December 2017 Surgery Group

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Lexica
Lexica Member Posts: 259

Hi, all. Just got my surgery scheduled for December 19. BMX, but still unsure if we're doing a sentinel node biopsy or axillary node dissection - surgeon says he wants to look at axillary nodes on US first since I had neoadjuvant chemo. Anyone else not do axillary node dissection when pre chemo scans showed abnormal morphology in several axillary nodes?

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  • Mnr
    Mnr Member Posts: 9
    edited November 2017

    hello.. I am going to have nipple reconstruction surgery done on 12/12. Already been threw 2 duct surgery then had a mastectomy last year. Finally found a PS that will do my nipple reconstruction. Must say I am a 49yr. Old male.. they are doing the surgery where they will make my nipple from the skin on my chest. Does anyone know what to expect..I was informed of the 3D tattooing but want a real nipple..they said there was no cancer but had no idea on why I was having this bad growth on the nipple... Sorry if I am in the wrong group... But no where to find info for men or where else to turn..so any help would be great...thanks

  • Moderators
    Moderators Member Posts: 25,912
    edited November 2017

    Hi Mnr, and welcome to Breastcancer.org!

    You're certainly welcome to post here, however, you may find some other resources very helpful as well. Our Male Breast Cancer forum has helpful male members who have experienced breast cancer first hand and could offer some advice!

    Also, the Reconstruction forum has a thread on Nipple Reconstruction that you may find helpful. In addition, the main Breastcancer.org site has a page on Nipple Reconstruction that could offer more information.

    We hope this helps and we look forward to hearing more from you soon!

    --The Mods

  • FaithWalker22
    FaithWalker22 Member Posts: 46
    edited November 2017

    Hi! My surgery is 12/8. I'm having the BMX, OOPH along with DIEP reconstruction. Hinken, I haven't had any type of chemo-- sorry I can't be of more help. How are you feeling about your surgery? I'm nervous but I know I need to just bite the bullet and get it over with.

  • Lexica
    Lexica Member Posts: 259
    edited November 2017

    hi, Faith - I'm nervous, but excited to get this cancer out of me. I wondered if they could do the OOPH at the same time as the BMX surgery. Was that the doctors recommendation or your choice? I'm thinking about getting the OOPH but I'm 34...not sure if I should or not.

  • FaithWalker22
    FaithWalker22 Member Posts: 46
    edited November 2017

    Lexica, I have the BRCA1 mutation and a long list of a cancer in my family so the OOPH was basically a no brainer for me especially since I already have cancer. Plus it was highly recommended. I asked if both could be done at the same time. One BS told me they couldn't do it at the same time but my current BS told me they could. My BS connects with a GYN that specializes in cancer and they work together on these kinds of procedures. If you are having a DIEP they can do the OOPH at the same time. I'm sure if they will do it at the same time if you are having tissue expanders but it can't hurt to ask. Having the OOPH now vs later is up to you. Are the doctors recommending it? Are you certain you are done having children? That's one thing to consider-- and the fact that you'll be go right into surgical menopause. It's a lot to consider.

  • Sopho
    Sopho Member Posts: 41
    edited November 2017

    Hi all!

    They have me reserved for surgery on Dec. 7th. I won't meet with my surgeon until the Monday before and my plastic surgeon the day before...so there are alot of details not worked out. Im a little paniced because I still have so many things to do...I am also nervous about the 7.5 drive home after release.

    80% that it will be a single mastectomy with delayed reconstruction. It just fully hit me today (in the middle of work, yay) that I am going to be missing apart of my body in two weeks time. Today has been hard.


  • hhuey
    hhuey Member Posts: 151
    edited November 2017

    I think I will join this group since my surgery is scheduled for November 30th. I am scheduled to have BMX with axillary node dissection since one node was positive prior to chemo but I am going to join a trial where they will take only sentinel nodes, test while I'm on the table and if they test positive will randomize me to either 2/3 of my nodes anyway plus radiation or just radiation. .if the sentinels test negative they will just have taken those but I'm opting for radiation regardless based on my her2 + status. I want to take every precaution for recurrence.

  • MBPooch
    MBPooch Member Posts: 229
    edited November 2017

    Hey All -

    I'm going to hop on this thread too. I'm part of the November group but with my surgery on Nov 30th I'd like to stay in the loop with you all as well. I'm having a BMX with immediate reconstruction and Sentinel Node biopsy this Thursday. I was first diagnosed with Pagets on 10/16 and later discovered DCIS directly below the Pagets. I am so ready to get this surgery over with. I'm hopeful that node biopsy is negative and and nothing else is discovered in the pathology report. Hoping for great outcomes and recoveries for you all as well!

    Michelle

  • FaithWalker22
    FaithWalker22 Member Posts: 46
    edited November 2017

    Sopho I understand. We are losing a part of our bodies and no matter how great the reconstruction it will never be the same. I've had moments at work that I've broken down in my office when things hit me out of the blue. I'm nervous as well but I try to rest knowing I'm doing all I can with what I have. Some things I can prepare for and others I can't and I just have to accept that. I see you have a long ride home. An 8 hr drive is enough to make anyone nervous! Have you thought about staying in a hotel for a day or so after the surgery to make sure you are up for the ride? A friend who had BMX and DIEP said she felt every bump on the ride home. Since you're only having BMX, be sure to bring pillows for your breasts.

    MBPooch and hhuey- best wishes on your surgery!

  • acesmith
    acesmith Member Posts: 11
    edited November 2017

    hi all, I am also having a December surgery. December 4th. Prophylactic Bilateral Mastectomy with immediate Recon. just had my pre-op this morning and must say I'm a tad nervous. BRCA 1 positive and family history of breast and ovarian cancer but ready to get this done!

  • Ghionik
    Ghionik Member Posts: 101
    edited November 2017

    Acesmith, I also am having the same procedure on the same date. I have my pre-op tomorrow. I’m not BRAC1 positive, but scared as hell. I had a second tumor found from anMRI in same breast. We will get through this!

  • Walkingintheclouds
    Walkingintheclouds Member Posts: 52
    edited November 2017

    Hhuy- same surgery date here! Can I ask about your wbc number? I am off chemo for 5 1/2 weeks and my wbc is still low 3.1. My surgeon prefer a number around 4 ... I’m a little bit nervous n

  • Shakes561
    Shakes561 Member Posts: 7
    edited November 2017

    Have scheduled my BMX for December 13. I have the benefit of being an employee of the health center and worked previously with the surgical teams who will operate on me. I have high confidence in them however it doesn’t quell the concern for the unknown and the what-ifs We’re all on quite a journey, so glad I’ve found all of you to travel with.

    Sue

  • samp7
    samp7 Member Posts: 17
    edited November 2017

    Hi Everyone. New to this board. Diagnose with low grade cancer in both breast on November 7th. Just met with my plastic surgeon and the tentative date for double mastectomy and reconstructive surgery is December 7th. I meet with the breast surgeon tomorrow morning to confirm this. I'm scared for sure, but so ready to get this cancer out of me and get on with my life. I will have genetic testing done on Thursday. Pretty sure it will turn out I'm either BRCA 1 or 2 positive. How else can someone get cancer in both breast when the chances of getting breast cancer for the general population is only 7%? Still, I can't help but feel a bit lucky. Before October, I hadn't had a mammogram in 20 years. I could have gotten a much worst diagnosis. Sure, now I'm worry about ovarian cancer but I'll cross that bridge when I get there.

    The PS went over my options today and I decided to go with the implants. I went in thinking I would have tissue and fat taking from my abdomen. Doctor explained that that would leave me with a weaker core strength, for life! I'm 62, but I'm still pretty active. I run and row, and I sort of need my core strength. Good luck All.

  • Moderators
    Moderators Member Posts: 25,912
    edited November 2017

    Hi Samp7-

    Welcome! We're so glad you've joined us, and we hope you find this community to be a source of support. You might be interested in our reconstruction forum, for after your upcoming surgery: https://community.breastcancer.org/forum/44.

    We wish you the best of luck on your surgery, please keep us posted. Looking forward to seeing you on the boards!

    The Mods

  • Lula73
    Lula73 Member Posts: 1,824
    edited November 2017

    hi samp7- welcome to the group no one wants to join! Glad you have such a positive outlook. Just wanted to throw this out there since you mentioned your doc talked you out of natural tissue recon by saying it would reduce your core strength...he’s talking about TRAM flap recon that is rarely done anymore. It was replaced by DIEP flap recon which does not take muscle, only skin and subcutaneous fat. There are plenty of women in the DIEP flap forum that run and I row (although I’ve had to wait til after stage 2 recon to resume it -anxiously awaiting my 6weeks post-op date!) any questions, feel free to ask!

  • samp7
    samp7 Member Posts: 17
    edited November 2017

    Thanks for the welcome Moderator and Lula73.

    Thanks for the info Lula73. Although I would love to have natural tissue reconstruction, the other thing I don't like is the time difference between the two type of reconstruction. I was told there's could be about an 8 hours difference, and a three-day stay in the hospital instead of one day. Plus, I'm hoping for a 'one and done' type deal here. My PS can do a direct implant, but it will leave me a cup size smaller. The cancer has steered clear of the nipples so it looks like my BS will do a cut under the boobs to remove the cancer and then the PS will follow with implants. Fingers crossed that it will all go as smoothly as it sounds.

  • MsP
    MsP Member Posts: 9
    edited November 2017

    Hi All,

    Quick history: I had surgery for a papilloma (R side) in 2014 and LIN3 neoplasms were found in the margins thus I've been going in for new mammos every six months. In my last exam (July 2017) new and substantial microcalcifications were found on both sides, but more so on the left. Subsequently, I have had 3 Drs recommend a prophylactic double mastectomy. However, as I am 53 and have not yet gone through menopause, my surgeon wants to remove my ovaries first (family history of serous carcinoma - sister and grandmother, DCIS in 2 cousins and 1 aunt). This is scheduled for Dec. 14th and will throw me into immediate menopause. I've no idea if I have issues with my ovaries, but did have several endometrial polyps removed in 2010 and my uterus was coterized at that time. I suppose the post-op pathology will tell.

    In Jan, 2018, I'm scheduled for new breast biopsies before programming the mastectomy which will most likely be in Feb. If the mammos and biopsies show substantial changes the situation will obviously change from prophylactic to something else. Who knows.

    My question is this...

    My boobs hurt all the time and have for the last couple of months. Not massive pain and an Advil is more than enough to control it. I'm also super tired. I'm generally very active, but all I want to do right now is sleep.

    I realize this could be related to stress and worrying as well as depression because I'm not looking forward to any of this.

    Did anyone else feel like this pre-op? It's kind of like I have a mild case of the flu all the time. I'm achy, tired and just generally bleh.

    Is it my head? My body? Both?

    Thanks for listening!

  • CurlyN
    CurlyN Member Posts: 23
    edited November 2017

    6 months after my diagnosis, I finally get to join a surgery group! After this much time, I could not be more excited to get this stuff out of my body. I recently completed 20 weeks of neoadjuvant AC+T chemo - it wasn't a lot of fun, but it wasn't terrible either. I get a break of 5 weeks to allow my body time to recover before my double mastectomy and reconstruction in mid December. This means I'll probably still have drains in place for Christmas, so we'll just plan on a laid back, low key celebration this year. That's all I want or need anyway!

  • Lula73
    Lula73 Member Posts: 1,824
    edited November 2017

    welcome to the group CurlyN! What type of recon are you having?

  • samp7
    samp7 Member Posts: 17
    edited November 2017

    Welcome CurlyN! I hear you about Christmas. I was just wondering if any of the December Surgery Group will NOT be putting up Christmas decorations this year. For the first time in 22 years, I won't be decorating. Mainly because I know I won't be able to take it down until mid February due to my upcoming surgery. Christmas decoration at my house is generally extensive, but not this year.

    I suppose my son, who will be home from college on the 21st, could do something if he really wanted to, but it would be sad -- just sad. My sister is flying down for the first two weeks post surgery. She will probably want to put up some decorations (she's another fanatic), but she won't be here to take it down, so like the Grinch, I'm going to have to say 'NO' to that. It's going to a different kind of Christmas.

  • Maitri
    Maitri Member Posts: 3
    edited November 2017

    Hi all!

    I'm having a right breast mx with reconstruction on Dec 8. Multi-centric tumors (2) with 3 additional areas that lit up on the MRI. Still waiting for BRCA results. Left breast showed microcalcifications which the radiologist had said were "suspicious" but the tumor board and my surgeon have said they just need monitoring -- I feel unsettled about this disagreement so am getting a second opinion before acting on the left breast (originally I had my sights set on a double mx, but now feel better about just focusing on the side with cancer and taking my time to figure out what to do with the left breast). It feels weird to have so many decision points when it comes to something like this -- I guess it is a good thing, but this has certainly been a lot of information to wade through in such a short amount of time.

    Sending all of you love and hugs! We'll get through this for sure!

  • FaithWalker22
    FaithWalker22 Member Posts: 46
    edited November 2017

    Acesmith- we are in the same situation. I too have the gene and a long list of family members with breast or ovarian cancer so I'm having my ovaries removed the same day as well. And I'm ready to get this over with as well!

    MsP- My cancer is in the left breast and post biopsy it was very sore and it seems to still be more sensitive then the right breast. Not sure if that helps or not.

    CurlyN and Maitri- Welcome to the group!

    I'm working my 9-5 job through Thursday of next week and now I feel like that was a poor decision. The office work load just seems to be adding up--- not decreasing. Plus my apt is a wreck. I live alone so I'm also trying to make sure my care team is in place (I have 8 different people helping me for two weeks after surgery-- 5 of them are from out of town Yikes!), cook healthy foods, do laundry, change my office to some sort of guest room, grade papers for my online class, complete work for a grant writing client........ oh and rest. Not to mention handle other issues with my out of town family. I totally underestimated how just the thought of cancer and surgery would weigh on me and distract me. Sigh.........I'm ready for this to be over!

  • CurlyN
    CurlyN Member Posts: 23
    edited November 2017
    Thank you all for the kind welcome. Sending positive thoughts and prayers to all of you!

    Lula73, I'm a fellow NC girl too! I am fortunate that my plastic surgeon considers me a great candidate for direct to implant reconstruction. There are a number of factors, but the main checkmarks are: I'm a nonsmoker, my skin isn't too thin, and I want to go a couple cups smaller than my current size. After months of assuming I'd have to do expanders no matter what, this was welcome news.

  • DanceSmartly
    DanceSmartly Member Posts: 69
    edited November 2017

    Hi All:

    I am scheduled for lumpectomy w/ sentinel node biopsy on Dec 7.

    All I want for Christmas is my path report so I know what will happen next. This waiting and wondering is NOT fun.

    Dance

  • ckdsmom
    ckdsmom Member Posts: 1
    edited December 2017

    I am having BMX on Dec 13 with sentinel biopsy on left with possible dissection. No reconstruction or expanders placed. I just found out I more than likely will go home that night! I was stunned. Anyone else expecting to go home same day?

  • hhuey
    hhuey Member Posts: 151
    edited December 2017

    faithwalker- thank you for the well wishes..everything went good with surgery ..BMX (prophelactic ) on the left , sentinel nodes on both sides but maybe 1 or 2 additional on the right because when she tried to take one there was a little clump of one or 2 that came with it. I am in a binder today with 4 drains but I am already home which is nice. I was very nauseous coming out of anesthesia but am feeling much better today. No reconstruction for me ..just want to heal and move forward

    My WBC count was 6.09 but was 3.34 in October at the end of chemo so it's come up quite a bit.

  • BonneChance4
    BonneChance4 Member Posts: 13
    edited December 2017

    Hello fellow travelers! It's 4 am and I can't sleep so somehow, I found my way here. Everything is happening very fast. Two weeks ago, I had no suspicion of anything wrong with me. On Weds, my biopsy of right breast came back; Invasive Lobular, Grade 2. My doc was ready and willing to schedule me for surgery next week, on Dec. 7.

    DanceSmartly, and Sopho - I see that you're also scheduled for Dec. 7th with Faithwalker, and Maitri going in on the 8th, Less than a week away! How are you all coping? I'm still in the process of contacting family and friends, while trying to make sense of my pathology report.

    Even though it feels too soon, waiting and postponing won't bring me greater peace, so I said yes to sudden surgery. We'll meet on Mon to discuss the whole plan, and I can opt out of this plan if I need more time. Tuesday, I go in for MRI. It sounds as if I'll have some great say in whether she does a lumpectomy or mastectomy, but somehow, I can't begin to wrap my head around that idea yet. What I really need is a good night's sleep. How can I turn off the busy brain? The apprehension and suppressed fear? It's as if my "fight or flight" response is in overdrive.


  • Ghionik
    Ghionik Member Posts: 101
    edited December 2017

    BonneChance, i know all too well what you’re going through. I finally had my surgeon subscribe Xanax for times I really need to calm down and rest. I’d wait and see what your MRI comes back with before making ANY decisions. I was only getting a lumpectomy, but lo and behold the MRI found another same size tumor that hadn’t shown on all the other million mammograms and 2 ultrasounds prior. Don’t be in a hurry to make a decision on what you decide to do. Just gather all the information and bring someone with you to your appointments with the surgeon! It’s good to have another set of ears and eyes so you can make sure you get everything processed. It’s a lot to take in when you are the patient. One thing that’s been the most difficult thing in all of this has been the waiting on test results. I’m not patient by nature and this has just about pushed me over the edge with waiting.

    Hang in there. You’re not alone in this. Hugs.

  • DanceSmartly
    DanceSmartly Member Posts: 69
    edited December 2017

    Hi Bonnechance,

    It does feel like we're on a rollercoaster, doesn't it? Everything happening so fast and yet it can't be done fast enough and underneath it all this sneaking suspicion that we may NEVER get off this ride?

    I am not a very anxious person usually and am not too worried about the surgery (mine will be more minor than many on here), but the more I learn about chemo and hormone therapy, the more worried I am becoming about what will follow surgery.

    Will be thinking of all my surgery sisters come next Thurs!

    Dance

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