how to treat an ulcerated (breast) tumor

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  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited June 2014

    Abigail has said she believes, as a result of her googling, that she has IBC. So the reality is she is claiming to have bc, but does not know if that is true or not.

    Lightandwind, I feel kinship, empathy and sympathy for many, many people in this world but since this is a breast cancer forum, I limited my comment to those who have bc. I do have sympathy for those who are not diagnosed, but are going through the dx process! As I well remember what a nightmare that was. Someone who has been posting about her "IBC" for 2+ years with no dx? Not so much. I feel a great deal of sympathy for Abigail, but not because she believes she has bc.

  • lightandwind
    lightandwind Member Posts: 754
    edited June 2014

    Thanks for that candid explanation exbrxgrl. I have sympathy for you too (not related to BC)

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited June 2014

    Thanks, lightandwind, however no sympathy needed. Despite stage IV bc, I have a pretty darn good life, a job I adore, beautiful daughters, lovely SIL's, precious granddaughter, lots of travel, loyal friends. Currently learning Norwegian and nålbinding (a craft which pre-dates knitting). I've been a Peace Corps volunteer in a Afghanistan and a Pan Am flight attendant. Just climbed the Harbour Bridge in Sydney this past December.  Sympathy for me? Nah, I have have been very, very fortunate in my life. I count my blessings everyday. Still, I appreciate it. That was very sweet given that we've been a bit contentious. You are a dear!

  • lightandwind
    lightandwind Member Posts: 754
    edited June 2014

    yes Kayb, sorry, he did finally have the whipple procedure before he died, but the point I was making is that he survived for 8 years following diagnosis despite his unconventional choices early on, when the doctors gave him only months to live, not years. 

  • lekker
    lekker Member Posts: 594
    edited June 2014

    It's like a train wreck - I know I can't fix it but I can't just ignore it.  Jobs had surgery in 2004, not just before he died (which kayb stated but you seem to have ignored).  He had a slow growing type of cancer and no one would've told him he only had months to live at diagnosis. Yes, he lived for years after diagnosis even though he delayed surgery - the speculation is that he might've been cured - CURED - had he opted for surgery right away.  Or maybe he would've died on the table.  Who knows?  But please stop making it sound like his alternative treatments kept him alive when you have no idea what was the best treatment for him.  Maybe it was his alt treatments that hastened his death, did you ever think of that?  To say that chemo killed Swayze when he lived longer than expected by doing the chemo - your misinformation is bordering on dangerous.  

  • suzieq60
    suzieq60 Member Posts: 6,059
    edited June 2014

    The serious point to come out of this is - if you refuse surgery, the outcome is never going to be good. How could anyone who has operable cancer deny themselves  a chance by refusing surgery.

  • lightandwind
    lightandwind Member Posts: 754
    edited June 2014

    Lekker, there is a ton of information out there on this and the controversies on Jobs illness extends far beyond this forum. Many sources report different things. I certainly didn't say that chemo killed Swayze or that alternative choices caused Steve Jobs to live longer. I just acknowledged the time between diagnosis and death and pointed out their choices in treatment.

    A 20% chance of being alive in 5 years does not sound to me like there was much hope for a cure from the surgery.

    Jobs doctors reportedly admitted that the immuno suppressive drugs they gave him for the liver transplant/modified whipple likely expedited is death.

    Why do you say that "no one would have told him he had only months to live." ? How do you know that? Are you saying that CNN is lying about that?

    Jobs recalled having a scan one morning in 2003 that showed a tumor in
    his pancreas and doctors telling him "this was almost certainly a type
    of cancer that is incurable and that I should expect to live no longer
    than three to six months
    ."

    http://www.cnn.com/2011/HEALTH/08/25/steve.jobs.ca...

  • lekker
    lekker Member Posts: 594
    edited June 2014

    No I'm not saying cnn is lying. The quote you use about 3-6 months was what he was told before pathology. Neuro endocrine tumors are extremely rare so it makes sense they assumed he had adenocarcinoma which does have a life expectancy of only a few months. You should've read the rest of the article you quoted (below). He had surgery to remove the tumor (standard of care) only 9 months after diagnosis. He had a liver transplant years later and that's the surgery you keep referring to - and it was not at all standard of care. 

    In a rare moment of openness about his condition, Jobs revealed a few details of his diagnosis in a 2005 speech at Stanford University's commencement ceremony.

    Jobs recalled having a scan one morning in 2003 that showed a tumor in his pancreas and doctors telling him "this was almost certainly a type of cancer that is incurable and that I should expect to live no longer than three to six months."

    "Later that evening, I had a biopsy, where they stuck an endoscope down my throat, through my stomach and into my intestines, put a needle into my pancreas and got a few cells from the tumor. I was sedated, but my wife, who was there, told me that when they viewed the cells under a microscope, the doctors started crying because it turned out to be a very rare form of pancreatic cancer that is curable with surgery. I had the surgery, and I'm fine now."

    But the timing wasn't that clear-cut. In between diagnosis and surgery, he pursued an alternative therapy approach for nine months, hoping a special diet would allow him to avoid surgery, according to a 2008 Fortune magazine article.

    On July 31, 2004, at the Stanford University Medical Clinic in Palo Alto, California, Jobs underwent surgery to remove his tumor.

  • Momine
    Momine Member Posts: 7,859
    edited June 2014

    Lekker, thanks for posting that. I had looked into Jobs' timeline before and had found the same thing.

    There is another thing I would like to repeat at this juncture: chemo can't cure stage 4 cancer (Swayze). In stage 4, chemo can extend life. Chemo can also serve a palliative function. For example, my aunt had extensive lung mets, making breathing difficult, so she had some mild chemo to shrink the tumors impeding her breathing. It made her last months more comfortable. She had not otherwise had chemo for her cancer, because it had not been appropriate treatment in her case. She lived 20 years past her initial DX.

    So often, people make the anti-chemo argument that, "my mom/aunt/uncle/grandpa/Swayze had chemo and then he/she died anyway. Chemo doesn't work/kills." In virtually every case like this, the patient was in advanced stage 4. In that situation, treatment does not have curative intent.

  • suzieq60
    suzieq60 Member Posts: 6,059
    edited June 2014

    Surgery and Chemo saved my DH with Stage IV lung cancer which came from the bowel - that was 7 years ago!! If they hadn't been able to operate he would have been gone ages ago. So Stage IV can be cured but it always depends on the circumstances.

  • Momine
    Momine Member Posts: 7,859
    edited June 2014

    Suzieq, yes, sorry, in some rare cases it can happen, and in certain cancers (leukemia and testicular), even at stage 4 chemo can be curative. I just mean that in most stage 4 cases, chemo is not given with curative intent. Just going by friends and family, I have the feeling that the patient often understands this full well, but by putting on a brave face and remaining "positive" and hopeful for the relatives, the patient may sometimes leave them with the impression that things are different from actual reality.

    My aunt had chemo 2 years ago, after a stage 4 DX. She has been NED and feeling great since. Even so, the docs do not consider her "cured."

  • abigail48
    abigail48 Member Posts: 1,699
    edited June 2014

    butting in here again.  finding the steve jobs posts/infor interesting.  exbronx girl you've not been reading carefully or?? I've not said that about IBC for years, not since I was first here almost 3 years ago & had just discovered there were more kinds of breast trouble than one.  the symtoms don't appear to be IBC at all.  I was looking again about "sheets" that seemed apropo, but the actual new growth is fungating which evidently is coliflower-like not outgassing.  that fits for ulcerating tumor

  • Tomboy
    Tomboy Member Posts: 3,945
    edited June 2014

    steve job's book is pretty good, the authorized one, that is, and that he was working on with the main author, and i believe that is closest to the truth of him, and ain't always pretty either. his own little trainwreck in a way. i hope that we are not angry with one another, it is sort of like a discussion i would have at table with friends..

  • suzieq60
    suzieq60 Member Posts: 6,059
    edited June 2014

    Momine - I wasn't referring to your post - just pointing out that it can happen and that surgery is a must.

  • BrooksideVT
    BrooksideVT Member Posts: 2,211
    edited June 2014


    I'm so sorry to intrude here, LightandWind, but, really, you have made your point.  "This forum is a safe, judgement-free place," and, while I know your intentions are good, your comments do not feel judgement-free to me.  Could you kindly use PM's for your personal criticisms, or, in accordance with the rules of the forum,, either block those with whom you do not agree, or ask the Mods for help?  Many thanks.

  • DiveCat
    DiveCat Member Posts: 968
    edited June 2014

    Yes, certain metastatic cancers can go into remission and remain that way indefinitely. Lance Armstrong is an example of someone who has metastatic testicular cancer, including lung and brain mets, and went into remission with conventional treatments (including chemo) and there is no evidence of disease many years later without further treatment. A good friend of my sister also was diagnosed with advanced testicular cancer at only 21 or 22...it was through his abdomen including stomach and colon. Surgery and chemo put him into NED, and he remains that way several years later without any other treatment.

    However, less than 1% of metastatic breast cancers go into this "permanent remission" after treatment, and no one really knows why at this point. The goal of chemo, radiation, surgery, and other treatments including surgery for metastatic breast cancer is to stall progression for a while, maybe shrink or remove certain mets, reduce pain, and if one is fortunate maybe they can even be NED for a while, but it is definitely known not to be a "cure" at that point. It is palliative. Depending on the mets, like bone, some can still get many years, but eventually there is more progression (in 99% of cases) and eventually treatments no longer work. So chemo is considered "palliative" in metastatic breast cancer, but that does not mean "it does not work" because it is not used to be curative at that point. "Palliative" care for my mother who metastatic breast cancer (bone mets at this point) hopefully gives her a few more quality years.

  • Heidihill
    Heidihill Member Posts: 5,476
    edited June 2014

    Abigail, there are so many women in the world in your shoes, with fungating growths of whatever nature. Most don't have any access to healthcare. You do, assuming you are in the US. Perhaps you should talk to a doctor just to see how you can access any help you might need. There may still be a lot that can be done short of chemo, which may not even be necessary.

     

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited June 2014

    Abigail,

    Mea culpa. You have been on this forum for several years now and I apologize if my memory is imperfect. I simply don't remember when you decided you didn't have IBC.

  • NattyOnFrostyLake
    NattyOnFrostyLake Member Posts: 377
    edited June 2014

    Despite stage IV bc, I have a pretty darn good life, a job I adore, beautiful daughters, lovely SIL's, precious granddaughter, lots of travel, loyal friends. Currently learning Norwegian and nålbinding (a craft which pre-dates knitting). I've been a Peace Corps volunteer in a Afghanistan and a Pan Am flight attendant. Just climbed the Harbour Bridge in Sydney this past December. Sympathy for me? Nah, I have have been very, very fortunate in my life. I count my blessings everyday.-- Caryn AKA exbrnxgrl

    Caryn, you have a genius for gratitude. We can learn a lot from these words about empowerment and living a joyful life. Keep up the good work! You should write an article.

  • Moderators
    Moderators Member Posts: 25,912
    edited June 2014

    Dear Members, Here is our gentle reminder in response to
    this evolving discussion. So many women have breast issues, anxiety regarding breast
    cancer, and/or a genetic predisposition, and end up on our site looking for
    information, guidance and comfort, even when not diagnosed with a cancer. We
    are there for these sisters, men, daughters, mothers, and other concerned
    individuals to provide information and support to them. We are here to help women, their family and friends make sense
    of the complex medical and personal information about breast cancer, so that they
    can make the most informed decisions for their lives.

    We always encourage any member who is not comfortable with the
    topic/discussion at hand to read elsewhere or use the block thread/member
    function so as to minimize stress and difficult exchanges.

    Thanks for getting the discussion back to a supportive,
    respectful place! 

    The Mods

  • lightandwind
    lightandwind Member Posts: 754
    edited June 2014

    Brookside,It's suppossed to be a non judgemental safe forum for alternative therapy users.

    I feel protective of Abigal as well as this forum. I have had these conversations w/ Abigal about choices, so has many others on here. When it comes down to it though, the choices are her own which has been the main point that I have been making here- to accept w/o judgement. 

    I chimed in here originally because of the judging going on of her. The kind comments to and about Abigal I think are fine. It is.the unaccepting, judgemental comments from people who do not know or understand people who use alternatives who are violating the rules. 

    So, though I understand why people feel the need to discuss options w/ her, as long as it is done in a respectful and non judgemental manner that involves respecting her and accepting her right to make her own choices- then fine. But that is not what many are doing here. 

    So yes, I have judged people for judging, and did try to give them a taste of their own medicine, so they can see how it feels, how it hurts and how wrong it is. I did that here. I am guilty. I don't like stepping over that line, but in rare instances, when it is called for, I will. It is ugly though I agree, and I don't wish to interact that way. I do hope I've made my point and people will learn that everyone here deserves empathy, respect, and acceptance.

  • abigail48
    abigail48 Member Posts: 1,699
    edited June 2014

    well we'll see perhaps, in the line to get medicare, I think the docktor would want to draw blood, do a biopsy, a mamogram would be impossible on that breast, but an exray or mri or such.  none of those for me.  can't remember when I realized it wasnt inflamatory breast cancer, though it certainly is inflamed, it isn't difused throughout the breast, though growing  I think I did mention it briefly perhaps a year ago

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited June 2014

    Thanks, natty. What I express is only about my life. I think the only ones who learn something from me are my 1st graders!

  • Momine
    Momine Member Posts: 7,859
    edited June 2014

    Abigail, you have no way of knowing what a doctor might want to do or not do, unless you talk to one. Also, just because a doctor wants to draw blood or do a mammo or whatever, you always have the absolutely right to refuse or simply not show up for the test in question.

  • Beesie
    Beesie Member Posts: 12,240
    edited June 2014

    I don't want to hijack this thread, so I've posted a response to the Moderator's comment, a few posts above mine, in the following thread: 

    Topic: breastcancer.org's Mission.... or not?

  • kayfh
    kayfh Member Posts: 790
    edited June 2014

    Abigail: the reason doctors might want to draw blood and/or do a biopsy is because it is the standard of care.  They are very worried that their regulating bodies, and even the patient (or family) might charge them with negligence.  I know that is not something you would do.  But that is the reality of many of their concerns.  

    There are, at least in my community, women's health clinics or maybe in your case, Planned Parenthood clinics, which are staffed by intelligent compassionate nurse practitioners and physicians who are mandated, and very used to, working with women who have a history of physical, emotional, and/ or sexual abuse at the hands of intimate partners, random attackers, or even by other health care providers. You  might want to consider making an appointment to talk with one of these people. After discussing your situation with her  you may feel comfortable letting her have a "look see", no touching.  This might go a long way towards seeing if your breast issue is something that might be dealt with with non invasive methods.  You might take several visits to feel comfortable, but these front line health care providers (hcp) have helped women who have had past histories like yours.  I (from my previous experience as a midwife) know that there are many hcps who can and do provide compassionate care which is tuned to the woman's individual life circumstances and who do not adhere to diagnostic and treatment algorithms.  

    I also know that "out there" is a hcp who would relish the opportunity to work with you, what ever the work is that you would find acceptable, because you are intelligent, protective of your autonomy, and pretty damned feisty.  And I do mean that in a good way.

    The thing is experimenting on yourself  with various treatments in the absence of knowing what it is you are treating can cause serious harm to you and seriously damage your quality of life

    All the best, Kay

  • abigail48
    abigail48 Member Posts: 1,699
    edited June 2014

    I live in a very rural community & I don't travel.  there is a hospital a short walk away (but up a bit of a hill), there are 2 docktors there at the health building, a man, & a woman who can treat the hassidim women who have special requirements.  I wouldn't mind touching either, by the way the lesion is hard, like a rock, & is "calcification" calcium? or, perhaps bone?.  I read someplace in these years that calcifications arn't from injesting calcium.  yeah, sure, & as we were told in the 50ies, mestrual exudation wasn't blood.  & women had an attractive scent but men didn't.  yeah sure.  I can't stand planned parenthood.  they gave me a script for birthcontrol tablets after feeling the cyst in that breast.  it was always very large but didn't. grow larger for all those years, actually the biker squished it early on in our friendship, the other one too, but they grew back at some point & again didn't grow until 2011.  I also don['t understand what they can see with biopsy cells.  thought today perhaps they just use biopsy as a way to get the person under their control

  • luv_gardening
    luv_gardening Member Posts: 1,393
    edited June 2014

    Abigail, I've found a lot of information about Artemisia absinthium (Wormwood or Mugwort) which shows it is good as a topical painkiller and anti-viral, possibly anti-fungal and anti-bacterial.  I am well past my bedtime so will search more tomorrow.  Meanwhile I found a research paper showing it is at least as good as morphine when used as a topical painkiller in mice.  Of course there are no human studies as this was just published 2 months ago and human trials will take time.  

    The only way to know if it works for you is to try it as it's safety is well established.  In case of any ill effects it is always best to try a small test area first. If it works for you then whether it is eventually proven to be clinically effective or not is irrelevant. 

    Of course this is not meant to treat any underlying condition, just used as a topical treatment for pain and infection control.

    There are a significant number of people with fungating wounds, especially the skin cancers, as they don't respond to chemo and cannot be surgically removed in many cases. They are treated palliatively.  A close relative dresses them for patients in their home as she's a community nurse.  They just need very good hygiene as I'm sure you are well aware, but for the sake of other readers I mention the obvious.

    I'll send any relevant links in a PM tomorrow my time, that's tonight where you live.  Here's the morphine comparison in PDF format.  Sorry if it's too technical, the conclusions are the main point, and you can only use yourself as a one person trial in the circumstances.  

    http://www.academicjournals.org/article/article140...

    Thank you for your wonderful patience and tolerance as shown above. You are a great inspiration.

    Your old friend, Joy

  • kayfh
    kayfh Member Posts: 790
    edited June 2014

    Oh dear, Abigail. No one can make you do anything to your body, or do anything to your body, without your informed consent.  You must be given information about all the possible courses of action which you might consider taking including no action and the likely consequences of acting or not acting.  You are an autonomous person, but your autonomy is constrained  when you don't know what the choices are.  

    A biopsy is removal of cells, and examination of them under a microscope.  In your case they are unlikely to need to puncture your skin, since you say your lesion is ulcerated.  The pathologist looks at these cells and is able to determine if it is cancer, or not cancer.  They can also tell if it is an infection that might be amenable to treatment, either with medical treatment or alternative treatment, or which might spontaneously resolve over time with out any treatment.

    Perhaps a walk up the hill to the health building to make an appointment with one of those doctors might be a good idea.  A good walk (which I know you do) is always a good idea.  At times it is good to have a mission when you go for a walk.  I know getting up and going out for a purpose, makes going for a walk more palatable for me when I am not feeling well.  Your purpose might be to get to understand what is going on with your body, and in particular, your breast which is obviously a point of concern for you.

    Be well, Kay

  • BrooksideVT
    BrooksideVT Member Posts: 2,211
    edited June 2014

    Thank you for your latest, Lightandwind. Of course, I understand.

    Abigail, I have to say I very much appreciate your term, "breast trouble."  So wholistic!  I also admire your study and knowledge of herbs and poultices, but, I must say, often wonder if you have time for anything other than breast care and support.  I know you mentioned somewhere a concern about invasive diagnostic tests, but now that your lesion has discharge, perhaps they could simply test a bit of that fluid?  Whether you then choose to use traditional, or alternative, or a combo, it probably would be beneficial to have more information about the trouble you are treating.  It might not be easy to find a truly hands-off practitioner, but if you can, I think you'll enjoy the in-person support system.

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