so lost, need help with my new diagnosis
I'm 31 and I was just diagnosed. I don't have much information yet because my doctor called me on Friday afternoon with the news of IDC and now it's the weekend. The small comfort I can take is that my lymph nodes were clear on ultrasound, it's grade 1, and the tumor was only 1 cm (on ultrasound). The mammogram didn't even see it.
My doctor is referring me to a breast surgeon. I don't know what to do, how to prepare. Do I need a second opinion? What questions do I ask?
I'm so scared and I feel so alone, none of my friends have ever had breast cancer.
Please help, and please pray for me. I was planning my wedding for next spring when I found the lump. I wanted to have a baby in 2017. Now I don't know if I'll be able to have any of that. I feel like God isn't listening to me, doesn't care about me. I'm so lost.
Tiffany
Comments
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Oh Tiffany I am so sorry! The lumpectomy vs mastectomy is really a personal decision. Your surgeon will go over the stats. I had a lumpectomy last month and really felt better after 2 weeks. My breast looks the same. The baby issue is huge. Please consult with your OB-Gyn for guidance as well. God is with you through this, I truly believe that. So sorry this is happening mid wedding planning.
Please ask your surgeon the pros and cons of each surgery and reconstruction plan if needed.
Ask about Oncotype testing . This is a test that checks 21 genes and will give you a recurrence score and idea if chemo would benefit you.
If you are not comfortable, certainly seek a second opinion.
Please come here often as you get more information. The ladies here are great. Also see the postings for "newbies" that will also help you formulate questions.
Please keep us posted
Pat
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Dear Tiffany,
I'm so sorry that you are here and diagnosed with breast cancer. It's not fair--and it's really not fair at your age. The best advice I can give you right now is to be kind to yourself. You don't have to have all the questions ready. Sometimes, we think we have one shot at everything and have to be ready like a soldier armed for battle, with every conceivable weapon hanging off our belt.
Let the surgeon goes through her/his spiel of what to expect. I would suggest you take someone else with you to the appointment to take notes (or a tape recorder). You can see the surgeon more than once to get your questions answered.
And we're all here too.
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Tiffany, we're so sorry to hear of your diagnosis, but really glad you found us! Our Community is an incredible source of support, advice, and experience. As you can already tell, we are made up of wonderful members wanting to help!
In addition to the great advice and information above, you may be interested in checking out the main Breastcancer.org site's sectopm on Your Diagnosis, which can help walk you through the different aspects of your diagnosis and what they mean.
Also, there's a page on Questions to Ask Your Doctor About Your Diagnosis. In addition, there's even a section on Getting a Second Opinion.
We hope this helps, and please know we are ALL here for you!
--The Mods
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Before you decide/do any TX, see a Reproduction Specialist. Eggs can be 'harvested' for future use. I don't know any of what is involved in the process as I was 19 yrs post menopause when DXd. There have been some young women who have come here that have though so hopefully they will check in with you.
Don't just see the Surgeon but also Medical Oncologist (chemo) and Radiology Oncologist (rads) so have an idea of what your entire TX plan will be - Surgeon does not determine the entire TX plan - they do surgery.
Take your Smart Phone with you and record what all Drs tell you so you can review exactly what you were told - not reading the quickly written notes you, or someone else, tried to write down correctly. Write down all the questions you have and make a second copy to hand to the Dr so he/she knows what you want addressed in addition to what he/she is already planning on discussing. If you do not understand his/her words - tell them to explain so you can understand, even if it takes several times. You have to be your own best advocate.
My belief - God does listen to us and cares about each of his children. We have to listen to Him. We are each unique and all have struggles on this journey through life to return to Heavenly Father. Our 'struggles' are for us to grow and learn from.
Added: You might want to come to the 'Prayers and Spiritual Inspiration' forum. (Just scroll down.)
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Tiffany, I'm so sorry you're here. My faith took a hit last month with my diagnoses and someone sent me this verse that helped me greatly: Isaiah 41:10.
Please know that you are not alone in this.
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Tiffany, you came to the right place for support. A BC DX can be very over-whelming. You will probably be doing a few more tests, but once you start your treatment plan, you will start feeling more in control and less lost. I hate that you are having to deal with this at such a young age. If you have a support network, of friends or family, just to have someone to go to appts with, that may help. Know that you aren't alone in this, even though it is a very lonely place to be. . The American Cancer Society has many resources that may be useful, from support groups, to rides, etc. Best wishes as you move forward. Try to take one day at a time...
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I feel like I am drowning. I can't stop crying. I read online that if the cancer is very close to your nipple (mine is in my areola) it can skip going to your axilla lymph nodes and go straight to your inner mammary nodes and that's an immediate stage 3. I feel like I am going to die. I am only 31. I don't want to die. Please help me.
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Sending you hugs. There are ladies here that will come in and help you as much as possible . Cry, cry cry if that is what you need to do. Post whatever comes to your mind here. Ask whatever questions that pop up. These ladies are a great source of information and comfort. Everyone is here for you.
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Thank you... I go through freak-outs. It has been 3 days since diagnosis, sometimes I can smile and act normally but I am usually crying. The breast surgeon my doctor referred me to hasn't returned my calls. I try to keep in mind that it is so small and grade 1 and that I am relatively "fortunate." But I am so afraid, God I am afraid.
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tshire, its a good thing you found us! I know everyone has said it, but it does get easier, once you have a plan in place. Cry as much as you need to, then draw your sword and FIGHT, girl, you can do this. Try to look at it this way. You were dying, but luckily enough you went to the Dr and didn't live in denial, and so now you are not. Now you are fighting and planning to LIVE. My advice is, you are going to break down. Plan for it. Set everything up during moments of mental clarity, so that when you are losing it, you still just have to move forward. If you trust your breast surgeon, no need to get a second opinion. Its completely up to you. I did not get a second opinion, because I completely trusted my surgeon and his reputation. Find out if your treatment center has a nurse navigator or a social worker who can help be there for you at appointments. These people are there to help guide you through this scary time. Find an Oncologist, or get referred by your surgeon or nurse navigator. Again, if you trust your Oncologist, no need for a second opinion. I did not get a second opinion, because my MO by the grace of God is one of the best in the nation. Find a therapist for you and your loved ones. The American Cancer Society has therapists on staff who will counsel you over the phone. This is a terrifying time, but you are young and healthy and you can fight this and win! you got this, girl.
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tshire - First I'd like to welcome you to BCO. You've picked a good place for support. Next, please take some slow deep breaths!
Please stop reading things that are online. Half of the things you read there aren't even accurate. You're going to work yourself into a frenzy. You've gone from no node involvement to thinking you have stage 3 BC. Don't put the cart before the horse. I know that's easier said than done.
Whatever comes up you will deal with it. You have all of us to help get you through. We have all been where you are now. Just take it one day at a time. The beginning really is so difficult as you are gathering information. Once you have your treatment plan in place, it gets much easier.
I would start with this link here:
http://www.breastcancer.org/symptoms/diagnosis
In the meantime, if you need someone to talk to, or just yell at, please feel free to send me a PM. Or ask any questions you have here. There is almost always someone around to give you an answer.
Sending you great big gentle hugs!!
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Tiffany,
I am so sorry to hear about your diagnosis. I know how scared you are.. A few words of advice:
1. Don't spend too much time googling stuff. It will just feed your fears. If you are anything like me, you'll hyper-focus on the negative. This is a good place to read about your diagnosis, and get support. Do you have your biopsy report?
2. Get ready for your appointments. Get a list of questions together. Like others have mentioned, you should see a breast surgeon and a medical oncologist. Where do you live? Are you near a comprehensive cancer center? Research where you can get the absolute best medical care in your area. If you aren't sure, try asking here.
When I was diagnosed, I called the comprehensive cancer center affiliated with a medical school here for a second opinion. I was seen in a matter of days and they made back-to-back appointments for me. I left with a port placement surgery date, and chemo treatment plan. I knew that was the right place for me.
3. Bring someone with you to the initial appointments. There will be a lot of information to remember. I became overwhelmed, and was grateful my husband was with me.
4. When I was first diagnosed, I could not sleep and eventually started having panic attacks. My MO gave me a prescription for Xanax. It helped me calm down and sleep.
I assume you found the lump yourself? So many young women don't do SBE or will ignore a lump. You felt something was wrong, you saw a doctor. Way to go! Stage I and clear lymph nodes are both good news. Hang on to that. Sending you a virtual hug. Send me a PM if you need to talk.
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The fear in the beginning can be over whelming... alternating with numbness... that was me, like you are now.. the women who have responded to you, all have excellent ideas for you. You just have to get through each day as it comes, and for sure ask for something to calm you down or help you sleep, sleep is so important to keep your body and spirit strong. Come to breast cancer.org, all day if you need to, to be talked through it. I hope you have an extra special good sweet and strong friend to help you through it, besides a loving God with the same qualities! I was so afraid of chemo, that is how I found BCO and all the good women here. I am sending you virtual hugs, and I will meditate upon you today, for peace for your soul.
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I just wanted to offer my support and tell you that you CAN get through this! It's overwhelming and so scary at first but I promise it will get better once the puzzle pieces fall into place. Don't Google and stay here if you want good, reliable information. Stay strong and keep your faith and you are going to get through this one day at a time. ((Hugs))
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Thanks DaisyQ. No, I don't have the full report yet. All I know is grade 1, IDC from the biopsy. The 1cm is from the ultrasound and clear nodes are from the ultrasound too. My doctor said the rest (receptor status, etc) can take time to process.
I live in Austin, Texas so I'm about 2-3 hours from MD Anderson in Houston. I could go there I guess but I don't know anyone who lives there who I could stay with. Maybe I should just go there anyway? I have an appointment with a breast surgeon here in Austin for Wednesday morning. I want to at least get a handle on what I am dealing with.
My fiance has to work and he can't come with me. I'm installing a recorder on my phone. We are going to need the banked sick time.
I have already chosen a double mastectomy, I think. Survival rates may not be different than lumpectomy/radiation, but recurrence rates are lower. I also really want to avoid radiation; my grandmother had BC in the 70s and they treated her with radiation, then about 20 years later it came back as lung cancer, probably caused by the radiation and she died. Of course, she was in her 50s when she first got it, and passed away just before her 75th birthday.
I'll feel lucky if I live that long. My doctor prescribed Xanax, I need to pick it up today after work.
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I'm so sorry that you're going through this but I'm glad you've found this website. Please pick up your Xanax and try to get some kind of calm going before you make any decisions. I'm not saying what you think you've chosen is wrong in any way, I'm just saying I think you need more information and you need to speak with your doctors. Having a double mastectomy does not guarantee that you won't need radiation.
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Like everyone else here, I hate that you have to confront this disease at such a young age, when you should be partying and starting your family! But, it is what it is, and I am glad they found your "little issue" at such a small size.
Has anyone told you that Grade 1 is the best kind of IDC to have? Hopefully they have. Other names for it are: slow, indolent, and lazy. This means that your treatment could be short and sweet. Of course, our docs always worry when young women get breast cancer, but you are likely going to be just fine.
I think it's important that you see a specialist in BC in young women -- your needs may be different from an old lady grade 1 like me.
But, I do know several young women with the same diagnosis that I have -- which is the same diagnosis you have, so far, by the way, and they are all still fine 7 years out.
Big hugs -- and 50 years from now, I hope you can tell another young woman the same thing -
So sorry you are facing this at a time in your life when you should be focused on a happy future, not worrying about cancer. You mentioned wanting to have a family and I wanted to link this site - take a look. You may not need this but I wanted you to be aware of it in case it is something you are interested in. Wishing you the best.
http://haveababy.com/infertility-treatments/fertility-preservation/fertility-rescue
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I know. I feel so sorry for myself. I feel like God is punishing me and I don't know why. My wedding is in 9 months and we already put down $10,000 in deposits. I ordered my beautiful wedding dress already. I can only see myself as being bald and scarred in it, if alive at all.
I always thought I wanted a family but now I feel cursed. I feel like my young healthy fiance deserves someone healthy who can give him a healthy baby, not predisposed to cancer. He told me he'd love me no matter what, boobs or no boobs, kids or no kids. I hate myself for doing this to him. I love him so much, I don't want to hurt him.
I'm having such a hard time right now. I know you're all trying to help, I appreciate that so much. I need to get on the Xanax tonight.
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Tshire, you don't have to make a decision right now. You can wait and see the doctor for the results, and see what his plan of action is. Then, if you want to, you can have the doc send the results to MD Anderson for your second opinion. Then , hopefully they will agree. but in any case, you will get more info, and then decide. Your first doc can follow MDAndersons if it is different from his, and if it is what you want.
I wanted to tell you, the radiation we get nowadays is so much less, it is much more focused and gentle, and the chances of lasting damage are much much smaller than they used to be.
With grade 1, you may also be able to avoid chemo.
You ARE WORTH IT, HE loves you, and like my lemon-tree sage neighbor told me when I was worried that it would split me and my man of 15 years up, he told me: if you leave before you see how you guys handle it, you are denying both of you the chance to grow spiritually. Wow. And you know? He was right. I had my doubts once in a while about his love for me, (habit?) (convenience?), but. I am absolutely sure of my man's love for me now, even though it got messy and ugly a few times... I love how it has changed us in that way. We are really truly partners, sure of ourselves, and of each other.. So maybe God does have a plan for you too. I would wait for now and let things infold as they may.
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Tshire...your fiance sounds like he loves you. My husband told me, and we were newly married. He said, "I love you and I didn't marry you for your breasts". He let me decide what I wanted to do, and I chose to have a double mastectomy. That was best for me.
You will be fine and you have been diagnosed at such an early stage and grade. Do me one favor though...PLEASE DO NOT GOGGLE about the type of breast cancer that you have or PLEASE DO NOT GOGGLE how long you are going to live because of this diagnosis. I did this, and I was a basket-case. PLEASE come to this wonderful website and you will be able to get all the answers you need. We got you in our pockets and you will be just fine...trust me!!!
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Oh, I know maybe I shouldn't say this but PLEASE do not go right for a mastectomy. Your tumor is small. I know it was heartbreaking to lose your grandma but things have changed a LOT since the 70's. Don't even think about making a decision before talking to a doctor and see more than one, PLEASE.
I think you are going to be fine. Please post your receptor status when you get it so we can help you more. AFter you see the BS, you can talk to a doctor who can help you weight your options about eggs and reproduction.
Do not make hasty decisions that you will regret.
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I forgot to reply but yes I did find the lump- my doctor didn't find it when she did her exam but I insisted I could feel it. She scheduled a mammo but assured me it was just to ease my mind.
The mammogram was clear, no microcalcufications or masses seen. But I was sure I felt something and asked for an ultrasound, and that's when they found it.
I have been a hypochondriac since 2012 when one of my best friends, Ryan, died of stage 4 cancer that had metastisized to his spine 6 weeks after his diagnosis. He was uninsured at 27 years old and didn't go to a doctor until it was much too late. I feel like maybe he is still watching over me. I pray that he and my grandma both are.
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I understand your fears but you have a VERY small, low grade tumor.
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Thank you Tomboy that was inspirational.
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I'll be sure to talk to my doctor and get the stats. I just really, REALLY don't want this to ever come back, and I'm willing to sacrifice my boobs for a long and worry free life. I hopefully have another 50-60 years ahead! I'm willing to sacrifice almost anything for that.
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Sacrificing your breasts is no insurance that it will not come back. As a matter of fact, if it came back on me, I would just do another lumpectomy because there would be room in the breast tissue for it. I have thought about it, and thought if it came back, it would be too close to my chest wall. And I don't want to have it that close to my muscle! You can ask your doctors about this.
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Hi Tshire,
Hope you are feeling better today! I am 29 and I too was just diagnosed on Friday of last week. I'm trying to organize myself and get on board with the double masectomy they want to perform ASAP. I am BRAC 1 positive with a grade 3 tumor that is poorly differentiated with er - and her2 - and pr positive but very weak. In the past two weeks waiting for my results I have googled so much shitty stuff that only heightened my anxiety and have come to find in the doctor appointments I had this week that most of it isn't true! I don't have much advice because I am new to this as well, but talking with friends/family, taking deep breaths and getting more information from qualified sources can only help. Wish you the best of luck and feel free to message me.
Since I am new to this, does anyone have any advice or words on getting the bilateral masectomy so fast after diagnoses. After sifting through this site I see that many women receive this surgery immediate after diagnoses. I think I know in my gut it's the right thing to do with my risk factors as BRAC 1 and being 29 and already developing breast cancer. But it is also an irreversible decision I have to make in a short amount of time. Only one of the three doctors I saw said I could go with lumpectomy/radiation/chemo approach and it would only be reasonable but not recommended. Any words are appreciated! Thanks!
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We all know your fears, but the good thing about this is that it is very small, which means you will be fine!!!
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Please Please Please don't take this the wrong way but since you mentioned that you've been a "hypochondriac" for a few years and that was due to a friend's cancer, I would suggest that not only do you need to see someone for your current situation but quite possibly some counseling would help as well.
Make sure that your doctor knows all your emotional issues as well as your physical ailments. It's very important, especially at a time like this.
Best wishes to you!
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