Hoping I didn't decide too quickly

PurpleIris57
PurpleIris57 Member Posts: 19

Hello all.  I found a lump in April 2014.  I went through the routine doctor visit, mammo, ultra-sound and then biopsy, only to find on May 16th I have ILC, tentatively grade 1, stage 1, ER+/PR+, HER2-.  I opted quickly for a lumpectomy and SNB and had surgery on May 29th.  I see the surgeon on June 6 for my pathology results to see where I really am and determine whether more surgery or just move on to radiation and hormone therapy if the results are still the same as the biopsy.  Totally freaked out with all choices I've seen on the formum in the past week and am second guessing whether I should have taken longer to explore my options.  I just wanted it out.  No family history of any type of cancer.  Totally blindsided and trying to learn as fast as I can.  Thank you all who have gone before and are making the path more tolerable.

Comments

  • ktfelder
    ktfelder Member Posts: 45
    edited June 2014

    Purple: I had a similar initial diagnosis as you, and made the same choice. Lumpectomy with radiation has the same statistical long-term results as mastectomy. I'm sure someone will post the link to the research. I just today started the radiation as I waited for oncotype results due to (surprise!) lymph node involvement. Even with the lymph node involvement, I have no regrets regarding my decision to have a lumpectomy (only). I have no family history and was totally surprised. But I really trust my BS - one of the best!

  • ktfelder
    ktfelder Member Posts: 45
    edited June 2014

    Purple, I have a very similar situation. My understanding is that current research has demonstrated that a lumpectomy with radiation has the same result as a mastectomy, if you are Stage 1. I'm sure someone will post a link to that research. I elected to have just the lumpectomy and radiation. I ended up having a couple of positive lymph nodes, which made me Stage 2, but I have not for a minute regretted my decision to only have a lumpectomy.

  • MsPharoah
    MsPharoah Member Posts: 1,034
    edited June 2014

    Hi, purple and so sorry that you have breast cancer.   Whether you spend a lot of time or little time, the choices we have to make are still so very hard.   I assume you are second guessing your decision about doing the lumpie instead of mastectomy, right?  Your pathology should tell you and your doctor a lot before you move forward with radiation.  For me, mastectomy was drastic.  I was happy that I had the choice and that my surgeon was confident doing a lumpie.  There are a lot of surgeons...mostly old school, who will tell those of us with ILC that we should have mastectomy.  That is just not true anymore.  

    Good luck with your appointment and I hope you get comforting news!

    Love, MsP

  • MsPharoah
    MsPharoah Member Posts: 1,034
    edited June 2014

    Hi, purple and so sorry that you have breast cancer.   Whether you spend a lot of time or little time, the choices we have to make are still so very hard.   I assume you are second guessing your decision about doing the lumpie instead of mastectomy, right?  Your pathology should tell you and your doctor a lot before you move forward with radiation.  For me, mastectomy was drastic.  I was happy that I had the choice and that my surgeon was confident doing a lumpie.  There are a lot of surgeons...mostly old school, who will tell those of us with ILC that we should have mastectomy.  That is just not true anymore.  

    Good luck with your appointment and I hope you get comforting news!

    Love, MsP

  • lemon68
    lemon68 Member Posts: 684
    edited June 2014

    Hi Purple Iris

    I did the same as you and had a lumpectomy with rads. 17 months later after having a mammogram they could read due to density in breasts I had a BMX with immediate reconstruction. That was 4 weeks ago. My pathology showed that my left side we thought was good wasn't good. My gut told me to do it and I have no regrets. I guess what I am saying is you have time to do whatever is right for you. Your body and mind will tell you if you made the right choice, there is always time later to do more if you want to do so. Even with a MX it can come back and a lumpectomy odds are just as good as a MX. Its what is right for you and what you can live with. My decision changed as time passed. When I was still learning I came here and got all kinds of opinions, as you will also. What is right for you only you know, I hope you get a good report. Dont rush yourself, trust your instincts to guide you.

    best to you.

  • Little-G
    Little-G Member Posts: 647
    edited June 2014

    Hi Ladies,

    I have not been on these boards in a verrrry long time.  I was dx at the end of 2005 and I was 45 then, pre-menopause.  I didn't have clear margins the first time, so had to go in again.  So many things in life between then and now, but I do remember being completely overwhelmed by the amount of information and decisions I had to make.  I opted out of chemo even though it was suggested.  I did do 7 weeks of radiation.  I opted out of the tamoxifen even though that was suggested.  I did have my ovaries removed.  In hindsight, I would have left my ovaries in.  But I do not regret any choices I made.  I think the important thing is to know as much as you can, but realize it is going to be overload at times.  The decisions you make, if you feel comfortable with them, and can sleep at night knowing you did what was best for you, I think that's as good as it gets.  Just my humble opinion, and I am by no means an expert at any of this.  Even after all these years, I honestly believe I have some sort of strange PTSD from the experience.  I wish you all the very best!

    g

  • PurpleIris57
    PurpleIris57 Member Posts: 19
    edited June 2014

    Thank you all for your support and information.  I'm driving myself crazy.  I'll be relieved when I get to my patho report on Friday.  Good, bad or indifferent, I'll at least have a plan (well, unless there are no clear margins or if the nodes are involved sheesh).  I hate this waiting and being in limbo.  It seems like I've been holding my breath since April 10th when I found the lump.  Anyway, my surgeon seems very progressive and felt the lumpectomy, SNB, radiation and hormone therapy was the right answer for me.  Living with surveillance after this feels a bit like waiting for the other shoe to drop and I've got to begin to feel more positive than scared.  

    Frayed and 'fraid.

    Love and prayers to you all.

  • sydney2013
    sydney2013 Member Posts: 29
    edited June 2014

    Hello purpleiris57, I am sorry that you are going through this. I was diagnosed in November and also have ILC. It is so overwhelming, but as others have posted you just have to do what you feel is right at the time. I chose a DMX and that was the right choice for me. I do understand why some people would not make that choice. I will hope and pray for clear margins. It is hard to be positive when you are so scared, but just know that you are strong and will make it through this. 

  • PurpleIris57
    PurpleIris57 Member Posts: 19
    edited June 2014

    Thanks, Sydney.  I appreciate your kind words and support.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited June 2014

    purple, Welcome to BCO. All these choices can be very overwhelming. I've learned the hard way there's no point in second guessing yourself. You'll just drive yourself crazy. Having the lumpectomy right away gives you some time to research your options while waiting for your results. Best wishes to you as you go forward. Sending good thoughts your way!

  • vbishop
    vbishop Member Posts: 616
    edited June 2014

    Hi Purple -

    I am probably the odd one out here.  I, too, am ILC stage 1.  But I had a BMX and very glad I did.  Why?  I didn't want to wait for the other shoe to drop and I had no desire to have radiation.  More importantly, I went with my gut and never looked back.  By the way, I had a young surgeon, so this was not an "old school" treatment plan shoved down my throat.

    When the final path report came in, it was very evident that we made the right decision.  I ended up with 6 tumors (two LCIS), instead of the four that showed up on the diagnostic mammogram.  The scary part is that my largest tumor, 1.7 cm, never showed up on any tests.  The path report also revealed pre-cancerous cells in my non-cancerous breast.

    Everyone is different.  Discuss your options with your doctor and go with your gut.  Some women are far more attached to their breasts than I am, so it was not a difficult decision for me at all.

    Good luck!

     

  • lyzzysmom
    lyzzysmom Member Posts: 654
    edited June 2014

    Hi Purple. I was also diagnosed in April and had my lumpectomy and SNB in May (1.5 cm stage I).  

    Everyone needs to do what they feel comfortable with but for me I am just following the plan given to me by the doctors who are treating me at Dana Farber in Boston. They are also very progressive and they never even mentioned an MX. Of course if things were to change it would still be an option but for now I am sticking with the lumpectomy. 

    Sending good thoughts your way too!

  • toomuch
    toomuch Member Posts: 901
    edited June 2014

    Purple - I like you wanted to have it out as quickly as possible so I had a lumpectomy. I completed chemo and radiation and then had a BMX. That was the right decision for me. If you're comfortable with your decision and continue to feel that it's right for you, great! If you continue to have second thoughts, you can always seek a second opinion and have a MX down the road. I hope that you get the best possible results from your pathology report. I was wondering if your surgeon sent the tumor for an oncotype test? The results of this test can help guide the decision to treat with or opt out of chemo. Wishing you the best.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited June 2014

    Purple-----my mom had ILC many years ago, had a lumpectomy, radiation and took tamoxifen for 5 years; she is a survivor of over 27 years and has never had a recurrence.  It sounds like you are still in the midst of everything, you will know more tomorrow when the doctor has more information for you. You will hear many different perspectives, but it remains a very personal decision; one which we each have to make for ourselves with the information and guidance from our medical team. I have LCIS and do high risk surveillance and preventative meds. 

    anne

  • PurpleIris57
    PurpleIris57 Member Posts: 19
    edited June 2014

    To all my BCO sisters-

    I think I got the best news I could get in this situation, from my path report yesterday.  Although, as expected, my stage was changed from 1 to 2a, I had clean margins and my nodes were negative.  Now I move on to radiation and have an appt with the medical oncologist and the radiation oncologist on June 20th.   Still though, I feel in a funk, or like someone hit me upside the head with a bat.  I feel like I should be rejoicing.  I don't know what's my problem is.  I'm not generally a negative person.  Maybe this has all just happened so quickly I haven't gotten my feet back under me again.  Dunno.  Anyway, thank you all for your support and continued prayers and we'll wishes for each of you.  Anne, I was particularly pleased to hear about your mothers long term story.  I hope to share a similar story in 30 years.  :-)

  • gemini4
    gemini4 Member Posts: 532
    edited June 2014

    purple iris, so glad to hear you had clean margins and nodes. I think your feelings of being overwhelmed are natural -- for most of us, our diagnoses happened pretty quickly and unexpectedly. Allow yourself the time and space to be in shock ... It's definitely a big deal (though hopefully a blip on the radar in the scheme of a long and healthy life). Maybe go for some talk therapy to help navigate your way through these murky waters. 

    Like you, I opted for LX (I had to have a reexcision to get larger margins) and rads.  My surgeon offered (as a matter of course, is how she put it) the option of a MX, but when pressed, she said she didn't feel it was necessary. I decided that MX was too much for me to handle at the time, and we left it that the option will always be there if it seems necessary at any point in the future. Unfortunately, no surgery can guarantee a 0% chance of recurrence.  It would have been an easier decision if MX could do that. My entire team made it clear that LX + rads was a fine choice for me. They all were very anxious to get me on tamoxifen ... The message I got from them is that hormone therapy is my best defense. 

    I hope that with time you'll feel more at peace, but it's totally ok if it's a slow process. You have indeed been through a lot!  All the best to you.

  • PurpleIris57
    PurpleIris57 Member Posts: 19
    edited June 2014

    Thanks Gemini.  Your words, your DX and your decision all bring me comfort.  I was terrified when I wasn't finding anyone else with a similar DX who opted for the LX instead of MX.  My surgeon only mentioned how an MX was done, not really that it was an option.  So I think I was feeling like I didn't have all the information I should have had prior to surgery.  Now, almost 3 weeks after the LX, I'm starting to calm down.  My surgeon came very highly recommended and I felt comfortable with his skills and confidence at the onset.  I'm learning this site can be great, or it can be terrifying.  There are so many people with life threatening BC.  It scared me to think what I had done by reacting so quickly, and what may lie ahead. 

    Today, I'm better.  I'm learning from so many women like you about the real choices and future that I have.  Of course, a few days ago, I was on a rant on another thread.  LOL.  Yesterday, today.....I'm calm.  Tomorrow....who knows.  I'm back at work, I see my MO and RO on Friday.  I'll have a better idea about treatment and I'll keep on breathing.

    God bless.


     

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