September 2016 Surgeries

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  • AnotherMichelle
    AnotherMichelle Member Posts: 39
    edited September 2016

    Checking in to see how everyone is feeling after surgery! I had an axillary dissection on the 8th (my second surgery because the SLN showed negative but was actually positive in final path). It turned out that none of the 11 additional nodes the surgeon took had cancer in them, so my number was 1/12, and more than seven months after diagnosis, I got staged: IIB.

    Recovery is taking longer than I'd hoped. My August surgery was a lumpectomy, SNL, and prophylactic complete hysterectomy (with oophorectomy for estrogen suppression), so I thought this one would be quick and easy compared to that. I'm exhausted and cranky and occasionally nauseated. I hope the rest of you are recovering more quickly! Hugs to you all across the miles!


  • meg2016
    meg2016 Member Posts: 287
    edited September 2016

    Joining this thread as I am moving forward with a Bilateral Mastectomy and Ancillary Node Dissection with Tissue Expander placement Sept 14th. I am somewhat nervous about the surgery but I am traveling out of town to have it done. And I have been so busy prepping for my kids to be taken care of and all the other things that go into keeping things going while I am gone that I haven't had too much time to focus on it. I have already been through chemo (has been going since April) so at this point I am just ready to move to the next thing. Just getting through my shopping list of things I will need. And I did make an appointment today for my PT visit for 8 days post-surgery. I know I will also have radiation after surgery, so my breast surgeon mandates PT.

    Thinking about those of you who who have already had their surgeries and posted! Hope you are recovering well!

  • minmom24
    minmom24 Member Posts: 20
    edited September 2016

    Feeling a bit nervous today. My breast surgeon usually calls with pathology results. I received a call from the office manager yesterday afternoon telling my that my pathology was back, and that my surgeon wants me to come for an appointment at 2:30 today. Sleep was horrible last night. Trying to stay busy today.

  • reflect
    reflect Member Posts: 576
    edited September 2016

    Thinking healing, relaxing thoughts for all of you. I had presurg appointments today. I had 2 radioactive seeds inserted to mark 2 tumors. Not fun, but done. Tomorrow AM I had 2 more spots marked by wire localization, then surgery at 1:20. Can't wait to be on the other side of this.

  • javamama
    javamama Member Posts: 119
    edited September 2016

    Hey All, I have breast cancer. Ha! Anyway, unilateral mastectomy is set for next Monday. Radiation is still on the table, which is why I'm getting the expanders above the muscle instead of immediate reconstruction.. At least, I get to spare my nipple for later.

    Anyway, I'm scared as shit. I must go through cycles of resolve and crying a thousand times a day. And did I say that I'm scared spitless? I also feel simultaneously foggy and clear-headed. Tired and wide-frickin' awake. It is crazy making.

    Crap, man, I have cancer.


  • Faithgrace7
    Faithgrace7 Member Posts: 1
    edited September 2016

    Hi Javamama,

    I am so sorry about your diagnosis. I totally understand how you are feeling right now. Shock, disbelief and sadness are so overwhelming at times. I pray for good results from your surgery and an easy recovery.

  • Moderators
    Moderators Member Posts: 25,912
    edited September 2016

    Javamama-

    We are so sorry you find yourself here, but just know that you are not alone! It's a whirlwind of emotions, just ride the wave as best you, and look to other members here for support. Good luck on your surgery, please let us know how everything goes!

    Faithgrace7-thank you for chiming in with such lovely words of support!

    The Mods

  • Hopfull2
    Hopfull2 Member Posts: 418
    edited September 2016

    Hi ladies. I hope all of you did well in your surgeries. I know the feeling fight before be a bit overwealming. I'm having my 2nd surgery this Friday 9/16. My 1st was on 8/8/16 right breast masectomy but dcis margins came back unclear so this 2nd time to scrape any tissue thier might be left over and hopefully get clear margins. I'm nervous but want this over with. Wish me luck and all of you in my prayers.

  • javamama
    javamama Member Posts: 119
    edited September 2016

    Thanks, Faithgrace7 and Hopfull2!!! Oh, and Moderators. I added some more info in the breast reconstruction forum.

    I want the cancer out of my body. But I do not want to start the surgical process to make that come about. I dread the pain, the healing, the set backs, the doctors, the smells, all of it. And I know once the initial UMX is done, everything else is just getting started. And nothing will ever be the same again.

  • Oakmoss
    Oakmoss Member Posts: 28
    edited September 2016

    Javamama, I'm so sorry about your diagnosis. Of course this is scary. I haven't been at this site very long myself, but the support has been great, very helpful. I completely understand, and shared, that feeling of wanting the cancer out of one's body. When I woke up in recovery, I was fully aware that more is to come, but it was still good to know that everything they could see, was gone. I hope you have that seem feeling of relief.


  • javamama
    javamama Member Posts: 119
    edited September 2016

    Thanks, Oakmoss! I'm still pretty scared and uncertain. And because my original PS doesn't do the reconstruction that I want and the problem of finding another PS afterward while I'm cut up makes me crazy, I asked my nurse navigator to please postpone the surgery back to the original date or something similar in date, so I can get a second opinion on the DIEP as one surgery or doing a 2-step AND finding a PS who does DIEPs, either here or in NOLA. They are probably going to tell me the same thing, the 2nd opinion people, but I will feel so much better getting that extra opinion BEFORE I get my first cut. I'm still in early days- not REAL early days- but early enough that a week or even two won't make that much of a material difference. And I know that any outcome of the surgeries, good or bad, will be dealt with by me FAR better if I felt good going into it rather than unsure. That unsurely coupled with a bad result, if that's how the cookie crumbles, will make me so depressed and angry at myself that I'm not sure I'd ever forgive myself.

    Anyway, STILL waiting for my nurse navigator to call. STILL waiting for NOLA to get back to me with an estimate and dates for a consult and stuff. But I'm probably not going to be a surgery for September anymore.

  • Pammac47
    Pammac47 Member Posts: 128
    edited September 2016

    Best wishes to all. I'm scheduled for bilateral mastectomy/lymph dissection on the 19th, but have bloodwork to redo Friday as Tuesday's creatine level too high. So hope all goes forward. My chemo was not as successful as hoped, it is still 5.1cm with satelite masses biggest 1.3cm not to forget positive lymph biopsy axillary. The chemo left me weaker physically as well. Maybe it at least stopped it from spreading or that's my hope. I do the lymphedema clinic friday to get some pointers for exercise and coping skills. This is my battle and I have to keep going!!! Sometimes in between it all I take time to run away and have fun. I'm SOO scared but I don't want this to be all there is. I haven't posted regularly as didn't have an easy time with treatment. Did not have encouragement to share. If anyone else has been overwhelmed I had to share that, cause your not alone.

    Pam

  • Shadowcat07
    Shadowcat07 Member Posts: 8
    edited September 2016

    Hi everyone,


    I've been following this board for a weeks now but tonight is my first post. I'm 41 and was dx with IDC in August. My lumpectomy was this morning, still a little loopy but happy it's gone (fingers crossed for clean margins). Just wanted to say hi and to tell everyone how appreciative I am to read your stories and not feel alone.

    Hugs all around!

  • reflect
    reflect Member Posts: 576
    edited September 2016

    Hoping for excellent path results Shadowcat! I had my lumpectomy Wed PM. Just starting to need more than Tylenol. My BS is a sweetheart and said it all went wonderfully surgically and we await pathology. She did say only 1 of the 2 known + nodes still looked enlarged so maybe the chemo did a bit of work. I hope so!


  • minmom24
    minmom24 Member Posts: 20
    edited September 2016

    My pathology results showed no cancer in the lymph nodes. The medical oncologist declared me to be "cured". Relieved and thankful! I do have reconstruction ahead of me, and some OT to help with my range of motion.

  • Oakmoss
    Oakmoss Member Posts: 28
    edited September 2016

    I saw my surgeon today and she says I am doing very well. The most painful and swollen area is where the nodes were taken, but she reassured me that all is healing well. The tumor is still off undergoing genetic testing to evaluate my cancer to see if chemo might be indicated. I am pretty sure radiation is a given, and on the 28th I go back for a wide excision where the DCIS was(is?). But I am relieved to have a break.

    Javamama, I hope you won't worry too much about stressing yourself. I did go into this pretty calmly, partly because I have so much liking for, and faith in, my doctor. I also have had much illness in my life so to some degree I'm tempered. But really, if you are upset or frightened, or at times depressed -- hey, you are human! This is scary and anyone can have emotions that are all over the place. Of course, I wasn't facing the prospect of plastic surgery and reconstruction. I had pretty much decided to go without if a BMX was recommended. That has to add a whole other dimension to this. Sending you lots of good wishes.

  • berrylvr
    berrylvr Member Posts: 5
    edited September 2016

    Hello all,

    I had bi-lateral mx w/ tissue expanders and a sentinel node biopsy on lhe left (cancer) side on 9/15. Home, in pain, and moving slowly now. I think things are progressing as they should, but it's hard to know as I've never done this before! I've been a little surprised by the blasé attitude my surgeons and their teams seem to have about the degree of pain associated with this surgery. I'm an active 50 y/o and I feel like I've been hit by a truck that then backed up and parked on my chest. I really value the information on this board b/c I find it a lot more realistic about what to expect than the impression my medical team gave me. It's reassuring to hear from others in a similar situation and to know that my pain and discomfort seems to be within the range of normal.

    I have 2 drains and have been a little concerned that one of my drains doesn't seem to drain as well as the other. The left side drain produces quite a bit (15-40 cc every 8 hours +/-) of fluid on a regular basis, but the right side produces only about 10cc or less each time. The right side drain is also leaking around the drain, and was in the hospital, but the nurses and doctors didn't seem too concerned about that. I've stripped/milked the drain many times-- but it hasn't made a difference. I'll call the doctor if it seems to stop draining entirely-- but am wondering if any of you have had drains with significantly different output levels. It also seems possible that the left drain produces a lot more b/c there were node biopsies on that side as well.

    Good luck to all!

    Ann

  • Irony
    Irony Member Posts: 46
    edited September 2016

    mimmom24, I'm so happy your lymphnodes came back negative! Wonderful news!!!!! I'm am having my bilateral mastectomy on Mon, 9/19. Getting through this last week at work has been torture.

    I work in a hospital as a breast ultrasonographer. (Hence the name Irony, Lol.) I see things differently now. If I have a patient with a suspicious mass on ultrasound, I just want to cry. I'm looking forward to putting g this behind me, hoping my nodes are clear.

    Best of luck to all.

  • minmom24
    minmom24 Member Posts: 20
    edited September 2016

    Irony, I hope that all goes well with your surgery and recovery. Will be thinking about you.

  • reflect
    reflect Member Posts: 576
    edited September 2016

    Hi all, I'm sore but doing fine. I had a very large lumpectomy (hard to tell but looks like a quarter to a third of my right breast) and ALND--not sure how many nodes there were yet. I am so grateful I went to Dana Farber for a second opinion as prior to that mastectomy was my only option. I was so surprised that they could do lx for multifocal multicentric, I wasn't even thinking of it. But because my breasts are large, and DF does some super accurate radio seed and wire guidance, this was possible for me. (4 separate areas, 2 bc and 2 adh, had to be removed.) Just really hope margins are clear, I was so depressed by the recon options I decided to just to the uni and postpone any other decisions. Ironically I had just been researching breast reduction when I was diagnosed.

    I am really hoping the nodes are clear, although I should expect at least one to be +. But less than 4 (I think) keeps me at stage II and that would make me very happy indeed. I feel very relieved that this bit is over--I'll deal with each next step as they come.

    I just did something very uncharacteristic for me. I joined a plus sized clothing "subscription" service and received my first box of clothes when I got home from the hospital--and I'm keeping a boho top and distressed boyfriend jeans! Here's the thing: I do NOT shop and have never had much in the way of fashion sense and refuse to spend much money on clothes. AND I'm 58 years old. (boyfriend jeans?? distressed??) But it feels so good to do something positive for my self image and to have a bit of fun. Are any of you making changes like this? Not clothes necessarily, but any kind of fun changes?

    minmom, I am so happy for your results. What a relief. Irony, I'll be thinking of you Monday. I wish everyone the best healing and results, and a great sense of new life going forward.





  • Irony
    Irony Member Posts: 46
    edited September 2016

    Reflect, I'm so happy to hear you are doing well. Second opinions are so worth the time. I'm glad you were able to get the surgery you wanted! I wish you a speedy recovery and only normal nodes! Be well.

  • 4girlsmom
    4girlsmom Member Posts: 27
    edited September 2016

    hi everyone- feeling more human finally today after unilateral with direct to implant recon a week and a half ago. Re drains- yes one of mine put out much less than the other and I was told that is perfectly normal. One came out at 1 week. The other is still in and now almost ready to come out. I had such trouble from the narcotic pain killers - terrible constipation from them in spite of aggressive laxatives. Had to go off them after a few days but the added pain is the better choice for me. I am now just on Tylenol and Advil plus muscle relaxers (and antibiotics/probiotics). I also had pretty intense vertigo after the scapalamine patch came off after surgery. We took it off about 12 hours late- don't do this. I am told that delay is what likely caused the vertigo.

    I am so thankful friends recommended I borrow an electric recliner- have slept in it and had to sit in it since I came home. Every time I try to even sit on a bed it hurts so much more. Moving the recliner back up an inch or two really helps take off pressure. Mine has two buttons to make it go up and down. We put a fitted twin sheet over the back and change the sheet everyday. I put a little pillow under my elbow on the surgery side and then a small neckroll under my neck.


    The other tip I am glad I did was to install a toilet seat that functions like a bidet. It just requires that you install an electrical outlet next to the toilet. Mine came with a little remote control that we installed on the wall. By using water, it has allowed me to have to reach around less to use toilet paper. It has a fan that also allows you to use zero toilet paper if you wanted to (but you would have to sit there waiting for the fan to dry you).. It was so painful to turn in that way especially in the first week - if I hadn't had that bidet seat I might have needed to ask someone to help me, which wouldn't have been much fun



  • HouseDivided
    HouseDivided Member Posts: 21
    edited September 2016

    Hi everyone - I am scheduled for a lumpectomy on the 29th. The biopsy I had said benign but the surgeon said the cells that were in it were not the right cells even if it was benign (she said she has had multiple bad results from that women's center). Since it is a spiculated spot she recommended doing the lumpectomy instead of a second biopsy first. I totally agreed. I told her to take big margins as well.

    Today I got a call from a different doctor (same cancer clinic) saying the BS referred me to see a Radiation Oncologist before the surgery so he can go over how radiation will work. Is this common without a diagnosis?

    While I know that 90% of spiculated masses are cancerous I still figured we'd wait for the results of the biopsy from the lumpectomy before I'd meet with an RO. It took me off guard since the BS had not mentioned it in our appointment.

    Any advice concerning this or the lumpectomy is greatly appreciated, thanks!


  • reflect
    reflect Member Posts: 576
    edited September 2016

    Whoa, HouseDivided, this sounds strange. I suggest a second opinion, including the initial biospy, by the best cancer center you can get to. I think it is unusual to do lumpectomy without having a dx of cancer (or ADH) and very unusual to schedule radiation without a dx. The information from the pathology (grade of tumor, ER/PR/HER results) is what guides the oncologist in treatment decisions.

    Best of luck to you.

  • tomcat1968
    tomcat1968 Member Posts: 1
    edited September 2016

    Hello everyone, I am one day post op from a lumpectomy and Sentinel Nodes removal (September 20th). I am sore and feeling like I was in a fight that I lost. Waiting on the pathology report so that the decision can be made if I will have chemo or not. I'm scared to death and trying to hide it from my kids who are 15 and 17.

    My biggest fear is the lost of my hair, which my husband loves. I know that sounds very petty, but it is what it is. Monday can't get here fast enough. I am not good at waiting, but I guess that's all that I can do for now.

  • HouseDivided
    HouseDivided Member Posts: 21
    edited September 2016

    Thanks reflect. I called the surgeon to ask what was going on. No reply yet. The spot was 1 cm in the last mammogram so it is small. The first biopsy was a nightmare. It took an hour and a half and the radiologist kept looking at the ultrasound tech who would nod when she was in the right spot and then the radiologist would move the needle again. This went on forever. She even said she wasn't sure she got the spot and if not they would bring me back and do it again for free. I wouldn't go back there again, even if it was free.

    The surgeon said her first recommendation was to do the lumpectomy after reviewing all the tests. But the second option was to do a second biopsy at a different facility. After the bad experience with the first biopsy I was fine going with the lumpectomy. Get it out and find out what it is and then create a plan. But the call for the radiation oncologist was surprising. She did say it was just to explain how radiation works but I still thought that was weird.

  • reflect
    reflect Member Posts: 576
    edited September 2016

    Hi HouseDivided,

    Where do you live? I really think you need a second opinion from the best cancer hospital you can get to. Your care plan sounds odd. Usually, you have a biopsy which not only shows if it's cancer, but the type of cancer. This is important for the treatment plan. Sometimes chemo is given first, before surgery. I think it's wacky that your surgeon plans a lumpectomy without knowing if it's cancer. (I actually asked for this early on, and was told it isn't done that way.) And radiation without knowing what it is? I started out in a small local hospital that also tried to do biopsies. I ended up with a breast like a pinchusion and everything had to be redone at a better hospital. There is a vast difference in skills between facilities. You need a better care center! A breast cancer center or an NCIS rated hospital if you can. Please keep us posted.

  • Irony
    Irony Member Posts: 46
    edited September 2016

    just wanted to weigh in. As a breast ultrasound tech, I will say we sometimes biopsy things that look very suspicious but come back benign. In that case, we call them discordant and recommend they get removed anyway.

    No single test is a perfect science. Some things are vague and difficult to biopsy but are still to concerning to just leave. It is rare but not abnormal to recommend removal of an area that doesn't look right even if it came back ok.

  • Irony
    Irony Member Posts: 46
    edited September 2016

    in other news, just wondering if this happened to anyone else. I just had my BMX on Mon. Sept 19. I had a breast reduction on my left side (cancer side) about 24 years ago.

    They did the sentinel node injection but could not identify the sentinel node. They are not sure if it was taken out during the reduction surgery years ago.

    Now I think they are going to base further need for treatment based on oncotype. I am so disappointed and nervous that I don't have answers regarding the sentinel node. Has this happened to anyone else?

  • reflect
    reflect Member Posts: 576
    edited September 2016

    Hi Tomcat, waiting is the hardest part. Once you know what you're dealing with, do the next step.

    Hi Irony, the nodes are mysterious. You would think that there must be a sentinel node--it's just the first node lymph drains to, right? Did they remove any nodes at all?

    I meet with the BS tomorrow. She called today with pathology, good and bad. Margins are good, chemo did some work. But 7/17 nodes were + and I am very sad and scared by that. My axilla is very swollen and painful, and will be drained tomorrow. Hope it helps.

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