Joining the ranks as well...but still scared
I'm moving over from the "waiting but worried" board to this one. I'm 50, in the last stages of perimenopause. In September I had a diagnostic mammogram on both breasts because my GYN felt something on my right breast. Mammogram didn't show anything unusual other than my normal, dense tissue. I got an ultrasound at the specific location and nothing there but a cyst. Then, a month later, on October 4, I'm examining myself and I feel a lump at a different location on the same breast. I went to a walk-in clinic that morning (that was all that was open on a Saturday) and got a referral for an ultrasound. Had the ultrasound on October 7, and it looked suspicious enough for them to order a biopsy. Had the biopsy on Monday, and this afternoon the radiologist called to tell me I have IDC. They're still waiting for hormone info, but she wanted me to go ahead and get started with a breast surgeon I'd already been referred to. I tried to call the surgeon's office for an appointment, but they'd closed five minutes earlier and I got the answering service. I left my name, number, and what I was calling about, but I'll be calling them first thing in the morning as well. The radiologist has ordered my images so I can pick them up at 8 AM. I'm hoping I can get in as soon as possible, since the diagnostic mammogram didn't show anything - and I didn't feel anything - just a month before I felt a 1.3 cm lump.
My mother died of breast cancer in 2001, so I have to keep telling myself that I am NOT her. She was 75 and had a weak heart from heart disease and smoking, and they couldn't treat her cancer as aggressively as they needed to as a result. When she got her lumpectomy, she nearly died on the table, so when after radiation therapy the cancer came back, they didn't dare go back in for a mastectomy and they could only give her a very weak chemotherapy. Since her passing, I've taken great care to exercise and eat (fairly) healthy and watch my overall health so that I'd be prepared if something like this came up. And now it has. So I'm in better shape than she was to beat this thing.
But it's still scary as hell. I don't care how they do it or how much they take - I just want this thing out of my body now! And I have to keep telling myself, "I won't die. I won't die." Argh!
Comments
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writesthing - You are not your mother. And it is scary as hell. I wish there was a magic wand to take away the fear. It sounds like you are getting excellent care so far. Take things step by step. This is a great place for research amd information. Consider taking another set of ears with you to all appointments. Many ladies ask their docs for antianxiety meds if the fear gets too bad. We have all been where you are and it is terrible. I'm glad you found us. Come back often.
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hi writesthings, welcome to a club you never wanted to join. I was also 50 and in peri-meno when dx nearly five years ago. It is scary as hell. Hang in there, we're here for you. ♥
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I'm so sorry you got this bad news. You are at the scariest part right now...not knowing what to expect. Farmerlucy gave good advice as always. Take someone with you. Ask for medication in case you need it. It is a really anxious time.Keep coming back here. It saved me. There is great support and great information. Take care of yourself.
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Thanks for the replies and support, farmerlucy, badger, and wrenn. I've got a notebook/folder started, and my husband has already taken the day off of work tomorrow and will be with me whenever I see the surgeon, so that helps a lot - as does the support I'm getting here. Thank you.
Now I'm going to try to get some sleep, so I can start the battle off bright and early in the morning.
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Writesthings-
We're so sorry for what you're going through. The waiting is one of the hardest parts, truly. We're glad you've found us, and have joined our community, as it's full of women who've been where you are, and can offer support, guidance, and a shoulder to cry on when needed. Please let us know when you've spoken to the breast surgeon. You're in our thoughts!
The Mods
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I'm so very sorry about your dx. I understand that need to remind yourself that you are not your mother - mine died quite young of lung cancer (5 years younger than I am now) and it really scares me to have cancer, too. I think there are a number of us who are haunted by what we saw our mothers go through.
If you can possibly record your meetings with surgeons, rad. on., med. onc., you will find it tremendously helpful - much more so than a notebook. My husband's been digitally recording each meeting which he can either burn on a cd or email to me as an mp3. I re-listen, taking notes to clarify what I thought I heard, and making indexing notes so we can easily discuss it together. I can't imagine going through this without that record.
I'll warn you that although you'll get a lot of info from your meeting with the surgeon, there will probably be almost as many questions raised as answered, so prepare yourself for the long haul. It can take quite a while from biopsy results to action - whatever that may be.
Good luck. And yes, do ask for Ativan or something similar. There WILL be sleepless nights ahead and disjointed, dysfunctional days. Medications can help. Ditto for your husband. It's terribly rough on him, too.
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Thank you Mods and Hopeful82014. Good advice all around. I've got an appointment with the breast surgeon tomorrow, which is the earliest they could get me in. I'm particularly worried because I saw the pathology report when I picked it up from radiology, and it says that I have "poorly differentiated" IDC, which I know translates to a Grade 3 aggressive form of cancer (which is probably why the lump just popped up out of nowhere when I'd had a clear diagnostic mammogram just a month earlier). That's very much like Mom, and I know the prognosis is poorer than with other grades. I'm so horribly scared right now. My husband is here to hold me, and he'll be with me at the surgeon's, but everything is just spinning around in my head so fast. I've always tended to get totally focused on worst possible outcomes, and I know I can't do that now, but it's hard. Please, everyone, keep me in your thoughts and prayers!
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I am grade 3 (aggressive triple neg) and was unable to complete chemo. I feel "cured".
Will be sending relaxing vibes your way.
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Writesthings I thought of you all day. I really hope and pray that the surgeon has some encouraging news for you tomorrow. Stay strong and try to stay positive. I'm glad you have your husband by your side to give you strenght and comfort..
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(((Writesthings))) so very sorry you have to join us...I found my lump just a month after my "normal" annual mammogram too. I had a cyst and the radiologist said the lump was hiding behind that cyst "for several years", it didn't grow in a month so hopefully you're lump is also slower growing and was hiding behind your cyst? I know how scared I was but I felt better as time went on and I had a treatment plan to fight this beast...hang in there, I'll keep you in my thoughts and prayers tomorrow, let us know how you're doing (((hugs))) Maureen
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((writesthings)) prayers going up! Will be thinking of you 2moro. ♥
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Thank you wrenn, Jan2014, Maureen1 and badger. I appreciate the support, thoughts, and prayers very much. I tend to be so pessimistic to begin with, and this diagnosis just makes it worse. I know that the road ahead will be tough, and I know from my own research that I have a surgeon who's both compassionate and one of the most highly-respected in the region, but I just hope that *she* gives me hope, too. In the meantime, I keep telling myself that every patient is unique, and I'm NOT my mother. (And I keep leaning like crazy on my husband!)
I'll keep everyone posted.
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something else i remembered. I was showering and felt a lump that seemed to me to have showed up out of nowhere. it was very obvious and i hadn't noticed it the day before. i felt it mid June and doc assessed it at 1.5 cm. Pathology mid August post surgery showed it to be the same size. it hadn't changed in 2 months although it was labelled grade 3.
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writesthings...thinking of you as you begin this journey....the ladies here have such wisdom and we will all get through this together. Did your pathology report on the Er Pr&her2 status of your tumor? Did they also do a Ki67 proliferation study? I know that my initial report didn't have that info as it takes longer to come back but it's really important info to have. Remember that there are effective treatments and this is beatable! You are not alone.
zha-an
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((writesthings)) thinking of you 2day. ♥
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write things,
Great advice you have gotten. It is a scary roller coaster, getting through treatment for breast cancer. My advice is to be kind to yourself. We sometimes beat ourselves up, with the shoulda, coulda or woulda.
I had a lumpectomy, it was easy. The reconstruction part of a mastectomy can be difficult for some. Lots of ladies chose no reconstruction. That will most likely be your first big decision.
Keep posting, all the ladies on BCO "get it".
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Thanks for the kind words and support, everyone. You're the best!
My husband and I had my first meeting with my breast surgeon
yesterday – my husband took all the notes, I just listened and soaked in
everything. My own research had shown
that she's one of the most highly-respected breast surgeons in the area, and I
understand why after meeting with her. We were impressed with her knowledge, compassion, and ability to explain
things in ways that were easy to understand. She gave us an overview of the upcoming process without overwhelming us
with all the details. She also assured
me that she would give me all the options, including pros and cons, but she
would never pressure me to choose one treatment over another (i.e., mastectomy
vs. lumpectomy). The choice would always
be mine. She already has a team of
healthcare workers (oncologists, etc.) who would help me through this. She didn't make my outlook seem dire at all –
she was upbeat without being fakey about it. And while we're obviously proceeding as expeditiously as possible, she didn't come across as, "Get this done THIS MINUTE so I can get you into surgery TOMORROW." So I felt much better after meeting with her.She's still waiting on the receptor information from
pathology, which should arrive Monday. She'll call me with those results. In the meantime, I will need to get a chest x-ray and breast MRI before
meeting with her again. The MRI needs to
wait on insurance approval, but she said that won't be a problem with me. My pathology so far shows that I have
"focal squamous differentiation," which is pretty rare (though not
unheard of) in breast cancer, so she wants to make sure that this didn't
actually originate in my chest (i.e., lung cancer) – hence the chest x-ray. She's 99% sure that's not the case here, but
she said she did have ONE person in all her years of practice who came in with
a cancerous mass that was actually from previously undiagnosed lung cancer, so
she just wants to eliminate that possibility first.A chest x-ray is something I can just walk into a radiology
place for, and I could have done that Friday afternoon, but I'm waiting until
Monday morning because in the infinitesimally small chance that this is actually
a result of lung cancer (which would be far more serious), I didn't want to be
stressing out about that over the weekend. I felt so good after my visit with the surgeon that I didn't want to
take any chance of ruining that. She
gave me a prescription for Xanax, which I filled, but honestly, I didn't need
to take it last night – I finally got 7-8 hours of sleep because I was just so
relieved.I will take it tonight, though, because my brain
is now unreasonably fixated on the possibility of lung cancer.I KNOW it's incredibly unlikely (FAR more
unlikely than discovering breast cancer in a biopsy). Squamous cell lung cancer is the type of lung
cancer typically found with smokers, and I'm not a smoker. And in the very few cases of people with lung
cancer that had spread to their breasts that I found online, that only happened
after they'd already exhibited other symptoms (coughing, etc.). In other words, while lung cancer is
notoriously difficult to catch in its early stages, spreading to that extent is
just so unlikely as to be next to impossible. But a squamous breast tumor is rare, too. So of course I get myself worked up. So yeah, definitely Xanax tonight! -
(((writesthings))) so glad to hear the visit with your surgeon went well and you are feeling relieved! Yes…take the Xanax, sleep and rest are important and a little medicine can make such a difference. Good luck with the rest of your diagnostics, hope the chest X-ray results come back quickly and confirm that this is just a rare breast cancer presentation and not something from the lungs, let us know (((Hugs))) Maureen
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Thanks for keeping us up to date. I've been waiting to see how it went with your surgeon. So glad it was positive. Stay strong and I will keep praying for you.. -
Thinking of you...this is absolutely the scariest time. Not knowing is the worst. We've all been there. I'm so glad you found a doc you like and trust. That's key. Why is it that there is invariably a weekend in the middle of waiting for results? wishing you rest and peace as you wait. Please let us know what you learn about hormone status on Monday. -
What state do you live in? I have just finished
treatment for Stage 3B invasive (spread into multiple lymph nodes and every one
removed was positive) which included 20 weeks of chemo [12 weeks taxol and 8
weeks every other week of A and C], a month off to heal, surgery, a month off
to heal and daily radiation (except weekends) for 7 weeks. I discovered
it last July 4, 2013 by myself and went for a mammogram on July 6. Not
even a shadow of my 5 1/2 sonometer tumor showed on the mammogram because of
dense breasts. However, it clearly showed on the follow up ultrasound.
I just finished treatment this past May 2014.I know you must be very frightened
as was I but the year goes by quickly in hindsight. Also, there are so many more treatments and
advances since your mother. My breast cancer
is Grade 3 (they are graded 1 – 3 for aggressiveness) ER positive. Since
I am now (late 50s) considered post menopausal, I am taking Arimidex (anti
estrogen) pill daily. However, my
oncologist also has me doing an IV infusion of Zometa 2x a year (even though I
don’t have osteoporosis) but this has been shown in clinical trials to prevent
cancer from spreading into the bones. I was devastated re losing my hair also but in
hindsight it wasn’t a problem and I was fortunate to get a wig that looks super
realistic and was comfortable. (I now
have hair but it is tight curly!!! I’m
told it will be this way for over a year and sometimes up to 18 months. I think I prefer my wig.)I went to Dr. Jennifer
Gass, who is a FANTASTIC surgeon. Her
work is unbelievable. I also met with
Dr. Barbara Smith at MGH in Boston who was terrific and has a fantastic reputation. (I know why when I met with her.) However, I preferred to stay closer to home
in RI. (In hindsight, I’m also not sure
that my health insurance would have treated Boston as “in network” but I wasn’t
even thinking about that a year ago.) I
did tons of research and met with many doctors if you want some insights that
are now almost a year old. I'm sending positive thoughts your way and will include you in my prayers. You are smart to be keeping a binder. I have a huge white 3-ring binder where I put tabs for the different types of doctors, chemo information, radiation etc. I also got slide in pockets for it for CDs for all of my MRIs, tests, mammograms etc. It helps to keep things organized so you feel as in control as possible during this process. (I was so very scared and worried a year ago last Fall at this time and have found inner peace somehow through this process. I've heard this comment from others too.)Your point re dense breasts
hit home. I went to the Avenues of
Healing today at the Crowne Plaza in Warwick, RI. (Loretta LaRoche was the speaker.) Does anyone reading this have a clue who was there as an exhibitor representing BreastCancer.org? I don’t know if you or anyone reading this was
there but the women at the exhibitor table representing BreastCancer.org should
NEVER have been allowed to represent that organization!!! (She was sitting at the
table beside Jean A.) This women was going on and on that the
new dense breast law would be rescinded and was being rescinded in other
states. This is totally and completely false. It was
briefly rescinded in California for wording and then passed using the
uniform wording that the other states now have in place. Stanford
University, Yale University and the Mayo Clinic have done extensive studies in
recent years which prove that 50% of women have dense breasts and 50% of tumors
in dense breasts do not show on mammography.
They do say though that mammograms are still needed for every women
since calcifications can still show in dense breasts that can indicate further
cancer down the road particularly in 3D mammography. (They can
potentially be a predictor of cancer and those spots are watched.)
However, women with dense breasts (BiRads 3 & 4)
additionally need whole breast ultrasound screening to rule out
tumors even if not necessarily every year. My 5 ½ sonometers tumor that
didn’t even show a shadow and yours are proof of that in addition to all of the
national studies. There are 5 FDA
approved mechanized ways for women's breast density to be determined to rule
out the subjectivity of radiologists (ie Volpara etc). There are also FDA
approved mechanized ways to do the whole breast screening. All of this is
very affordable for the hospitals when divided over the mammograms.
Furthermore it saves lives. (It
would have been SO much cheaper for me to pay for an ultrasound than the large
sum of money that the hospital billed as co-insurance on top of my $30 doctor
co-pays. I’ve been told that unless
mechanized, there will be false positives for about a year until radiologists
get the whole breast screening down pat similar to what happened in
Connecticut. CT now is extremely adept
at it but unfortunately I lived in RI. I would have LOVED to have had a false
positive 5 years ago! Let me know
if I can help.CORRECTION: The exhibitor who didn't know about the risks of dense breasts and therefore was saying that the laws were useless and would be repealed at Avenues of Healing was not from BreastCancer.org thankfully. I have since found out that she represents a local RI group called the RI Breast Cancer Coalition (their url online though is breastcancerri.org). I apparently didn't see the "ri" before .org. She apparently has metastatic cancer herself and probably just didn't have the time to know what this is all about. As you know with dense breasts, it's about educating women to save their lives so they don't wake up one day to find they have invasive advanced breast cancer.
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Thanks for the continued messages of support, everyone! kellyga, I live in Virginia, in an area close to D.C. So no, I wasn't at the conference/presentation you attended. I will say that I wish the option of whole breast ultrasound could be presented to women like us with very dense breast tissue. I suspect that this might have been caught a bit sooner. But I think another factor in my case is that my tumor is closer to the chest wall and I have relatively small breasts, so it's hard for them to push everything onto the mammogram device to see that far. After my biopsy, when the radiologist had placed a metal clip in me to mark the tumor for the surgeon, they did a mammogram to make sure the clip was placed correctly, and they had to do FIVE images - constantly twisting me around and pressing me farther into the machine - to get ONE image that showed the clip.
In any case, thank you for sharing your experiences and your knowledge. I'm glad things are looking up for you after so much treatment. Hopefully, I'll achieve that "inner peace" as well over time. Right now, I'm still learning just to take this one day and one step at a time.
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((writesthings)) with you in that place of waiting. Best wishes! ♥
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