Trying to Keep It Together

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JEA16
JEA16 Member Posts: 10

Hello!

Just looking to blow off some steam while I wait. This waiting thing SUCKS!!

I also must say that I have been stalking these forums for almost a month and you all are the most amazing group of women and I am so sorry that any of you need to be here! Still grateful that you are, though! ;)

Here's my story: (Sorry it's long)

Just got my core biopsy pathology and genetic results - both came on Friday. I am trying to stay positive and focus on the facts that we have (which, honestly, could be much worse). I am still finding that I am having a hard time not going to the "bad place" while I wait. I am 34 and have three young boys (8, 5, 16 months) at home. Found the lump mid-July, and I've been finding myself on the wrong side of the odds since then. (Mammogram & u/s BIRADS 3, but radiologist recommended surgical consult due to large (>5cm) palpable lump and increased density on imaging. Breast surgeon was "99.9% sure" that the tissue changes were related to prior breastfeeding and pregnancy hormones, but performed a core biopsy to be 100%sure. Meeting with him tomorrow to go over results and next steps. My gyn has also reached out to a team at a local NCI center, and they have graciously agreed to see me as well.)

The genetic results were not completely surprising considering my strong family history, but a tough pill to swallow nonetheless. Postive for both BRCA1 and TP53 deletion mutations (there was also a third one that I can not remember for the life of me, of unknown significance). Talk about a double whammy!

Pathology report excerpt below:

***Diagnosis***

Ductal Carcinoma In Situ

Nuclear Grade: Grade 3 (High)

Necrosis: Present, Central (expansive "comedo" necrosis)

Architecture: Solid, Comedo

Calcifications: Absent

Estrogen Receptors: Negative

Progesterone Receptors: Negative

***

I know it could be much worse, and I am trying to keep positive. I am hoping that we really did just catch it early and there is no invasive component in the whole area, or any additional areas of concern. However, I keep ending up on the wrong side of the odds and I am finding that I no longer find comfort in statistics. Everything that I have read points to the fact that this could be more aggressive.

I think I will feel better once I know more of what we are dealing with and have a game plan in place. Ugh! This waiting stinks!!!

If anyone has any insight or suggestions, I would be more than happy to hear them!

Thanks so much for letting me vent!

Comments

  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited August 2016

    JEA16, you're right - the waiting sucks, big time. I know that with 3 little ones you probably don't have any trouble staying busy but really, the best thing you can do for yourself right now is to ENJOY your time with them. Pull your mind back from that dark place whenever it starts to go there and really, truly revel in the minutiae of childhood. Don't look at them and wonder if you'll be here to see them grow up. Even given the way the odds have come down against you, you most likely WILL be here with them for a long, long time. Enjoy what you have, here and now.

    Pretty much all of us here have ended up on the wrong side of the statistics, so we truly understand about not getting too hopeful about things and remaining a bit skeptical about the odds. However, you've apparently caught this pretty early AND you now know more about your risks than you did 6 months ago, so can take appropriate measures to ward off future problems. That is not to minimize the impact of all of this, nor to ignore the fact that the DCIS could include invasive areas.

    Due to your BRCA1 mutation you'll probably be followed much more closely than otherwise, which is good. But you don't need to worry about that now, other than adding it to the list of questions for your surgeon.

    I know this is tough. Getting confirmation of mutations is a body blow, even if you expect it. None of this is anything you expected to be dealing with at this age (or any age!). Take some deep breaths, re-frame what you can and muddle through as well as you can with the rest, one hour at a time. Hang in there. We're all here for you.

  • JEA16
    JEA16 Member Posts: 10
    edited August 2016

    thank you so much!! Your words spoke to my soul. I woke in a very good place yesterday, which was good because the day was loooooong. I felt very positive going in to my appointment with the breast surgeon.

    I met with my nurse navigator who was incredibly sweet. Then we all met with the doctor and talked surgery options. He's recommendimg a bilateral mastectomy w/ reconstruction and total hysterectomy with bilateral salpingo-oophorectomy (due to the genetic components...as well as some concerning gyne symptoms), possibly all at the same time??? After I left there I went straight to pick up my rx for Xanax and then right to gyne to remove my Paragard and then to MRI. I did not pass go, or collect $200 ;) MRI was kind of intense (I am claustrophobic!) and a moment where it all became a bit real. I got a copy of my images and am now doing my best not to obsess over them Lol.

    And now we wait again!

    But you're right...I will not waste their last week of summer vacation as a distracted mess. It is what it is and stressing about things will not change a thing!

    Thanks again for your kindness!!

  • keepthefaith
    keepthefaith Member Posts: 2,156
    edited August 2016

    JE, so sorry to hear your story. The waiting is probably the hardest part of this ordeal. Don't feel like you have to be strong and take this on by yourself...lean on your trusted family and friends for support and ask them for help, if and when you need it. There are many resources available if you are in the States, through the American Cancer Society and Breast cancer non-profits. House-cleaning, rides to appts, etc. Once you start your treatment, your fighting instinct will kick in! You are much stronger than you think and you will get through this. It sounds like you have a great medical team on your side and there is always someone here to vent to!:) Best wishes moving forward.

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

    JEA--yes the waiting is hard, but I really think it's helpful to stay as busy as possible (although I'm sure you don't have a choice with three small ones!). Distraction is good. Exercise is good. Mindless TV is good. Hang in there and best of luck.

  • Sunshine0804
    Sunshine0804 Member Posts: 9
    edited August 2016

    JEA, as the ladies before me have said the waiting is the worst part. I have just completed two weeks of appointments, tests, consultations, etc and will finally be scheduling surgery. What a relief it is to have this all behind. You can't believe how much stress it takes off finally having a plan in place. You will get there! Take your Xanax as needed. It helped me keep those negative thoughts at bay. PM me if you ever want to talk or vent. We are all here for you!! Sending positive vibes your way!

  • May66
    May66 Member Posts: 8
    edited August 2016

    hi Jea !

    Sorry you have to be here , but glad you found the support of this forum .

    I know first hand what it's like to wait and wonder . Your mind starts to play tricks on you .. And you always expect the worst .

    As hard as it may seem, the best thing you can do is focus on your little ones, let them fill your life with their laughter and take in every moment . Take in today .

    There is so much out there with treatment now .. Deep breath .. Try to remain positive and NOT think about it. Crazy I know.

    Pretty soon you will have a plan of action ,and the "unknown" will stop being so scary .

    We are here for you !! I am new here, and the ladies are amazing .

    God bless.

    xoxo

  • JEA16
    JEA16 Member Posts: 10
    edited August 2016

    awww, thanks ladies!!

    It's been a little while. The good news is that I have been able to keep myself distracted! School started last week and my middle child started Kindergarten, so we've had a lot of excitement over here. Isn't it crazy how everyone else's lives just keep going along even though my world has been shaken to the core?

    Sunshine - how are you doing? Has your surgery been scheduled yet

    Update: The MRI showed the mass is about 6cm and also showed two enlarged lymph nodes in my axilla, so I guess this thing can be any where from stage 0 to stage 3. My surgeon said we won't know anymore until after surgery. I have decided to stay positive and not freak out until the worst case is confirmed. For now I keep reminding myself that this could all be one operation away from being all behind me. Some days I totally believe it!

    I went for a second opinion last week and the surgeon was incredible. I am sold on the value of a second opinion! She was actually referred by my current BS (who I also really like, btw), but she is at a major teaching hospital and is highly trained (she even has additional training in oncoplastic surgery).

    She agreed bmx was the way to go, and she said it looks like it goes into my nipple so I'm not a candidate for nipple sparing. Bummer. However, she would rather not "wait and see" until after surgery. They are reviewing my imaging and pathology (so I'm waiting for results on tests I've already gotten the results on...oh the waiting just never ends lol) and I should hear back from them early this week. Assuming that they all agree with the previous diagnosis, the next step will be a specialized ultrasound of my axilla and possibly a biopsy of the node(s) in question. If that were to come back positive, she is suggesting neoadjuvant chemo.

    Ugh...chemo talk! I was hoping to avoid that one!! Though there's still a chance!

    Soyeah, progress...but still waiting.

    Thanks again for all the support ladies!! You really are the greatest group of women on here!

  • Licata519
    Licata519 Member Posts: 57
    edited August 2016

    I just got diagnosed on the car ride home from taking my daughter to college. Can anyone tell me if I can take test results from one imaging group to another, our do they all do their own tests. I haven't slept since they rushed me around for the first round of tests. Do you recommend Xanax? Benadryl isn't working

  • keepthefaith
    keepthefaith Member Posts: 2,156
    edited August 2016

    Licata, you should be able to get the imaging tests sent from one facility to another. You should also get copies of the reports for your own records. It is stressful! Xanax may give you some relief. I had Ambien to help me sleep. You will hear this often, from those of us who have been through it, but it really does get easier once you know what you are up against and have a treatment plan in place.

    Best wishes to you all.

  • Kcabrera
    Kcabrera Member Posts: 44
    edited September 2016

    JEA16 - just checking to see how things are going for you??

  • Samanthavt7091
    Samanthavt7091 Member Posts: 32
    edited October 2016

    Biopsy #1 found a malignant tumor. MRI after that showed 2 more lumps. Now waiting on Biopsy #2 and #3 taken on Tuesday, 10/4. Today is the 7th, why does it take so long!!!! Waiting over a weekend is the worst.

  • JEA16
    JEA16 Member Posts: 10
    edited October 2016

    Hi, kcabrera! Sorry...for the delay in response. I had my bmx on 9/20 (FINALLY lol) and so I've just been recovering and trying to spend as much time with my littles as possible. The youngest (now 19 mos) really struggled with this whole thing at first... I disappeared for two days, and then upon my return wasn't up and about that much and couldn't pick him up. But now that I'm a month out I think everyone has adjusted as well as I could have hoped. 2 more weeks and my PS will finally let me lift more than 5lbs!

    They found some IDC in bx #2 done during axilla u/s, and it was ER/PR - and HER2 +++ (IHC and FISH).

    The oncologist is at a different hospital than where I had my sx, so they are in the process of reviewing everything. So far she is thinking we probably need chemo. It looks like my nodes from the SNB were clear (they took 3 total). The total tumor was ginormous, over 11cm x 6cm x 8cm of DCIS and IDC, and the oncologist doesn't like how close the tumor was to my chest wall. All in all, the biology of this thing looks really aggressive...grade 3 comedo type, HR-, HER2+, size = HUUUGE (final IDC amount TBD, hopefully small), all in combination with my age had her thinking we need to be aggressive as well. She is presenting to her tumor board and I should know by next week what her recommendation will be. Sooo, STILL waiting. But the tumor is gone, so YAY!

    Samantha - waiting is the worst!! I hope things are moving along for you now. Do you have a plan yet? It's been a while so perhaps you had surgery already?

    I had to have 3 biopsies as well, before I could even schedule my consults with plastics and the gyne-onc, so it took a while for me to get my surgery scheduled. I felt my lump in mid-July, so it's been months of hurry up and wait. The advantage of having to wait is all of the extra time to obsess study online so that I can be fully educated when it comes time to make treatment decisions!



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