Please help me understand IDC

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greatjourney
greatjourney Member Posts: 12


Dear friends.

First of all, I thank anyone who will help me understand my situation. Let me share with you my progress. It happen so fast. I had my mammogram October 21, 2014 and I'm schedule to go to surgery this December 3, 2014.

Progress:

1. I had my mammogram and show result of 2.6cm mass IDC with no lesion.

2. Had core needle biopsy last October 21, 2014, and unfortunately showed a Breast Cancer on my right side breast (same breast where they found fibrosis but benign last 2006), moderately differentiated, with little information and size based on mammogram , they said stage 1 to 2a. Doctor order MRI and receptor test.

3. Because of family history, I'm taking bilateral mastectomy and breast recon

3. MRI show result of 4.6cm on the right breast , clear on the left with borderline enlargement on lymp node

4. ER +, no PR yet as tissue taken not enough, HER2 -

I'm wondering what it means that my lump get bigger from 2.6cm to 4.6 cm, if breast cancer does not grow fast, why does my lump grew bigger at MRI result. Does biopsy plays part on it , because the CORE NEEDLE biopsy really hurt as they poke my lump more than 10x. Prior biopsy, mammo show no lesion, lump smaller.

5. My surgery is scheduled on December 3 and its really a torture to wait the real state of my breast cancer, I will surely share to everyone my progress

Your input please will help me, I really need a patient heart to help me answer my anxiety.

 

Love and prayers

greatjourney

Comments

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

    Welcome to Breastcancer.org. We're sorry you have to be here, but glad you found us!

    Different testing systems show different types of tissue so a different size between Mammogram and MRI is not uncommon, so please don't assume it has grown.

    You may be interested in information on IDC — Invasive Ductal Carcinoma where you'll learn about symptoms, diagnosis, treatment, etc.

    Possibly of interest too is the Oncotype DX Test

    We hope this helps! We wish you all the best for your surgery on 3 December. Waiting is very hard.

    The Mods

  • dltnhm
    dltnhm Member Posts: 873
    edited November 2014

    So sorry that you are going through this but you have come to a great place for information, resources, and support.

    It would be highly unlikely that your tumor "grew" between your mammogram and MRI. Each imaging test can reveal different things.

    My experience was that the "size" detected was bigger with the ultrasound. My MRI revealed more still. My surgeon, a breast cancer specialist, could not ascertain from the imaging if the additional area revealed on the MRI was all part of the same tumor mass. She thoroughly explained that it wa possible with the final pathology that we would be looking at a much larger tumor if it was all one mass or two separate areas that would not be sized together.

    As it ended up - the final pathology did not reveal that there was a much larger tumor of IDC. The other area was not "added" because it was not part of that tumor.

    The waiting can be very difficult for most. For me, I had my boys coming home from college, Christmas & New Years holidays, and meetings with my medical team including setting up immediate reconstruction once we had the MRI results and before my surgery. Time both flew and stood still - which I was quite greatful for.

    Try to keep busy. Do things for yourself that you enjoy. Hold your loved ones close and lean into your support system if you need to. Being active now will help with your recovery - so if you regularly exercise, keep at it. If not, and you can work in some time for getting in some walking - it will be to your benefit.

    Gentle hugs!

    Diana

  • lessormore
    lessormore Member Posts: 7
    edited November 2014

    So sorry you are going through all this. I would just add to the comments above. I have been told by doctors that I have dense breasts which makes mammography and ultrasounds problematic -- it's just hard to subtract all the "extra tissue" to see other things. MRI is the ultimate in subtracting out different types of tissue. My understanding is that because MRI sorts out unusual findings it also produces a lot of false positives, i.e. things that are benign. So if the MRI shows the IDC is larger than on mammogram it may be because the IDC is next to a false positive finding and the MRI is "averaging" them together. However, I also know that IDC can be spiculated which means there is a central mass lesion and then a lot of little projections of cells growing out in all directions (picture a sea urchin). The MRI could be measuring the mass plus its projections (which might be too small to show up on a mammogram). The reassuring part of your history is that the IDC is only moderately differentiated, which means it's growing only slowly, and so 3 weeks to surgery is not going to make a difference in outcome. I'm not a doctor though and you should bring up your concerns to your surgeon or their nurse. You won't be bothering them. They went into this specialty because they care. When I found out I had DCIS I was worried about how large it was until the doctor assured me that we had at least a 1-month window to operate. She also reassured me that the biopsies did not increase chances for metastasis -- a lot has to happen in the breast "neighborhood" to allow cells to break out and find a new home elsewhere. Also, I wasn't sure about reconstruction at the time of my mastectomy and my doctor told me I could do that portion later on if I chose. It's something to think about if you are worried about having too many surgical decisions to make with too many unknowns of what they'll find. I wish you all the best outcomes.


  • Jumpship
    Jumpship Member Posts: 305
    edited November 2014

    great journey

    I had an mri and ultrasound in July and an mri in August. The 9mm became a 1.7cm. I was hoping it was just tough to see the little guy. Surgery at the end of September (because they wouldn't believe me that I felt it was growing because the ki67 number was low) the tumor was 2.5 cm.

    So I'd say keep advocating for yourself. I called often trying to get the surgery date moved up to no avail and I tried to remain peaceful as to not agrevate the cancer. Sorry to hear about your situation.

  • greatjourney
    greatjourney Member Posts: 12
    edited November 2014


    Thanks Diana for your advise,

    You just made one worried soul comfortable. It's just great to hear actual experience from people who've gone through it.

    If you don't mind, how are you progressing so far with the treatment plan you chose. Can you share to me what to expect during treatment period. It's been more than a year for you

    I would include you in my mass offering along with all with our fellow buddies in this challenge.

    With warmest regards, prayers and love.

    Mariz

  • greatjourney
    greatjourney Member Posts: 12
    edited November 2014


    Thanks lessormore,

    I'm just relieved that I open up and join this group, your inputs make me feel more positive. I just felt that people in this group who share their experiences makes people like me stronger and more aware on what to expect.

    May you also share with me what happen during treatment and what to expect on the side effects..

    I hope you are doing well and progressing to better quality of life.

    I will include you in my prayers along with people in this challenge.

    Thanks to all of you who gave me some inputs, it was so relieving and I can start focusing on other things and just wait and pray that my surgery will be successful and bring some good news.

    With warmest regards, lots of prayers and love to all of you.

    Mariz

  • greatjourney
    greatjourney Member Posts: 12
    edited November 2014


    Thanks minivan for you inputs.

    I hope you are doing well, wow you just had your surgery, you sound so positive and very encouraging, how are you progressing, can you share with me.

    How long was your downtime after surgery. Do you think I can go back to work in shorter period of time. I don't do physical, more desk work and telecons.

    I will pray for your speedy recovery.

    Warmest regards, with lots of prayers and love for you,

    Mariz

  • lessormore
    lessormore Member Posts: 7
    edited November 2014

    Hi Mariz, I thought I'd share my experience so it all won't seem so scary. I had a unilateral mastectomy with sentinel node sampling. The preop part was like any other surgery. They put an IV in your arm or hand, take blood tests, check your vital signs. After getting into the gown I then put on a 2nd gown which is known as a Bair Hugger; it is attached to the wall with a hose and blows warm air into the gown. Wonderful. The surgeon and anesthesiologist both make appearances and draw on your skin with markers. An OR nurse wheels your bed to surgery and you let them all transfer you to the table (narrow) and then they put you out with an injection into your IV and you sleep immediately. I didn't have reconstruction done. I remember waking up in my room on the surgical floor although my family said I talked to them and the doctor in recovery. Good drugs. They put you in a surgical bra over the bandages to keep things snug and you will have wound drains taped or pinned to your bra. I wasn't bothered by those but some people are. They look like clear plastic grenades and slowly fill with yellowish-red blood as your wound drains and heals. Kind of like menstrual blood in appearance. The nurses take care of them while you stay in the hospital and teach you how to empty them b4 you go home. No big deal. For me I didn't have much pain, it was more a feeling of tightness under my arm as the incision is quite wide and there was swelling. The breast can be blue in color from the dye they inject to map the lymph nodes and you'll pee blue for a day or two. You get to order room service and watch TV and sleep. The anesthesia makes you dopey for a while so reading didn't work out for me. When you have visitors stay too long just close your eyes and sleep. I stayed overnight (no recon) and had a 1-hour car ride home. I was tired and slept when I got home. Ice packs helped with underarm pain and I took a couple Tylenol the first couple days. I felt like myself again at 1 week but would have a nap most afternoons for a good month. Mostly the incision felt tight, not painful. The drains came out at 10 days in my first postop visit and then I could stop wearing that surgical bra too. Slowly I healed. At 6 weeks postop I flew to Atlanta to attend my son's wedding. I danced twice with my husband and held up pretty well although I couldn't wear the strapless dress I had originally bought before life happened. I'm 7 months out now and have no lymphedema (3 nodes removed) or pain. The scar is fading. I hope this is helpful. I'll pray for you too. You'll do fine. We ladies are tough.


  • greatjourney
    greatjourney Member Posts: 12
    edited November 2014

    Thank lessormore,

    Appreciate taking time to share it for more. I will pray that you continue to progress well and be counted as one of patient who overcome this unexplainable challenge.

    I will get in touch to all of you after my surgery on December 3, 2014 and I make commitment to myself that I will do the same thing you guys did for me to help those people who are in my same situation.

    Best,

    Mariz


     

  • greatjourney
    greatjourney Member Posts: 12
    edited December 2014

    Dear friends,

    My surgery was successful last December 3. I'm back and kicking.

    Both B Mastectomy and Recon went well. Lessormore, whatever you described after post operation were all accurate.

    I'm anxious about the result of pathology report on the sentinel node biopsy. While my Oncologist reported to my husband that the operation was a success, she found a very tiny suspicious tissue in the sentinel node which will undergo analysis. My appointment will be this Friday and I will know what news is it. I'm worried but I'm praying hard that nothing is serious.

    Over-all, I'm back to normal, always sleeping this first week because of the valium I took to keep me rested. My sutures are healing fast and drain is also diminishing fast. They took out the first 2 already but kept the other two but almost showing no fluids anymore.

    Thanks for hearing me, I hope all of you are doing fine and I continue to pray for all of us in this challenge.

    Love, hugs and kisses,

    Mariz

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