I just got diagnosed with IDC/DCIS
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If you have + nodes, it is most likely you will have to have chemo. I had 2 + nodes. I was at the exact same place you are at. I was freaking out at the thought of + nodes. It means that it may have spread to other parts of your body which is why they have to do chemo to kill any cancer cells that have strayed. My doctor acted like it was nothing. In fact, I called HIM when I saw the possibility that the nodes were + on the MRI. I am very happy that you got a second opinion. Grade 1 means it is slow growing.
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diagnosed DCIS. Starting radiotherapy tomorrow. Very frightened
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diagnosed DCIS. Starting radiotherapy tomorrow. Very frightened
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R2468 --> Hopefully you will be ok tomorrow. I know fear is part of the breast cancer game...and I am hoping there is someone there that can help you through your treatment tomorrow. Many ladies I know go into radiation fearful, and they are surprised at "how well" they do considering everything. I am not sure if learning more makes you anxious or makes you feel more comfortable, but there are threads about radiation on this site, and I would for sure search them and see some of the feedback. Sending peace to you- all of this is scary - hopefully once you get one treatment under your belt and get through the initial "unknown", am betting the fear changes.
Virgo73- hopefully you got some sleep. If your nodes are involved, and I think you said "inflammed/swollen" then it would change your treatment and staging. HOWEVER, your docs are attempting to figure out "why" they appear that way. So...breathe - there could be other reasons for that symptom outside of cancer. Checking for lymph invasion is typical...because that is the difference between DCIS and IDC - DCIS does not spread it is "in situ" meaning in place or has not gone anywhere, but the IDC - invasive duct carcinoma means exactly that --> it has already become invasive outside the ducts...so in essence it has the power to spread.
They check the nodes because the breast "drains" to the lympathic system and your blood vessels. The lymph system circulates throughout the entire body and carries white blood cells that fight infection plus other stuff, just like your blood BUT very different systems. Vascular invasion (blood vessel) is different but still the same idea. If cancer gets into either system, then it can circulate and spread to other areas.
One way they check for cancer spread is to check for a sentinel node, or to locate first node that the breast drains to - thinking that if the first node is clear, then most likely cancer has not spread from the breast. If your node is not clear, then they check surrounding nodes to see how many may be impacted. In your case, they did not do this "sentinel" process because they already see inflammation so they know that something is "off" and they need to find out why, but because of the diverse role that they lymphatic plays in your body, it is NOT necessarily cancer spread. However, you have been diagnosed so they need to check and figure it out.
None of this is easy Virgo....especially in the beginning...I was diagnosed in May - 47 years old...in Cali too - Long Beach. Once you have a plan and understand a more it will get better, but it is all life changing...
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Virgo,
I did not have an MRI before surgery. So I did not know if my nodes were affected until after surgery and pathology looked at them. Luckily none were, but since I found out after surgery that I did not have IDC but ILC, it hides in the nodes and I had to wait an extra week for special staining.
Just like Peace said, If it winds up being positive, it does not mean it has spread any further. The lymph system is designed to catch things like this to contain it. Even with negative nodes there's always the fear that some renegade sneaky cells have spread.
I won't say try not to worry, but try to keep busy until you get all the information and know which direction you are headed in. We are here for you.
hugs..
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Hello Ladies,
I got that call today. Auxiliary node affected
going to oncologist tomorrow... he ordered a pet and ct scan and will be starting chemo before surgery.
Does anyone know the difference between the Auxiliary node and the Sentennial node? How bad is this?
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Thank you for your positive support. Still feeling very anxious. I think you are right once I get first one done hopefully I will relax a bit.
Appointment10.30am this morning. Will post later xx
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Hi Virgo - I am sorry about the node... I know that was not the news you wanted. I am sending a warm hug -
The axillary nodes are all the nodes located near/at your arm pit. The sentinel node is just a node or first few nodes that are part of the axillary group. These are the nodes that are located by using a tracer that is injected into the breast before surgery and identifies the first place where a tumor drains. The tracer makes it easy for the breast surgeon to locate during surgery and remove only the first node or few nodes. They take out these nodes and check for cancer. You have a lot of nodes under your armpit. The more nodes you remove the higher the chance for lymphedema, which is swelling in your arm/hand...this happens because the lymph system which is reasonable for carrying lymph fluid throughout your body has been injured by losing the nodes. Not all women get lymphedema, but some do...
It sounds like your doctors are on it ordering the next tests - hopefully you will connect with your oncologist and feel better after seeing her/him.....maybe record the appointment with your phone and get some questions written down, if you haven't done it already...I know I was a basket of nerves at my first oncology visit....don't be afraid to ask them to explain it again or differently if you aren't "hearing" the information. Like I said, none of this is easy but I swear once you understand the plan, future time lines, and expectations..it gets easier or seems easier compared to what you are going through now, where there is a lot of unknown.
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Celebrating first radiotherapy session done. I found it very scary and stretching up of my arm difficult. Done now back tomorrow feeling more confident xx
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Hello Ladies,
Here’s an update - I received the results that my Auxiliary nodes were positive (Wednesday)... not the news I was hoping for. I saw my oncologist on (Thursday), who reviewed my path & MRI report with us. I actually have “multifocal” IDC being that I have 5 tumors in my right breast. All small with the largest being 2.1cm. His current recommendation is that I start Chemo (4 rounds/3 weeks). We’re waiting PET/CT scan results.
Not sure what to expect.... any advice? How soon should I start Chemo? Will Chemo kill it all?
I still have to have a mastectomy, but we’ll deal with that after Chemo...
Xox
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My advice is to follow your doctor's advice. Sorry for the news. It sucks when we hear things we were not expecting/prepared for. I've been there.
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If nobody has suggested this yet, ask for a port before chemo. Makes infusion much easier, on you and your veins.
Stay away from Dr google. He is NOT your friend.
Take someone with you as an extra set of ears. Or ask if you can record on your phone.
Breathe!! It really does get better when you have your plan in place😎.
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I’m very scared.... I can’t say this is easy. Now all of a sudden I’m feeling aches and pains in my back and associating everything with this Cancer. Are there any signs of spreading that I should be aware of
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Virgo73 you're going through what we have all experienced. Believe me, it will get better with a treatment plan and time. Especially time.
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Virgo, I just want to give you a big virtual hug! Yes, you are in the hardest stage, and we totally get it - we've all been there. Hoping for clean PET results for you!
Sounds like you have a good team of doctors, and that's great. You haven't been rushed into a quick surgery, instead, they ordered all the proper imaging and follow up. Take heart in that - you are being treated well.
My story is somewhat similar to yours, in that I found my lump myself, and the diagnosis came totally out of the blue (I'm 40, no family history). The first surgeon I found wanted to do a lumpectomy without MRI or any other follow up imaging, and that didn't sound right to me at all. I had a second opinion at a large NCI comprehensive cancer center (large academic hospital). There, I had an MRI and had DCIS found in my other, "good" breast. So that solidified the decision about BMX, however, my invasive tumor is almost 3cm, so I was offered neoadjuvant chemo (sounds like this will be your plan as well).
I was a candidate for chemo due to aggressiveness of my tumor (high Ki67 %), and when my onc offered neoadjuvant, it made perfect sense to me.
1) We can see if it's working
2) If there are any stray cells already, it's best to kill them fast. With surgery first, you have to wait at least a month (if not more in case of mastectomy) to start chemo, so my logic was "I'd rather have chemo get to them sooner!"
Do you know for sure what your receptors are? Sounds like ER/PR+ and HER2-, right?
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Virgo:
I'm so sorry honey, just keep breathing! I just joined this website today. I was dx with bc on Oct.2nd. As of today, I still have no clear answers. My gyno told me stuff and then the surgeon told me the opposite...so now I'm in limbo! I see an oncologist on the 26th and feel that my anxiety will get the best of me before that day! Telling my three kids was so damn hard. You can do this, use your family and friends to help you with passing the time! Keep your chin up honey and stay strong!!
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farawaytoo - yes my original surgeon wanted to have surgery without an MRI?? I went to great hospital in Santa Monica for a second opinion, and they took the time to ask questions and perform several tests/scans so we know exactly what we’re dealing with. My K167 is “slow” and yes, I’m ER+ PR+ HER2-
Did you have node involvement?
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jenny550 - I was diagnosed on Oct 2 as well... What a Monday that was.... my husband and I are having our oldest daughter and her husband (who already know) come over tonight to watch the Dodger game with our other 3 teens... we’ll break the news to them tonight. My dad reminded me of something yesterday “God will never give you more than you can handle” That resonated with me... I have to trust god. Maybe this was his way of actually saving my life (I’m a processed food junky) i have a new conviction about Health.
I hope and pray that you will get the answers you need, quickly and that your dx stays as DCIS.
Coxo
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Virgo and Jenny - welcome! I'm glad you found this forum. The wise women here have been my lifeline to sanity! I can tell you that once you have your plan in place, you will feel much more calm. It sounds as though you're both doing the right things. Once you get started on the treatment train, it's so rewarding to check off each stop. This is the place to come with your questions!
MJ
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Virgo,
Sorry on that news with the node. My sis was StageIII at diagnosis with inflammatory breast cancer and DCIS, 2 nodes affected. Chemo,(by time she finished chemo they couldn't find the tumor) surgery, and rads. She's 9yrs out NED.
Hope all goes as well as possible with kids. Thinking of you..
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Beach2beach- that is very encouraging news!! Thank you for sharing... gives us all something to look forward to :
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Tappermom383 - thank you for the open arms! I’ve spent countless nights reading posts on here - there is certainly a wealth of information
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Virgo:
Thinking about you tonight -- telling your children. Take a breath when/if you can. Really, you're in the worst place right now. Fear just so high and plan not completely in place. Crucial/critical information outstanding. I remember this place well. (Staying up until all hours -- researching, etc.) I'm a Virgo, too, so get the worrying. I hope you find some peace somewhere in each day. Grab that if you can. This WILL get better.
HUGS.
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Hi Virgo,
I had the same Dx as yours,seems like you'll have neoadjuvant therapy,CHEMO,then surgery then radiation and chemo,your oncologist may order you to have PORT placement before chemotherapy,an access device placed on your chest so that you wont be poked everytime you have chemo. This is not to scare you but it is a reality and just get ready.Also,expect to loose hair on the 3rd to 4th week after 1st chemo, there are stores for hats and turbans, make sure you get those before chemo, fall and winter are coming and it's too cold for your head,I don't know where you are in California,I live here in south orange county,there's transitions for women at SADDLEBACK hospital)my chemo agents were very strong, just make sure you hydrate yourself before and after chemo (they will give you a loading dose--a little high dose) but they base from your height and weight,you're likely to feel the effects as in weakness by the 3rd to 4th day, some drugs cause you diarrhea,make sure you are not dehydrated.Prepare for soft foods (easily digested nutritious foods).I also used soursop leaves tea which i think helped shrink the tumor tremendously,i didn't take it 2-3 days before and after chemo. I'd been there and i am so sorry that you have it too. Take care.
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Juamara - thank you for your thought and advice. The type is Chemo is still a blur... I know he said chemo and 2 other pills will be the treatment. I’m in the San Gabriel Valley, right over the hill from OC. My husband and I are going to look at wigs tomorrow. I was considering the cold caps, but they seem painful and not guaranteed:(. If you don’t mind me asking... what was your dx
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Virgo since you are down in LA area, wig might be hot for you. I’m in Northern California I wore scarves during summer now I wear hat.
I had the same problem, I can’t even remember what my MO talked about on my first meeting. So much information when you’re in shock. Just one day at a time, there is so much to do for you the next few weeks. Have you have your CT scans?
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Hi Virgo,
I had stage 3A Left IDC,DCIS HER2 +very aggressive,grade 3 with a size of more than 6 cm,cribriform and 5 lymph node involvement,ER- and PR -.Yours is ER+ and PR+(E means estrogen and P means progesterone.both hormones so that your onco will likely give you hormone pills w/c are a lot kinder to the body and your immune system. And if he/she gives you Chemo,could be perjeta or carboplatin which are a lot milder than what I had(TAXOTERE--caused hair loss and my nails were about to fall,they all turned black: and Herceptin for HER2+).Get ready for wigs also(but ask your onco if the chemo she/he gives you causes you to loose hair, and if so,start looking for wigs,because when you start loosing hair,it comes fast. Other harsh side effects of chemo are low platelets,w/c will cause you to bleed(nosebleeding and gum bleeding esp. when you brush your teeth,use soft bristles to brush your teeth, red beets and pomegranate are good for platelet buid up,if you start having sores on your lips,make sure your PCP or onco gives you something for oral sores,also watch for any one sided rashes and blisters as these may be herpes or shingles, make sure you tell your doctor right away bec. if it is not treated right away,it might affect your nerve and shingles pain lasts a lifetime).Also,buy some antidiarrhea pills.If you develop fever,its called febrile neutropenia,make sure you tell your oncologist or go to urgent care or ER (I had a temperature of 104 despite taking tylenol and motrin),deep breath a lot to prevent pneumonia as flu season is coming).you can also PM me,if you like. be strong and take care.
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Your insurance should cover a wig. Mine did, 100%. And they should be able to tell you where to get it.
Any nausea or anti diarrhea meds should be rx’d by your MO, again insurance should help cover cost.
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Virgo73,
Everything has been happening so fast, I also was diagnosed at the beginning of October.
I've been watching your post & want u to know your not alone! I also since the diagnosis think my left ear hurts, tongue is swelling & my back is killing me (seriously, I know I'm tough as nails& don't complain but this is putting me on a emotional rollercoaster that I really don't wanna be on)... We will get through this, it is so scary but with a positive attitude I know this will just be memories!
I received my port on Friday (yep that isn't pleasant for a couple days) start chemo Monday 12weekly rounds & 4rounds every 3 weeks. Good luck with everything I'm praying for you!
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Ladies, thank you for all of the info. Please believe me when I say I read each and every one of your posts and take them to heart.
Last night we told our kids (17, 20 & 21). Let me just say... you were right, that was probably the hardest emotional part of this whole rollercoaster. My oldest (son) was soo broken, he’s my kiddo (my first born, my first love), I had to take him outside so he could cry and let it all out. My youngest (daughter) cried as she was more scared than anything else, and my middle one (daughter) was so strong and asked all the questions (what type, what’s the plan, etc), and she told me “I’m sad, but deep down I know you’ll be ok” What a night... but I’m glad we’re all unified, trusting God and just LIVING each day.
I went to a few places to look for wigs today. I’m looking as I plan to (God willing) try to go into the office a few days a week. I hate wearing baseball caps, lets see how I’ll hold up with a wig!
My neck (both sides) are a little stiff.. they’ve been for a while and I’m hoping it’s because I sit at a desk all day and don’t wear my reading glasses. I also thought it could be due to stress... (I’m starting to feel every creak in my body now)
I do have a random question... it’s Sunday and I’m wondering what else I can eat. I’ve completely changed my (and everyone else in the house) diet. Went all organic (I’ll have to give up my mani & pedi’s just to afford to eat right lol). Aside from my green juices, salads, any other options for our situation? Would love some input here, please share your meal plans
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