DCIS diagnosis. All new to this, need help with anxiety!!
Hi Everybody!! I have been reading in various topics and the more I read the more anxious I become. I was diagnosed with DCIS and have a lumpectomy scheduled for Dec. 6th, 2017. Radiation has been recommended after the surgery and, providing all goes well, hormone therapy after that. At first I thought...OK, bing bang boom...all will be done and I will be fine again. I now realize after all the reading here that this is something I will be dealing with for the rest of my life. I am starting to get really crazy nervous! Some women get mastectomies instead of lumpectomies for this diagnosis, I am not ready for that. Some women decide not to have rad therapy, or not to have the hormone therapy. I've also heard of the IORT and my cancer is in my left breast, so maybe the regular radiation therapy is not the best for my heart. So confused and anxious now. Anyone have any suggestions on how to calm down and start the information gathering and decision making?? Help!!
Comments
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Hi Liryll,
I'm sorry you've found yourself here. Anxiety and waiting is the worst - until you have your final result you just can't help creating monsters in your head. But you have to look at the positive as much as you can - so far it's DCIS, the earliest stage you can have. It seems yours is hormonodependent too, which offers more treatment options. If you're offered lumpectomy, I assume it's not too large either. So yes, for a majority of women in your case, it is "bing bang boom" and they never have to deal with this again! Will you be monitored for the rest of your life? Yes, but I see it as a positive. It means if something bad arises anywhere (in your breast or elsewhere), your doctors will most likely find it at an earlier stage. I come from a place where healtcare can be a bit... slow. But I often joke having cancer 18 years ago has put me in the fast lane for care - I'm seen by doctors much faster and most of all my worries are never dismissed.
If you have questions about lumpectomy vs mastectomy. do read this thread: https://community.breastcancer.org/forum/68/topics... and especially Beesie's post on the first page. You will be able to better evaluate the pros and cons of both methods.
Hugs to you xx
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Hi there. Seems like you and I have fairly similar situations. I was completely freaked out at first, but having a good surgeon I trust made all the difference. I had a lumpectomy after several tests, start radiation on Monday, then will start taking a hormone pill. I also looked into IORT but since my tumor was a mix of IDC and ILC I was not eligible.
My guess is that IORT is not recommended for you because the mass is in your left breast, near your heart. Regular external radiation is better. But you could talk to an RO (or two) about doing a short three-week course of radiation treatment rather than the standard six or seven weeks.
Personally, I found getting a second opinion on everything helped me be more sure about my treatment path, which in turn made me less anxious. But trust in my surgeon has made a huge difference; she answered all of my questions and was a good listener. I now think of this like any other medical condition, like diabetes. There is a management plan and regular monitoring, which is a good thing. Also I would recommend sticking to your normal routine, taking walks, and doing whatever makes you feel less stressed. All will be done and yes you will be fine again!
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Hi Liryll - I haven't been back here in a long time, but I just wanted to say "hey" and give a shout out. I was dx'd in 2006 and I'm still alive and kicking
Lumpectomy and rads, tamoxifen and a clinical trial with ovary suppression and I'm 11 years out
The girls in here are amazing and have some great advice. Good luck to you xo
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how was taking tamoxifen ? Side effects? How long did you take it?
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Thank you all for your responses. I really do appreciate you all taking the time to write me even though you have your own demons going on. I have calmed down a bit, but now have settled into a blue mood. I do understand that my cancer is in the very early stages, is small and has a good prognosis. And, Sourisou, the monsters in the head is a good way to describe it. I can't help but feel that my outcome will not be good, I will refuse further treatment and I will die. I know I shouldn't say this, but if I can't say it here, then where? I want so very much to be able to think positive and have faith, but it is not coming easy. Georgia1, yes, we do seem to have similar situations. And, I agree about the Doctors. My surgeon is wonderful. She takes a great deal of time with me and explains everything to me. She makes sure all my questions are answered before the appointments are over. I trust her. I also am seeing a counselor and working on some cognitive behavior therapy, as well as having a place to just talk and vent. Sorry it took so long for me to answer, but I got lost in my head and couldn't bring myself here and face reality. I am really trying and I'm not looking for pity. My surgery is in a week and then the wait for results. Sige, thank you also for the shout out and I'm happy for your outcome. I would love to stay in touch with all of you, it was really helpful to hear from some women who are dealing with, or have dealt with, the same things I am going through. Thanks, again.
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Liryll, if it can help, I found that as soon as I was on the other side of the surgery, a burden was lifted from my shoulders. I still don't have the final pathology so a little bit of anxiety lingers, but it's nothing compared to what I felt before the UMX. I know others felt the same and I'm sure you will feel more at peace when that first, big step is behind you.
My MIL (also a BC survivor for 18 years) told me to view that anxious little voice in our head like a child who's trying to get our attention because they're scared of the monsters under their bed. We are the adult - we're not going to dismiss this child, ignore them or be angry at them; we have to listen to them, acknowledge their fear, reassure them (actually talk to yourself inside your head as if you truly are both the parent and the child) but understand that there are most likely no monsters under that bed. Surprisingly, I found this helped me quite a bit.
Don't hesitate to vent here or express your anxiety, there will always be someone to listen to you. Keep in touch and take care xx
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Right now I am a blank slate when it comes to how to deal with all the thoughts and feelings that come with a breast cancer diagnosis. Sourisou, I will take your word for it that some of this anxiety will be relieved after my surgery day. I like the analogy of the child who thinks there are monsters under the bed. Sounds like your MIL is a wise woman. I will give it a shot and talk to the voices in my head. It surely couldn't hurt. I received calls today to pre-register for my preadmission testing and for my lumpectomy procedure. The reality is smacking me in the face. I have only one family member and she lives 6 hours away from me. I also have several really good friends, all who either live out of state or are unavailable to hang out. My husband is here for me and is trying to do everything he can to make me feel better. He is a sweetheart of a man. Yet, I feel so alone. Wishing I had more to do than just go to work, the empty time passes so slowly. My counselor suggested I fill in a daily calendar with things to do, like walking, reading, going to the library, watching a good movie, doing some projects around the house I have put off. This all sounds good, but I'm having trouble motivating myself. I am off work tomorrow, maybe I will try to fill in some things to do. I will try not to look for monsters under the bed!! Thanks for encouraging me to come here and express myself. This writing is helping. Thanks, too, for your patience and willingness to listen to me whine and complain. I will keep in touch and you take care, too. xxoo
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Sourisou, if you don't mind my asking, are you still waiting for pathology results from surgery on 10/31/17? Is it usual to wait this long for results? I was told I would have lab results in 7-10 days. How are you keeping your head from exploding during the wait?
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Hey Liryll, yeah I'm still waiting but don't worry, it will not be as long for you - if they told you 7-10 days that's what it most likely will be. I live in a place where the healthcare system can be a bit slow - although when results are serious, I've always been treated very quickly. So I take the 5 weeks delay before results as a good sign actually
As for the anxiety while waiting, as I said before there has been that strange peace falling on me as soon as surgery was behind. Maybe I feel that whatever cancer was there, it's most likely not in my body anymore? Also, before the surgery I felt it was bad news after bad news - first the cancer, then before I have time to process it, I'm told I'll lose my breast... then off I go to the plastic surgeon and then to surgery a week later. That's so much to process in such little time! Now, it seems I have more time to breathe and digest all that has happened in the last months.
Be gentle with yourself. If you're anxious, if you feel like venting 24/7, if you cry often or don't feel "tough", it's fine and it's normal. Just know that these feeling will pass and that you'll be all right.
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Hi, Sourisou, love your name!! You've responded so quickly, I really appreciate you sharing so much with me. Wow, you did go through a lot very fast. No wonder you are feeling relieved to finally have a chance to stop and breathe. I hope your results are for the best, especially now knowing the longer wait is better for you. I don't cry, don't know why. That rhymes...lol. Feel like I should want to bawl my eyes out but guess I just hold everything inside. Maybe I should peel some onions and let the flood gates open. Can't do it now, though, I am off to work at a hotel. Have to put on my happy face. At least I am busy at work and don't have time to think of my situation. I go on Leave of Absence starting Monday 12/4 until 12/23. Don't know if I'll need that much time off, but my surgeon suggested it mainly to deal with things emotionally. After that is radiation and I see some people have trouble working during that and some people work right through it. My leave is on and off so I will wait and see how I feel. Off I go!!
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People react differently to treatments. I tend to go back on my feet very quickly - was working 3 days after my lumpectomy and 1 week after my mastectomy (but then that's me, I prefer to keep my mind off cancer through working). When I had rads I was just a bit more tired because there was treatment everyday but that was it, it was completely painless (especially compared to chemo!)
Let us know how things go and come back here to vent whenever you need to!
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Hi Liryll
Just diagnosed with DCIS 0 high grade hormone positive. Have decided on a dbl mastectomy scheduled for Dec 13. This was my second biopsy and have chosen to take this approach since every mammo for the past 6 -8 years has meant multiple views and suspicious findings. I’ve come to terms with my decision and am praying for a good outcome. This group is wonderful for sharing different perspectives and experience. I tend to look towards the positive and have decided on an immediate reconstruction. I’ve taken it a step further and have planned to start training for a half marathon starting in April. Fingers crossed I’ll be on track towards my goal for a September race. Keep the faith and focus on something you never thought you could do! Join me and come up with a crazy goal so we can compare notes.
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Hi again Liryll. I was working three days after my lumpectomy, and can second the thought that you will feel a lot better emotionally after the surgery. There was a recovery period of course, and exercises to do, but it felt good to have taken action. I'm now on day four of radiation which has also been easier than expected. But my gosh, the people on this website have helped so much! I'd like to return the favor so keep writing!
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Love reading all your responses! I'm getting the feeling that I'm not so alone and others are also going through what I am. Also, am feeling that I might be able to work more than I thought I could. Work is providing an outlet for me now in that it keeps my mind from dwelling on the negative. Hopefully, it will be able to do that after my procedure and during radiation. The idea of just being at home with my thoughts doesn't sound so good. Shakes561, don't know about coming up with something like you have as I am on disability with severe, chronic back issues that surgery did not help. But, I could come up with something to do like lose 40 pounds or even write a book. I've always wanted to write, just have to come up with something about which to write. I'm thinking more that is a good idea. I go for pre-admission testing tomorrow and lumpectomy on Wednesday 12/6. I was going to be off Tuesday to "prepare" for Wednesday, but someone at work wanted me to work for them that day and I said yes. Seems it might just be a better idea to work instead of sitting around the house sulking, can't see that there is much to prepare other than taking a shower. My birthday was yesterday and my Medicare Supplement insurance went into effect on December 1st. So, at least I don't have to worry about all the costs involved with what's happening. That does take one stressor off my mind. I also see my counselor on 12/12 and have the opportunity to talk about everything. This my sound silly, but I have my will made out and will be doing my power of attorney and living will tomorrow. My husband has my important phone numbers to call in case any situations arise in which he needs help. I'm sure I'm making a bigger deal of all this than I need to, but it makes me feel more in control. Cancer seems to want to grab control from you and I want to grab back some.
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Hi there ,
Looks like you and I are on the same boat ! I am also scheduled for lumpectomy on 12/6/17 . I was diagnosed on 10/13/17 with DCIS which was found from core needle biopsy . I took 4 days off work after I found out... It was awful . I'm scared of my lumpectomy but seeing tons of videos of the procedure on YouTube helped my anxiety . At least I know what to expect . Go to work , keep living , now more than ever you need a healthy outlet . You are not overreacting , just because it's dcis doesn't mean you are not allowed to grieve . I tend to always expect the worst so I understand . Dcis is highly treatable , do not let it define you ! I wish you the very best on 12/6/17 . Wear comfortable clothes . Don't stress too much , you will be surrounded by people who want to cure you
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Dear PinkRobot66,
Welcome to the community. We are so glad that you reached out to support others here by sharing your own story. We wish you all the best on the 6th for your own surgery. Keep us posted and stay connected here as you can. Warm regards, The Mods
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Hi PinkRobot66! Well, imagine that! Coming across another dear woman who is having the same surgery as me on the same day. I never thought of watching the procedure on YouTube, don't know if I could. But, of course, now that you told me I'll have to watch. If it helped you ease off the fear, maybe it will help me too. I'm so happy to hear from you, I've been having a bit of a tough time here. I'm not happy about the reason for our contact, but that aside, we can share our journey. I'm looking forward to it. Had my pre-admission testing done today and that was just boring. The real adventure starts Wednesday!! I also wish the best for you on 12/6, I've had several surgeries in the past so the actual surgery doesn't scare me as much as the life of a BC patient does. I had to hesitate there because I wasn't sure what to call us...patients, survivors or what. I like the sound of survivor so I shall use that unless I hear differently. I hear you when you say to not let this define us. You are so very right about that. I am working tomorrow and plan to go back to work as soon as I can. Keep living is good advice. My husband just asked me to go out to dinner and I found myself saying to myself...this may be the last dinner where I still feel "normal". I've got to quit that and just be who I am and accept whatever life chooses to throw at me. Here's to the best for you on Wednesday and thank you so much for writing to me!!
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Had my lumpectomy today. Everything went well. Now I wait a week for my results.
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Liryll, I am so glad your lumpectomy went well. You may be very sore for a few days, those are usually the worst, then usually things improve. Do not hesitate to take pain meds if they gave you any or to call if they did not and it gets bad, even if in wee hours or on the weekend.The week of waiting is frustrating, of course, but it takes time to do all the analyses.
Keeping my fingers crossed for a good path report.
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Thanks for your well wishes. I am very sore, but the prescription they gave me was for Neurontin which is useless for me and for this kind of pain. I would have preferred regular pain meds, but now Dr.'s are so reluctant to prescribe them. I have to call tomorrow to make my follow up appointment for next week and will ask and see what she (my Dr. is a woman) says. I do feel better mentally after having the surgery, as if some of the apprehension has been alleviated. Must find something to do with my time while waiting or I will make myself crazy. Plan to get up early and get busy making out a calendar of sorts to arrange my time, including exercising and menu planning. Want to go good and healthy things for my body and mind. Hope all is going well for you, too, chronicpain. I also have chronic pain from my back injury and surgery. So, good luck to both of us!!
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Hi, Linyll,
I saw your posts and this room for the first time this morning. I hope you are coming along ok after the lumpectomy, and the pain starts to subside. I am now at the other side, all finished with radiation 3 weeks now, and my remaining side effects seem to be subsiding.
Yes, this is a life-changing journey, and all your emotions are valid. I hope that the ladies here will help you through this time and the aftermath. I am still looking forward to the day when I don't think of my cancer, and can focus on my diabetes and maintaining a healthy diet instead.
A couple of thoughts... don't be afraid to ask for help. Or ask family members to come and see you. My daughter made the trip from Baltimore to Long Island, NY to be with me on the day of my surgery, and I was thrilled that she did. My brother, on the other hand, was down from Boston for a high school reunion and didn't come to see me, and I was pissed. But not surprised, that's his nature. Second, You will have a great outcome. So with your free time during your recovery, here's my suggestion: plan some life-affirming activities for after your treatment. DH and I are going down to Riviera Maya before Xmas for R and R, and to see the Mayan ruins. We also spent a weekend in the Berkshires after I finished radiation. What have you always wanted to do, but put off?
Finally, yes, while we are on the cancer-go-round, we do lose control of our bodies and our lives. Everything seems to revolve around doctor appointments, surgery, recovery, radiation. Our time is not our own. And of course you will have feelings about it. But it's an exchange... loss of control now for a full recovery and life afterwards. Some days, I can barely contain my sense of gratitude, for having caught the cancer so early, and finding dedicated and caring professionals to help me. And that the medical advances today have allowed a microscopic cancer to be found and treated. You are your own best advocate. If you think you are not getting the attention or care you deserve, speak out!
Wishing you a full recovery, a great path report and minimal side effects from radiation,
Hugs.
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21 hours ago Liryll wrote:
"Thanks for your well wishes. I am very sore, but the prescription they gave me was for Neurontin which is useless for me and for this kind of pain. I would have preferred regular pain meds, but now Dr.'s are so reluctant to prescribe them. I have to call tomorrow to make my follow up appointment for next week and will ask and see what she (my Dr. is a woman) says. I do feel better mentally after having the surgery, . . . . "
Mental improvement may indirectly help the pain, so maybe by morning all will be better, but unless you have a huge documented drug abuse and drug selling history ( hardly any breast cancer surgery patients do) if your pain is not controlled with your currently unhelpful neuropathy drug or tylenol, you are legally and ethically entitled to get something stronger short term after surgery ( at least in most states in the US). Unless you have narcotic allergy history, they could give you something like vicoden 30 pills or percocet 5/325, 30 pills for the post-op period with zero refills unless reevaluated and no legal or medical board authority can fault them on this or block it, at least not yet. People do not generally get instantly addicted to narcotic pain meds, contrary to what media is telling people today ( but they are constipating, so prepare for that if you get anything with senna, colace, or other measures). Any decent surgeon or oncology doctor should know better and not just let women suffer.
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I did call my surgeon's office to schedule my follow up for December 14th. I also asked for some "real" pain meds and she gave me a small prescription for hydrocodone. That helped much more than the Neurontin. She also gave me my FMLA paperwork and it has me off work until Jan 18th!! No way!! That's way too long. I plan to go back to work on December 23 and also work on Christmas for the double time. We will discuss this more at my follow up. I am feeling much better now after the surgery and just want the results to be fine. It's hell waiting for those. I still haven't made out a schedule of things to do to keep me busy. Hopefully I'll get to that today.
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Liryll, I am glad you are finding some pain relief from the vicodin. Do not forget the stool softeners, staying hydrated, eating fiber, to avoid the constipation.
Try not to overdo it going back to work too soon ( depending on what you do) especially if there is a lot of physical movement involved or your mood and concentration are off.
Best wishes on your healing process, CP.
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Hi CP, yes, the Vicodin has helped. Most of the pain has lessened, now I just have bruising and soreness. I will need to take a little more time off work because there are physical elements to my job. I work in a hotel front office, but occasionally need to unload and unpack ordered items and also do some laundry when it needs to be done. In the hotel biz everyone does just about everything at one time or another, including managers. So, when I return it will have to be with some restrictions on what I will be doing. Mood, focus and concentration are another area altogether. I must have happy face there, no moodiness and there is a great deal of focusing required as well as concentration. There are always numerous things going on and one has to remember everything and multi-task. This should not be too much of a problem if my results are good this Thursday. If not, I'm not sure what I'll be able to do. If radiation is the next step then I'll just have to deal with that. One thing that concerns me is having radiation compromise my immune system then being around dirty laundry. And, I'm sure you can imagine what kinds of dirty laundry you have in a hotel! Well, this is my story tonight. Off to bed so I can get up early for yet another Dr. appointment. Best wishes for your healing journey!!
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Hi Liryll,
I have read your post and kinda have a simular situation as you . Happy to hear your getting better. I have two cancerous lumps in my left breast and need a lumpectomy too. I go for tests and consults Jan 8th. I'm so scared. How long did it take you to get surgery after your tests? Did radiation make you really sick. This part scares me along with loosing my nice hair. All the waiting is so hard. It's really nice to hear others stories as it does help you cope and get through it.
Wishing you the best
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Hi Princess,
Hope your consults have eased your mind somewhat. I was diagnosed with DCIS in 2006, underwent two lumpectomies, radiation, and then 5 years of Tamoxifen. Honestly, the wait after the biopsies and surgeries was the most difficult part for me! Once I had a plan in place I felt much better. Radiation was not difficult for me, but a time commitment for sure. You shouldn't lose your hair with breast radiation, although undergoing chemo treatment for IDC years later, I did. Your anxiety is a totally normal reaction. What helped me most was my supportive family & friends and getting as much information as I could so I felt confident about the future. Oh, and breathing helps! When I am stressed I tend to hold my breath. Taking three deep long breaths does wonders for me. Wishing you well as you face all these decisions and challenges.
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Hi Princess. I had two lumps close together, and had a lumpectomy then radiation. Radiation doesn't hurt at all or make you feel sick; it's rather like painless X-rays. Good luck to you, and if you want to join the thread called "January RADS" you will have a group of friends to go through radiation with you. It all goes by faster than you think, I promise.
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I was recently diagnosed with Stage 0 DCIS and I have had the lumpectomy and the doctor got clear margins and feels all of the cancer is gone. The titanium chip that was inserted during my biopsy did not latch on and has fallen. Therefore, it was not removed with the lumpectomy so there is a slight chance that some of the cancer may have travelled with the chip. The biopsy showed that my DCIS is estrogen/progesterone positive. The lumpectomy pathology showed Atypical Epitherelial Proliferation and atypical hyperplasia - but the surgeon got it all. She suggests three weeks of radiation followed by five years of Tamoxifen. I value her opinion as this is her area of expertise, but I have a few areas of concern and wanted to get opinions of those who have been through this.
1- since radiation can only be done on an area one time and if the cancer returns to my left breast a second time then a mastectomy would need to be done. So now I am second guessing doing the radiation this time and just trusting that if the diagnostic mammography every six months picks up something else then I could do the radiation then.
2- the personal stories I have heard from people who took and could not stay on Tamoxifen because of bad side effects and also the increased risk of pulmonary embolisms and endometrial cancer makes me think the risk of harm to another area of my body as a preventative for something that may never resurface again may be too much risk.
These are the thoughts that are turning in my head now - I meet with the radiation specialist September 6th and I am sure he will help me with some of these concerns - but I thought I would bring them up here so that other ladies who have lived through this might be of some help. I would greatly appreciate it. Knowledge is power and first hand experiences can help
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I didn't want to deal with any radiation, including future mammograms. I also didn't want to be on hormone therapy after seeing what it did to my mom's bones in just 18 months of use. I chose a BMX and have not for a minute regretted my choice. It was the right choice for me.
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