MIDDLE-AGED WOMEN 40-60ish

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

    and i was typing then had to edit! i swear, your responses to stasia weren't there when i started! you two!

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

    If I had to have one off, I'd do both, too. So I did.

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

    I did bilat, no regrets.

  • 3rdtimenow
    3rdtimenow Member Posts: 256
    edited August 2014

    Stacia, welcome to this board, you will find a great group of women and good advice. I had two lumpectomies, one on each side, 11 years apart. After another biopsy which turned out to be negative, I decided to have a prophalactic mastectomy on both breasts. 2 years later I was diagnosed with my 3rd BC and am just finishing up radiation, you can have radiation more than once under the right circumstances, though not their first choice. It's true the risk is low after mastectomy, but not as low as we are led to believe, and I am a good example, but knowing what I know now I would still have done it. They do not do routine scans after BMX, my cautionary tale is, don't hesitate to ask for MRI's because it can come back, there are always microscopic cells that might be left behind. I don't say this to scare anyone, just to inform, I was so sure I was out of the woods, but here I am. It is such a personal decision, but I wish I  would have opted for Bilateral MX13 years ago, but I didn't  have a crystal ball. Best of luck with your decision. Hugs to you. Stephanie

  • jbokland
    jbokland Member Posts: 890
    edited August 2014

    I had a Bmx as a prophylactic measure.  It was a good decision as the path report showed there was trouble brewing. I did it because I did not want to worry about waiting for the other shoe to drop. Also, I felt like my treatment plan was based on a better foundation knowing what was going on in the second breast...not guessing or anticipating.  The symmetry concern was secondary.  

    Best wishes on your decision!   Go with your gut. 

  • Calico59
    Calico59 Member Posts: 8
    edited August 2014

    Momine, I had stage 2 - it had progressed a ways before I went to see a dr. 

    Have to apologize for offending people with my "freakish" remark. My personal opinion, and not meant to be directed at anyone but me. I know that some think it's vain to have recon, but for me it's a necessary step to being back to myself again. I don't want people to look at me and see "breast cancer survivor" - I am more than my disease. This is my way of getting past the trauma and the drama, to the point where this is not the first topic of conversation someone brings up when they see me. 

  • NativeMainer
    NativeMainer Member Posts: 10,462
    edited August 2014

    I had a uni mast, lived that way for a year, then had the other breast removed and bilateral recon with much smaller foobs.  For me, having one large breast was uncomfortable, physically, and having having mammograms on the remaining breast was emotionally difficult.  The year between I used a prosthesis, which I found hot and uncomfortable at times, but nobody could tell which side was real and which was fake.   

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

    My oldest grandson (4 in September) and I have discussed this a number of times. My DD is soft, large-breasted like I was and he loves to cuddle on her. Probably on any female. Around the new year he sat back on me, then sat back up and pressed down on my chest. I told him NaNa didn't have any breasts because she had to have them taken off (didn't want to say "sick" or "cancer" to confuse him at his young age). We both agreed that NaNa's boobies were gone (his word, boobies, not mine!). When his Mom looked at him in surprise, he said "I know what boobies are, Mommy!"Then last week while we were visiting and he climbed up and sat back, he did it again - a sit up, turn around and a chest pat down!! 

  • elimar86861
    elimar86861 Member Posts: 7,416
    edited August 2014

    Kids can roll with whatever, in that beautiful, non-judgmental way.

  • elimar86861
    elimar86861 Member Posts: 7,416
    edited August 2014

    Calico59,  How are you doing with the tissue expanders?  I don't know if I could have borne that discomfort without out becoming a drug addict in the process.  I had an internal radiation balloon placed in mine for a few days and just cried and took hydrocodone the whole time.

  • KLJ
    KLJ Member Posts: 284
    edited August 2014

    Ladies, I am looking for some advice! My oldest daughter was diagnosed with Triple Neg BC in 2011 at the age of 30. I was diagnosed in Dec. 2013 with DCIS and IDC. My youngest daughter is 25 and just had a baby. Her OB/GYN wants her to stop nursing at 6 months and have a mammo, MRI, and Ultrasound. Of course insurance will cover none of this. First of all I don't think she should stop nursing to have this done. I would agree with stopping at one year but not sooner if she chooses to nurse for that long. Second, any ideas on how to go about looking for a study, grant, or something to help pay for these tests? Going to see my oncologist next week and I am going to ask him but I feel like they are looking at me like I am just looking for free advice, which I am! Neither one of us can afford what those tests would cost! I feel like we are chasing our tails here trying to find a way to get her checked since we have such a family history of this.

  • Calico59
    Calico59 Member Posts: 8
    edited August 2014

    elimar, thank you for your compassion! I am very uncomfortable and my pect muscles don't like to do much of anything strenuous these days.  Keep telling myself that it will soon be over ... And then the PS office calls to say the pre-op appt must be changed ... So I try not to stress and lose myself in a book quite often. :) 

  • Calico59
    Calico59 Member Posts: 8
    edited August 2014

    KLJ, from what I've read, they say mammo, MRI & ultrasound will not affect breast milk though it might affect the amount your daughter produces. Check with your insurance company - my insurance will pay for the DNA testing (BRAC? ) that would give you the info you need. Seems there would be a precedent, since 2 members of your family are already having problems.  Hugs to you!  Wish you luck.

  • elimar86861
    elimar86861 Member Posts: 7,416
    edited August 2014


    Thoughts just fly into my mind in random order, so let's see if I can make any sense here.  My first thought was that your BC and your elder daughter's were not at all the same.  If your younger daughter is having no symptoms and has not even had benign breast disease up to this point, I just do not see why she cannot wait until the one year point.  I don't see the rush either.

    I'm sorry, KLJ, that I don't know organizations or social services that provide financial help.  Others here have better knowledge of that.  Is there not a way that the doctor could submit something to the insurance to have it o.k.ed, because your youngest does have two first-line relatives with BC now?  That surely qualifies as elevated risk, even if it is not definitely hereditary.  What I don't get is why the expensive MRI got thrown into the mix?  Mammo is the standard; and dense (young) breasts would probably benefit from having US added to that, if necessary.  If the MRI was simply to get a baseline, surely that can wait until your daughter has better coverage or symptoms call for one.

  • 3rdtimenow
    3rdtimenow Member Posts: 256
    edited August 2014

    KLJ, so sorry to hear your story, having had BC three times I worry so about my daughter. I would be very surprised, given your family history, that your daughter's insurance would not cover these tests, has she checked on this? Hugs to you and your girls.      Calico,  I did not have to go the expander route, I was able to have immediate recon with saline implants, but I do know the pain of the muscle being manipulated hang in there.  Stephanie  P.S. only 2 more rad treatments left!!!!!!!

  • glennie19
    glennie19 Member Posts: 6,398
    edited August 2014

    KLJ:  if you look under the forum "financial issues"  (something like that)  there may be people over there who can direct you to helpful sources.

    But it seems to be that having to primary relatives with BC that insurance would pay at least for mammo and US.  MD should appeal to them for that.  MRI may be trickier,,, would def have to do mammo and US first,,, and then petition to have MRI covered.  And if daugher 2 is not having any symptoms, and daughter 1 was 30,, she is only 25, why can't she nurse as long as she wants and then have the tests?  Maybe get 2nd opinion from another OB/GYN?

    and heck,, ask MO for free advice.  It's your daughter!! Ask! If they don't answer, well, you tried.  Does Daughter 1 have same MO? Cuz if different, have her ask that one.

    Congrats on new grandbaby!  Boy, girl??

    edit:       look under the forum "employment, insurance and other financial"    someone over there may be able to help out.

  • 3littlebirds
    3littlebirds Member Posts: 101
    edited August 2014

    KLJ, have you or your daughter had genetic testing? Considering your strong family history, I would at least think your younger daughter's doctor could get her in to see a genetic counselor and see what sort of testing would be covered by insurance. There are other gene mutations besides BRCA1&2 that can increase your risk of cancer. If you are identified as high risk, you have a better chance of getting screening covered. I know for me, my DCIS only showed up on an MRI, which I was getting because I was identified as high risk. Nothing showed up on either a mammogram or ultrasound. I don't know if you have checked out the FORCE website. It has a lot of info on genetic mutations and there are many young women with similar concerns that post there.  

    I agree that your daughter shouldn't stop nursing at 6 months if she doesn't want to.  

  • KLJ
    KLJ Member Posts: 284
    edited August 2014

    Wow, thank you ladies! Such quick responses. Let's see if I can answer these questions in order!

    Calico59, my oldest daughter was tested for the BRAC (?) and was found to be negative. Her ins. covered it, mine wouldn't.

    Elimar, I'm not sure why the MRI was thrown into the mix. He could have just been thinking out loud. Her ins. is denying all of it due to her age however, her doctor is appealing it since the standard of care calls for a baseline to be done 5 years earlier than the diagnosis age of a sibling. Which would put her at exactly the right age.

    Glennie19, Daughter 1 and I have different MO's. (different states). Her MO is looking for a study that may want to watch and test them both but so far nothing that is within a reasonable distance has come up. I already have my list of questions for my MO. You're right, if he doesn't answer me nothing lost, nothing gained :) New grandbaby is a boy! That makes 4 boys, which means I will probably never get that grand daughter! I will ask on the forum you suggested also! Thanks!

    3littlebirds, thanks. I will ck the FORCE. I know that there is someone out there that can point us in the right direction. I know that she is not going to give up nursing at 6 months unless she is told that it could be life threatening for her not to be tested. My tumor only showed up on an MRI as well. I forced the issue with my doctor after they found "something" suspicious in my rt. breast. Turned out to be nothing but the MRI showed a tumor back near the chest wall on the left side that wouldn't have shown on a mammo for a long time.

  • elimar86861
    elimar86861 Member Posts: 7,416
    edited August 2014

    3littlebirds, welcome!  Maybe MRI is standard if you are high risk, then. 

  • KLJ
    KLJ Member Posts: 284
    edited August 2014


    Could be elimar! Adding that to my list of questions for next week! If anyone can think of anything else I should be asking throw it out there. She is going to my appt. with me so hopefully looking at that young face of a new mom will make him answer all of our questions! He is a nice man, just always in a hurry!

  • 3littlebirds
    3littlebirds Member Posts: 101
    edited August 2014

    Yes, standard of care for high risk is mammogram alternating with MRI every 6 months and a clinical breast exam every 6 months. I did this for about 7 years, ever since my genetic testing came back BRCA1+. My insurance never gave me any grief about it. I also didn't have a problem getting coverage for my genetic testing. My mother had breast cancer at 36 and ovarian cancer at 57. My oldest sister had ovarian cancer at 47 and my middle sister breast cancer at 51. I was all ready to get a prophylactic bilateral mastectomy, but my last MRI showed a small area of concern. They wanted to biopsy with mammo or US, but nothing showed so I had MRI guided biopsy. Truthfully, I didn't even want a biopsy since in my mind they were already gone. BS insisted, and I suppose for insurance purposes it was a faster approval. 

    Thank you for the welcome! At 51, I feel like I fit right in! 

  • glennie19
    glennie19 Member Posts: 6,398
    edited August 2014

    KLJ:  Seriously I think having a sister with BC at AGE 30 would be a HUGE red flag for putting younger daughter in high risk category.  I would definitely fight the insurance company on that. Not even mentioning that Mom has BC too,, again high risk category.

    Congrats on 4th grandson.  Maybe there will be a girl in your future. My friend has two daughters.  One daughter had  4 girls before the boy,, the other one had 2 girls before the boy!  but they both finally got a boy.  LOL!!  Enjoy the new baby!!

    Keep us posted!!! 

  • glennie19
    glennie19 Member Posts: 6,398
    edited August 2014

    and MRI should be standard if you are high risk ( in my opinion)  cuz Mammo and US can miss a lot.  Really, you need all 3 if you are high risk.


     

  • KLJ
    KLJ Member Posts: 284
    edited August 2014


    glennie19, I couldn't agree more! If one more person tells me that it doesn't matter because my older daughter and I have different kinds of cancer I think I will lose my mind. That's what they fight me with! Some rational right??? Unfortunately chemo put my oldest daughter into menopause. She had decided that she was done having kids when she was diagnosed and told her MO that. So a girl would be in the hands of my younger daughter and I guess that will depend on the outcome of any testing that we can get done! I just have to believe that it can't strike us again!

  • glennie19
    glennie19 Member Posts: 6,398
    edited August 2014

    People are stupid, and say stupid things.  There's a thread somewhere called something like:  "the stupidest things people said to me about BC"   It's amazing,,,,  you know the whole "free" boob jobs, etc,

     

    It really sucks to hit your family again. Will keep fingers crossed for D2.

  • 3littlebirds
    3littlebirds Member Posts: 101
    edited August 2014

    My sister and I had different types of breast cancer and nobody suggested they weren't related. She had ER+++, PR+, HER- and I had ER+,PR-. They didn't test my DCIS for HER. I have heard of people getting a recurrence with a different type. I can't believe anyone would tell you it didn't matter. It's maddening.

  • glennie19
    glennie19 Member Posts: 6,398
    edited August 2014

    yeah, and my DX is Paget's AND DCIS,, same breast at the same time !!  Helloooooooo

    Most of those diagnosed with Paget's have another type,, it's actually rare to have "pure" Paget's, so I was not surprised to also have DCIS.

     

    I say: get out the b*itch slapper, KLJ!

  • KLJ
    KLJ Member Posts: 284
    edited August 2014

    glennie19, oh how I wish I could. My goal is to just find a way for her to get tested and get some peace of mind. Lots to talk to my MO about next week! Have my pre-op with the PS for my exchange surgery on 9-2. Excited to get this step over with :) so I can give 100% to her. I won't take no for an answer!

  • elimar86861
    elimar86861 Member Posts: 7,416
    edited August 2014

    re:  If one more person tells me that it doesn't matter because my older
    daughter and I have different kinds of cancer I think I will lose my
    mind.

    KLJ, I did make a statement about that in my post to you (although I did not say it doesn't matter) and I mentioned it with this meaning:  With you, a 50+ woman having ER+ BC, the risks for your younger daughter would be raised but I don't think that alone sets off any sirens because that is so very common even without any genetic component.  However, with an older daughter having TN at age 30, that is a different story.  Odd to get it so young and TN is a more aggressive type.  That is way more worrisome, plus now two in the same family have BC.  Big red flag.

    I still do think that your younger daughter would probably be o.k. waiting a year to be screened. 

    Hope you were not taking my comment in another way and that you didn't lose your mind over it.  She definitely is a candidate for early screening and I hope you find a way for ins. to finance that.  Do either you or your older daughter have coverage on having the BRCA test done?

  • KLJ
    KLJ Member Posts: 284
    edited August 2014

    Oh Elimar, that statement was not directed at you it was towards the insurance company! Every person I have talked to at my insurance company as well as hers has said that since our cancers were different it was not a cause for alarm. Please don't think that was meant for you :) I appreciate ALL of your input!

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