Recurrence after double mastectomy 4 years ago????
four years ago I was diagnosed with triple negative breast cancer in my right breast. I found out I was BRCA1 positive, so I had a double mastectomy, reconstruction, and 16 rounds of chemotherapy. Since then, I've had another baby and was doing great healthwise.
Yesterday I went to my six month check up and my oncologist found a lump in my other breast, the left one this time. At first, my oncologist said it was almost impossible for the lump to be cancer. She was sure it was fat necrosis, which I had developed previously and my other breast. I quickly got an appointment to have an ultrasound done. After the ultrasound, the tech told me that the radiologist wanted a mammogram. After the mammogram, the radiologist came in and said we needed a biopsy because the lump looked suspicious.
Later yesterday evening, I talked to my doctor and asked her to be straight up with me about what the lump looked like. She said they really weren't sure, part of it was fat necrosis, part of it was in oil cyst, but part of it was vascular and solid. I asked her if I should prepare myself for a recurrence, and she said yes.
Does anyone have any insight on something like this???
Comments
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I really have no personal experience with this but you have two strong things in your favor, 1st it sounds like there is a good chance that it is benign and 2nd if it is cancer this would not make you stage IV (I am nearly 100% positive about that), if it was in the same breast I believe they may call it a local recurrence (still not stage IV, almost 100% certain) and if it is in the other breast it would be considered a new cancer and treated as thus.
My experience is through friends of mine who have dealt with similar situations and they are fine now. I hope someone who has experienced this personally will post to help you.
Ultimately, you need to wait for test results to see what you are dealing with. Best wishes.
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I am stage 3C IBC breast cancer and I have a local recurrence. My oncologist said that I am still stage 3C since the recurrence is local, not distant..
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just want to say...here for you.
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JennJ I'm hoping it will be negative and I hope they get the biopsy back soon for you. Its unusual, about 5%, but I was one of the unlucky ones. Reach out if you find out and let me know if you have any questions.
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thanks you guys. I so appreciate the feedback. Two hobbies- you had a double mastectomy and then it came back? Can you tell me your story?
Music lover- to me it doesn't sound like its benign since it's vascular and the drs are worried. I wish though.
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Jenn-I also had a recurrence after a double mastectomy. I have actually had 2 recurrences, one after the initial lumpectomy and then one after the mastectomy. The recurrence after the lumpectomy was near the scar and was 3 years later. The recurrence after the mastectomy was in the lymph nodes(same breast) and was one year later. I am now a year and a couple of months out and finishing up my second round of herceptin after completing 9 rounds of taxol. I am triple positive. I also did cyber knife radiation on the lymph node area this time around
I can not begin to tell you how devastated I was after I recurred so quickly after my surgery. Somewhere in my head I believed that having the mastectomy was a sure fire way to keep the cancer from returning. I know that is not the case but I do think a lot of women believe that. I hope that your news is better than you are expecting and that you will not have to go down this path again.
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I am another who had a recurrence after a double. I had a local recurrence in left over breast tissue.
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JennJ, I had a double mastectomy. Cancer was in the left side. The right I did because it was already on watch and I thought this way I'd be done with all this! I was ER+, PR+. Oncotype said I had low risk of recurrence and only needed tamoxifen. Two years later my breast surgeon found the nodule in the same breast and ultrasound and biopsy were done the same day. Positive. Scans were all clear so I had the tumor removed, sentinel node removed (clear) and did chemo and radiation. It has been a year since I finished radiation and so far, so good.
This time they recommended chemo based on a study that had just come out on chemo and local recurrences. It was less clear if chemo was going to help the hormone positive, but it was very clear that it helped triple negative.
It feels horrible to get that news again. I can totally imagine how awful it is to be facing another possible diagnosis when you had moved on and even had a baby, which is such a joyous event. Hang in there and let us know what you hear.
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BabyRuth - do you mind if I ask how you found the recurrence in your lymph nodes? Was it through a scan or did you feel it? And if you felt it, was it hard and immovable? My surgery was only in July and my sentinel nodes were clear so I'm trying not to be worried about the node that popped up on the cancer side just above my scar, but it's hard not to be paranoid. It was checked by my doctor, but not the breast surgeon (I was supposed to see him and then got sick and had to cancel so I had the regular doctor check it when I saw her for my cold). She said she thinks it is fine since it is soft and moves and she feels like it is probably there because I am still healing from surgery and that it may take a while to go away. I'm supposed to go back if it changes. I think I noticed it about 3 weeks ago. Thanks!
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Ugh, I hate hearing all of these stories. I cannot believe that the slight chance of recurrence has occurred in all of you. My dr. told me that my blood work was perfect that they took a few days ago. But she also said that it's very possible to have perfect blood work and still have cancer. I'm so scared. I don't want to lose my hair again. I don't want to face this all again when I've moved past it all. -
By the way, the lump is in the other breast, nowhere near the scar. It's at the bottom of my breast. I keep reading that recurrences are near the scar but mine isn't. Probably doesn't mean anything though. -
mel147-my tumor markers went up and although my MO said it was probably nothing she recommended that I do a scan. The cancerous lymph node popped up right away. I went to my breast surgeon who was sure it was nothing, and the biopsy came back that it was cancer. I was still doing my reconstruction from my double mastectomy 9 months before. It was removed at the same time as my PS did my nipples.
I was never able to feel it, it was really far up in there. My BS could finally feel it but she had to really dig around. I think that your doctor is probably right with your surgery being so recent but if you are worried then you should go see your BS. If there is something wrong you want to handle it as quickly as possible.
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BabyRuth - thanks for sharing. That is awesome that they were following you closely and did the testing to figure out what was going on. I'm not sure what to think about my node. I had one swell on the left side where I had some fluid build up after my drains were taken out and it went away a few weeks after the fluid reabsorbed. This one on the right side is on the cancer side and it has been here at least three weeks. I do still have discomfort under that arm and I am right handed so I have been using that one a lot more than my left so it does make sense that it would be inflamed. My breast surgeon was not concerned at all about the one on the left side and said it would go away when the inflammation was gone, so I feel like he will probably say the same thing about this one, but I don't want to miss anything. I may just call them next week and let them make the decision about whether or not I should be seen or wait a little while longer. Thanks, again!
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