing a little, lol.
Placid44, I don't know hardly anything unfortunately. I got a copy of the first part of my biopsy which said I have IDC but the other tests weren't in yet for some reason. Maybe they take longer? My appointment with the surgeon is Monday. Do you think they will do all the scans and stuff before they let me have surgery? I have already been told that I will probably have chemo and all that but I would really like to get this thing out of me (at least the tumor part). I would go right now to have surgery if they would let me! I wish I knew what I can do to help speed this process up! -
I only have part of the biopsy report too because I went and got a copy myself, probably before the surgeon even did. I'm sure the rest will be there at my appointment Monday. -
Anniee, believe me this whole process will test your patience. There is hurry up and wait then wait some more then some more...on and on. I first saw my doctor July 2nd and then tests and more tests and more then surgery and more surgery then more tests and more tests and more waiting. I will finally start radiation tomorrow! The waiting is the worse part for me. I guess a higher power is teaching me patience. Best of luck to you and feel free to vent at any time. The ladies here are great. -
I just told my grown children my diagnosis. In many ways they were were imagining the worst even though the diagnosis was reasonably good, considering that it was caught early enough and hopefully will be relatively easily to treat. I stayed pretty upbeat and postive because I know that my reaction would be a signal for their reaction, so even though I am scared, and still don't know or understand all the details, I felt that I needed to almost minimize it so they should not freak out.
my dilemma is who to tell and how While it isn't a secret, I would like to be able to tell some of my close friends without having them freak out either. -
ritagz, I know it's difficult trying to figure out how to tell people. My choice was to tell family and close friends then just put it on facebook. I know this seems like an odd choice but we have a small business in a very small town. We work with the local news, police, firemen and other local businesses on a daily basis. It would only take a couple of days before people were asking questions if I wasn't at work. News spreads in my town very very fast. I seriously did not want to have one on ones with every single person who walks in the door. I don't think I would have been emotionally stable enough to at this point cause I'm still in shock. I had one customer find out, she called me to try to give me a "you can do it" pep talk and I ended up a blubbering baby. I'm glad that I avoided some of that happening by just putting it out there on facebook. It allows you to tell people that you are "friends" with and of course your closest friends already have been made aware beforehand. It takes a lot of the emotional strain out of telling people. I actually felt so much better after I got it out there! I know it seems kind of impersonal, but it was so much easier emotionally! I say I cringe sometimes when I see what my kids put out there on facebook....but this was one time I am glad I just put it all out there! Your close friends I'm sure will be so much help in supporting you emotionally. -
ritagz, I just noticed that you received your diagnosis a couple of days before me. When did you get your results for estrogen and stuff? All I had was someone call and tell me that it came back IDC. I went and got a copy of the report but the other info wasn't on there yet. Have you seen a surgeon or anyone yet to decide on treatment? Are there tests planned yet? Please tell me how everything happened for you with diagnosis and appointment scheduling after diagnosis. Then again, you are probably just waiting like me right now.....I hope not! -
I went for my first mammo 2 1/2 years ago and they found a small lump which after the mammo and sonogram they assumed was just a lymph node, based on family history, position, shape etc.
a few weeks ago I noticed that it felt bigger so I went for another, and it had grown slightly so they recommended a biopsy.
A friend of mine is a radiologist, so a few days later he did the biopsy, which I have to say was the least uncomfortable thing about the whole process. It was a ultrasound core biopsy. He told me that it wasn't too big, but in his experience it will probably be removed and we should wait for the results.
the basic idc diagnosis, the size and histologic grade were given within 24 hours. It took another 6 days to get the rest of the results.
now I am scheduled to see 2 surgeons, and i suppose that all the information will help them formulate a plan. also by Ki-67 which indicates the aggressiveness of the tumor is less than 3% so I am a little less nervous that everything takes so long.
It doesn't seem to have lymphatic invasion as far as the result, but they will probably remove 1 lymph node to be sure.
now I am just waiting for the surgeon to talk to me. My pcp sort of disappeared and did not want to talk till I spoke to the surgeon, so much of my information is from this web site, and my friend who is the radioloist.
the one thing that sees to be confirmed, is that this was the "best" bad news I could get under the circumstances. -
I am not a regular on facebook to start with, so that may not be the best option.
I feel it takes so much energy making everyone else not feel like this is a death sentence that I almost just don't want to go there. It seems so surreal even to me that I find myself zoning out just to not do too much thinking.
the word cancer itself just has such an enourmous negative impact that thinking about it seems exhausting even to me.
And now that my PCP has refused to talk to me till I see the surgeon, (not sure what that is about - need to find another PCP)I am left with the questions and no one to really explain things to me. Thankfully there are good places like this to go that I can at least read other peoples experience, and search for what the test results mean so that when I see the surgeion I will know some of the questions as well as understand the answers -
You were diagnosed on the 15th and I was on the 18th. All that anybody has bothered to do is call me on the phone and say it came back IDC. No other information was offered to me AT ALL! I went myself to the imaging place and picked up what they had of the results which basically was very little. So, six days from the 15th is when you got the rest of your info? After reading this, I feel like I am really lacking in the information and action being taken by my doctors. Mine is 2.5cm x2.2cm. Why do you have an appointment with 2 surgeons? Second opinion? I'm really nervous because I saw the radiologist had written the size of a lymph node and "possible calcification within". I try to research and it's just to the point where I'm tired of trying to figure out if I'm going to die or not. I know there are a lot of people on this site that have fought and are thriving but I still don't even know what is really all wrong! It sucks, doesn't it? -
lack of information is often scarier than just knowing the facts. If you aren't getting information, maybe you can call your PCP to set an appointment to talk. Also call ( or have your doctor call) the lab and ask what and when the other results and tests are coming - if they will tell you - and try to get them to tell you when they will send them to you or your doctor.
everyone suggested at least 2 opinions and my health insurance - not the best or worst plan - pays for unlimited consultations within network.
My radiologist suggested an MRI but the surgeons want to see me first - though I cannot imagine why an MRI should be a problem, so I will insist on getting one after they see me. If both surgeons say the same thing, I will pick the one that I feel best about in my gut - hopefully I will find one that I feel confident in. If i get a differing opinion or I am uncomfortable with the doctor, I will find a 3rd and then re evaluate.
the one thing I have learned from this and other personal medical history, (my husband dies of cancer at 44), is that you are your best advocate.
ask questions, read as much as you can (with the understanding tht much or most may not apply), ask for your records and understand what they are telling you. some doctors are better at giving detailed information than others. My PCP sent my report to me with no phone call to help me understand it, and said she would not talk to me until after the surgeon did. Thankfully the radiologist was a friend and he answered many of my questions. I am changing PCP. I need to feel there is someone that knows more than me that is willing to give me a few minutes when such an important development in a persons life just appears.
let me know - I know for me the waiting seemed forever and it wasn't even that long. I was fortunate that the radiologist was a friend and he pushed for me. You push for yourself if you have to. It is your legal right -
Anniee,
You remind me so much of myself after my diagnosis. The time you are in now - between diagnosis and oncologist visit is the hardest, because of the unknown. I used this time to prepare questions for my doctor and educate myself about IDC. Www.komen.org had the best info and even had a list of questions to print and take to your appointment.
Use this time to: Find a doctor at a good teaching hospital. They will be using the latest in treatment. Prepare questions. Educate yourself. Find something other than this to occupy your time. Pray or meditations just breathe.
Also, at my first appointment, I requested rx for antidepressant. Once it kicked in, I got better control of my emotions and the random yet frequent crying stopped.
Keep us posted. I am praying for you and wish I could give you a hug.
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I guess the more I think about it, it's kinda messed up that over a week ago someone calls me in the morning and basically just says "you have cancer". That's it!!! No wonder I'm such a mess. I only met the lady who called me one time too! I'm trying to process it and figure out what that means for me all by myself. No doctor or radiologist or any health professional who has seen my reports has called and said that I'm going to be okay. The only people that have told me that are people in this forum and family. I'm so scared about what they may tell me tomorrow. My mind has went over every scenario possible and I don't know which one applies to me. -
I know it seems cold.I got the call while on a business trip. No matter how good or bad they put it -it is so hard to hear. But you have to have faith that you ARE going to be ok. Believe it and keep telling yourself that. Each day will get better. I promise.
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I was not told anything except that I had cancer. I accidentally read something on this forum about "triple negative' and looked at my report and saw that I had 3 negative areas and figured out that I had it. I then googled it. I feel for the people who don't have this forum as a resource. I would have been in really bad shape if not for this place. Although maybe ignorance is bliss. I have a neighbour with lung cancer and I was more interested in what was going on than she was. She started asking her doc questions to satisfy my questions but still didn't really pay attention. Knowing that she didn't want to know I was careful with her. I think many of us on a forum want to know or we wouldn't have searched out this site.
I think you said you have an appt. tomorrow Anniec. Hopefully you have your questions ready and can come back to the forum and sort out more info. -
CFisher, I think I am prepared pretty good. I have 3 pages of questions I came up with and printed them out, all insurance info, a printed list of all of my meds including supplements, and I've placed everything in a binder with a pencil and extra paper. I have plans in the making for my wig if needed. I have gone to teaching sites for radiologist and doctors and tried to read as much as possible there too so I will hopefully have a better understanding when the docs talk to me. I don't know if any of it will help but that's all I have had to do for over a week.......well, that and freak out, lol. I got my teeth cleaned Thursday just in case I do chemo right away, cleaned my house top to bottom and gave my shih tzu a bath today in case I am really upset tomorrow and I want to snuggle up with her and cry, lol. I guess I could shave my head but I don't want to sport the Brittany Spears look until absolutely necessary. -
wren, is the FISH test what they use for triple negative cases? I read a little about the test because my paper had a note about possible reflex to fish will be performed and will be reported in addendum. I think it has something to do with chromosomes being messed up basically.
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