It wasn’t just a cyst...

GardenGirl11
GardenGirl11 Member Posts: 26
edited October 2017 in Just Diagnosed

Hi everyone! I'm a married mom with one 11 year old son and two bonus daughters who are 10 and 15. I have the best dog in the world who had a rough start in his life being abandoned as a puppy and almost dying. I figure if Trooper can survive then I can also. He's my BFF.

(Scroll to the bottom for the pathology report if you want to skip my lengthy story.) 😬

I found out I had BC this past Monday, 9/25/17, after having a biopsy on 9/23/17. I knew as soon as my PCP called me to come into the office with my path results that I had BC.

I was the one who found the lump just a week and a half after getting the all clear on my yearly mammogram on 7/7/2017. (Hmmm, that's curious.) On 7/21/2017, I went to my PCP and he said it was probably just a cyst. My PCP said to wait a month and if the lump didn't go away he'd send me to get a more detailed mammogram and ultrasound. I waited almost two months before calling my PCP on 9/20/2017 to set up the ultrasound and mammogram appointment.

I would've called for an appt. to the radiologist sooner but I had been having lower abdominal issues and I was miserable. I thought it was my ovaries or uterus, so when I went to my GYN in May she suggested a vaginal ultrasound (normal besides a fibroid). The next line of treatment was a progestin pill and also a recommendation to see a GI doc. First office visit with the GI doc was on 7/13/2017 and that was followed by a colonoscopy on 7/18/2017, abdominal ultrasound and EGD on 8/18/2017, and an abdominal CT scan on 9/6/17. Thankfully all my GI tests were normal and the doc suggested it could just be the IBS or my reproductive system and suggested I go back to see my GYN. 😑 During that time I was busy with the kids going back to school and my furry buddy got kennel cough. My GI doc was more concerned because my heart rate was low (44bpm) and she referred me to a cardiologist. I had an EKG on 9/18/2017 and she said I may have had a heart attack!!! I wore a Holter monitor for 24 hours and the results came back normal. (Whew, all clear.)

Okay so back to the cancer stuff. 😩

My pathology report/diagnosis: Rt breast at 12:00, 6cm from nipple, ultrasound guided biopsy: Invasive mammary duct carcinoma, Nottingham grade 1, measuring 0.6 cm in greatest dimension and involving multiple cores. Histological section from mass show invasive, mildly atypical glands and groups of cells involving a reactive breast parenchyma. Tubule score-1, pleomorphism-1, and mitotic rate-1 for a total of 3. No background in-situ component is seen. No lymphovascular invasion can be found, no micro-calcifications are identified.

I can’t remember exactly what my PCP said during our visit (in hindsight I should've taken someone with me or taken notes). I think it was something about it not being too terrible but still serious. I know now from doing research that all my scores are 1s so that's good. However, I don't know the stage, if it's in my nodes or whether my ER, PR or HER2 is + or - My oncologist appointment is this Friday, 9/29/2017, and I hope I’ll have a better grasp on what’s going on in my body.

I had a panic attack this evening and even though I took anextra benzodiazepines I can't sleep. I'm actually surprised I didn't have one sooner because I have GAD and PD. I've been trying to stay positive and only get sad and depressed when I’m alone. I'm mostly afraid because this is all new to me and the word cancer alone freaks me out. Also, I really like my breasts.

❤️ to everyone here.

Comments

  • edwards750
    edwards750 Member Posts: 3,761
    edited September 2017

    Bless your heart you have been through a lot. I'm a monster dog lover too by the way.

    Understandable you are anxious. We've all been there, done that and some of us are still dealing with issues and the unknown.

    You will know a lot more tomorrow. Things should move quickly after that. It would b helpful if someone could go with you because you will be inundated with information. It's hard to think about what to ask when all of this is foreign to you. All we can concentrate on is the fact we have BC. Hopefully you have good doctors and ones you have a rapport with. That is extremely important.

    I had a good BS who didn't have the best bedside manner and an MO who was efficient but no grad of charm school either. Just so you know I am 6 years out from IDC, Stage 1b, Grade 1. Lumpectomy, radiation and 5 years on Tamoxifen.

    They have come a long way in treatments and research. The one piece of advice I'll give you is be your own advocate. This is a great place to seek advice. No one is a medical professional but we all have first hand experiences which is invaluable.

    Good luck and keep us posted.

    Diane


  • Kahnartist
    Kahnartist Member Posts: 111
    edited September 2017

    I am so sorry for your experience. I am right ahead of you by a week. It is so scary to. It know the details but you have our appts scheduled and more info will come. I was old by my rad at both biopsies that they would be benign one was one wasn't. It stinks that it was so long for you to feel crappy and not have a true diagnosis but at least now you know and you can make decisions that are best going to reflect your treatment and your path. Keep me updated after your appt and try to care for your mental health in The meantime

  • Meshell5324
    Meshell5324 Member Posts: 54
    edited September 2017

    Hang in there Gardengirl. Everything your feeling is normal. I had my freak out in the shower the day after I found out. I didn't want my kids to see. I have a 14 yr old and an 11 yr old. It's hard to imagine but it does get better. I think the more information you get the more in control you'll feel. My oncologist is awesome and my new surgeon is very calming. By the way, rescue dogs rock. We have a rescued pug mix! Hugs to you!

  • Meshell5324
    Meshell5324 Member Posts: 54
    edited September 2017

    Lol.. Pug mix...

  • windingshores
    windingshores Member Posts: 704
    edited September 2017


    I had a "cyst" too!!!! Luckily my MD sent me right over for diagnostic mammo, ultrasound and biopsy the same day. I can sympathize with all the obstacles you had.

    Your grade and individual scores are good, and it's small.  Can you access the hormonal tests and the HER2?  You may have an Oncotype test at some point which will give recommendations on treatment if you are estrogen/progesterone positive.

    If you have to have cancer, this is a picture that is not terrible, as your doctor said. But having cancer at all is scary.

    The waiting is hard. Ativan and Netflix!!



  • pupmom
    pupmom Member Posts: 5,068
    edited September 2017

    Meshell, you can edit your posts. My mind was going wild imagining that rescue pig mix!

  • Meshell5324
    Meshell5324 Member Posts: 54
    edited September 2017

    Thank you pupmom! I'm still new to posting. 😂

  • GardenGirl11
    GardenGirl11 Member Posts: 26
    edited October 2017

    I had my first visit with my oncologist this past Friday.

    At my appointment I found out I was: Stage I, ER+/PR+, HER2-, Ki-67 is 19%. I think I'm going to have an Oncotype test when I have surgery but then again maybe they already did one when I had the biopsy...not sure how this works. I also gave a spit sample for a genetic test because it will help me determine which treatment plan I pick...I'm not sure which test I'm getting but he said something about it being able to tell me about all the types of cancers that I could be at risk of getting. (Do I really want to know this because isn't one cancer enough?)

    I was given two options for treatment: mastectomy with no radiation or a lumpectomy, axillary lymph node dissection and radiation. He said with a mastectomy I had a <1% chance of recurrence in the breast and a 6-7% chance of recurrence with a lumpectomy. Since I'm ER+ and PR+ I'm a candidate for hormonal therapy as well but he didn't mention whether or not I would receive it.

    The clinic is going to set-up an appointment with a reconstructive plastic surgeon soon so we can discuss my options there.

    I am also going to have a PET/CT scan. (I'm not sure if this is standard or not.)

    I will also need to follow up with my cardiologist to make sure that my bradycardia isn't life-threatening. I have a stress test in a few weeks, but I want this cancer removed as soon as possible. I mentioned not wanting to wait and my doctor said that the cardiologist would probably move my appointment to an earlier date if I called and told them about my recent diagnosis.

    So much to do and I still haven't wrapped my head around all of it.



  • WeatherHeather
    WeatherHeather Member Posts: 7
    edited October 2017

    I'm right here with you. Diagnosed on September 26, '17. I found it myself several weeks ago - thought it was a cyst so didn't freak out. I'm 45, already have cosmetic implants (and the girls are old - 20 years). Normally have mammogram every year, but skipped a year last year because research said it wasn't necessary to have one every year unless you have a problem. Houston, we have a problem.

    Tumor is 1.3 cm. Invasive ductal carcinoma. ER+, PR-, HR2-. The spit test was to test to see if you mutated BRCA gene. I took it as well. It gets really confusing - all the tests and what they indicate. My best advice is to record your visits, especially when you're discussing important matters, with your cell phone. I did, and I keep going back to it and realize I misunderstood something that I initially thought I understood clearly. Here's the info on BRCA gene testing:

    BRCA1 and BRCA2 are human genes that produce tumor suppressor proteins. These proteins help repair damaged DNA and, therefore, play a role in ensuring the stability of the cell's genetic material. When either of these genes is mutated, or altered, such that its protein product either is not made or does not function correctly, DNA damage may not be repaired properly. As a result, cells are more likely to develop additional genetic alterations that can lead to cancer.

    Specific inherited mutations in BRCA1 and BRCA2 increase the risk of female breast and ovarian cancers, and they have been associated with increased risks of several additional types of cancer. Together, BRCA1 and BRCA2 mutations account for about 20 to 25 percent of hereditary breast cancers (1) and about 5 to 10 percent of all breast cancers (2). In addition, mutations in BRCA1 and BRCA2 account for around 15 percent of ovarian cancers overall (3). Breast and ovarian cancers associated with BRCA1 and BRCA2 mutations tend to develop at younger ages than their nonhereditary counterparts.

    So, I guess the results of this test will tell us if we should or should not have bilateral mastectomy and/or have ovaries out as well. It takes a few weeks to get this one back. I'm hoping my results come back before surgery - it would suck not to, and then find out additional surgery is necessary.

    Then, if I'm understanding all of this (still learning like you are), after surgery they perform oncotype testing on the mass, which is:

    What: The Oncotype DX breast cancer test is a unique genomic test that helps women recently diagnosed with either early-stage invasive breast cancer or DCIS (non-invasive) breast cancer. The test generates a score of 0-100 based on 21 specific genes in your breast tumor tissue that was removed during surgery. This unique set of genes predicts your response to chemotherapy as well as the chances of your cancer returning to provide personalized information that is not available from any other test or measure.

    During/after surgery, they'll also evaluate lymph nodes. This is a biggy. PRAY it hasn't spread to one or more lymph nodes. This result has a big impact on whether or not (or how much) chemo and/or radiation we'll need. My doc said he thinks we caught it early and doesn't see or feel any evidence that the cancer has spread, but again, we won't know for sure until surgery.

    I'm meeting with my plastic surgeon today, and he determines the surgery date - surgery is the first step for me. So I'm anxious. Plus I need to break the news to my kids.

    No matter what, since your tumor is hormone receptive like mine - I'm fairly certain you'll be put on tamoxifen for 5-10 years no matter what, because, like me, we're premenopausal.

    Keep us posted. I feel for you.

  • GardenGirl11
    GardenGirl11 Member Posts: 26
    edited October 2017

    Thanks for the information WeatherHeather. We are very similar and close in age. I also have implants which are going on almost 10 years. I haven't received my BRAC test back yet and I'm already scheduled for surgery on the November 1st. Now I'm wondering if I should wait for those results, which they told me I would receive in a week or two. I appreciate the clarification on the Oncotype testing. I do wonder why they don't do the test prior to surgery with a biopsied sample? For me though, as soon as I knew I had breast cancer I immediately decided I wanted a double mastectomy. I chose that path even though the professionals say it doesn't necessarily give you a much better chances of the cancer returning somewhere else down the road versus a lumpectomy.

    I've run into a dilemma with one of my surgeons. I received some feedback about my reconstructive surgeon from several nurses and nurse anesthetists that told me not to use the cosmetic surgeon I've picked. They said he had a high rate of return and problem surgeries, but if he was so bad why would the oncologist or staff recommend him to me. I'm not sure who decides where you go to get reconstruction. Do they have a rolladeck which they spin and give you the first doctor it lands upon? The only other thing I have to go on is online reviews from websites like Vitals and Healthgrades about the doctors. I feel like now I should go get a second option from the other recommended doctor but I'm not sure what that will tell me because I liked the first one I met.


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