Cancer in both breasts at the same time?

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sugartoes
sugartoes Member Posts: 39
edited October 2018 in Breast Reconstruction

Has anyone here had cancer in both breasts? I had a double breast biopsy because of microcalcifications with no lumps, mass or tumors, but calcifications in clusters in BOTH breasts that was shown on mammo in September and was diagnosed as having DCIS in BOTH from the biopsy with my left side having microinvasion and being high grade with comedo necrosis. The right was intermediate grade DCIS. My blog: http://www.dcisearlystage.com/2014/09/05/mammogram...


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  • angelia50
    angelia50 Member Posts: 381
    edited February 2015

    I had biopsy in both but they determined the left side was microcalcifications, so they are just watching that side. Had mastectomy on the right and am now taking Arimidex.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited February 2015

    Approximately 4-5% of breast cancer patients have bi-lateral disease, it is unusual but does happen.  I know several personally, that are local to me. It makes sense - if your body knows how to make cancer in one breast, it does in the other too.  I had BMX for this reason, and a few others,  and they found ADH and ALH in the non-cancer side. 

  • GwennyMD
    GwennyMD Member Posts: 147
    edited February 2015

    Me too. I had almost identical tumors in the same spot on each breast.

  • Janetanned
    Janetanned Member Posts: 532
    edited February 2015


    I was originally diagnosed with DCIS on my right side.  My left looked clear on the diagnostic mammogram.  My BS wasn't so sure after his exam.  He ordered an MRI followed by an MRI guided biopsy for the left side. ILC was found on the left. So, I ended up with two different cancers, one for each side.

  • JAYSFAN65
    JAYSFAN65 Member Posts: 22
    edited February 2015

    This is an interesting topic. I had IDC in right breast and now am having excisional biopsy on the right....and it makes me wonder ..maybe I had it in both all along ?   It seems strange to me that when this all first started last March on the left side, they didn't treat the right side too.

  • AndreaC
    AndreaC Member Posts: 220
    edited February 2015

    I have a known 1.2 cm cancer in the left breast...was waiting for a lumpectomy and had a screening CT (chest, abdomen, and pelvis) to check for metastases. The CT spotted a "shadow" in the right breast which had been missed on the screening mammogram. So I had a diagnostic mammogram and ultrasound which showed a probable 1.6 cm tumour which is infiltrating the muscle on that side. I had an urgent biopsy and am awaiting results. I have already opted for bilateral mastectomies. I just want to get on with it! Waiting for results and surgery is so hard.

  • fralaliso
    fralaliso Member Posts: 63
    edited February 2015

    Hi, Yes I also had synchronous bilateral breast cancer. IDC in right breast (2.91cm) diagnosed this past December. I opted for BMX due to very dense breast tissue and the fact that my almost 3cm tumor couldn't be seen on mammogram (had no confidence that a tumor in the other breast would ever be detected either). Post surgery pathology of the left breast showed a small .5cm invasive tumor. I was told this only happens in 2-3% of BCs, but I think it is likely higher and just under diagnosed.

  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited February 2015

    A cousin who is my age had both IDC and DCIS in both breasts. She had bilateral mx, no reconstruction, no chemo or radiation but 5 years of endocrine therapy and is doing very well at this time.

  • Gully
    Gully Member Posts: 268
    edited February 2015

    Count me too! IDC in both breasts. The left we knew about 1.2 cm. MRI revealed something in the right. neg biopsy but after BMX discovered another 0.7 cm tumor. Left grade 2 and right grade 1 so two different primaries. lucky me

  • sugartoes
    sugartoes Member Posts: 39
    edited February 2015

    Thank you all for posting. I felt alone and thought I was the only one. My DCIS was in the upper cleavage area, almost mirrored each other. No, I never put my cell phone in cleavage area. I get asked that a lot. Because of cancer in both breasts and no tumors, mass or lumps, and already had microinvasion on my left and since it was high grade and comedo necrosis, and my right being intermediate grade, I opted for the DMX with immediate reconstruction. I figured my boobs are junk. My path report came back showing I had ALH going on in my right and ADH. Yet, nothing on my left which had the microinvasion. Again, THANK YOU FOR POSTING! Now I don't feel so alone. :)

  • ironmagnolia
    ironmagnolia Member Posts: 85
    edited February 2015

    Yep, me too. I personally think that this is not a rare as people think. The tumor initially found on my mammogram was in the right breast, (7mm). US and mammo on the left found nothing at the time. But my astute BS does MRI on both breasts as a matter of course on all her pts, so one week later, that is when the LARGER (12mm) tumor was found on the left. My BS then informed me that I was no longer a candidate for lumpectomy and radiation. She said I now needed to have both breasts removed, so I had BMX with immediate DIEP flap recon 3/4/13 with PRMA in San Antonio. Pathology showed DCIS bilaterally as well.

    I think that women who have a "recurrence" in the unaffected side after their original diagnosis most likely have had bilateral tumors simultaneously all along, I was told that bilateral breast MRIs are not standard of care after diagnosis. If they were, I feel more synchronous BC would be found. Just my humble opinion.

  • kingster
    kingster Member Posts: 333
    edited March 2015

    Me too! Very fortunate that I had a bilateral breast mri. I had all my pain and lumps on the left. I was fibrocystic and dense. Normal mammograms. Abnormal us, but no definite tumor to biopsy at that time. MRI was grossly abnormal. I had dcis in both, but er pr pos in the left, er pr negative in the right. Both high grade 3 with comedonecrosis. 2 different types of cancer. So you are definitely not alone that's for sure.


  • ksusan
    ksusan Member Posts: 4,505
    edited March 2015

    Yes, high grade DCIS in L and DCIS + IDC & possible adenoma in R. Diagnosed through the DCIS in L--nothing showed on the mammogram on the right, but did appear on MRI.

  • Jenwith4kids
    Jenwith4kids Member Posts: 635
    edited March 2015

    I had IDC in leftie and DCIS in righty - though the biopsy got all the disease on the right as it was clear upon BMX pathology.

  • kingster
    kingster Member Posts: 333
    edited March 2015

    Sounds to me like mammograms are not what they are cracked up to be. My normal results on the mammograms year after year actually led the docs to dismiss my breast symptoms. I knew that it had to be more than just my normal fibrous pain.

  • daisylover
    daisylover Member Posts: 310
    edited March 2015

    My bilateral MRI did not show the ILC found in my prophylactic breast. I insisted on BMX for my own peace of mind (dense breasts) and symmetry. After reading on BCO, I almost expected the cancer to be in both breasts - I definitely benefited from wisdom shared here :) The surgeon told me that I made a good decision for myself.

  • JAYSFAN65
    JAYSFAN65 Member Posts: 22
    edited March 2015

    Well in response to the questons about Mammograms, I will tell you that neither my left breast cancer nor my right Atypical Lobular Hyperplasia which will be removed and sent for further testing this Friday...were found by a mammogram.  I have opted out of them....I feel that they are barbaric in nature.  I have a high tolerance for pain, and I don't believe I'm a wimp; however, I do not have a high tolerance for pain where my breasts are concerned, so I had two mammograms in the past (over 10 years ago)...and have had nothing since then. 

    Because of the high incidence of bc in my family  I was approved for a breast MRI back in 2011...which I never had ......and my lump was found by me, and then diagnosed via ultrasound.  After going through everything last year.....they told me I'm, no longer high risk so I'm not okayed for an MRI now...which I find to be ridiculous.  I was high risk before I got BC but now that I've had it I'm not ?   Crazy.

  • JAYSFAN65
    JAYSFAN65 Member Posts: 22
    edited March 2015

    Wow interesting topic.  I posted the same info in another forum......I wonder how common this type of thing is.

    I had IDC in right breast last year,  and I have ALH on the right.   Friday I'm  having excisional biopsy.

    So those of you that had it in both breasts at the same time,...when did they check the other side ?  At time of diagnosis ?  I am somewhat perplexed, when they diagnosed the left side, I had testing on every part of my body to check for mestasis, EXCEPT my other breast.  Now I have the possibility of having to go through this all over again?  This seems odd to me why they wouldn't test both breasts in the beginning

    .

  • fralaliso
    fralaliso Member Posts: 63
    edited March 2015

    Jaysfan65 - In my case, the second breast cancer wasn't discovered until the post surgery pathology review of the "good" breast. When I first met with my breast surgeon, I asked her about an mri of the "good" breast to make sure it also didn't have cancer and her response was that that situation was extremely rare, so no, they wouldn't test for it. Thank God I decided to do the BMX. I really think the medical community is mistaken that this is as rare as they say. I just think it is often undiagnosed,

    kayb - I agree that mammograms are pretty useless for those of us with extremely dense breast tissue. Even the newer, 3D mammogram missed my nearly 3 cm tumor. There are new, whole breast ultrasound machines that are supposed to be better than a hand held ultrasound scan (where you are at the mercy of the skill of the tech). Not a lot of places have these yet and dr's are still reluctant to use ultrasound as a screening tool for BC in dense breast patients. The comfort level seems to be only using ultrasound for diagnostic purposes once an area of concern has been revealed. There are actually 4 states in the US that have laws that require insurance companies to cover ultrasound as routine screening for women with dense breast tissue. I'm currently in touch with a few state Senators in PA to try to get similar legislation passed here (the bill has been stalled since Jan. 2013). I would love to see whole breast ultrasounds become the standard of care in screening for women identified as having extremely dense breast tissue.

  • Lucy55
    Lucy55 Member Posts: 3,044
    edited March 2015

    Mine was found on a routine screening test , so both breasts (obviously) had just had a mammogram... Calcifications presented on my right breast, one core biopsy showed DCIS.. After mascetomy pathology showed 7mm IDC as well. The IDC was in a different section of the breast from the DCIS, so I was pleased I chose mascetomy otherwise it would have been missed !! The only extra attention my left breast got when I was going through diagnosis was they did ultrasound it.


  • kingster
    kingster Member Posts: 333
    edited March 2015

    Lucy, thank God you chose mastectomy. Wow. Also, my gynecology and insurance was fighting me every step of the way to not give me that expensive MRI. If you ask me, the mri trumps mammograms by a mile! Lots of research still needs done to improve these diagnostic tests. Early detection is the key to survival, but insurance sure doesn't like to pay for it.

  • sugartoes
    sugartoes Member Posts: 39
    edited March 2015

    I also have dense breasts and fibrocystic disease. I have hundreds of cysts ranging from fatty to liquid cysts, brownish in color. I had my first lumpectomy at age 22 and then a second at age 27 and both were negative. I also had 3 cysts drained and one was the size, larger than a golf ball that bulged out. Not kidding either. I had mammos with ultrasounds because of dense breasts, every 2 years since age 35. Then at age 40, mammos every year and if something looked suspicious, then ultrasound done. Ultrasound never showed up anything over the years, just hundreds of cysts. Because of huge cysts, about 7 years ago, I went to a breast specialist who put me on primrose and everything organic. The primrose just about did me in. I developed a menstrual period that lasted 3 months in a row, massive headaches, and problems with my lower body where I had to have a vaginal ultrasound and started to develop fibroids. I went to my doctor who said to get off of primrose and to NEVER EVER take ANYTHING that alters my hormones because my body will reject it and will cause me all kinds of problems. That is ANOTHER reason why I had a BMX because if I didn't, I would have to be on tamoxifen.

  • Sodie1017
    Sodie1017 Member Posts: 38
    edited March 2015

    Count me in this group. I too had dense breast tissue and cysts. I had a routine mammogram last year and was called back in for more pics. I wasn't worried because this is the norm for me. After the second round of pictures the radiologist came in and I knew there was a problem. He scheduled me for a double biopsy. I had DCIS in both breasts and LCIS in the left breast. I had an MRI and after the breast surgeon reviewed it, she said, "Your breasts are a mess." That's not what I wanted to hear! I wanted the minimum amount of surgery, but left her office with a scheduled BMX.

    A friend had me email her sister-in-law who is a breast cancer researcher at Duke. She said BMX is what she would choose for herself given my report.

    I've never met anyone else with bilateral breast cancer until I found this forum.

  • GwennyMD
    GwennyMD Member Posts: 147
    edited March 2015

    I was also high risk since my mom, one sister and two aunts had bc before me. My tumors were found in routine mammogram. Since they were small and in same spot, RAD ordered ultrasound, but could not make accurate DX so he then ordered biopsy. One year after BMX and DIEP my insurance co required CAT scan for entire top half of body. Because of our family history, our insurance companies have allowed all of the women in my family to start getting mammograms at a young age. Some have also had the genetic testing.


    I have two friends who were dx with BC in second breast within 2 years of first dx. One was 2 years ago, the other was 20 years ago.

  • kingster
    kingster Member Posts: 333
    edited March 2015

    That makes me wonder if the "second breast with ca" was just not properly diagnosed. Just glad that I didn't have to chose uni or bilateral. I also do not know anyone personally with bilateral breast cancer. This forum helps me tremendously in dealing with this. Thank you all!!

  • JAYSFAN65
    JAYSFAN65 Member Posts: 22
    edited March 2015

    I had the excisional biopsy Friday ... I have mixed feelings about it . I was to have a needle localization guided by ultrasound . The tech said she 'couldn't find the lump" ... she finally went to get another tech . They had the same problem when I had my biopsy but finally it appeared . She told me that in her opinion since it was only atypical lobular hyperplasia she didn't feel I even needed further testing is I didn't need it .. This is 2 hours in to my surgery day . So the first tech thought something looked suspicious, and my oncologist who ordered the surgery found it suspucious but this tech didn't and she actually said if I wanted I could just come back in 6 months . She said if it was atypical ductal it would be more worry some . Sounded tempting ....but my gut said no stick it out . I would always have it in the back of my mind .

    So I had it ... it went fine .... and I get the results in 3 weeks

  • Trvler
    Trvler Member Posts: 3,159
    edited March 2015

    So glad I found this thread. I didn't even know WHERE to go with this one. You may have read my continuing saga in another thread. But in the last two days I have had stabbing pain in my 'good' breast and I am STILL being told breast cancer doesn't cause pain. ARE YOU KIDDING ME??? HELLO, HERE I AM!! I had an appointment with a MO today who refused to order an u/s telling me I just had a mammogram in Dec and an MRI about a month and a half ago. But my cancer didn't show on the mammogram or the MRI anyway. AND THERE WAS NO PAIN that kept me awake all night even with a sleeping pill like last night. I guess doctors are just trained to turn us away at the front gate even when we are already in the room. I called my OB and made him order me an u/s and I am going to make him give me a biopsy order too. I am not waiting a year and half or even 6 months this time.

  • Trvler
    Trvler Member Posts: 3,159
    edited March 2015

    kayb: You are so wise and your posts really help me a lot. And I totally agree. The biopsy is the only way to know for sure.

  • JAYSFAN65
    JAYSFAN65 Member Posts: 22
    edited March 2015

    Thanks kayb .  I made the appointment for the results on MARCH 30. But today the surgeon's office called and said they are ready today so I'm going later this afternoon for results.  I'm assuming they came back so quickly it is good news. 

  • JAYSFAN65
    JAYSFAN65 Member Posts: 22
    edited March 2015

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