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MrsTee
MrsTee Member Posts: 21

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  • MrsTee
    MrsTee Member Posts: 21
    edited January 2015

    I have been diagnosed with DCIS in 3 different spots in my left breast - I had sentinel biopsy in the 3 clusters. I was told that since it is in 3 different quadrants that it would be almost impossible to do a lumpectomy and get clean margins…so I am scheduled to get a mastectomy on January 28th….here's where I need some input…I am considering doing the right side also…I am so afraid that I will also have to deal with this on the right side in the future and will be paranoid every time that I have to do a mammo…am I being extreme? Also if you can tell me if you had the same scenario - what did you decide? Thanks for any and all input!

  • angelia50
    angelia50 Member Posts: 381
    edited January 2015

    I had to have mastectomy due to placement of what they had to remove. I did choose to do only that one side but have said, if I had to do it again, knowing what I now know, I think I would have done both sides. It has to be your choice and yes, you will be nervous when you have mammograms on the natural side. On the plus side though, you only have to deal with being uncomfortable on one side and know going in that you will have good use of your arm on the good side, although, I had no issues with my arm on the mastectomy side. I've recently had my exchange surgery and lift on the natural side, so this is the first time I've had some discomfort on both sides at the same time, and only having one side with issues is good too. Bottom line, you have to do what you feel is best for you. Good luck. I can tell you the surgery for the mastectomy is not nearly as bad as I feared it would be.

  • WinningSoFar
    WinningSoFar Member Posts: 951
    edited January 2015

    My opinion is a little different than most people's. First, I don't consider mammograms to be very accurate so I don't even get anxious about them. The only imaging test that I think is worth a damn is a breast MRI. I did have only one breast removed since the studies seem to show there is no advantage in a bilateral mastectomy, but I'll admit there are times I think I was crazy not to have a bilateral.

    I also hate to be the bearer of bad news, but having a mastectomy or two does not mean you won't have a recurrence. I run into women all the time who've had mastectomies and have their cancer come back. There just are no guarantees. Once you have cancer, you will always have it in the back of your mind.


  • angelia50
    angelia50 Member Posts: 381
    edited January 2015

    Winningsofar, thanks for that reminder. I try to keep that in my mind too, because like you, I've seen it come back other places and as you say, neither will guarantee we won't have to deal with it again and I guess truthfully, even if I had taken both, every time I went back for follow up, regardless of what kind of test they were doing, I would have the same fear. There really is no right answer, its just whatever a person feels is right for them.

  • MrsTee
    MrsTee Member Posts: 21
    edited January 2015

    angelia50 Thank you! I am extremely nervous...I have about 2 and half weeks before my surgery and I keep going back and forth about it. I know I will make the best decision for me...just wanted to know what others did - I was kind of thinking that I was being a bit extreme - I know everyones case is different - I had my best friend and God mother both pass from breast cancer and both had only one breast removed - which adds to my stress level. So the surgery wasn't as bad as you thought? I'm dreading the pain!

  • MrsTee
    MrsTee Member Posts: 21
    edited January 2015

    WinningSoFar Thank you for your post...you are right...no matter what I do, it will always be in the back of my mind. I'm praying for peace about the whole thing!

  • angelia50
    angelia50 Member Posts: 381
    edited January 2015

    Mrs Tee, when I was first diagnosed, I debated about what surgery and actually, on my initial diagnosis, I had finally made up my mind for a lumpectomy. Then, I had a MRI and it found another issue, which was benign but was located directly under my nipple so the surgeon said taking that and the other two tumors I had would leave me disfigured. I said, compared to what????????? I mean really. So, mastectomy was what I had to face and I will tell you, I was devastated. I am 58 and heavy, so I was no pin up girl and sure didn't think I would be walking around naked but just the idea of it, just totally upset me. I sat and cried and cried and said I just don't want to do this. So I was sure in no frame of mind to do both sides. I had been praying from the beginning that God would show me what was the right surgery for me and when I decided on the lumpectomy and then, this ohter thing was found, I looked at it as he answered my question and made that choice for me, so mastectomy it was. As it turned out, they did find things in the surgery that the surgeon said would have likely made it impossible to get clear margins and it was a good thing I had the mastectomy. Plus, I did not have to deal with radiation. So, I had the uni mastectomy with tissue expander placed at time of surgey. I did not think I initially would want reconstruction but the further I got in, the less I wanted to deal forever with special bras and all of that, so I did opt for reconstruction. The mastectomy is kind of weird because it is pretty much numb after surgery so not a lot of pain. Drains are aggravating but not painful and like some have said, the incision for the lymph nodes was probably the most uncomfortable but not terribly painful.

  • angelia50
    angelia50 Member Posts: 381
    edited January 2015

    Oh, and I see you have DCIS. That is the words I wanted to hear, but instead, I was told mine was invasive. So you are already a step ahead of those of us with invasive. You are going to do just great.

  • sugartoes
    sugartoes Member Posts: 39
    edited January 2015

    Hi MrsTee! I had my double mastectomy Nov. 12th, 2014, almost 2 months ago. I was diagnosed in September of DCIS in both breasts. I was seriously opting to have a mastectomy on my left because it was microinvasion and a lumpectomy on my right. Then I remember my aunt (mom's sister) who wished to God she had a mastectomy instead of radiation. I then decided, at the last minute, a double mastectomy. Because I had no lump, mass or tumor, just microcalcifications in both breasts and since it was high grade and left side was comedo (cells that basically have a mind of their own) and microinvasion on the left, I knew the right would soon happen too. Also, the cancer cells were estrogen/progesterone driven. Besides, it is extremely rare to have DCIS in BOTH breasts at the same time. After my double mastectomy, the relief was still not over because I had to see the breast surgeon a week later to go over the final path report of my double breasts. The right one (which I was thinking of having radiation) turned out that I had cells changing from normal to bad, (hyperplasia) and this time, it was not DCIS, but atypical lobular hyperplasia with adenosis. I knew in my gut that I did the right thing by choosing my double mastectomy and knew my beasts were nothing but junk. I survived the double mastectomy with immediate reconstruction with tissue sparing and Alloderm with 250cc placed in the expanders right after the mastectomy less than 2 months ago. No areola or nipples. I look great and recovered in 3 weeks (which the time goes by fast). In 4 weeks, I was my complete self. I just went to a New Year's Eve party and all my friends said I looked GREAT and looked VERY HEALTHY! Yay! I will take their comments. :) You will make the right decision and only you will know what is best for you. You can so do this. YOU WILL GET THROUGH THIS!! Here is my story: www.dcisearlystage.com/

  • nmh35
    nmh35 Member Posts: 96
    edited January 2015

    Hi, I am in the same scenario as you. I have decided to have a double mastectomy. I decided this for a few reasons: 1. I have already had some atypical cells on the other side so I'm just counting on the fact that there's a good chance that will turn into something and just have a feeling that the pathology may show that there is already something there. 2. I just want both sides to be the same 3. Even though I know there is reoccurrence risk even with mastectomy, I'm so tired of scans every 6 months, and I've had 7 biopsies in the last year. So I know if I keep my "good" Breast, the constant 6 month stress will continue. Before I found out that it was in multiple areas I was all ready to just do a lumpectomy, but after I found out it had to be mastectomy, I immediately had a double in mind.

  • Izzyfran
    Izzyfran Member Posts: 78
    edited January 2015

    hi mrstee,

    In my case, I was trying to do the most minimal thing. I felt stressed about trying to decide what is best, LX vs MX and prayed I make the right decision. As Angelia50 said, God made the choice for me. Wanted lumpectomy then found out that I had another site of IDC plus DCIS around second area, so lumpectomy was out. Got a second opinion, but same outcome. Then, I had to decide on UMX or BMX. I called some friends who have had BC and ask how they decided and read some research also. Most of who I spoke to had BMX and seemed like the common practice. In the end, I chose UMX. I wanted to keep it minimal and quicker recovery as much as possible. I figured "if it's not broken, why fix it"

    As others have mentioned, we each have to make the decision and what is best for you. I pray you find peace in the decision you make.

  • Ariom
    Ariom Member Posts: 6,197
    edited January 2015

    Hi MrsTee, so sorry you have had to join us, but there is lots of great advice for you, from everyone here!

    I am another who had high grade DCIS found in my biopsy. I was offered a Lx with Rads or a Umx with a SNB, provided there was nothing invasive found in the final pathology.

    For a number of reasons, I decided to go for the Umx and SNB, I truly never considered removing my other breast and for me, taking the risk that there was no invasion, requiring more treatment, paid off.

    I knew recon was not for me either, so I was another, who had a pretty easy time, when it came to the Mx surgery and recovery.

    It isn't an easy decision that you have to make, but it has to be your decision, one you feel confident about. Try not to be influenced by what others think is right, for you.

    I am just 2 years out from my Dx and surgery and had my 2 year checkup just 2 days ago. I must say that in the beginning, I was nervous when the appointment and testing was close and even though I have had one scare, that required another biopsy, I don't regret any of my decisions.

    I wish you all the very best , with your decision making and with your recovery, let us know how you get on.


  • trailrose
    trailrose Member Posts: 219
    edited January 2015

    Hi MrsTee-I was diagnosed with high grade DCIS w/ comedonecrosis November 2014 and was recc. lumpectomy w/ 6 weeks of radiation. My immediate response was no I want a BMX. My reason is that it is high grade and my breasts are dense so I would always worry that the mammogram might miss something! Also, after my sister was diagnosed with stage 3 breast cancer/BRCA 1# at the age of 27 and saw her go through her BMX,dose dense chemo,radiation,zoladex inj.,tamoxifen I wanted to try to avoid these things if I could.(it's 11 yrs now and she's doing great!) But everyone makes the decision that is best for them. Go with your gut feeling. Keep us posted on how you're doing!

    Hugs

  • hummingbirdlover
    hummingbirdlover Member Posts: 421
    edited January 2015

    Hello and welcome! I'm sorry you find yourself here. I also had 3 tumors in my cancer breast that were far enough apart that my surgeon said mastectomy on that side was necessary. I discovered that I had dense breast tissue and 2 of those tumors weren't even found until I had the ultrasound, they didn't show up on mammo. I had already decided if one was going, two were going. Like you said, I was petrified of the other side...was it already there and not diagnosed yet? My surgeon said I'd be having MRIs in the future and I just didn't want to worry about it. I plan to reconstruct and thought maybe they would match better. It was the right decision for me but you have to do what's right for you regardless of what anyone else thinks. I hope your path becomes clear very soon. Take care of yourself.

  • MrsTee
    MrsTee Member Posts: 21
    edited January 2015

    Thank you ladies for all of your information and your encouragement! I went to Johns Hopkins today (about 4 hrs away) to get an second opinion...I guess holding out thinking that maybe a mastectomy was not the only option...so much for that...that surgeon agreed with my current surgeons plan...so Jan 28th will be my surgery date. Still making a decision as to what to do with the other breast...I'm still waiting for the results from my BRAC test - I hope it will be back before then. I really appreciate all you ladies as I don't know anyone that is dealing with this and those around do not understand (not from a lack of trying)....

  • trailrose
    trailrose Member Posts: 219
    edited January 2015

    Hi MrsTee- Good for you in getting a second opinion and having a plan in place. You should check out the January 2015 Surgery Sisters forum. My BMX is January 20th! The ladies are posting their experiences as they have surgeries. Best of luck to you!

  • nmh35
    nmh35 Member Posts: 96
    edited January 2015

    MrsTee-I know that feeling. After I was told mastectomy, I went for a 2nd opinion at Sloan Kettering hoping I would hear something different, and I didn't . My BRCA testing was back within a week.

  • Akitagirl
    Akitagirl Member Posts: 142
    edited January 2015

    Hi MrsTee,

    I was in your same situation. The deal breaker for me was the return of my genetic testing. When I found out that I had a PTEN mutation, which give me an increased risk of bilateral cancer, I moved ahead with a BMX. It turns out they found LCIS in my right breast along with the IDC in my left breast. Positive sentinel node and down the rabbit hole of chemo I went (and still am). However, my reconstruction is going well. Getting my TEs filled is not a big deal and being a previously small-breasted woman, it's kind of fun to see them grow instantly. Kind of lovin' my insta-boobs. ;-)

    Everyone here is correct - it is a personal decision that only you can make. We are all here to support whatever that is and we will help walk you through this journey.

    Hugs,

    Akitagirl

  • MrsTee
    MrsTee Member Posts: 21
    edited January 2015


    Hi Akitagirl,

    I hope to have my genetic testing back before my surgery...they said it should be back in 2 weeks so there is a chance....that way I think I  would feel that I hit all the bases that I could to try to make the most informed decision.  Tomorrow will make a week and my surgery is scheduled for the 28th so prayers and fingers crossed! :)  I think that I have too much time on my hands to think...I'm at work and on this site (LOL) but I don't know anyone (alive) that knows what I'm going through and reading everyone's post and when I find that some are going through the same things that I am make me feel just a little bit better (hope that didn't sound badly) I am doing the TE and have been wondering how "painful" is it and you make it sound like a piece of cake! :)  I'm still considering the BMX - when I went to see the surgeon for the 2nd opinion she brought something up that I don't think I heard before (could have but I could have spaced out with all the information that was being told to me) on one of my path repots I had an area with no calcifications but still have the DCIS in that area so she said it is a  concern that it is a microinvasion...so I think...this being the "same" body could there possibly be something in my right breast and we not know it yet....AAAHHHH Okay...let me start breathing again :) Thanks for your post it really did help me!

  • MrsTee
    MrsTee Member Posts: 21
    edited January 2015


    trailrose thanks!  I will be going over to check them out!

  • MrsTee
    MrsTee Member Posts: 21
    edited January 2015


    nmh35 so sorry that your news wasn't any better!  I think I had a headache all day and night after that...I don't do stress well! :)  Wow!  BRAC was back in a week?  I can only hope mine comes back that soon...or at least before the 28th!  Hoping all is well with you!

  • WildPink
    WildPink Member Posts: 1
    edited January 2015

    hey MrsTee! I was diagnosed w DCIS in Aug 2014. I had a lot to think about and was very scared. At age 19 I had benign lump removed on left side then 14 years later another lump biopsied on left side. Age 39 mammo showed irregular spots on the right side so I had biopsy. DCIS only showed on right side but because left side issues in the past I decided on BMX. Oct 1 2014 was BMX w TE. Jan 14 2015 TE exchanged for implants. I am still recovering and doing good. Everyone is different and I am sure you will make the best decision for yourself. I am praying for you!

  • MrsTee
    MrsTee Member Posts: 21
    edited January 2015

    WildPink Thank you!! I have made my decision...doing a BMX w/TE. After thinking (and praying) I think that is the best decision for me. I've read about so many others journeys and it really helped. I had some issues on my right side some years back so that kind of help me make the decision too. I'm SO nervous but I know in the end it will be alright. Went to meet with my PS again today because I had some last minute questions so it helped with some of the questions that I know he answered but I totally didn't hear. How did the exchange go for you? Glad that you are doing so well!! Glad that I found this site!

  • Izzyfran
    Izzyfran Member Posts: 78
    edited January 2015

    MrsTee,

    Glad that you made the decision for what type of surgery. It's a relief once the decision is made. I'll be praying for your surgery on the 28th. I have infusion that day for my Herceptin.

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