Anyone else out there on the younger side of diagnosis?

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McClure77
McClure77 Member Posts: 55
edited December 2017 in Stage III Breast Cancer

I'm curious how many out there are/were at what is considered to be a younger age for their diagnosis? I was age 40, having my first ever mammogram when my stage 3 cancer was detected. I haven't felt "young" in a long time, but apparently I'm considered a "younger" woman with breast cancer! (I guess I'll take it where I can get it, eh?) I know that age and stage have a direct impact on stats for overall survival and for recurrence so I'd love to connect with others facing similar concerns!

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Comments

  • LM070917
    LM070917 Member Posts: 323
    edited January 2016

    Hey McClure45, I'm 34 years old and was diagnosed last September (see stats at the end of my profile). It was a shock, most docs thought I was too young, according to the stats- I'm 1 in 220 ladies who do get it in my age range, but as shocking as it is, we have to be strong 😀

    I had surgery within 2 weeks of being diagnosed, then chemo 4 weeks later. I'm on dose dense TAC (adminstered every 2 weeks) for 4 months. My last chemo is in 2 weeks and I cannot wait, although I haven't found it to be too bad.

    I start rads in early March and also hormone therapy shortly. I've decided to go with aromasin (al) and zoladex (ovarian suppressor), rather tamoxifen,as research shows better results at reducing recurrence in young women (under 40) 😀

  • kar123
    kar123 Member Posts: 273
    edited January 2016

    I was 40 when diagnosed. I was told I was too young too. My ILC was huge, but didn't show up in any scans, which didn't help my case of "something is wrong".

  • MeToo14
    MeToo14 Member Posts: 493
    edited January 2016

    I was 35 and had just gotten married. My tumor was almost 6 cm but I did chemo first so I will never know for sure the full extent of it except for what the scans and surgery after showed. I too chose AI and ovarian suppression.

  • McClure77
    McClure77 Member Posts: 55
    edited January 2016

    Hi everyone! Thanks for responding! Yes, I actually went in for the mammogram because I had pain in my OTHER breast. They didn't find anything in that breast, but found 4 lumps of "serious concern" in the other! It amounted to 6cm of malignant tumor, and the rest of the rest was apparently full of non-invasive cancer...... (it's weird that something that can take over an entire breast is still considered "non-invasive" haha!)

    How are you finding the hormone therapies? My oncologist seemed to be heavily on the Tamoxifen side of the fence, but I'm not sure why. How are you finding the transition to menopause? I have to admit I'm hating it. Even now that the hot flashes have lessened, I've gained a lot of weight in the last few months and I just feel OLD now. Going from sitting to moving again is always achy.

    Is family history a factor for any of you?

  • Teric
    Teric Member Posts: 2
    edited January 2016

    I was 25 with my first stage III diagnosis. Because I was so young at the time they kept wanting to dismiss any lumps as being a concern. Since then I have had it come back, double mastectomy, hysterectomy, multiple reconstructions, you name it I have had it. Ha ha. It's concerning to me that they always want to put an age on it. When the factsfor me show no age is ever too young. There is no family history of breast cancer. I was always healthy, a runner, stayed in shape so I never would've fit the mold.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2016

    I was diagnosed at Stage III at 28 and diagnosed with Stage IV at 30. My biggest risk factor was family history and even that was only in family members much older than me (mom @ 64, grandmother @ 61, great-aunt @ 58...and then me at 28...why? I still don't understand.) I also was a competitive athlete for 8 years, never smoked, liked my veggies and kept a healthy weight.

    The hardest part has been the kid thing. I got married to a wonderful man a few months after my initial Dx and we had hoped that if I stayed cancer free for a few years, we could either get pregnant on our own or adopt. Both are out of the question now, although we still hope we can build our family via surrogacy. I was lucky enough to get my period back quickly after chemo so fingers crossed I still have a few good eggs left

  • Lolis197138
    Lolis197138 Member Posts: 512
    edited January 2016

    Hi,

    I was 33 at the time of diagnoses. Just got married the year before and trying to get over a miscarriage and trying to get pregnant again. I realized it was cancer on my first wedding anniversary. I had an u/s on the same breast the year before and there was nothing so it went from no lumps to a few of them in 6 months (I was pregnant for 2 of them it was gorging on ER/PR).

    I am coming up on my second anniversary and I don't like living in constant fear but there is nothing I can do about it.

    My grandma died of BC at 55 but my cancer was not genetic. I guess I was luckier than the others.

    As Bad_At_Usernames said the hardest thing about being diagnosed at this young age is the limitations it puts on the fertility. We have 6 embryos but DH doesn't want me to get pregnant and no matter how much I keep bringing it up he's not changing is mind. So it will be the surrogacy way.

    I have tried searching for the implications of being under 35 at Dx and some of that info wasn't very encouraging. I know it will come back one day it is just a matter of when.

    My MO is keeping me on tamoxifen becasue there have been more studies on tamoxifen Vs the OS+AI and personally I didn't like me when I was on chemopause so I am fine with the added 2% (+/-) increased risk of just being on tamoxifen.

  • McClure77
    McClure77 Member Posts: 55
    edited January 2016

    I agree about the fertility part. Although I am lucky to have one daughter, I had always thought that I would have more, and was still hoping for that. My faimly has always tended to have children later, my mother just turned 80, and I was the 2nd of 4. It felt even worse that my ex-husband had just remarried, and he and his wife had just had a baby and it was ALL my daughter could talk about. I am sure it's much harder having to face not having any at all if that is what you had wanted :(

    I haven't had my cycles return after chemo, and it's been around 7 months since chemo. So, I'm thinking they won't be coming back.

    I have been surprised by the lack of decent age related stats. We know that cancer in the older population is considered relatively normal, because it's seen as a breakdown of the normal aging process. But in younger people, it's more aggressive, usually moves faster and has a huge chip on its shoulder ;)

    So what does that mean for us? How can we adequately calculate our risk of recurrence when the numbers seem to be based on mostly older people? Even the lifemath calculators tell me that my tumor is too large to give reliable results to their estimates!

    I have felt like many older breast cancer patients/survivors don't understand what we are facing in all ways, so it's nice to connect you all. Throughout chemo I worked full time and had to take care of my daughter by myself, which is certainly not for the faint of heart. Being sick has just never been an option.



  • littleblueflowers
    littleblueflowers Member Posts: 2,000
    edited January 2016

    Hi there! I was diagnosed at 34, no family history and no genetic component. Only risk factors I can think of were hormonal fertility treatments two years prior, and tons of stress. Its really weird to be diagnosed so young. I guess I'm lucky that I was kind of coming to terms with infertility before diagnosis. My heart goes out to all of you with cancer treatment infertility.

  • McClure77
    McClure77 Member Posts: 55
    edited January 2016

    @littleblueflowers Ha! yeah, I blame on all the Kraft mac and cheese I had in college! I knew that orange color had to be radioactive! ;)

  • Tresjoli2
    Tresjoli2 Member Posts: 868
    edited January 2016

    I was diagnosed at the age of 40 - I had just turned 40 and went for my very first baseline mammogram. Three weeks later I was diagnosed. I am almost done with Herceptin - finish in June, and I am on Lupron (OS) plus tamoxifen.

    My hair is growing back, I'm not so tired all the time, my energy is returning. but I too feel old, as if this whole process has aged my body greatly. I am thankful they caught it early, thankful to be alive, and I was fortunate enough that I had had my family - a boy and a girl. I had wanted a third, and that's now totally out of the cards. My cancer was EXTREMELY hormone sensitive and so I have been cut off!

    No family history, no genetic defect...I did smoke when I was younger. Who knows... it was the last thing I was expecting on a balmy April morning..."Could you come into the office in person, I'd like to talk with you about your results before I go away on vacation". Umm what?

  • awhbabies
    awhbabies Member Posts: 7
    edited January 2016

    I was 39 at diagnosis; 4 years out of ACT this month. I find it very interesting that most of us who have responded had very large tumors and 1 or no children. Our tumor sizes definitely support the theory that women diagnosed at an early age have more aggressive cancers. We always wanted a 2nd child, but it never happened before cancer, so is a definite no now. Though BRACA negative, my grandmother died of breast cancer at 36. My mother has never even had a questionable mammo. Though my sister has had no issues thus far, I am especially concerned since she has had 2 failed IVF cycles this year. I never liked how the estimators couldn't account for large tumors either.

  • LM070917
    LM070917 Member Posts: 323
    edited January 2016

    I think there is a tendency for docs to misdiagnose cancer in young women until later stages, because they think its unlikely and that would explain why we all have such large tumours, plus of course that they seem to grow at rapid rates (grades 2/3).

    My tumour didn't show up on my initial mammogram at all, but came up as a dark shadow on the ultrasound. I was told to come back in in 6 months to see if there were any changes and then a biopsy would be conducted. I think 6 months is a ridiculously long time to wait and i'm so thankfully i went on instinct and back earlier within 3 months. I was stage 3 by the time they diagnosed me, god knows what could have happened if i had waited any longer.

    I have no history of breast cancer in my immediate family, but the further i investigate into my extended, i've found two ladies in my family who have died from it (in their 30s and also 50s), but we are talking 20 years ago. I'm getting tested for the BRCA genes, but if i do have it, its likely to come from my fathers line, which is interesting because as i don't have any sisters, i wouldn't really know.

    I haven't started hormone therapy as yet, but have been on zoladex to shut down my ovaries whilst on chemo for the past 4 months. The worst by far is the hot flushes, i tend to get about 4/5 a day and its always like clockwork around 9pm, before i go to bed and into the night. I've also found dryness down there to be a bit of an issue, which is a bit depressing especially for my husband :) but i'm looking forward to finishing chemo in 2 weeks and been buying moisturisers which will hopefully help, once my immune system has recovered a bit.

    I have no children and had 2 embryos frozen via IVF prior to chemotherapy. I am ER positive (90%), PR (30%) but my oncologist has advised i wait at least 2/3 years before trying to have children. All going well, I would like them down the track and i'm not deterred because of my ER/PR status. My oncologist has told me that studies have shown pregnancy in general does not bring on breast cancer itself (that it's very rare and that women who go on to have children have a lower risk of recurrence than those who don't, but this may be down to other factors, such as healthier lifestyle.



  • Lolis197138
    Lolis197138 Member Posts: 512
    edited January 2016

    My hubby was in the room when I asked the pregnancy question to the MO and she said that if I was her wife she would tell me no.

    5 of my nodes had macromets and the other 3 were micro and the cancer was 95% ER+ and 80% PR+. If it weren't for my miscarriage and obsessing with getting pregnant after that I would have discovered it too late. I was doing yearly u/s due to a fibroadenoma on the same breast but they were all clear.

    I still don't understand if a micro is more worrisome than macro mets.

    The dryness down there is a problem too. I am using coconut oil and it seems to help. My gyno prescribed a hormonal free cream but I haven't used it.

    I read somewhere that chemo ages our cells by 15yrs, no wonder we feel old. I am more tired now than during chemo. Also the pains of getting up after seating were soooo bad. I think it was due to tamoxifen.

    My chemopause was bad, bad hot flashes and night sweats, moody as hell and very emotional. All stopped after AF showed up 8 months after. Never in my life have I been so happy to see AF. Now I find I am angry and grumpy all the time. It sucks.

  • LM070917
    LM070917 Member Posts: 323
    edited January 2016
  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2016

    I was very much eager to attempt pregnancy after my initial Dx and my onc was supportive of it as long as I completed 2-3 years of hormonal therapy and went back on it after birth. Even after the Stage IV Dx, I still had a little bit of hope that if I got Ned and there were enough medical advances I could still maybe try in the future. But Femara is one of the few therapies that crosses the BBB and my neurosurgeon believes being on it may have slowed my brain progression. Being young and hormone positive is such a double edged sword. I just keep telling myself that once I hold that baby in my arms, it won't matter if it were me or a surrogate that gave birth

  • Lolis197138
    Lolis197138 Member Posts: 512
    edited January 2016

    thanks Lottemarine, I have shown that study to DH but he is still against it. I guess his fear is that if there is any dormant cells anywhere they would "awake" and start making a home somewhere else in the body and continue to feed on the hormones and it doesn't help that the MO was not support. She said that I could be on tamoxifen for 2 years and then try but she wasn't 100 percent on board.

    I have come to terms with that now. I just want the baby!!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2016

    Lolis, with a Grade 2 cancer, I hope that will be what keeps you NED. Plenty of Grade 2 and Stage III ladies have not gotten mets. I underestimated how nasty this Her2 disease could be...I thought Herceptin would save me. Maybe it did save me below the neck at least but that damn blood brain barrier...

  • McClure77
    McClure77 Member Posts: 55
    edited February 2016

    Lottemarine: You're probably right, though in my case, I had never had a mammogram until the day they found mine. Insurance doesn't cover them unless you have reason to need one until you're 40. Everything is such a fluke the way it all works out! Both of my sisters ended up having lumps, but both were told they were benign (I think only one had a biopsy though)

    Lolis: Yeah I'm hating the instant menopause. I feel like I'm always super grouchy with my daughter.

    I think the Tamoxifen is what makes the transistion from sitting to moving again more painful, but not sure if there is anything to be done. I did read that high doses of Vit D might help, so I've been thinking of trying that.

    Bad_At_Usernames: Everything is so unpredictable as far as mets, we might as well all go out and get "magic 8" balls, right?

    Being ridiculously single, I haven't had to contend with dryness issues, but I can tell you that breast cancer does not increase my desire to put myself out there. It's all so complicated anymore!

  • Stephmoen
    Stephmoen Member Posts: 563
    edited January 2016

    hello I am 30 was 29 when diagnosed my daughter was 13 months and son was 5 at the time it was a shity year but life is kind of back to normal I have 3 more herceptins to go I had an oopherectomy and I am on aromasin with little side effects I also see a naturopathologist she has me on many supplements sucks having bReast cancer at 3

  • Lolis197138
    Lolis197138 Member Posts: 512
    edited January 2016

    Bad_at_Usernames - I hope that too but I know my changes of progressing are 25-30% and that my stress level is the same as before diagnosis and after. With the moodiness from Tamoxifen I wonder if it has become worse. I know that this kind of cancer can come 10+ years after first Dx and that my fear. I will have my lil happy life and family and booom it back. I try not to think of it but being Dx at age unde 35 scares me. I guess only time will tell.

    McClure - my dryness is worse on the outside part especially after AF. The entire area is sore. Gyno said it's because of Tamoxifen. I am starting to hate it!!

    Stephmoen it sucks having cancer and especially at a young age!!!

  • LM070917
    LM070917 Member Posts: 323
    edited January 2016

    Hey Lolis, yeah that's fair enough. It is a very scary prospect the whole kids thing after diagnosis. I only hope it gets a bit easier as time goes on. As if having cancer isn't bad enough and then facing all these other challenges that go with it as young women. Stay strong 😀

  • McClure77
    McClure77 Member Posts: 55
    edited February 2016

    Have any of you managed to find any support groups that address the concerns of younger people affected by Breast Cancer? I haven't found any that I feel really address what my primary concerns have been/are especially as it relates to being a single mother of school age kids and other demands at this stage of my life.

  • McClure77
    McClure77 Member Posts: 55
    edited March 2016

    I'm curious for those of us on the younger end, why are some of us taking Tamoxifen and some of us using ovarian suppression? For those who are using ovarian suppression, did they test your hormone levels before recommending that? I see that this is spread out, and not even determined by age alone, so I'm curious even within this little gorup what the differences are?

  • new_direction
    new_direction Member Posts: 449
    edited March 2016

    I was on tamoxifen for 3 years and have just switched to zoladex and Femara plus Zometa.

    According to my oncologist aromataseinhibitors might prevent recurrence better than tamoxifen and when adding Zometa to prevent boneloss it should also protect against bone mets.

    I don't know how much better AIs are supposed to work but having quite many SE on tamoxifen I was ready to try something new. So far no change in SE.

    edited to add I was 32 at diagnosis, 2 children, tumorsize not exactly known but calcifications 7x6 cm nothing after neoadj chemo but 1 lymph node plus 2 sentinel nodes before chemo.

  • McClure77
    McClure77 Member Posts: 55
    edited March 2016

    new_direction: Thanks. the info out there is confusing because it just keeps saying that your doctor "may" also use ovarian suppressors in combination with Tamoxifen or AI. But not why they would or wouldn't. I want to be prepared in the likely event this comes up. Honestly, I hate the hormone therapy more than all the other stuff. It seems so nebulous and causes so many side effects that reduce quality of life in the long term, rather than the relatively short periods of chemo and radiation.

  • new_direction
    new_direction Member Posts: 449
    edited March 2016

    to me chemo was worse although tamoxifen hasnt been easy either.

    I think in my case the reason tamoxifen was chosen at first was because of side effects not included boneloss, and they were waiting for studies to back up the benefits of AIs.

    http://www.breastcancer.org/research-news/ovary-su...

    When the researchers looked at the women who had received chemotherapy before, they found that Aromasin plus ovarian suppression reduced the risk of recurrence more than tamoxifen plus ovarian suppression or tamoxifen alone. Five years after treatment, the numbers of women who had not had a recurrence were:

    • 78.0% of the women treated with tamoxifen
    • 82.5% of the women treated with tamoxifen plus ovarian suppression
    • 85.7% of the women treated with Aromasin plus ovarian suppression
  • Lolis197138
    Lolis197138 Member Posts: 512
    edited March 2016

    My MO asked me if I wanted to go with the OS+AI and decided to not go through with it. She supports that as there is a lot more data and studies on use of tamoxifen. I was horrible during chemopause (emotional and crying all the time) and don't want to go through that again until I have to.

    I am fine with the 6-7% risk increase because of my choice. I don't even know if I will make it to take tamoxifen for the next 10yrs. I seem to keep forgetting to take it every night even after my phone alarm goes off.

  • Stephmoen
    Stephmoen Member Posts: 563
    edited March 2016

    I had an oopherectomy and take Aromasin I don't regret my decision at all I had the oopherectomy in novemeber besides some aches and hot flashes I don't have many side effects im also on Prolia

  • Hammie28
    Hammie28 Member Posts: 63
    edited March 2016

    I am also young(ish). Diagnosed just after my 37th birthday, also with a large tumor (8 cm). I am starting Zolodex tomorrow and then an AI to follow a few weeks later. Any words of advice? I breezed through chemo so I'm wondering if the hormonal therapy will be the pay back!

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