47 yrs old with IDC

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farmerma
farmerma Member Posts: 83

I am 47 years old and was diagnosed with IDC. Had my annual mammo already scheduled in September and started feeling something "different" on the right side a few weeks prior. I pointed this out to the tech, long story short, follow up mammos, ultrasound and biopsy revealed IDC (ER+, PR+, HER2 initially reported as borderline, FISH test says non-amplified). 

Met with the surgical oncologist yesterday who has now asked for MRI since I have very dense breast tissue, to rule out any other problems on either side. Since I had an intraductal papilloma removed from the left side 4 years ago, he says that puts me at greater risk of developing cancer on that side (which nobody every mentioned before). He also wants to get the genetic testing done. I think his plan so far is good, he wants to make sure we take care of everything at once (if there is more than the one tumor).

So, if MRI and genetics are negative, he's okay with lumpectomy, but I have to see a plastic surgeon as well since the location (2:00 position) and size he says does not lend to good cosmetic results. 

More waiting now, with surgery probably the first week of December.

Anybody else playing the waiting game with test results prior to surgery? Or, if you had the genetic testing and it came back positive, how did that affect your decisions on the extent of surgery?

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  • Zillsnot4me
    Zillsnot4me Member Posts: 2,687
    edited November 2014

    I wanted both of mine gone. The waiting is horrible. I jumped at the first opportunity for everything. Consult on Wed, surgery on Mon. Cleaned house/garage all weekend. 

    I'm a year out from treatment (the works). My team is happy with the results. 

    Good luck. This board is awesome for answering questions, offering support. 

  • LovieLovie
    LovieLovie Member Posts: 68
    edited November 2014


    Farmerma - So sorry you have joined the club no one wants to join.  When you say if felt different, mine felt like an 'itchy- tingle' that's the best description I can give.  I also had a biopsy in the exact same location about 10 years prior and I also did not know I was at additional risk. 

    I am BRCA1+ and that was found out after my surgeries (results can take time).  I started doing my familial research and found out multiple types of cancers are closely tied to BRCA mutations those being: Pancreatic, Ovarian & Colon.   After meeting with the genetics counselor, armed with as much information as I could get she said she would be shocked if I wasn't positive for the mutation and she was right. 

    If you have family or a friend who has gone thru this I can tell you firsthand its great to have a resource to talk to and also remember we are here for you day or night for any support you need. 

     

      

     

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

    Dear farmerma, Welcome to the BCO community. We are so sorry for your recent diagnosis and all that that brings and we are very glad that you reached out. this is a group of supportive and knowledgeable others who can lend the experience of having walked in similar shoes. We hope that you will keep posting and letting us know how your continue on this path. The Mods

  • angelia50
    angelia50 Member Posts: 381
    edited November 2014

    farmerma, I had not heard that before, that once you have a papilloma, you are move likely to develop cancer later.  I agree, would have been nice had they told me that, since I had one, about 20 years ago, had it surgically removed and in June of this year, found out I have IDC and its pretty much in the same location as far as I can tell.  I often wondered if maybe the surgery to remove that one, cut into that duct, making it weak or whatever and that is possibly where the IDC came from.  I was orig. going to have a lumpectomy but when they did an MRI, they found another papilloma, right under the nipple, that had to be removed and they said that along with the two invasive tumors, would be disfiguring.  I responded, disfiguring compared to what?  A mastectomy?  But, had the mastectomy, which turned out to be a good thing because final pathology showed the two tumors they knew of an a huge area of ductal carcinoma and they said I would never had been able to get clear margins with lumpectomy alone. 

  • peepgirl
    peepgirl Member Posts: 33
    edited November 2014

    Farmera,

    So sorry to hear about your recent diagnosis but rest assured that you've come to a good place to share your questions and concerns.  After I found a lump and had a mammogram that confirmed a tumor in my left breast my doctor also ordered a mri because of dense breasts.  That showed 3 additional tumors in the right breast that were not revealed by the mammogram.  To this day I am eternally grateful to my breast surgeon for covering all the bases as much as possible before surgery.  It sounds like yours is doing the same.  Best of luck to you!

  • angelia50
    angelia50 Member Posts: 381
    edited November 2014

    peepgirl, I feel exactly like you. Once I found out I had cancer, I choose to go to a breast center for all treatment and that is where I had the MRI. I truthfully believe if I had not don that, I would have had a lumpectomy based on the mammogram and they would have never known about the other problems I had and things would have been left to grow. They do not have a breast MRI in the city I live in, so I am so glad I went to the breast center.

  • pattyrn212
    pattyrn212 Member Posts: 41
    edited November 2014


    Farmerma.....I had my surgery before I found out my genetic results. I chose to have a bilateral mastectomy even though I only had it on the right...probably because I knew I was always going to be paranoid about the other.  I am glad I did because I found out I was BRCA2 and they said it would have probably been in the other breast within a year.  So I chose to have them both done.  I didn't wait...I wanted them gone.  I was never sorry.  I never did reconstruction yet and I am six years a survivor.  I actually couldn't do reconstruction as my husband was diagnosed soon after me with pancreatic cancer.  Reconstruction for me was the last on the list at that point.  Now it's just me and my children and I don't have anyone to care for my children if I were to have the surgery.  My sister had a elective bilateral mastectomy because she tested BRCA2+ and she hadn't had a cancer diagnosis yet.  I was also advised by a plastic surgeon that it's easier to do both than to match an existing breast. 

  • farmerma
    farmerma Member Posts: 83
    edited November 2014

    Thanks for the input. Angelia50, I go for the MRI today, so we'll see if anything else shows up. Pattyrn212, I appreciate your story as well. Although I haven't made any firm decisions yet, if it came down to it, I'd probably go for the BMX--at least you'd get a "matching set". I've had several family members make comments about 'who cares about the cosmetics', but honestly, if you have to go through all this, it would be nice to come out in the end looking as "normal" as you could, right? I am glad the surgeon is not rushing into things before he knows MRI and BRAC results though. He seems thorough and doesn't want to make any rash decisions. 

  • angelia50
    angelia50 Member Posts: 381
    edited November 2014

    farmerma, also, all of the people that gave me advice, such as your why worry about cosmetics, had not had a mastectomy. They meant well but all of the people I knew had had lumpectomy due to DCIS, they did not have IDC and I think most people think a mastectomy with reconstruction is the same thing as having augmentation, just go in, swap out the bad for the good and call it a day. They have no clue.

  • farmerma
    farmerma Member Posts: 83
    edited November 2014

    Angelia50, you are right. I had a papilloma removed 4 years ago and it took me MONTHS to be okay with how my breast looked, and that was not even a very disfiguring surgery. Now they are talking about a large divot on the inside of my breast--and that's if all goes well with the other tests and they ONLY have to do the lumpectomy. We do not have much extra money these days, but if they can cosmetically fix things, especially at the same time they are in there, I absolutely would have it done! I've seen some of the before/after pictures under the Reconstruction section of this website and the before ones really make me scared!

  • clmtootie
    clmtootie Member Posts: 63
    edited November 2014

    Sorry you are having to go through this farmerma.  I felt my lump as I was taking my bra off one night.  I went in for a mammogram and ultrasound the day after I turned 47.  I met with the BS about a week later and had the biopsy which confirmed IDC.  From the date of the mammogram to my surgery was about 6 weeks.  There was a lot of "hurry up and wait!"  I choose to do a BMX simply because after my MRI that I had about 3 weeks before surgery, they found a 4mm spot in the opposite breast.  I was told I could do an MRI guided biopsy, do a BMX, or do a "wait and see" on that side.  The path report after surgery showed there was nothing abnormal found in the opposite breast.  I wouldn't change anything I did though.  For me and my piece of mind a BMX was the way to go.  I am now 8 weeks out from my BMX and am scheduled for my exchange surgery next month.    I wish you luck in your decision making process.

  • angelia50
    angelia50 Member Posts: 381
    edited November 2014

    farmerma, you are so right, once again.  I was orig.going to have a lumpectomy and I had come to peace with that decision but when they said I was going to have to have the mastectomy, I was just sick.  I finally forced myself to look at pictures online and again, I was just sick.  I am overweight and for sure would not be going around in front of anybody but still, it really bothered me.  But then, I looked at the reconstruction pictures or the pics of well done mastectomies in which the ladies did not want reconstruction and I understood this was the best plan, so by the time of actual surgery, I had come to peace with the mastectomy.  I was also kind of like cimtootie, they orig. thought I had issues on the opposite side, which may also be why they elected to do the MRI but that turned out ok. I did a uni and in hindsight, like cimtootie, I almost wish I had done both sides, although, I can't imagine how it would have felt to feel on both sides like I felt on one side. So, now I will still have to deal with the mammogram on the natural breast and that is something I dread.  I just had surgery in July,so I'm still in reconstruction and haven't had to start into the follow up mammograms yet.

  • Bippy625
    Bippy625 Member Posts: 890
    edited November 2014

    hi farmerma, i too was 47 at dx. I am finishing chemo soon and will be getting a BMX in early December. I have IDC in my Right breast, but have very dense tissue and mammos show nothing, so rather than freak out the remainder of my life, I am choosing a prophylactic BMX for the left with reconstruction. I do not trust my left one any longer!  Plus this way, no endless testing every 6 months. I too wish to move forward and put it behind me as much as possible. 

    Not looking forward to the process, but luckily, we have BC org. These ladies are wonderful and brave, and it has saved me. 

  • farmerma
    farmerma Member Posts: 83
    edited November 2014

    Angelia, can you explain what you mean by "I can't imagine how it would have felt to feel on both sides like I felt on one side"? Are you talking about the pain after surgery or something else? I just don't know what to expect after surgery, if MX or BMX is the way I end up going.

  • farmerma
    farmerma Member Posts: 83
    edited November 2014

    Just got the MRI results, the lesion we knew about on the right is the only one they found there. However, they found a smaller one on the left that I now have to have biopsied. Please tell me this process is going to be over some day soon.

  • angelia50
    angelia50 Member Posts: 381
    edited November 2014

    I meant, it really wasn't as bad as I expected it to be but I only had the one side done. The most pain I felt actually was from the incision from the lymph nodes and the annoying drains. I had two on the one side, and the pinching of the tissue expander. So I just meant, multiply that by two and I can't imagine how that would have been. I had my left side free to lift things or sleep on and things like that. When I have my exchange in December, I"ll be having a lift on the left so I'll get a little taste of what it would be like to have both sides involved. I was very lucky that I actually had very little problems with my arm on the mastectomy side, I could lift it just fine, only thing was a slight pulling in my chest early on but very minor.

  • clmtootie
    clmtootie Member Posts: 63
    edited November 2014

    For me, the pain from the BMX wasn't that bad, I could tolerate it.  I only took 3 of my heavy duty pain meds during the entire thing.  The drains were by far the worst for me.  I had 4 drains (2 on each side), when it came to stripping the tubes, it was actually very painful!  I also pulled the tubes a couple of different times when standing up and ouch that hurt! 

    Getting range of motion back from the sentinel node biopsies was a little painful but again it was tolerable.  It didn't take me long to get the range of motion back.  My BS and PS both insisted that I was to be able to lift my arms straight over my head within the first post-op visit at 7 days.  By what I have read on here most doctors are telling patients to wait a couple of weeks before raising their arms.

    The TE's have only bothered me once after a fill.  It felt like it was rubbing on my ribcage, but after about 2 days it stopped hurting.  They just feel like you have rocks on your chest!   

    Farmerma, one thing I have read here by others, and it is true, is the waiting is the hardest part.  I just kept thinking, let's get moving with this, I want this cancer out of me, that each day that passes is one more day for it grow or potentially spread. 

  • mmerryman22
    mmerryman22 Member Posts: 1
    edited November 2014

    I wanted to give a shout out to Farmerma and all you other sisters out there! I was looking for some Herceptin survivor info and came across this website. This is my first time posting and thought I might share my survivor story. I was 48 years old when diagnosed in 2005 (IDC, HER2+,E-) with multifocal tumors stacked up in one quadrant of my right breast. Originally scheduled for a right mastectomy (I was also told a lumpectomy would be so disfiguring I might as well lose the breast), I ended up doing neoadjuvant chemo + herceptin which "melted" the tumors away. Repeat mammogram was unremarkable (thankfully clips were in to mark the area where the tumors had been.) Since I had a lot of breast tissue to begin with, my surgeon did a partial mastectomy/lumpectomy, only performed like a breast reduction (turned sideways) on the right, while her plastic surgeon partner did a regular reduction (mastopexy) on the left for symmetry. What I reported in my DX here is what was found during pathology of the removed tissue. Sentinel node biopsy was negative (which is why my surgeon agreed to skip the total mastectomy, but also required me to have more chemo and radiation). I had agreed to a mastectomy if the sentinel node was positive, so I didn't know if I would be waking up with a mastectomy or not.

    On the 10th post-op day, my surgeon still had me off work but with no restrictions for traveling by car. I asked her if I could go on a cruise. She said "Some days you just have to celebrate!" Three days later and armed with Vicodin, my husband and I left for a 4-day cruise to Mexico! I eventually had more chemo and radiation and I think 18 months of Herceptin total. My oncologist said that he wanted to cure me the first time and didn't want me coming back so treatment would be aggressive. He firmly believed my survival was absolutely dependent on Herceptin with chemo. He also insisted I have routine PET scans to ensure there was no other cancer anywhere else in my body. I did this on an annual basis for several years. Once you hit 5 years, they tell you that you are back to the normal risk of the entire population. I just keep looking forward!

    Throughout my treatment I focused on what do I have to do today, what must I do tomorrow, and when's my next appointment. I tried very hard not to think about the future and what treatment I would need to go through, since worrying about the unknown doesn't change the outcome anyway. Somehow, I got through it and am thankful to be alive today. I realize that there are no guarantees in life for anyone. It can be snatched away in an instant. These days, I know I"m at greater risk driving in LA traffic! What I learned from my journey is that our breast cancer experience (including treatment & outcomes) are both similar in some ways and unique in others. There are so many little nuances to the kind of breast cancer, staging, treatments available, etc. that each person's treatment plan can be highly customized depending upon what is recommended AND what we feel is best for us. Don't be afraid to ask questions and insist on clear answers. You must be your own advocate! Know that you will get through this one day at a time! For me, after nine years, it's as if it didn't happen at all. Of course, I still have a slight divot in my right breast and a tattoo over my port scar as a reminder! But mostly I'm happy to wake up every day!

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