How do I know it's gone?

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GG2
GG2 Member Posts: 30

Hi ladies, not sure if this is the right place for my question but here goes.  Everybody I know or have heard of who has had cancer has some kind of scan or test that tells them the cancer is really gone.  But there doesn't seem to be that option with breast cancer. So you just finish up your treatments and hope for the best?  I was half expecting they'd want me to have my annual mammogram earlier this year. Last year, I had it in July, then got called back in and diagnosed in August. So how do I know I'm NEC?

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  • mdg
    mdg Member Posts: 3,571
    edited July 2014


    It is strange but yes, after treatment many of us just hope for the best.  If you had a lumpectomy then you should get mammograms.  Most of my friends get them every 6 months.  If you had a MX you don't get mammograms.  It is hard to just think it is gone for good, but that's part of the joy of breast cancer (ha!).  As time goes on it can get a little easier. 

  • tangandchris
    tangandchris Member Posts: 1,855
    edited July 2014

    I am frustrated with this as well. I feel like there is no real way of saying, yes I'm in remission or NED. I've been asked, "so are you im remission"? and I don't know how to really answer this question.

    My understanding is that my mx removed my cancer and the chemo/rads will make sure stray cells are destroyed. The scans are not needed unless I have symptoms of returning cancer. I will be asking my MO if she does blood work that checks for tumor markers, but I think I remember her telling me early on that she doesn't put alot of weight in them.


     

  • edwards750
    edwards750 Member Posts: 3,761
    edited July 2014

    mdg - that's not necessarily true about MX means no mammograms. I know my sister continues to have them - she had ILC. That BC tends to travel and hard to detect on mammograms. I had a lumpectomy so it was a given I would have mammograms but my ONC said there is always a concern about stray cells left over from a mammogram which is why the survival rate is the same for lumpectomies and MXs. 

    Diane 

  • edwards750
    edwards750 Member Posts: 3,761
    edited July 2014

    scratch that - left over from a MX - not mammogram. Sorry. 

    Diane

  • Txsurvivor13
    Txsurvivor13 Member Posts: 24
    edited July 2014

    I am having another PET scan on Tuesday. I am hoping that will be my all clear. After I had surgery and the pathology reports came back they said they believe they got it all but I did have some low margins. Have any of you had a PET scan after treatment?

    Marisa

  • Meow13
    Meow13 Member Posts: 4,859
    edited July 2014

    This may sound funny but my mind decided one day that the cancer is gone. I had no control over what I was thinking or feeling.

    Just like I could think of nothing else when I was first diagnosed it was like one day I was at work and I didn't think about it for several hours. It took months for my mind to let me be myself again with just normal worries.

  • LW0919
    LW0919 Member Posts: 196
    edited August 2014

    Meow13:  It was odd reading what you wrote because it made me realize that I too discovered that I've actually gone several days recently without even thinking about or remembering I had cancer.  It really does get easier.  

    I had a PET scan during the diagnosis phase after we found a positive node but nothing after chemo and radiation other than mammograms every 6 months.  If I can make it through this next one in December with no findings they will then have me start coming yearly at that point.  My MO said to just let them know if I have a pain that doesn't go away after meds or after a few days.  No tumor markers checked through my blood work either.  

    I think we just have to trust that the treatments did what they were supposed to.  The thought will always probably linger in the back of our minds though.  I'm just happy that this year, I have hair and can go out in the sun and walk without feeling like my legs are made of lead.  Life after cancer is good.

  • HomeMom
    HomeMom Member Posts: 1,198
    edited August 2014

    My doctor told me that in a year this will be in my rear view mirror. I had a pet scan after my surgery when they found it in my nodes and had a CT of my chest because there is a small nodule that is not large enough to measure. It didn't change so they think it is a scar. I will have another after chemo just for insurance. I will not have scans after this, just blood work. The chemo is for insurance.  I feel confident it is gone!

  • ncollett
    ncollett Member Posts: 862
    edited August 2014

    I was diagnosed in May with IDC stage 1 grade 2 ER+PR+ HER2- Lymph 0/1. I just had my lumpectomy July 30. Do they ever do scans even though your lymph node came out clear just to double check to make sure things are ok else where. They found my tumor on my annual mammogram which I get religiously every year due my Grandma having BC. In 2007 they found micro-calcifications on my left side and couldnt bx them then because they said they were too small to get to so I had mammos every 6 months for 2-3 years then went yearly because no change until this year then wham. At the same time in 2007 they did do a bx on my right side which came back inconclusive but probably benign. Then about a year ago I found a lump on the right and they found out it was a cyst on ultrasound so no bx. Well when I went to see my BS for my first consult in June this year for my IDC on the left the cyst was still on the under neath of right side and I showed him but it was still very small. Within two days, it blew up to be anAbscess  and was the size of a golf ball and was very painful. Needless to say that had to be surgically removed and packed which pushed my lumpectomy back a month. Since Feb this year my elbow joints and knee joints have been very sore and I now can feel a small lump on my knee cap. I am probably just freeking out but was just wondering.

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

    I read in a book, "Breast Cancer for Husbands" that many drs do not do scans unless you are symptomatic because little things can show up that are harmless.  My hubby borrowed the book and I read it too.

    I had stage 2, E+, IDC with a moderatley low Onco, clear margins, simple mastectomy, and anastozole therapy.  After the mastectomy, I considered myself cancer free.  It took a while but I only think about it when I see the drs. or when someone I know is going through it.  I lost a friend just 1 year after I was diagnosed.  She was diagnosed about 3 months before I was.  That was hard.

    I am working really hard on the nutrition battle.  I am morbidly overweight and my surgeon makes me feel horrible when I see her because she hounds me about it.  I do not lose weight easily and it has been a slow process.  I am doing all that I feel I can do to prevent a recurrence or other health problems related to weight.  I eat way more fruits and vegies now and many of them are organically grown.  I also limit red meat to once or twice a month.  I exercise 5 days a week for 1 hour and try not to be a couch potato.  I still eat too much, but I am working on that too with a concept called "Intuitive Eating Community".  It is based on not dieting and was recommended by my ONCO nutritionist. I'm the only survivor that participates in the community and I would like to have some others to interact with.

    I guess NED, or cancer free, or whatever you want to call it is like most everything else related to having breast cancer, it takes time to come to peace with it and settle into the "new normal" for you.  We will never be the same again, nor are we all alike.

    SmileHoping for the best for all of us!

  • GG2
    GG2 Member Posts: 30
    edited October 2014

    teriw, I feel very sad that your surgeon makes you feel horrible, Your onco-nutritionist pointed you in the right direction and the intuitive eating community sounds great! Keep up your healthy eating and activity and hang out with people who reinforce the positives about you. You survived an awful and unpleasant disease and you should feel good about that!

    I got a lot of good answers and ideas for reflection after posting this question about 3 months ago. I'm close to the end of Herceptin infusions and definitely feeling that this whole year is moving to the back burner and that I am a survivor. Happy Breast Cancer Awareness month to all!

  • cwp
    cwp Member Posts: 11
    edited October 2014

    Hello to all,

    10/10/13

    This is my very first post.  I am stage 1 grade 2 ductal carcinoma in situ and invasive ductal carcinoma just diagnosed 9/8/14.  Cancer was 1.4cm and was very high estrogen fed, also low progesterone fed.  Had lumpectomy with sentinal lymph removed on 9/29/14.  The lymph node  was negative.  Saw the surgeon for post-op check this week, who said I am healing well and recheck with her in 6 months.  Also met with the oncologist for the first time this week.  They are doing the oncotype test to see what treatment I will need: hormone therapy, chemo, radiation or a combo of them.  Are there nausea side effects from the hormone therapy and radiation?  I was thinking of going back to work 1/2 days in the AM then getting the radiation in the afternoon...has anyone tried this?  Will the fatigue I am reading about from radiation be manageable?  Thanks for any insight you can give.  

  • Annette47
    Annette47 Member Posts: 957
    edited October 2014

    CWP -

    Welcome, although I am sorry you find yourself here.   I didn't have chemo, so have no experience there, but in answer to your questions about hormone therapy and radiation, most people do not experience any nausea.   Rarely, some people may feel a little bit from the Tamoxifen, but most do not and it isn't severe - usually they are recommended to take it at bedtime and that is enough to alleviate the problem.   I never experienced any nausea.  As for the radiation, that is very individual, but I would have been able to work part-time throughout.  For me, I was able to function all day, but I needed to crash earlier in the evening.   I didn't have quite as much energy during the day, but enough to get by (kind of dragging my tail, but not completely collapsed, if that make sense).   Although it may seem counterintuitive, exercise helps combat the fatigue, even if it is something as simple as taking a walk every day.   Some people may be too exhausted to work, but I know several people who went through radiation and all of them had a similar experience to mine with regards to energy levels.

    Best of luck!

  • SmartassSmurf
    SmartassSmurf Member Posts: 157
    edited October 2014


    CWP - I am also sorry you find yourself here, but you are in a good place to get answer from people who have lived it. I had surgery, chemo, more surgery, radiation. Chemo is the hardest part obviously, but there are lots of meds to combat the side effects. Radiation brings its own challenges to skin, energy, etc.  It all depends on how your individual body responds to the treatments, but for me I was able to return to work during radiation & my energy was pretty good throughout. I had some painful skin issues toward the end, but I had the Bolus (keeps the rads in a more shallow concentration so your skin suffers a bit) for 25 sessions. It was manageable. I did my rads right away in the morning & worked a full day afterwards, but I may have been lucky to be less tired than some.

    Good luck to you & hope you do well with whatever treatment path you need. 

    As for the original question on scans...I had a PET Scan before surgery in January & am scheduled for another in December. I might be weird...but sometimes I fantasize that I could just pull my skin out & look inside to give myself the once over to see that there is no cancer. The next best thing was my Surgeon telling me after my second surgery (BMX) that there was No evidence of cancer in any of the tissue removed. I still save the voicemail from July when she told me the pathology. I listen to it on hard days.

     

  • msphil
    msphil Member Posts: 1,536
    edited October 2014

    I had L mast, and I get mammo once a yr, after the treatments I got mammo every 6 months and after many yrs cancer free, it went to 1 time a yr.and I am now a 20 yr Survivor (Praise GOD). msphil(idc,stage2, 0/3 nodes, L mast, chemo and rads and 5 yrs on tamoxifen) and all while planning for our wedding, as I found my lump.

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