Introducing myself, mastectomy and breast reconstruction.
I have been lurking on these boards since January when I first found my lump and it has been helpful, thank you all.
I have a clinical 1A cancer. In ultrasound my tumor is 1.4CM and in MRI 1.6CM. 95% ER, 70% PR and Herx negative (from biopsy). I am waiting for a gene result for cancer. It should be back this week.
The lymph nodes do not seem to have cancer (I have been warned this can change when final pathology comes in). I am 31 years old, recently married and no children of my own yet, but I am a stepmom to a 5 year old. I will be meeting tomorrow morning with an oncologist to get approval to freeze eggs and to get a letter for my insurance company. I will try and get answers about chemotherapy because I am very worried about it's effects. My father died of gallblader cancer when I was 16 and the chemotherapy and cancer were very horrible. I am not sure what to ask except for: will I need chemotherapy? If you have suggestions, please share them with me.
I am looking at reconstruction options. I will have surgery 02/24. They do not think they can save my nipple because the tumor is too close. I am unsure of doing a mastectomy on both sides because my right side has no cancer but I am worried it will look bad to have one side with an implant and the other without. Has anyone else had only one side removed? I have small breasts and want to keep them small but the reconstruction pictures I find in google are much bigger than what I want. Has anyone had one side mastectomy and implants with small breasts? I am meeting with a plastic surgeon tomorrow and will know more then but trying to find pictures and opinions of women with reconstruction that are full As and small Bs.
I am sorry for all the questions but I am very scared and hopefully someone can provide anwers.
Thank you and god bless you.
Anne
Comments
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Hi Cordelia, I'm sorry about your recent diagnosis, but am glad you finally came out to say "hi" and get support. I had bc (and reconstruction) on one side only at 38. I had a lx with the plan of follow up radiation (I was ER-/PR-/HER2-, so no endocrine therapy for me), but when a post lx mri discovered more DCIS in other quadrants, my bs recommended mx instead. I guess, to be honest, I never really considered bmx. I was a bit shocked by the news of more DCIS, and at that point just wanted to be sure we got it all, so I was only focused on the DCIS side.
I have been NED for 14 years (yay!). Overall, I have been pleased with my reconstruction, however, I do have differences in the recon vs regular sides which have gotten more significant over time. One breast ages (as normal) and changes if I gain or lose weight and the other doesn't. That is certainly something to consider. I'm not sure I would have done bmx, even if I would have known this, but I just want you to have all the info you need to make the best decision for yourself. I don't have particularly small or particularly large breasts, so the difference over time may be different for you. I would talk to the PS about your questions, concerns and options. Think about bringing a friend to take notes (one who can stay really calm, listen and write) or a recording device so that you don't miss anything. It is quite common to be a bit overwhelmed and that can make us miss or mis-remember things.
If you think of other questions, please ask. The amazing women on these boards have a wealth of knowledge and can be a tremendous support for you. If you'd rather ask questions privately, please do message me.
Sending you healing light and hugs! You carry us all "in your pocket" when you go in to see your team.
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Hi Anne, welcome to Breastcancer.org and thank you for posting!
We know you'll find our Community an extremely helpful resource and you're sure to get some great support soon.
In the meantime, you may want to check out the main Breastcancer.org site's pages on:
- Mastectomy Plus Reconstruction
- Questions to Ask Your Surgeon About Reconstruction
- Pictures of Breast Reconstruction
- Talking to Your Doctor About Chemotherapy
Also, there's great support for you on the February 2017 Surgery thread, as well as in the Reconstruction forum. Make sure to say Hi there, too!
We hope this helps, and we look forward to hearing more from you soon!
--The Mods
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Hello Anne and welcome to OUR lives.. I'm happy to hear you have been gaining information and it has been helpful. Although I have had children,I still have fairly young kids 7,8,16,17,21.. obviously talking about my littlest 2. All of my kids are still living at home and we are going about our new found situation . I will not offer insight to your situation because ,to be honest, I do not feel educated enough to help. I just wanted you to know I read your story and I'm happy to have you here . It would have been better under different circumstances we will do with what we have been given,right?
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Anne: Sorry you've had to join us. Below is a link for our 'breast whisperer's thread - Breast Implants 101. If you will carefully read the entire header and post what is requested along with your questions, WhippetMom will be able to give you some good advice.
https://community.breastcancer.org/forum/44/topics...
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Thank you MinusTwo, Amapola36, Moderators and MTwoman.
I have figured out that what PS, BMX and UMX are, but not MO. Could someone please help me out with that?
The appointment with my plastic surgeon went well. She was very sweet and understanding. She suggested we try a single mastectomy and tissue expander first to see how I feel. She can do a mastectomy on the other side when they put the implant in, if that is what I want.
I spoke to a friend's aunt and she said she didn't have reconstruction and that was the healthiest way to go and a way to avoid more surgeries and infections. It confused me and scared me about choosing implants. The plastic surgeon's nurse showed me pictures of mastectomies with no reconstructions and they made me sad and scared. She also said a lot of women with no reconstruction go back for extra surgery and that infections can happen with any surgery and something about lemphadema and scar tissue from no reconstruction. I will try the expanders and implants and see but in truth, it all scares me and I don't want to choose an unhealthy option for vanity, but I really did not like the flat chest with the scars and the lumps. Am I choosing the right thing? I am so scared.
The oncologist, I did not like. He was very harsh and spend all of five minutes with me. He gave me the letter for the insurance company and said we would talk more after surgery. I asked about chemotherapy and he was reluctant to give me answers until he knows the node status. He said because of my age and tumor size he would recommend chemotherapy with a medium number and then said we would ¨talk¨ with a score in the 1/4 high low score. I have been try to find this on google but cannot seem to find anything about 1/4 scores. Can anyone help me with this?
Thank you all and god bless you.
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Anne, It can all be overwhelming. Take time out, every now and then, to breath and relax so that you can process information and get a sense of what seems right to you. MO is medical oncologist (as opposed to RO, radiation oncologist) and it sounds like you met with one; although if you didn't connect with him there is NO PROBLEM looking for a second opinion from one you might work with better. Your comfort with your team, and your ability to freely and effectively communicate with them, will surely impact your experience of your treatment, if not the treatment itself. This is your journey and there is no point inviting someone along for the ride that isn't pleasant company
Honestly, there are no right answers as far as reconstruction is concerned. There is a small number of people who can be found on these boards who have experienced problems with any kind of reconstruction available. There are more predictable problems (reconstruction after radiation seems to be one of them), but there are also people who have done these procedures and NOT had problems. Feeling good about your choices and having a team with you who can advise and implement your plan with you is paramount. Sending you healing energy while you make your decisions. It really will feel better once you have your plan in place and are moving forward. ((hugs))
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Hi Anne:
Hugs to you and I am sorry about your diagnosis. It sounds though that things are happening and you are starting to have a plan of treatment. Its the not knowing what treatment is like too that causes anxiety. And the waiting, waiting, waiting.... its torture.
I can tell you from personal experience that though tiring, chemo will not be wretchedly horrible if you need it. Its doable and okay. You will find tons of support here. Lots of women work thru chemo too.
As for reconstruction, I had a mastectomy on one side and did not have reconstruction because I felt like you - it seemed horrendous to go thru all that surgery and risks for a less than stellar result I thought. However, I am now facing another mastectomy on the other side. So, this time I am going to have the tissue expanders and implants. I also have very small boobs by the way and was told by my Plastic surgeon that I can have any size implants I want as long as they are not too big because they will not fit on my body.
The reason I chose to have reconstruction is because I found with a one sided mastectomy that when I wore a bathing suit or any lowcut (v-neck even) top, I was self-conscious of my prosthesis shifting or showing. It never did, but I worried about it. Plus the prosthesis was larger than my other side and I even had it fitted to me. They didn't have the right size prosthesis to match. I love swimming and I found that the prosthesis in the pool was too much so I stopped swimming. Other women I know personally and others I have heard of, have had reconstruction and they can now wear bathing suits, low cut tops etc and look fantastic. And they LOVE it. So I am going to go for it. I have been assured by the plastic surgeon and others that I will be able to wear a bathing suit with ease. I am 54 now, and still consider myself "youngish" enough to look good in a bathing suit.. at least a one piece. It would be nice to have cleavage. LOL
Feel free to PM me if you want to discuss or need support. We are all here to help each other.
Hugs
Wallan
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I just wanted to add a note about the Oncologist appt. It's not unusual to have a short appointment prior to surgery.. I know my doc didn't go much into options or treatment. Mainly a few if and maybe. I've had a relationship with her due to a iron disorder I have. Anyway I don't think they want to give a ton of info,especially if it's overkill, does that make sense?
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Anne - I agree, don't be put off by reconstruction. If you don't want to be flat, it's a well recognized procedure and perfectly safe MOST OF THE TIME. (sort of like it's perfectly safe to walk across the street most of the time) It is certainly not any less healthy an option now that implants are cohesive gel & can't leak like the old kind. Personally, I could not live with being flat. Further, I know myself well enough to know that I would be deathly unhappy & depressed with one boob left. So because I had DCIS in both breasts, I had a double mastectomy at the beginning, with expanders and then exchange later.
What your PS (plastic surgeon) has recommended is certainly a conservative way to go.
You will still need to post as much of your diagnosis as you know - type, kind, stage, hormone status, etc. You can do that at "my profile". Don't worry that the MO (medical oncologist) didn't want to talk much at this point. He can't plan w/o the information. But it doesn't sound like a good personality fit, so I would get a second opinion before committing after you have all your information.
I hope you'll check out some of the links the MODS posted. Also there is a thread for 'newbies' that lists all the abbreviations.
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