Going down the rabbit hole again...

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Kkubsky
Kkubsky Member Posts: 231

That is what I call it when I start obsessing about negative things. Does this thinking ever end!!!!???? I finished my "active" treatment about 1 1/2 weeks ago (lumpectomy/Canadian protocol rads), and was feeling so positive. What the heck happened!! I am back to obsessing about recurrence, second guessing my choice of lumpectomy, and thinking the worst.

On the positive side, I am very happy that I had "only" DCIS, but on the negative side, it was high grade, comedo necrosis, negative ER/PR. On the positive side, there was no invasive component or even a microinvasion. My margins were negative, but 2 were 1mm, which I discussed with my surgeon. She was not at all concerned and I know margin recommendations vary but I would have liked much bigger ones.

HER wasn't tested for, which I understand is normal for DCIS. But I wonder if I should have been tested for BRAACA mutation since I had negative receptors...I think in invasive cancer there is a correlation between the 2 sometimes. Although I don't know of any personal family history.

I have played around with different recurrence predictors and get different stats. Even just reading information online is confusing because things vary so much. Sometimes I think I should have gotten a mastectomy so my recurrence rate is lower and maybe I wouldn't worry so much. But none of my doctors recommended that. My case did go before 2 tumor boards and all recommended the treatment I had. So why can't I just move on!!!!!!????

Just venting....again....and again....and again.

Comments

  • Coriander2
    Coriander2 Member Posts: 2
    edited April 2016

    I understand your concerns. In the last two months I went from a positive mammo to core biopsy to excision of a DCIS, 7 mm, grade intermediate to high, smallest margin 1.8 mm, comedo positive, no microinvasion, ER/PR still pending, Oncotype DX DCIS still pending. At present, at my age of 73, my Memorial Sloan Kettering recurrence prediction before any further treatment is 20% in 10 years, with the usual recurrences being 50-50 invasive/non-invasive.

    As a health professional I fear radiation and tamoxifen. Might consider raloxifene, as it does seem to ward off invasive cancer if not DCIS, but am a worrier. You, though, have had good treatment and I truly think you can relax. DCIS at a high grade grows 7 mm per year (the low and mid are about 2 and 4) and this would be found, hopefully before any invasion took place, and it is very unlikely as you have completed good treatment.

    I rather wish I'd already had radiation without it killing me or giving me a bad second condition so I could relax, but can't currently face it unless my Oncotype DX score turns out high. I do think you have every reason to let time ease your fears, and I hope it happens quickly for you.

    All the Best.

  • RLM
    RLM Member Posts: 22
    edited April 2016

    I hear you. I finished rads in February and felt back to normal, (or denial it ever happened ). I'm er/pr+ and declined raloxifene at this time. MO was not at all concerned that I declined, but then my head starts as you said "going down the rabbit hole " and I start looking at recurrance risk. I don't think it will ever end. Especially since we will constantly have imaging and dr appts.

  • ksusan
    ksusan Member Posts: 4,505
    edited April 2016

    I think this is near-universal.

  • Kkubsky
    Kkubsky Member Posts: 231
    edited April 2016

    The rabbit hole just keeps getting deeper. I keep hearing this worry is normal....try telling that to my husband! He is sick of my negativity, second guessing, and obsession with recurrence. I am sick of it too but cannot seem to get past it.

    I honestly believe I should probably be on some kind of antidepressant. Did anyone else have to go that route? I have Ativan which has helped me get through all the anxiety of initial dx and pre surgery etc. And it still does calm me down but it hasn't helped change my thoughts at all.

    I have a friend who had IDC when she was 31. She is almost 60 now and doing well. There was no internet back in the day. She said she just followed her drs instructions and did what he said to do. As much as the internet has been a wonderful tool for me, part of me thinks I would be better off not knowing half of the things I have read! It would be so much easier to just follow the drs advice and go on from there.....


  • Sunnyone22
    Sunnyone22 Member Posts: 191
    edited May 2016

    Kkubsky - it is common to have second thoughts after we finish treatment. I'm 9 days post-treatment and wonder, from time to time, if I've done enough. I've caught myself reading the DX lines of people on this board with similar tumor size/histology/grade as mine and comparing my TX decision with theirs, which is absolute madness since we all know every case is different and every decision an individual one.

    But if you're uncertainty is starting to affect those around you, as you said, I think it's time to consider counseling. Your MO or BS will certainly have a referral for you because you're not the first person they've treated who feels this way. But your focus on this is robbing of you of precious happiness moments. Each heartbeat you waste obsessing on your treatment at this point is a heartbeat you'll never get back. Please think about it.

    (((((Hugs)))))

  • MostlySew
    MostlySew Member Posts: 1,418
    edited May 2016

    Kkubsky,

    The feelings you're having are totally normal. I agree with the recommendations to talk again with your surgeon and MO just to settle your mind. That said, there are also 2 books that many of us have found helpful because they point out that there ARE things you can do to lessen your chances of recurrence. Those books are: Anti-Cancer, and New Way of Life by David Servan-Schreiber who discusses life style changes to help combat cancer and also After Breast Cancer, by Susan Love an interesting view of the process of living with and treating cancer. Perhaps these can help you past all this. Don't get me wrong, this is a life changing event. The trick now is learning how to live with what you've been thru. Perhaps also an "in person" support group might be helpful for you. Check with your Dr. and the local Cancer Society for groups. Good Luck.

  • Ingerp
    Ingerp Member Posts: 2,624
    edited May 2016

    Kkupsky--I am new to these boards but I can't help but think an anti-depressant might be of benefit to you. It's certainly worth talking to your doctor about. I just hate to think of you making yourself more miserable than you have to be with the worry--it is so debilitating. Help is out there--take advantage of it.

  • LAstar
    LAstar Member Posts: 1,574
    edited May 2016

    My friend who is just getting through treatment and trying to get back to normal life just started taking anti-depressants and it has helped her immensely. She felt like it was a good decision for her family because she is able to cope day-to-day much better than she was. Times like this are what anti-depressants are for.

  • Kkubsky
    Kkubsky Member Posts: 231
    edited May 2016

    I put a call in to my dr. Waiting for him to return my call to schedule an appt.

    It is getting a bit easier without the daily reminder of going to radiation. And my skin SEs are just about gone too so I can get back to wearing normal clothing! But maybe a little help for now would move things along faster....

  • SkiQueen
    SkiQueen Member Posts: 10
    edited May 2016

    I too had DCIS, high grade, camedo necrosis, ... I would give ANYTHING to be able to have had a lumpectomy and radiation. It was not an option for me. I had a unilateral mastectomy. Every day I am thankful for the remaining healthy breast but I miss my other breast soooo much! In my case that particular one was amazingly sexually sensitive. So sex for me is COMPLETEY different, even though the healthy one, luckily, is still sensitive. I am also in negative thoughts on how I look now. How even if our significant others are 'fine' with the way we look now, it is not what they would 'prefer' and I let that bother me. My husband doesn't get it... Why can't I just move on? And should I have had a bilateral mastectomy? Now I worry about the remaining breast.....

    Long story short (Ha!) we all can have negative thoughts. We all worry about things. The reality is ALL the options sûck. We now have to live with our choices and have to deal with their particular suckiness. But, to be clear, a mastectomy is permanent, there is no going back. I think your choice was a good one, and you still have options, but don't second guess yourself. Yes, you will probably always have a worry in the back of your head. That is normal. I am going to live with that awful worry if it means I can keep one of my breasts.

  • SkiQueen
    SkiQueen Member Posts: 10
    edited May 2016

    I too had DCIS, high grade, camedo necrosis, ... I would give ANYTHING to be able to have had a lumpectomy and radiation. It was not an option for me. I had a unilateral mastectomy. Every day I am thankful for the remaining healthy breast but I miss my other breast soooo much! In my case that particular one was amazingly sexually sensitive. So sex for me is COMPLETEY different, even though the healthy one, luckily, is still sensitive. I am also in negative thoughts on how I look now. How even if our significant others are 'fine' with the way we look now, it is not what they would 'prefer' and I let that bother me. My husband doesn't get it... Why can't I just move on? And should I have had a bilateral mastectomy? Now I worry about the remaining breast.....

    Long story short (Ha!) we all can have negative thoughts. We all worry about things. The reality is ALL the options sûck. We now have to live with our choices and have to deal with their particular suckiness. But, to be clear, a mastectomy is permanent, there is no going back. I think your choice was a good one, and you still have options, but don't second guess yourself. Yes, you will probably always have a worry in the back of your head. That is normal. I am going to live with that awful worry if it means I can keep one of my breasts.

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