Just told today....
Hi all. First time on this site.
I had a mammogram last week which was clear, but they were concerned about the look of one of my axillary lymph nodes. They looked with ultrasound and on Monday they did a core needle biopsy of that lymph node.
Received a call from the Ob/Gyn this morning who received the report saying metastatic carcinoma. He didn't want to wait for the breast surgery people to call me. Shocked the hell out of me to get this call. Everyone kept assuring me that it was likely an infection or inflammatory issue.
Life just skidded to a halt.
I have an appointment with the breast surgeon on Friday. I have no idea what this means, what to expect now. I just filled out a stack of forms - family history, releases, etc. I feel like a zombie.
I asked the Dr. if they saw an issue with any of the other lymph nodes there. He said no. And, strangely my mammogram came up clean..so we have no idea where the cancer is then?? He said the breast surgeon will likely do an MRI.
Does this sound familiar to anyone? I have no idea what this even means. What do I do now?
Life changes forever...
Comments
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edwsmom, so sorry for your news but you came to the right place. Great info and support here. Hopefully it is just one node affected and that they find the primary with the MRI. You will see that you can still live a very long life but the worry in the beginning is not easy. Once you have a plan it will ease up somewhat. Come here often even if just to vent. Take care.
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Hi wrenn,
Thanks very much. I'm on an emotional roller coaster. Very scared and totally unsure what all this even means. Googling frantically.
I don't understand how you can have a clear mammogram and then this finding in the lymph node? What stage could this be?
I had a mammogram last year as well bc they were following some calcifications - which were deemed stable. This didn't show on that mammogram.
I also had recently had a physical with full blood panel in the Spring and all clear there.
At this point, I just want them to do a mastectomy, regardless. I want it all gone. I don't care if I don't have breasts.
Man, I have to find a way to pull myself together before my son gets home from preschool in a couple hours.
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someone should be along who will explain staging better than I can but if it is only in a node I don't think it is considered "metastatic". I also am not sure about it not showing on mammogram but didn't want you hanging here alone so just want to say that it is a nightmare wrapping your head around this news but it does get easier. Hang in there and hopefully it will get busier with responses soon
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edwsmom, I'm also so sorry to hear this! I know that you can have lymph node involvement in breast cancer without a discernible mass (at least by mammogram) as they can be SO tiny but also on the move.
Are you scheduled for an MRI? Per my doctor, MRI is highly accurate in finding lesions in the breast that a mammogram cannot detect.
May I ask what characteristics your lymph nodes had that were worrying? Some of my left lymph nodes are rounded with suspected loss of hilum (but no swelling) and I KNOW those are malignant indicators but breast surgeon number one didn't think much of it.
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Also, I wanted to add that I have three young children (2 y.o. twins and a 1 y.o.) and I understand the fear, disbelief, and horror that comes with a cancer diagnosis with little ones. Especially when all you are left with is questions and nobody to ask but the internet.
Hang in there, mama!
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Positive nodes in breast area do no mean metastic. It takes further scans/tests to DX metastatic. Metastatic means spread to other areas (lungs/bones/liver/etc.) - have you had any scans to check? One positive node does not equate to metatastic. (I had 19 pos. nodes 6 yes ago - not metastic.
What type of BC did he say it was - different TX plans and prognosis.
Get a pad and write every questions you have and take it to the appt. Put your cell on 'record' so you can review exactly what the Dr said later rather than trying to remember or go off notes.
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I agree with Kicks..and the fact that they did not see a lesion in your breast with a mammogram is not at all uncommon, especially in someone younger like you. Density plays a role in hiding cancer and younger women tend to have more density in their breasts. Also, there are rare occasions when they never find the actual breast legion and it is called "an occult" breast cancer but they are few and far between. Please feel free to come here for advice and for knowledge. Lots of very smart men and women here in this community and they will help you navigate this frightening and unknown world you find yourself thrust into. Hugs and best to you and I am sure your doctors will explain more to you soon.
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"Put your cell on 'record' so you can review exactly what the Dr said later rather than trying to remember or go off notes."
What a great idea! I'm going to do this at my next appointment, thanks.
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Do you tell your Doc you're recording them, or will it make them nervous?
That's a really great idea. My daughter has gone with me a few times. Afterwards we talk and you would think we were not even talking to the same Doctor. lol
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Hi edwsmom! First of all…this is the worst time. Even being sick with chemo was better than the cold numbness I felt right after getting my diagnosis. Life just skidded to a halt…exactly! After you meet with the breast surgeon or MO, and have your plan, you will feel so much better.
Yep, I also had a clear mammogram in September and complete physical in December. I was just given a totally clean bill of health by my GP at the end of December…by the first week of Jan, I had my dx. Mammograms would not have detected my cancer with my dense breast tissue. (Would've been nice for them to tell me this…)
On Friday the breast surgeon will probably go over the pathology of your biopsy and what it means for your treatment. And possibly order more tests. Perhaps you could ask for an anti-anxiety Rx if you need it.
These boards have been a life saver every step of the way!! I did so much reading (on here) before my initial appointment; I knew what the BS should be telling me down to the chemo drugs I might be getting. I'd suggest keeping your research to these boards—not Google.
Hugs!! --Lorie
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Agree with loriekg - be careful with the Googling because you can scare yourself pretty badly. If you're like me you're looking for information to ease your fears but the opposite often happens. My strategy is to stick to what I need to know now and for the next step, without looking too far ahead. Sometimes, but not always, you can tell from the page title and description in the Google listings if you are headed for too much information. Resist the urge if you can and just don't go there. But when I do click and unexpectedly find what looks like more than I can handle at the moment I just hit the back button.
A lot of your questions can be answered here in a much less ominous manner. Not only that, but you will hear from other women whose real life experiences are living proof that a breast cancer diagnosis is not the end of the world. I came here less than two weeks ago practically writing my own obituary, and I feel like a whole different person today thanks to the support and advice I have received.
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Welcome edwsmom to the BCO community. What a rollercoaster you are on. Important will be to determine where the cancer is actually located. "An MRI can distinguish a breast cancer from normal breast gland tissue better than other techniques." --> found on this page, along with other information regarding MRIs (http://www.breastcancer.org/symptoms/testing/types...). We are all here for you, and sending you gentle hugs
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Thanks everyone for responding! I really appreciate hearing all the thoughts and support.
Kicks - the Ob/gyn called to tell me the results (not the department that did the node biopsy). He just said " the report says the biopsy found metastatic carcinoma". I couldn't get much more out of him - of course I don't even really know what that means. I think he wanted me to talk with the breast surgeon since this is their area of specialty. The breast surgeon's office won't say anything until you are there in the office for the appointment ( which is now set for Friday morning)
It would be my dream that this would be something less horrible than I'm imagining this is going to be.
I told my husband that they can take all my hair, take off both my breasts. I don't care. I just want to be able to be around to see my child grow up.
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Welcome edswmom- I'm so sorry you had the need to find us here, but you have come to the right place. There will be information, correct information, caring, and a safe place to vent during each step of your way. I am so sorry. It is very hard to keep yourself together, and I know you want to protect your child.
I agree with the others. Stay off Dr. Google. Check out this site's Understanding Your Diagnosis, and How To Read Your Pathology Report. In fact, as soon as you are able, obtain for your own file a copy of your path report. Call the place where the biopsy was done and ask to speak to medical records. Pick it up ASAP. It is your information and you should know it backwards and forwards. If you spend your time in this way, focused on what's in front of you now, you can put a very good list of questions together, and make your time with your doctors much higher quality. Make yourself smart, not scared.
I said almost the exact same words the day I heard. My whole world changed in 5 minutes. This site has educated me, comforted me, and found me friends that made the waiting a little easier. And it will get better with a treatment plan in place. Mammograms are not 100% in seeing bc. MRIs are much better. You are on the right track. Learn about tumor's "grade" , different from stage, and hormone receptor status, HER status. Start a thread on how much to tell young children and when. You are not alone. Don't worry about "the stage" of your bc right now. Your doctors will need more information. Read about (here, on bco) and ask if an Oncotype dx test is appropriate in your situation. I hope I'm not overloading you. But you can direct your concerns in a way that will keep your case moving forward, and establish from the beginning that you intend to be a partner in your treatment. It will empower you.
Sending you a bottomless bucket of hugs.
Katy
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edwsmom, certain types of tumors, are more easily detected on MRI's than mammos. There are 3D mammos now, that are supposed to be better at detecting BC in dense tissue. So glad your Dr was taking such good care of you and referred you to a BS quickly. A bit of advice, if I may: get copies of all of your medical records as you go, even if you aren't ready to look at them yet. You will want them in the future. Also, take an emotionally stable person with you to your BS appt on Friday to help you with notes, questions, etc. This is the hardest time for most of us. Best wishes moving forward. Don't forget to BREATHE:).
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I just found out today myself that I have IDC. Very scary. My appointment with the specialist isn't until the 25th. I'll be a wreck until then. All I did today was sit around and feel sorry for myself. My husband and son have been very kind and loving, I haven't had so many hugs from either of them in one day as I did today. I feel very loved but still scared.
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Thanks everyone.
I'm at work trying to keep myself together today. I pretty much just sobbed uncontrollably all day yesterday.
So many scenarios, fears, things to face coming up. I dread telling family and friends (but I'm not going to until I have a plan in place and a clear diagnosis) Right now only my husband knows.
I also just realized that this is really terrible timing bc we are in the middle of going through the life insurance process (have been for a few months and it's been slow) and this is likely to make me uninsurable. I can't believe this had to happen now! I feel like if something bad were to happen I'll leave my husband and son in a bad financial situation.
I have good insurance through my job (Care First). I don't know how much insurance covers vs having to pay out of pocket for tx? Also, how do you go through this and keep your job (so I keep my insurance)? I have a senior level position, but with a smaller company. I probably could always go on the insurance at my husband's company, but we need my salary.
So many worries swirling through my mind. I barely slept last night, maybe 3 hours tops.
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Welcome to the club that no one wants to be a part of. We all have been where you are at, feeling what you feel. It is normal to want to understand exactly what you are dealing with, and what you need to do to get rid of whatever you are facing. Cut it out, cut off my breasts, so long as I can beat this and never deal with this again.
So this is why people will say this is the worst part--the not knowing. And, it takes some time to figure out what is going on, which is needed to understand what treatments are needed. The best things you can do at this point is to educate yourself--not on Dr. Google; the articles on bco are fantastic and will teach you about breast cancer, how diagnosis works, what to expect with surgery, treatment, and so on. That way, as your dr. talks to you, you will be familiar with terms, etc. It is a lot to absorb, but you will get there. And you are not alone--there is a lot of support here.
It doesn't feel it right now, but trust me when I say you will not feel as scared or devastated. It sucks to have to deal with, but you can do this.
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Welcome aboard edwsmom and swedge35. As the others have posted, you are in the worst spot right now, believe me, we all remember being exactly where you are and feeling exactly what you're feeling. It SUCKS!!! You seriously just have to take it one step and one day at a time. Once the appointments start and things get rolling, it goes very quickly and it feels like you're just along for the ride. A good BC friend of mine told me to simply "show up and let them work for you" and that was so true. Once you have a clear diagnosis and treatment plan in place, it gets so much easier, I promise. I too worried about how to tell our son (who is 9) and my job (I am the primary income/source of health insurance in my family) but it has all gone smoothly. This is a disease and therefore, you should be eligible for medical leave under FMLA. I took 6 weeks off with my first surgery and 4 with the second and will take 2 with my third and I STILL have my job and am feeling great, working full time and life is good. Please know you are not alone and you WILL get through this. Hang in there and let us know how you're doing. ((hugs)).
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Edwsmom....You're still learning about your cancer. You have so many questions and so few answers. You need to make decisions and plans, but don't have enough information. As the information funnels in, you can make your decisions then. It a marathon, not a sprint.
I was diagnosed in May 2015. I am single and the only breadwinner and like you, need to keep working to maintain insurance. BTW...I also have CareFirst. They have been very good so far. I got tagged for an "out-of-network" lab charge. I'm appealing that right now to try and get the cost discounted. But otherwise, they've been very good.
If you live where you will be treated, you may not have to take much time from work. I only took 2 days for the lumpectomy. But I got an extra day due to a holiday weekend. Other than a few doctor appts, that is all the time I've had to take off. I have a sedentary job. I look at computer screens all day in an operations center. My manager is allowing me to flex my work hours. I can shift my hours around a little bit, i.e., next week I will be leaving work one hour early for my radiation treatments. They're pretty cool about it as long as the time-sensitive work gets done.
I start radiation on Monday and plan on working through it. I did not have to do chemo. So I'm very thankful for that.
Before I was actually diagnosed and all the testing was being done, I was in total denial. I knew all the results would come back negative. Then when I got the diagnosis, I too fell apart. I have very supportive friends that were there for me. Once I accepted the fact that I had cancer, I chose to be out there with it. Some people keep it very low key and private. I was/am the opposite. I have bumper stickers on my car, I told all my facebook friends and told my coworkers. I've become an advocate. No questions off the table. Everything. But everyone handles it differently. In their own way.
Once I decided to "own it" and tell my extended family of friends, I wrote a "Rules of Navigation" for my friends. I even gave it to my boss and coworkers. I have one co-worker (cancer survivor) that read it and said I had "nailed it". It helps friends, family and co-workers navigate through this ordeal with you. I'll post it if you wish, but I don't want to press you. You have to go at your own pace. But my Rules did me feel better and it helped my friends understand how to deal with me.
It sucks right now. And it's OK to get mad and angry. You deserve it. But, I promise, it WILL get better.
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kayb!
Thank you. That makes total sense. I really appreciate the explanation. It helps me wrap my brain around what I should learn tomorrow morning at my first appointment with the breast surgeon.
I'm going to push them to get me an MRI tomorrow when I'm there. Even if I have to sit there and wait all day...
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Hi...
Today I met with the breast surgeon, then the oncologist, then had an MRI with contrast, then blood draws. Exhausting. Having a PET scan and echocardiogram next week. Waiting to learn the stage.
Apparently I am HER2 positive, Estrogen positive, progesterone positive.
Breast surgeon said that when she feels the node it's not matted so that's apparently a good thing.
Still so much unknown...
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Hi edwsmom....did the breast surgeon suggest doing chemo prior to surgery? Unless the protocol has changed since January, in order to receive one of the newest drugs for HER2+, Perjeta, the criteria is it is given before surgery. (neoadjuvant therapy) This is what I did, and after the first treatment I was able to tell the tumor had shrunk considerably. By the time I had my BMX in May, the pathology showed all traces of the cancer were gone. The targeted therapy drugs for HER2+ are Herceptin and Perjeta and they have been described to me as the "game changers". Meaning HER2+ is no longer the worst diagnosis. Also--being estrogen/progesterone positive allows you another weapon to use against reoccurence, anti-hormonal drugs. But I'm sure they told you all this...
Whew--what a day you had! I'm glad you were able to get the MRI done today! --Lorie
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we had I think two women in the March chemo group who got Perjeta after surgery. So maybe the protocol has changed.
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Is there still a triple positive thread? I don't see one...
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Ok...I'm losing my mind. I see now you shared a link. Thank you
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Edwsmom- you did an amazing job getting all of that done in one day. Your knowledge and power are growing by the minute. Thinking of you.
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I'm getting adjuvant Perjeta because I requested it from my MO. I'm going to be his first adjuvant Perjeta patient! Had we known how large my tumor was, as well as how affected my lymph nodes were, I would have had neoadjuvant therapy prior to my BMX. Anyway, adjuvant Perjeta is an option.
edwsmom, hi from one triple positive to another! Come join us on the triple positive thread. I'm so sorry about your diagnosis.
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Waiting...waiting..waiting...
Had my MRI on Friday and I'm waiting to hear the results. They are supposed to call today....
They just booked me for a PET scan (this week), a Bone scan, A CT scan (both next Monday)....should I be concerned about them ordering all these scans or are they standard to rule things in or out?
They found the cancer in a lymph node. None of the other nodes appeared to be enlarged and the breast surgeon said that the node felt mobile not matted so that makes it more unlikely that the cancer had spread outside of that node. Is that true?
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I had a PET/CT to rule out distant mets even though I was early stage. Not all ins will pay, but mine did. I don't think all MOs order them as a standard protocol, but the insurance issue may deter them. It's the gold standard for ruling out lesions in bone, liver, and lungs. It's really two tests that get run as one, and together they give way more info than either one on its own. The CT is good at picking up lesions, and the PET is good at picking up abnormal, or comparatively rapid activity of sugar uptake in an area. So the two together might mean something, where a result from just one could lead to a false positive, which you don't need.
Anyway, this is a very rough layman's explanation. If I have made a mistake, perhaps someone can expand or correct. Mine was clear, and that gave me some comfort. Also, if in the future I present with symptoms, they will always have this record to compare with.
I have been thinking of you. I think you are doing an AMAZING job informing yourself and holding together. This waiting is just the worst. Keep in touch here and if you need to vent, let it rip. We all understand. All of us.
Please make sure to ask them what not to eat beforehand. For obvious reasons, sugar should be avoided. They didn't mention this to me, and I did eat some stupid thing like a bear claw. Then I found out I shouldn't have and imagined my scan lighting up the room. It was ok, but good to ask what the beforehand food restrictions are at the place you are getting your scan
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