Recurrence after bilat mastectomy?

Options
1171820222338

Comments

  • barbe1958
    barbe1958 Member Posts: 19,757
    edited April 2014

    sue, as soon as DCIS breaks out of a duct it becomes IDC, so any tiny left over cell could only develop in tissue that was under the skin. They don't scrape us down to the bone, but do want to take all the ducts. The fact it's not in your chest wall is a good thing. Wouldn't the area be considered your axillae? They've been watching some nodes on me but they're "only" 1 cm now so I find out if they've grown enough to get biopsied or if they just went back to normal.

  • sue219
    sue219 Member Posts: 24
    edited April 2014

    Barbe

    not sure if its axilla that would be higher than the area it was in, 

    I hope your nodes go back to normal, so you dont have to have a biopsy.  never ending

  • Bren58
    Bren58 Member Posts: 1,048
    edited April 2014

    sue, your story is so very similar to mine. Except that I had the BMX with the first dx, no chemo. The reccurrence/new primary was in the same area that yours recurred. In my case there was never any resolution as to whether it was a new primary or a reccurrence, but they wanted me to treat it very aggressively. I had Chemo, Herceptin, ALND surgery and now an AI for 5 years. I declined rads though because I didn't like the incresed odds of getting LE and I only had 1 positive node.

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited April 2014

    Sue - me too.  Two years after BMX for DCIS I found a lump under my collar bone & it was IDC.  After 2 rounds of chemo & ALND, I recently finished rads & will be on Herceptin for a year.  I've declined Perjeta for now until I see if my peripheral neuropathy from the taxotere will ever get any better.  Like Bren, there's no resolution whether it's a recurrence or a new primary or mets.

    When you get a minute you might want to fill in the particulars in your profile.

  • sue219
    sue219 Member Posts: 24
    edited April 2014

    I had the BMX first time around 10 years ago,  no chemo or rads then. 

    Bren, how long did you do Herceptin for?

    Minus Two, I didnt know Perjeta caused peripheral neuropathy,  Im having a little bit of trouble with that after the Taxotere too

    Sue

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited April 2014

    Sue - A doc from MD Anderson swears that Perjeta doesn't contribute to CIPN, but Perjeta's web site says it may.  I think it's just too new for anyone to be sure. I'm not really sure the % of docs who understand chemo neuropathy is too much greater than the 5% who admit to having some LE instruction in med school.  I did take Perjeta with TCH for 6 treatments, just not taking it for the follow-up year.  70% of patients have improvement in neuropathy over a 2 year period, but as my neurologist explained - you may get some better but you'll never get back where you were.  I just want a base line before I start Perjeta again, if I can get there before more problems.  My gut feeling is I should have refused the 6th taxotere and that it's not the Perjeta at all - but that's not based on any scientific evidence.

  • Bren58
    Bren58 Member Posts: 1,048
    edited April 2014

    Sue, I did TCH x 6, then continued with Herceptin for the rest of the year. In total it was 16 or 17 Herceptin infusions.

  • barbe1958
    barbe1958 Member Posts: 19,757
    edited April 2014

    For those with PN, are you being offered Lyrica and/or Neurontin?? Horrid to think yet another side effect is so prevalent!!

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited April 2014

    Barbe - yes I've been offered Lyrica, Gabepentin and/or Neurontin.  I just hate to add more side effects before I even know if I have a chance that the CIPN will fade.  I am in PT for balance issues so I'm managing for now.

  • barbe1958
    barbe1958 Member Posts: 19,757
    edited April 2014

    Gabapentin can sometimes cause weight gain which most of us don't need! Doctors will deny it, but I was on it for 5 months. Thank God that I was on a NO carb diet while on it. My weight stayed exactly the same, but my brother lost 75 pounds!! He couldn't believe that I didn't lose an ounce but at the time I was just glad I didn't gain any. They really have to come up with some new drugs...sigh. A lot of the problems are the fillers they use when they mix the drugs! Well then, change the fillers!!! Sheesh!

  • Jaimieh
    Jaimieh Member Posts: 2,373
    edited April 2014

    so I head back into the BS on Tuesday to have apost op look and find out about my pathology report and to make sure we got clear margins. Grrrr. I hate waiting for things. 

  • Mayanne
    Mayanne Member Posts: 108
    edited April 2014

    My best hopes and wishes for clear margins, Jamie!

  • Jaimieh
    Jaimieh Member Posts: 2,373
    edited April 2014

    thank you Mayanne. 

  • Bexter3
    Bexter3 Member Posts: 61
    edited April 2014

    Completely freaking out! I've had 4 years of complications from IDC Regionally Advanced, triple positive, all lymph nodes on right side. Had 6 TCH, then BMX 6/7/2010, no reconstruction, then 30 rads, continued Herceptin for year, on Arimidex now (switched from tamoxifen, suspicion of uterine cancer so had radical hysterectomy). Been NED since 9/1/2010. Now have significant swollen enlarged lymph nodes in left clavicle and arm pit. They are getting worse every day. They are also very painful, which wasn't the case with the right side. I usually never worry, even when my doctors do... This time I'm super scared. I cannot put my family through this, again. I didn't even tell my husband that I've had docs checking it out (2 weeks), but yesterday I almost started crying and did tell him. Neither one of us said anything, just sat there a few seconds and then I changed the subject. Anyone had this kind of swelling, pain in non cancerous side after BMX? Arg!

  • Jaimieh
    Jaimieh Member Posts: 2,373
    edited April 2014

    Gettinpasthis~ I am so sorry that you have had such a tough run with this.  I would let your hubby know so this way you can relieve some of the tension.  Have you been sick at all lately ???

  • barbe1958
    barbe1958 Member Posts: 19,757
    edited April 2014

    Getting, your nodes could be reacting for a number of reasons. I DID have this happen to me and was sure the cancer was moving up to my brain! Even the radiologist who did the biopsy was freaking out and said that if the results were inconclusive, to come back for another biopsy!!! Turns out, it was my thyroid growing a nodule that pissed off my system!! You have to get it ALL checked out. Good luck, sweetie, we are here for you!

  • Bexter3
    Bexter3 Member Posts: 61
    edited April 2014

    I love you Barbe1958! I do have a naughty thyroid... I'll think that! Thanks!

  • Bexter3
    Bexter3 Member Posts: 61
    edited April 2014

    I did have a tiny cold, but no fever and didn't last long, about a month ago. I do my own manual lymphatic drainage for lymphedema. My lymphatic specialist was alarmed at the swellings and visible nodes last week and told me NOT to do any lymph massage, in case I spread something around. I am starting to believe it's a systemic problem because now other lymph areas are acting up. Even my left neck and ear hurt. Bizarre...

  • barbe1958
    barbe1958 Member Posts: 19,757
    edited April 2014

    So...when do you see your doc for follow-up, Getting?

  • Bexter3
    Bexter3 Member Posts: 61
    edited April 2014

    tomorrow morning. We live in a very rural town (Steamboat Springs, CO) and the nice thing is getting test results very fast. I went from finding the first lump (Christmas 2009), through tumor board out of town, and started chemo all within one month. I always feel so awful for folks in big cities who wait weeks for results. I'm sure she'll send me for ultrasound, tomorrow, and if a biopsy is needed they will do it at the same time. Of course if they believe it is malignant, I'll head to the specialists in Vail for onco typing, treatment consultations, etc. Then I'll go to "the big city" for a second, and third opinion.

  • barbe1958
    barbe1958 Member Posts: 19,757
    edited April 2014

    Getting, I'll be thinking of you tomorrow, please let us know as soon as you do! Don't go running around the boards starting up a new topic and forgetting about us here. A lot of newbies do that and then wonder why no one posts on their threads!! We don't know which one they're keeping "live"!

  • Jaimieh
    Jaimieh Member Posts: 2,373
    edited April 2014

    Getting I hope you get some answers today and they are much kinder than the beast. 

  • Bexter3
    Bexter3 Member Posts: 61
    edited April 2014

    saw my doc, who consulted with my onc. I am to have an ultrasound and biopsy immediately. Just waiting for them to call with a schedule. Oddly, I haven't had a fever at all, but did today at my appt. she ruled out any cold, sinus, etc. infections. The nodes above clavical are normal, but axillas I & II and the clavical are hard and enlarged. So, playing the waiting game which, thankfully, won't be longer than tomorrow. The biopsy is usually a 2-3 day turn around. I had hoped for an infection, but I've had a sinking feeling since February, which went away when my tumor markers were normal March 3rd,  although they were the highest since being NED. 

    Thanks for all your support! I remember being on here in 2010 and supporting some gals contemplating BMX with no reconstruction. I'm still happy with that decision. 

    Bex

  • barbe1958
    barbe1958 Member Posts: 19,757
    edited April 2014

    How did she rule out infection in her office? Praying for you - and please report back here!!!!

  • Jaimieh
    Jaimieh Member Posts: 2,373
    edited April 2014

    So follow up yesterday went okay.  Margins are all good.  I am still baffled about the report though and no one so far was able to give me answers.  They removed a specimen 3.6x something x something else (sorry forgot) and then they go into this much was abnormal which was 2.2 and contained IDC and DCIS and then at the end is says tumor 3.6 cms.  It doesn't make a LOT of sense to me.  They also left out whether there was angiolypathic invasion in the slides.  I feel like they didn't care because it was IDC so therefore lets just put this down. 

  • barbe1958
    barbe1958 Member Posts: 19,757
    edited April 2014

    Jaime, the fact that it was IDC means there was an invasion from the ducts into the surrounding tissue. They may have been counting the margins when they gave the overall tumour size as that is what had to come out. What comes out and what was seen on testing and what is actually cancer always differs. Glad you got clean margins, though! What's the next step?

  • Jaimieh
    Jaimieh Member Posts: 2,373
    edited April 2014

    Yeah I agree I had IDC and DCIS last time.  Barbe everything that the surgeon took out they counted as cancer even though the next paragraph says that the cancer part is 2.2x 1.4x 1.1 then goes on to just call the whole damn thing cancer.  blahhh whatever why to


    Next up is Echo for efraction rate and then onto chemo starting about 4/28- 4 ac's followed by 12 taxol, Herceptin and perjeta than a year at least of Herceptin and perjeta.    The + is that perjeta will for sure be approved now.  Since they lumped everything it allows more access to drugs. 


    Then after the 12 taxol's a month later I start radiation.

  • bertilda
    bertilda Member Posts: 26
    edited April 2014

    I am going for to see a surgeon for a lump along my incision line that has been there for awhile , 5 mos. i am 1.5 yrs post bilateral mastectomy.

  • bertilda
    bertilda Member Posts: 26
    edited April 2014

    I had to get insurance and that caused a delay, no surgeon would touch it without insurance,

  • barbe1958
    barbe1958 Member Posts: 19,757
    edited April 2014

    bertilda, breast cancer tumours double in size every 180 days. That's 6 months. Has you lump doubled since you found it? I'm betting it's either fat necrosis or a stitch....keep us posted!

Categories