Lumpectomy with no further treatment
Comments
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Again, thank you BookWoman. Much appreciated.
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Hi, jumping in on this thread. I am now in the position to say I am done with treatment and no plans for anything in the future (including no hormone therapy as I am ER- PR-) except 6 month checkups with BS who will be my primary (decision after discussion with MO and BS and RO). I'll also do annual mamm, next in July. I had lumpectomy 6/3 followed by 33 rad tx and I did 6 boosts (I think, its fuzzy without looking at my paperwork.) Finished rad 9/10! I had my BS followup 10/29 and GREAT report. Site looks excellent, flat scars, skin from rad is a little brown/discolored but should keep fading over the next year (keep using Vit E & Aloe lotion for a year). So I am DONE!! Hope that the only thing I'll have to report in the future ever again is that I am a suvivor with 1, 2, 3, 5++++++ and on and on! So this thread is appropriate.
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Diagnosed last week. Quite a suprise! No family hx of BC. I have a hx of dense breast and fibrocystic breast ds/cyst in L breast. Normal mammograms for the last 13 years until Oct this year. Increased scattered microcalcifications L breast on mammo,no lump on exam. Noticed early this year that Lt breast seemed puffy and veins were more noticeable. Called back for additional mammo views and US. Told by radiologist most likely benign papillomas but recommended I see breast surgeon for biopsy. BS felt it was most likely papillomas but recommended breast MRI or open biopsy because of scatted nature. . We choose biopsy. Lumpectomy done with positive results last week. BS states he did not expect it! Path report: DCIS 2.8 cm stage 0,grade 2, ER/PR+,no nodes,no necrosis,clear margins,closest margin superior 0.8(8mm). Additional findings: LCIS,ADH focally sever,duct cyst,microcalcifictina seen in ducts w/atypia and benign ducts. No mention of DCIS type!!!!! HER2 testing not mentioned or done. MO and RO follow up in early Dec,scheduled for breast MRI as well. Based on my research so far and info from this site I am leaning towards no RAD/Tam because of side effects!!! I'm 54yo,over weight/obese with very large breast and the Lt breast is larger than the right. Could tolerate 2nd biopsy if necessary I plan to request a 2nd/3rd op on the path report to include Dr lagios. This thing has really taken me for a loop and I don't want to make any decisions out of fear. My days/nights have been consumed with internet searchs on DCIS. I'm slowly coming out of the C fog! I know my life will never be the same again but I want to live a normal life!!!
Thanks for the support and insight!
Diagnosed 11/20/14: DCIS 2.8 cm stage 0,grade 2, ER/PR+,no nodes,no necrosis, clean margins/closest margin superior @ 0.8(8mm)
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Hello JLM1,
Sorry you had to find yourself here but we want to welcome you to our community of brave and compassionate women and men.
You might find this thread: A guide to DCIS which was created by one of our long standing members Bessie helpful.
If you have any questions about the boards please feel free to send us a private message or check out the Help section: Here (general help) and Here (abbreviations list)
Sending you big hugs and warm wishes of recovery
The moderators
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Thanks you so much. How do I go about finding the best care/treatment in my area?
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Hi JLM1,
The best way to find high quality treatment is to look for your nearest NCI designated cancer center/hospital. Not sure where you live, but there are many of them near me (live in the Northeast US) http://health.usnews.com/best-hospitals/rankings/cancer
Best to you!
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JLM1--You might find this research link interesting:
http://www.biosciencetechnology.com/articles/2014/...
My husband (whose research is in genomics area) just received it yesterday and passed it along to me, a staunch "refusenik" with regard to hormonal "therapy." all along. Basically this research suggests that cancer cells that have been fed antihormonals function much as bacteria function after a heavy diet of antibiotics--when the feeding stops, the cells/bacteria gain strength, become resistant, and mutate. This in turn explains why the original 5-year course of tamox/AI has been extended to 10 years. But what comes next? Twenty years of something? No sense in that, especially with a very low stage/grade tumor w/ no nodal involvement. Food for thought--and also something to bring up with a med. onc who's pushing antihormonal therapy! .
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Thanks so much for all the helpful info! -
JLM1-I know that this dx can be shocking! I never ever thought I'd say "I have cancer" and you probably didn't either from reading your post. But I wanted to share as I just completed my 6 month journey, had a lumpectomy & SNB (3 nodes, all negative) on 6/3, followed by 33 rad tx finished 9/10. Our dx are similiar except I am ER- PR-, so no hormone therapy. I opted for rad because my research and discussions with RO MO and BS all indicated that with rad tx my recurrence rate goes from 20% range down to 0 to 2% range. I tolerated the rad tx quite well with minimal SE's. Had some skin issues, a little fatigue but made sure I ate high protein, and changed my diet, dranks lots of water, was strict about using the lotions and Aquafor, which I think made my tx successful! My last followup w RO was last week and my doc wished me a long and happy life and we hope we never see each other again (in a clinical setting!) Now my care is every 6 mo breast exams and annual mamm. Plus I am to contine w my lotion w Vit E and breast massage until next Sept to keep skin and incision sites soft and supple. Just wanted to share my success and let you know life goes on!
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Thank you Mripp. Your post was very helpful.
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Had my 1st MO appt. He is recommending Tamox. because of DCIS+LCIS+ADH all on path/same lesion. States life time risk of recurrence or IDC is 1/5 vs the average women at 1/9 and Tamox would "theoretically" reduce my risk back to average risk. Really!!! He explained that all the studies are population based and no one can give an exact estimate of personal risk. Best anyone can due at this time. Stated Oncotype,Her2,Ki-67 testing all for invasive disease vs DCIS. Scheduled for 2nd opin later this month. Will see RO next week with breast MRI to be done prior to this appt. Plan to get RO 2nd opin if necessary. Trying to make the best decision/choices based on less than perfect information!
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Hi JLM1 and welcome to the best BC site ever - so many of us here to help you thru each step of your journey.
I had no family history, annual mammograms and was in shock as well - I am smiling because your posts sound like me - trying to keep as much control over something so shocking and unbelievable but the best thing you can do is read posts out here and continue to educate yourself and make the best possible decisions for your health based on your own research and the advice of your various doctors. Stats are great but they are stats - it is very true what they say about our journies may be similar but they are not identical.
I just want to share with you briefly my experience which all in all, I have to say given the scary diagnosis was manageable due to my care, advice and support from this site and my belief in the skills of my caregivers.
2 Stereotactic Biopsies: sounds scary because you are put into the mammo paddles and compressed - not as tight as an actual mammo and then numbing stuff is injected, which I did not feel, maybe a very slight burning but really it did not hurt - was similar to a dentist visit for the shot! It looks scary - I had to watch because I did not have a weak tummy and I was interested in WHAT they were taking out of me!!!!! LOL
Wire Placement: not pleasant. I think the person doing the wire placement did not let the numbing stuff kick in or maybe she did not give me enough.
Lumpectomies: had 2 because margins did not clear. I was surprised - thought it would be much worse than it was. When I first looked at my breast I thought it was mutilated but truly it was not! It does look icky after surgery - think about how sensitive the nipple area is, etc. I am actually glad they did the second lumpectomy because it looked a little better - whomever stitched me up the second time did a much better job.
Radiation: obviously, radiation is not a good thing BUT it ensures cancel cell destruction, at least it did for me. I had done a lot of reading about it and continuously used Eucerin lotion - and I mean continuously! I think that really helped my skin - I did not blister and I did not even burn - it turned a very dark brown - like I was at the lake all summer (I wish!) and I even still use the lotion now. Getting ready for the treatment was actually more scary than the actual treatment and I was afraid the first time but after that it was fine. I did not feel really tired until I was into my last week and that only lasted maybe two weeks.
End Results: Personally, I am exploring reconstruction options. Many do not after lumpectomies/rads because they look fine but I am a full size smaller now due to the procedures and rads so my personal preference is to fix it. I am about 30 lbs. over weight and have a stocky build (thanks dad!) - I could do a lift and reduction on the healthy breast but I know I would not be happy with smaller breasts, I would rather be the same size I am now, which is only a B cup.
I don't know if any of this will help you - I hope I can relieve some of your anxiety in a small way by letting you know that as long as you are happy with your medical team and feel you are in good hands and know that we are all here to support you, you can move beyond this diagnosis.
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Thanks Dogsneverlie! I'm also researching Mx and reconstruction to know all the options. The long term side effects of radiation really concern me a little more than major surgery with a long/tough recover! Thanks again.
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I had a lumpectomy two weeks ago, widespread DCIS, comido, Grade 3, HER2+++. Clear sentinel nodes and clear margins. Kaiser is pushing radiation, which I am reluctant to do. But the Grade 3, the comido necrosis, and the HERS2+++ all seem to push toward doing something in addition to the surgery, since each of them puts me at the high end of the recurrence scale. I don't want to do radiation because I am really concerned about lymphedema. I have watery tissue and a tendency for fluid to accumulate as it is. I travel a lot and am starting a new business as an intuitive painting teacher--I need my arms to be fully functional!
Any advice or relevant stories? Thanks
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Do you know if they will radiate your lymph nodes? I chose bmx to avoid radiation. I personally wouldn't feel comfortable without further treatment. Ask about getting the Oncotype DX test for DCIS. It predicts the likelihood of your Cancer to return. It can be a big help in figuring out your treatment plan. Good luck!
Marci
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Hey dear! So glad to talk with you. I am researching alternative DCIS treatments and have discovered that Holy Basil and Curcumin are recommended to prevent DCIS progression. What have you uncovered? My problem is this: A 2.8 cm area of high-grade dcis was found and they want to do an MX because the rest of the images are dotted with suspicious calcifications that "could be" also high-grade dcis. I wonder if I had a lumpectomy and then they saw a wider area of bad stuff if they could legally scalp out a bigger area while i'm 'under' -- so naturally I'm scared -- but your research would be appreciated. THANKS.
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Curious… if your DCIS was widespread, how did they decide the size of tissue to remove during your lumpectomy? Thanks for sharing. Trying to understand this all better. And yeah, I am not going to do rads or drugs, either.
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Hi, my mother was diagnosed with a > 1cm lump in her left breast in april 2016.
She was operated, it was non-invasive dcis. Lumpectomy was followed by radiotherapy and tamoxifen.
Now she is going for her yearly mammogram. But, she is feeling a lump from past 15 days only with pain on touch both at site of lumpectomy.
She is very nervous, what could that lump be? As far as i know a lump can't appear in just 15 days. Could it be scar tissue lump? Do scar tissue make a lump??
Please answer to my question, i am really nervous
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Moorie, this is an old thread and no one has posted here in over a year. I did see you other thread that you started, so hopefully people will answer that one. Let me see if I can at least help a bit. Could it be scar tissue? certainly. Although scar tissue doesn't just spring up over night (or in a couple of weeks). But there are many things that can pop up, and they aren't all ca. I think that the best thing to do, given we don't the grade or some other details about your Mom's bc (although we can assume it was ER+ given that she has been on Tamox) is to either go with her to her doctor's appointment so that they can explain what is going on, or wait until she has seen her provider and she can inform you. It is scary thinking about recurrence, but I'm not sure given the limited information that I can really give you any specific info on what your Mom's new lump could be. So sorry you're here worried about your lovely Mom and I do hope that the lump turns out to be a fatty deposit or other b9 phenomenon.
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