I really wish I didn't know
I got my path report back after surgery 3 weeks ago. My situation is much worse than my team expected - my largest tumor was 4.2 cm and I had a total of 15 lymph nodes involved out of 28 removed, some were matted and bursting, plus multifocal tumors in all four quadrants of left breast, 9.5cm of DCIS, and nipple skin compromised, all grade 3, putting me at stage 3C. This is what I am dealing with AFTER neoadjuvent chemo (6 TC treatments) !!!!! I am speechless.
I'm usually the type of person who wants all the information about something. Well, not anymore. Knowing how close I am to having incurable/terminal cancer (meaning stage 4 mets - which we ruled out with PET/CT scans right before surgery) at age 31 has DESTROYED me. I can't stop crying because I can't see how I will recover from this and get back to some semblance of a normal life. I haven't asked my oncologist for a prognosis because I am certain it is bad and it would probably break HIS heart to look in my eyes and tell me, at my age, what I can expect in the future. I'm going to go along with whatever treatment he suggests (right now it looks like Xeloda, then rads, then hormone therapy) but I don't know how I am going to get over my terror of dying from this.
I wish I could erase my memory of everything so far, and the knowledge of my diagnosis. That seems like the only thing that would help me now. Stage 3C is not something I can accept and integrate into my life - how? Thinking my parents will have to bury their daughter???
No amount of Ativan or marijuana can help calm me down!
Comments
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I am so very sorry you are dealing with this. Everything about this disease is unfair. Words fail me at the moment, but I wanted to post and say that I'm thinking of you
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It must feel devastating right now but you are not alone. There are plenty of stories of longevity out there, both in Stage 3 and 4, and you are Stage 3, not Stage 4-I'm sure some of the ladies will post a reply who are in that group of survivors. Remember that we are living in a era of technological breakthroughs and the survival curves are inexorably progressing in the right direction. DO NOT GIVE UP HOPE. You will have lots of support from people on this site, many of us having been through the same sense of shock and horror as you. It does ease with time and you will hopefully learn that life really does go on and not to waste a precious minute of it on those negative thoughts.
Pepita
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I wonder how effective they thought the TC treatments were. I would definitely get second opinions on treatment. There are many long term stage 3 survivors out there, many on BCO.
Praying for you. I also have er+ pr- and her2- IDC and ILC tumors, gone after surgery.
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After neo adjuvant treatment for IBC my tumors were still active (aka no pathologic complete response). Radiation followed to, it was explained, "mop up". Now two years on Tamoxifen I'm NED. Don't give up, you're still undergoing treatment.
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I completely understand how you feel and why you feel like this now. I was a similar age to you when diagnosed and had (what I think) was quite a poor prognosis.
HER2+++ with a 5cm lump (plus another underneath), widespread DCIS throughout the whole breast, a huge lump in my armpit with lots of lymph node involvement and an aggressive stage 3 invasive ductal carcinoma.
I had chemotherapy first, followed by an operation where they took off the whole breast and literally went down to the bone and only got 7mm of clearance. All my lymph nodes removed. A year of herceptin and a course of radiotherapy.
That was in 2007. Now, in 2016, I'm still here and doing well (NED) and feeling really good. I can't believe I went through that and when I saw your post, I knew I needed to reply to you to help you. I was in the most terrible state (and like you almost wished I didn't know certain things).
I hope this helps you a little - I know that just knowing about others who had been through similar and had come out the other side really helped me. Over time you will start to feel better, but right now, just concentrate on doing whatever makes you feel better - going out for a walk, being with people etc. Surround yourself with positive people and don't let anybody tell you anything negative. Big hugs
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Thank you so much, these are the types of stories that give me hope. I'm so glad you are doing well. It almost feels inevitable that I will progress, but I have to tell myself that isn't necessarily true. I appreciate your response.
If I can go even a couple of years with clear scans, I'm sure I will start to feel less scared moving forward. The challenge is how to make it to that point and live my life to the fullest while carrying around the knowledge of how serious my disease is in the meantime.
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Don't carry too many preconceived notions into the various stages of your treatment. This advice was given to me by my oncologist early on and it made me realise we need to reach an intellectual equilibrium that sustains us through each phase of our treatments.
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Elise, I'm so sorry to hear you are going through this. I think we PM'd a while back about the hairloss. You certainly have been thrown a crappy curve ball. I don't have many words of wisdom and I know much easier to say 'don't worry yet' than to actually not worry. I feel for you at such a young age. It's a lot to handle. I'm in LA too. My one piece of advice for you is : Therapy and Anti Anxiety Meds. I did both when diagnosed, and it saved me.. I'd rather be 'numb' than sick with anxiety. at least during these months of such stress. You will come out the other end.. and soon this part will be behind you. Just get yourself through this part as best you can, with whatever it takes. Thinking of you and extending a big virtual hug.
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Elise, I'm reaching out to you as well - all I can say is, when I was diagnosed almost 11 years ago with 10 positive nodes, multifocal tumors and skin involvement, it meant a lot to read stories from IIIC survivors who were much further out from diagnosis that I was (and I couldn't find anybody like that locally in my day-to-day life). These boards have helped me so much over the years - and yes, I still struggle daily with my fear of recurrence and have had several scares along the way that took me to a very dark place. HOWEVER - my oncologist refused to give me a timeline and I didn't press for one. I am a strong advocate for Ativan and these days take .5 mg at least once a week for my anxiety issues (which I had LONG before diagnosis).
Don't give up - let time pull you forwards & concentrate on your medical team's instructions to give you a focus. My mantra during the first couple of years was "I will stay well." Find your own if you can...
Hugs - Julie
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Elise, also see posts from poster lkc who is a dozen years out from a stage 3C diagnosis (ER/PR-, HER2+).
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dear Elise, your post pulled at me too and I wanted to reach out. I so recognise your emotions exactly, I too am 3C after various developments and feel the same. I came here tonight in the fear you express - but your post reminded me of what HAS helped me. I agree about counselling/therapy - that helped me a lot, not to get to either optimism or denial - just to accept that my sense of a secure future had always been imaginary - everyone's is - and that today is really all any of us has. The other thing that helped, oddly, was encountering three stage 4 patients in one week a while back. Suddenly I realised they'd give their right arms for my 'dismal' 30% disease free survival chances. We do have at least SOME chance. That means there can be some hope. If things go badly for us we may look back on these days as the good innocent times. If they go well, we'll realise again they were good and innocent.. Either way, borrowing pain from a future we can't know makes no sense. 'Never imagine yourself in circumstances other than those you are in'. A lovely lady on these boards shared with me that advice, part of a recipe for contentment. Hang in there. So sorry for your suffering x
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Elise.....
I had it a bit worse than you although much of it the same.....my tumor was a mixture of ILC (mostly) and IDC and I even think a bit of IBC. The tumor was 8 cm.....I had 17 nodes positive...it was in my skin as well....and I had cancer bursting out of several nodes.
I don't think anything can prepare you initially for that kind of news....just like you we weren't expecting it to be this bad.
So having already done this and got the t-shirt......and that was 12 1/2 years ago......here's what I can tell you...
(1) Believe you can beat it.....Don't let cancer take any more of you than it already has......if things change you will deal with it then BUT NOT NOW.
(2) Get some fight songs on your iPod......whenever I started to spiral to a dark place.....I cranked up my fight songs
(3) Make plans.....plan distractions.....on the short term....have something to look forward to.....pick up a hobby....take a class at night...plan a weekend getaway......fill your day & weekends to keep yourself busy.
(4) There are several people beside myself that are doing well......IKC, sugarplum, weesa...... I clung to those people I found in the same boat and were doing well years out......I figured if they were doing well..... I could to......put their stories on the frig......on your bathroom mirror.....wherever you can be reminded that you too can beat this.
(5) All of this is to get time on your side......the more distance you get from treatment.....the more the months, years stack up......the better you will feel. It honestly just takes time....I would revel with the renewal of my monthly Femara......another month down!!!!! Each month adding to years.....and then to decades!!!!
Hang in there......you can always PM me if you think I can help more.......It does get better. It's just hard to see it right now.
Jacqueline
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Yeah, Elise, you are in a dark spot right now, and I would expect that. Pretty normal, for what you are going through. We all seem to go through this scary time, almost a rite of passage for stage three 'ers. I finally smooshed all my path reports in the bottom drawer of my desk and did not exhume them for years. When I did, I discovered my cancer was 8 cm, not the six I had been thinking. and my Ki 67 was through the roof at 70%. When I was diagnosed I had no idea what a Ki 67 meant, so I had to have a delayed freak out many years later when I knew mine was dangerously high.(So you're right, maybe there is a benefit in not knowing.) Just a few months ago, in a moment of clarity--I thought--I threw the whole mess of papers about diagnosis and treatment away! Felt so good.
You have received some good advice here from some of the oldies.. I hope Techtonic Shift will check in with you soon. She has knowledge of clinical trials and additional chemo. She's been proactive at making sure she keeps stage 4 at bay.
Will watch for you...Weesa
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hi Elise,
Just reading this and so sorry for the despair you are feeling. The early days are most definitely the hardest. I was diagnosed with a stage IIIC diagnosis , shortly after my mom died from met BC.
My prognosis was dismal to say the least;
My axillary and sentinel nodes were totally replaced by tumor, my lobes and ducts were affected. 10 other nodes were also positive. I had lymph and vascular invasion, Pagets of the nipple, NO clear surgical margins and her 2 to boot! My dearest ONc ( who was also my. Moms Onc) reached over to me and just handed me my path report to read. ( I am a nurse with mega oncology experience). Of course shock and expletives by me were followed by his calm reassurance of a real potential of cure.
That was 11.5 years ago, and I am blessedly well!
You will go through all the emotions during this time. Do not lose hope. There are many many many of us out there living well after this bc crap. Hold onto to the positive. I came here constantly for support and reassurance in my earlly days. So many other women were my heroes including Jacqueline, and Gabrielle.
Ok, now for some FYI. Your tumor type did not respond to the chemo, you were initially given, TC. There are other chemo options that will kick its ass. The blessing is that your PET was negative. That's a biggie.You most likely need a med that is a bit stronger than Ativan. Speak to your Onc about this if you anxiey does not soon diminish. Those who have been diagnosed with BC often suffer from depression. Spea about. This as well. Now is time for you to be able to rest and quiet the mind.
Do not google, as so much out there is outdated and does not reflect accurate current advances.
Come here often , you will find a wealth of beautiful, smart ladies who have All "been there".
I wish you God's blessing and a gentle travel on a road none of us wanted to go down
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elise...hang in there. I am a fellow traveler on the tightrope that is called borderline stage 3/4. I had 10/14 nodes, largest was invading muscle. I had some terrible days where only attivan, ambien and my now 7 year old and husband kept me going. Was diagnosed when my son was 2, then recurrence nightmare last Christmas. It helped (time mostly) to think of the pioneers living on the frontier daily worried about being killed by Indians. Brave men and women who served our country now and in years past on the front lines, how did they function? The persecution of the innocents during WWII who did not have a day, an hour, a minute to do whatever they wanted to do and say to their loved ones. We are far more blessed than many. We walk in a world truly grasping what it means to live day by day though most of us would gladly lay this perspective / gift of "awareness" down. Treatment can be shit. Knowledge is suffocating. It can be hell on earth. BUT....You HAVE on your side treatment options and a battle plan. Get some exercise, rest (even if forced by a pill) and plan a few things....a vacation, a nice get together, a hike in the park with a friend or a dog. You deserve a sense of control and the chance to live in the moment. You may never again get a day to forget about this mess of a shit storm hanging over you - but you will find joy again. You will take a deep breath and even if for a moment, an hour, be content. God's strength and blessings to you and all of us.
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Thanks to all who have shared. I'm SO glad to hear survival stories of people with lots of nodes who are years out. But I wonder, are you ladies (and gent) the norm. or the exceptions to it?
7of9, I also try to think of brave people in history and what they have gone through, it sometimes helps. Slightly off topic, but can I ask how/if your radiation treatment affected your reconstruction? Best case scenario is that I live a long time, and if that is the case I want to be happy with my new breasts - especially as a single 31 yo. But I need rads and my PS has warned me it will complicate the process significantly. (Before I knew how bad my case was - when I thought chemo had killed everything - I was going to decline rads, and I planned for implants). Did you experience "capsular contracture"?
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unfortunately capsular contracture is my middle name. It's weird, the implant I had (done back the first go around) I never did nipple reconstruction, was going to but now....maybe tattoos in a year or two. Anyhow I didn't think the bilateral implants looked great after a year or two (no rads first time - maybe wouldn't have had to do this crap again!)...but I did rads before chemo this time. Wierd. But surgeon was optimistic it hadn't spread (If I wasn't and some others) so she pushed hard for reverse order (after surgery). So I do have an implant that has tried to climb up my shoulder on the radiated side. Stiff, sore, hurts when I stretch so I don't really. This hasn't effected typing, mowing the lawn, arts and crafts, main thing is reaching up in my cupboards with my left arm and I look like a 13 year old girl on that side since I went with small implants to begin with. I would like to get it "fixed" but not for a year or two if all clear. It's rock hard too.
The big thing was I got through rads FINE, stretched, used Aquaphor immediately after each treatment before getting dressed and my skin came back 90 - 95%, never had blistering. I'd do it again if I had to. Especially since I had an ultra sound 2 months ago that showed no remaining tumor or regrowth! Do go to the best or main cancer center for your hospital system. I do believe because my heart was more centrally located they were able to miss radiating completely. My left lung was screwed up pretty bad for about 2 months but the pain when drawing a breath went away (probably the chemo after rads) but I was waterskiing six weeks after last chemo, 3.5 months after last rad!!!! -
For me my staging trumped the questions of rads, as I had a lot of nodal and tissue involvement and wanted an extra safeguard. I eventually did bilateral recon. Yes, I had contracture years later, but that's pretty common sometimes even without rads.
Got new ones, and very happy with the results
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Hi - you are i the darkest stage right now. It gets easier. I had 8 positive nodes, extracapsular extension and all nodes were matted and something the pathologist said was so dense he couldnt even identify it!
And that was all many moons ago.
I try not to dwell on it though it's just normal to let our minds go there occasionally. Take it a day at a time, or an hour at a time if need be right now.
Live your own best life.
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((hugs))
I'm sorry that you are having to face this and I totally get the feeling of wishing you never knew. I felt that way too after my dx, to the point of telling dh that I didn't want anyone to know and I was going to pretend it wasn't happening. It just felt like tooooo much!! But, it will get a little easier each day...I promise.
I think you should get a 2nd opinion though, this might help you as well with feeling overwhelmed. Someone to look at your case and give some extra input is never a bad idea.
You've gotten lot's of good advice and there are alot of great ladies here who have faced similar. Just recently I was looking over my pathology report, I never did back in the beginning. I didn't know that I was actually grade 3 or that I had capsular extension....and yeah it freaked me out. Cancer just sucks, BC is a bitch! I was 39 at dx.
((hugs))
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Hi Elise,
I am really sorry that you are having to face this. I was diagnosed with stage 3c when I was 27. I was newly married and had a great career and in the best shape of my life. No one in my family has had to face any type of cancer. To say it was a shock is an understatement. I went through neoadjuvant chemo like you and had 11 positive nodes after. My doctor's face said everything and my life has irrevocably changed. My husband could'nt handle my path report and finally filed for a divorce. I went from having it all to losing just about everything. That plus the adjuvant hormone therapy, I was pretty sure I was in hell. That being said, things get better. You will organically accept the situation and find the strength to deal with it. You will have some good days and some bad and soon there will be more good days than bad. You will have the kind of perspective most people at our age will never have. I worry far less about the little things, go very easy on myself and try to focus on the moment at hand. I travel a lot, eat healthy and work out. I spend time with the people I love.I work full time. I read and keep myself up to date with what's going on with breast cancer research. I read survivor stories when I feel really low. I pray. I cry. And mostly, I hope - with good reason. I have met some amazing people through this ordeal and sometimes the people I already knew turned out to be blessings in ways I never knew they could be. I know myself like I never did before too. I can also honestly say that I find more joy in things now than I did before and I definitely have days where this completely takes a backseat. When that happens, I know I am with someone who can make me forget this, or doing something that can make me forget this. It's the best thing in the world to discover what those things are.
Please go easy on yourself, and know that it is the most natural thing in the world to be feeling like you are now. Draw on your inner strength and believe in yourself. The cards have been dealt and now its up to us to choose how we take it from here. I wish you all the best from here on forward. Please PM me if you need to talk. And listen to the ladies here. They know their stuff

Ann
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Wow Tectonic, that's a great post – something for everyone and so nicely written. Your sage advice is a real blueprint for treatment, and you've well explained the importance of self-advocacy, thorough research, finding a good medical team, etc and, especially, attaining the mental strength to deal with all the shit that comes your way.
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Tectonic - thanks so much for that detailed response.
Do you know if the various tests you mentioned are covered by insurance? I am unemployed and cannot pay out of pocket for anything right now. I do have decent insurance, BCBS PPO. I don't know that my oncologist would be supportive simply because he believes that my cancer will respond much better to hormone treatment than it will to any other Intravenous chemo agents - he seems to think it is resistant to those, although I don't know what he is basing that on. But because of my horrific chemo experience, I would only try another IV combo if it there was extremely persuasive evidence it would keep me from progressing.
Question - if I got tumor cells tested for additional mutations/receptors (besides ER/PR/HER2) how would the treatment plan change? I wasn't aware of any targeted therapies existing now for anything besides those 3.
My oncologist mentioned a cool trial, EMBRACA, for BRCA1 positive patients like me with locally advanced cancer, testing parp inhibitors. But he told me there was a 50 percent chance I would be placed in the group who does not get the drug, so he thought it might not be worth it for me. The study ends in June 2017, so what I am hoping is that I may benefit next year from the results if it shows that the new drug is in fact effective (it has shown promise with BRCA positive ovarian cancer). I don't know the details of how trials work time wise, but I assume if the parp inhibitors pass the phase III (which is what is happening now) they would be FDA approved and available…soonish?
After a lot of soul searching, I have realized I will be happy if I can live until 45 - gives me 14 more years to enjoy life and do all the things I want to do. That's all I need right now. So that my parents will die before me and not have to watch me deteriorate. The trouble is, with grade 3, I worry I am the type to metastasize early on, like 1-3 years after treatment. Which means likely dying before 40, and I cannot accept that.
In terms of lifestyle, I maintain a healthy weight and I regularly work out (or at least I did before treatment, I have to get my muscles back) take a multivitamin (includes 800 Vit D) daily and eat lots of veggies - mostly broccoli and mushrooms! I limit soy, red meat, and alcohol a lot, maybe one serving of each per month. No smoking. My new thing is trying to fast 14 hours a day which isn't too difficult! However, I admit I am very skeptical in terms of how these things could protect me, mostly because my cancer seems to be driven by heredity rather than environment/lifestyle, as far as I can understand. Would love your thoughts on this though. My doctor tells me the most important thing I can do besides treatment is to lower my stress level. Haha to that.
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7of9 - glad to hear your recent ultrasounds were clear! Did your PS tell you what your options were for "fixing" the radiated breast? I recall you have a thin build, as do I, so don't qualify for the various tummy/thigh/butt options for tissue replacement. This concerns me, as I wonder how they can address the contracture in cases like ours. At this point I won't mind having uneven/asymmetrical breasts, but if I can't do my pilates exercises, or if I have serious chronic pain/discomfort, that is a problem.
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My onc started me on Zometa and then switched to Prolia, which has a similar (perhaps a smidge better) research outcome for preventing bone mets. She coded it so insurance could cover it as osteopenia treatment. My bones are fine, but insurance needs a justification.
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Tectonic, thanks - yes, both the EMBRACA and PALLAS trial look promising for me, bur practically/logistically speaking, I don't know if I would be allowed to participate in 2 trials concurrently…or whether I could take Xeloda and do a trial afterwards? I will absolutely bring up all of these (plus Zometa/Prolia) with my oncologist, but I have a feeling he will say I have to choose. It's nice to get excited about the options out there, but realistically they aren't all available to try at once, yes?
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