I am so scared....DCIS grade 3...

Kkubsky
Kkubsky Member Posts: 231
edited January 2016 in Just Diagnosed

I am shaking as I write this. I just found out today that I have DCIS grade 3. Meeting with a surgeon tomorrow. Glad it is DCIS I guess but really worried that during surgery it will turn out to be invasive. I am terrified. I don't know what to do or think.

Comments

  • LisaAlissa
    LisaAlissa Member Posts: 1,092
    edited January 2016

    Hi Kkubsky. So sorry you need to be here.

    Take a deep breath--you can do this.

    Plan to take your smart phone with you to your appointment and ask to record the consultation. It's very, very hard to listen to discussions about your cancer. And a second set of ears (another person ;-) ) can be good to have along too.

    There will be lots of things to think about and decisions you need to make. But you don't have to make any of the decisions tomorrow. You have time. Most breast cancer has been developing 4-10 years before it is found on screening. Weeks--even a few months won't make a difference if you're actively seeking second opinions and/or exploring your options. For example, you'll want to read some of the posts from Beesie here, who has some of the most carefully researched and written posts about DCIS and treatment options:

    A Layperson's Guide to DCIS

    And you'll want to ask your surgeon what s/he would suggest you read. For instance, Dr. Susan Love's The Breast Book (new 6th ed. came out in Sept. 2015) will have info of all sorts on breasts and breast disease--most of which won't apply to you!

    HTH,

    LisaAlissa

  • Kkubsky
    Kkubsky Member Posts: 231
    edited January 2016

    I am trying to wrap my mind around this. I definitely have the "worst" form of DCIS. So am I right in understanding that it could be invasive? That during the surgery, more cancer might be found and I now have invasive cancer? I get a mammo every year....how fast did this thing grow?! I want it out NOW!!!!!

  • etnasgrl
    etnasgrl Member Posts: 650
    edited January 2016

    And please understand that "invasive" doesn't mean that it's spread all over your body. (That word can be very scary!)
    Invasive simply means that the cancer is no longer contained to just the milk ducts, it's "invaded" the breast tissue. While it sounds scary, if caught early, invasive ductal carcinoma, (which is what I have), is VERY treatable!

  • queenmomcat
    queenmomcat Member Posts: 3,039
    edited January 2016

    Hopefully, more words of comfort here: as has been said elsewhere, this is the most upsetting time for you, as it was for all of us who were diagnosed with cancer. This is not to say that treatment is a doddle in the park. But now, when you know you've got cancer but not what (exact) stage or what the oncologists propose to do about it, is a pervasive nightmare.

    Online research: there are a number of valuable web sites, such as Mayo, or Johns Hopkins, or Sloan Kettering, or MD Anderson or Medline or the NIH. But don't get sucked into the morass that's out there.

    You have time, as Lisa said. Time to find out more about what your treatment options are. Time to deal with the psychological shock. How fast did it grow? We don't know....but did your previous mammograms mention anything about calcifications? atypical ductal hyperplasia? Those can be precursors to DCIS. But, and this is important, you have time.

    Have you had a biopsy? Chances are still pretty good that it's DCIS, as etnasgirl says. (I hesitate to say "just" DCIS.) The surgeon and pathology lab may (and I repeat may) find a small invasive component. But, as etnasgirl mentions, that's still easily dealt with. Trust her.

    Do you have somebody with you now? family member or spouse or friend? Is there someone you can take with you to your appointments? (The hospital will require this if you need surgery with general anesthesia.) But for the moment: someone to talk to and to hug and to arrange frivolous distractions until you get a treatment plan in place.

    Please do come back and let us know what comes of all this!


  • Kkubsky
    Kkubsky Member Posts: 231
    edited January 2016

    I have always had calcifications...but the benign kind. These were new on my recent mammo.

    This is just happening so fast. Mammo last Thursday. Additional mammo views on Monday. Biopsy on Wednesday. Pathology report on Thursday. Breast surgeon on Friday.

    I had come to being ok with DCIS and having lumpectomy and radiation. Not thrilled but ok. Then I find out I have the nasty DCIS and my stomach goes back to churning and my mind is whirling. Can't stop thinking about the invasive component. I was starting to read about IDC but just not ready to deal with that. Glad to hear that it is easily treatable in case that is what mine turns out to be. I may have to get some meds to help me deal with this for now. I am not handling this very well. Maybe it appears I am ok on the outside, but inside I am a mess.

  • LisaAlissa
    LisaAlissa Member Posts: 1,092
    edited January 2016

    I had DCIS, grade 3, with comedy necrosis. But there wasn't an invasive component. No IDC. Unless you've had a biopsy that includes mention of IDC or "invasion," there's no reason to assume that the "worst DCIS" (what I had too) means you have IDC too.

    They worry that DCIS can somehow become invasive. Although they're not sure how, exactly, or which DCIS will "convert." If you discover (in a post-surgery biopsy) that you have an invasive component of some sort, you'll deal with it.

    The thing to remember about DCIS, is that it is, by definition, not invasive. If you haven't read the post from Beesie that I linked you to earlier, I urge you to do so.

    Finally, take another deep breath. This is "doable," and when you have questions (or just want to talk), we're here.

    LisaAlissa

  • Kkubsky
    Kkubsky Member Posts: 231
    edited January 2016

    I have read the post and it is very informative. My brain is having a hard time absorbing everything. It just keeps bringing me back to invasive...invasive...invasive. The breast oncology nurse I spoke to yesterday also mentioned abot the pathology could change after I have surgery. IDC sounds scarier from what I have read.

    I have been afraid of getting breast cancer my whole life. My mother died when I was 10 of a brain tumor. (that was another fear I lived with). But at some point my sister in law (who is a lot older than me) suggested she had breast cancer and it metastisized. My dad said not true. As an adult I tried to get her records but wasn't able to get everything I needed. So I was in a kind of limbo as to family history. Still am. Anyhow, this whole breast cancer thing has haunted me my entire life and now it has become a reality. I don't want to die for a long time.

  • momand2kids
    momand2kids Member Posts: 1,508
    edited January 2016

    Hi

    I think you have gotten good advice here--try not to borrow trouble before you need to. Of course you are scared and our minds always seem to go to the worst place. Invasive, while not desirable, often just means that the cells have left the duct or lobule.... I had invasive lobular cancer, but had a lumpectomy, treatment and am almost 8 years out--healthy as a horse.

    This is hard to know now, but you will deal with whatever comes. I encourage you to bring a digital recorder and another person to your appointments. It is so helpful to hear all the good things the dr. are saying--mine told me it was eminently curable, it was a bump in the road--- but I couldn't hear that--thankfully my h and my recorder did!! When my mind would go to the crazy place, I would just play that tape.... and it helped (along with some Ativan!).

    I had a mammogram 6 months before my lump was found--it is astonishing how this can happen, but it does, and quite often. Which means you are in good company-- and please do read and re-read Beesie's posts. They are very helpful (and I did not even have DCIS).

    I found focusing on one step at a time was helpful. 1. surgery 2. recover 3. deal with pathology 4. decide on treatment 5. do treatment 6. Get on with my life..... and all of that happened. Not easy, but not impossible.

    We somehow manage to deal with that we do not want to!!!


  • april485
    april485 Member Posts: 3,257
    edited January 2016

    Kkbubsky, in real numbers, the chances that you have IDC upon pathology are small. You might have what is known as a microinvasion which is treated exactly the same as DCIS and is in fact just a more serious form of DCIS but that is not even likely.

    You are truly worrying for something that has a small likelihood of occurring and although I know that it is hard, please try to stay away from reading things that are unlikely to happen to you. If it is found to have an IDC component, you will have no choice but to deal with that as it comes but for now, please try not to buy trouble where there is none. Grade 3 just means your cells look more abnormal than grade 1 or 2 do and that is due to them dividing faster. You got this girl. Ask your doctor for a Xanax or some Ativan and try to relax for now.

    Huge hugs and know we are here no matter what. We have your back whatever the pathology (which I suspect is DCIS as that is what it usually is) ((((Kkbubsky))))

  • queenmomcat
    queenmomcat Member Posts: 3,039
    edited January 2016

    Kkubsky, please do come back to let us know what the surgeon has to say.

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