Never Thought I'd be Back Here . . .but Here I Am
I was diagnosed with TNBC Stage 2a in 2012. I was on these forums a lot then. I did a lumpectomy, 8 dose dense rounds of AC+T, had a double mastectomy and a DIEP Flap reconstruction and was told numerous times at clinical visits everything was great. I was clear.
Then I have a chest x-ray and an ultrasound last week - for ribs that hurt and a small nodule like lump on my back. What came back shocked everyone. Nearly 6 years later, they found nodules in my lungs - still to be determined their origin and the back lump was suggested to be biopsied - today it was excised. The surgeon who did it called it "ugly". I'm going tomorrow for a CT scan of my lungs.
Despite "knowing nothing right now" - it seems like we can see what is coming. In what form - is probably the question. The last time this happened I was a strong, positive fighting goddess. I can't find her right now. I'm hiding in my bedroom from my three kids (11 year old girls and a soon-to-be 14 year old boy) waiting for my husband to get home because I am such a wreck.
I don't even know if there is a point in looking up new treatments - TNBC was pretty much if you have it again - you're a goner - when this happened before.
I'm just so lost and I am NOT that person.
Sorry I sound so crazy. I'm really not.
Any words of wisdom would be appreciated.
Comments
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HJHCats - you're scared. Just as I was when I was first diagnosed last year. Once you get through the shock and tears and your hubby gets home, you will eventually find your positive, fighting goddess again. There have been many new drugs, treatments, discoveries etc since 2012. Particularly with the triple negative tumors. Have your husband go with you when you go for your reports; find support either here or elsewhere. But don't give up. Get your boxing gloves back on and do what you need to do. I'll bet you are going to hear from a lot of women who have been in your situation and are treating TNBC as a chronic disease that can be kept under control. Good luck and God bless you.
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Gussy
Thank you for your reply. I needed to hear your words. My husband caught the first train home and when I emailed him I didn't know where to start and didn't think I could do this again - he zapped me a message back that said:
We are NOT giving up. You are young and strong and you can beat whatever the hell this is. You must believe that.
This time around my kids aren't babies and we want to protect them but if this is going to be a chronic thing for me . . then all hands will have to be on deck. And my kids are awesome.
Thank you so much again.
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Hold your nerve. You have a family to fight for and an arsenal of weapons to fight with. Lean on your husband, stay strong for your kids and come to us when you feel like howling in rage and despair. It will get better and you will survive.
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Good luck to you.
I had lung nodules 8 years after my first dx. They were found by chest xray taken when I had a bad chest cold. They turned out to be nothing in the end and are now gone.
I was told at the time likely BC recurrance and I had CT scans every 6 months for 3 years. My GP put a stop to that.
It has now been 14 years since first dx and I am NED still.
I understand the terror of having BC rear its ugly head again and that feeling of defeat that washes over you. I was dx with a new primary in my other breast last year. At the time, the radiologist who did my yearly mammo, did an ultrasound on that day and told me it was a recurrance spread throughout my chest. He was wrong. But when I was told that, I felt defeated and I did not have any strength or desire to face it all again.
I did get my fighting gloves back on though, and here I am, NED.
HUGS.
Let us know how it goes.
wallan
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Hi Wallan
I found out that it is metastatic cancer in my lungs either from my breast cancer or from a new lesion on my kidney. I'm doing OK. We told the kids and they were upset but when I told them that I wanted us to fight this as a family and they were my best weapon - they felt proud. They want to help.
I'm still processing but I've beat breast cancer once - I can beat this or at least manage it.
I'd love to keep chatting with you if you are up to it. Your post gave me strength today. If not, no worries. All this stuff can be so draining. Just know you helped me today.
Robin
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hi HJH i was diagnosed stage 3 tnbc in May 2015.Never got any pet/ct test because doctors were sure that they caught it early but post surgery biopsy proved that 8 lymphs had microscopic mets.So now in jan 2018 I had cough from about 2 months they done pet/ct and found a mass on same breast and found mutiple bilateral ground glass nodules which they arent sure is cancer or not .I am due to have a follow up pet/ct scan to see that nodules.I want to ask a question from you.How they told you that the nodules are cancer or not??.Did they got biopsied that nodule??The nodules in my lungs have shown mild fdg uptake.
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Hi Siddhivinayak
I’m no use to you right now. Read on. My story got crazier on Friday. I live in Canada and didn’t want to wait a couple of weeks so we went to get a CT scan in Buffalo. My family doctor here called me and said she was sorry but the CT report said they now were suspicious for the nodules being metastasized renal cell carcinoma. Fueled by a cyst I have on my right kidney. I said yes I know I have that cyst. I’ve had it for years and the private clinic up here for 7 years has reported it to me as “steady”and of no concern on 7 years of reports. They didn’t think it looked like breast at all. My husband and I were looking at each other like we were crazy. First I had a chest X-ray with “Suspected Breast Cancer Metatsis”. Now I have a CT scan saying something so far out of left field we actually went back and printed out my results from the clinic. All of them from 2012-2017. Saying “steady”. The first report referenced “cysts” 7mm in size. The rest never gave a size. Just steady. When my doctor spoke to me she said this says it’s 3.8 cm but that’s still too small to even look at usually. Simple cysts I’ve learned since don’t usually turn into renal cell carcinoma. The only symptom I have was I has a small lump,taken off my back last week to be biopsied and that is a symptom. I haven’t gotten results yet back on that. I am no where near the older person, smoker, etc that RCC usually is seen in. It’s frustrating and nuts. I’m going to see a thoracic surgeon tomorrow. We will get his take. One thing I’ve said over and over is that I’ve been sick and coughing since late December off and on. No one seems to care about that. Just your typical winter junk you get in Canada. My history of TNBC has flagged me as high risk for cancer so they work from the idea I’ve probably have something to look at until I don’t. Tomorrow morning I’m calling the clinic to get me all the dimensions of this cyst on my kidney over the last 7 reports. If it says it was much bigger this last time then maybe it could be true.
This weekend we’ve gone through the entire range of emotions. My husband is now saying he won’t lose any sleep any more until someone tells us something. He assumes biopsies of my lung and my kidney are in my future.
All this does is make me relive the last time over again. I hate this. We are getting emails about my son’s baseball team starting practices and games. My twins have stuff they do as well. I’m thinking well now I get to fit “cancer”appts into our normal lives.
Also my pharmacist neighbour told me to take codiene for my cough last night. It’s much improved. I was so ticked off today I went to the gym and did 3.5miles on the treadmill. My husband was next to me and said he was going to tell the surgeon tomorrow - she can outlast me.
Ugh.
I apologize for the rant. You have your own issues and I’m rambling on. When I get back from the surgeon I will let you know how the discussion went. And next steps.
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Thnq HJH I am going through same emotions.I don't know what to do ,what to think.I am running down with emotions .I am 40 years old.It really becomes tough for me to live my life normally as it never comes off my mind what I am going to face.My life has become hell in recent times..
I will also let you know about my upcoming pet/ct results.
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Hi HJHCats,
I hope you are doing alright. I just want you to know that I’m thinking of you and your family right now.
All my best.
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Hi Mc16 and everyone
It's gotten crazier here and but better. Because I was placed into the Rapid Assessment Clinic - things are moving quickly. But never quickly enough. You know how it is.
I went to see a thoracic surgeon on Monday. He was very reassuring. He walked in and said "I'm the one who will help you figure out what this is and fix it." I am not kidding. But there is so much more. I will summarize it as best as I can. He first told me Do You Know Why You Are Here? Never the wallflower, I replied. I volunteered for a chest x-ray and because I had TN Breast Cancer almost 6 years ago - all hell broke loose and here I am. He laughed and told me my assessment was bang on. I then told him I have been coughing since December and NO ONE wants to hear about that. He again laughed and said to tell him the details and I explained how I was sick before and during Christmas. Everyone was. Then I was better but insanely sick again the first week of February. Fever of 102.9 at one point. I then went on a cruise and my kid stepped on and broke my little toe. That caused my gait to go out of whack the pain moved from my back to my hips and from my ribs to the other side of my body. A right rib was "out" then it went back in and a left rib "went out".
His response: God, you poor woman. Let's figure this out and get working to get you back in action." Hmmm I'm liking him now but not ready to "commit" if you know what I mean.
Then we went through the details. First he said that nothing on the CT scan he had seen or chest x-ray he saw looked "untreatable". Despite my husband's challenging him numerous times . . .there is a 3cm "cyst" or something on my left kidney that wasn't there 5 months ago. He believes it's a "complex cyst" and I had the CT scan to show it more clearly to him on Thursday. My husband argued what if it's kidney cancer - he responded easily treatable with immunotherapy. Then I have nodules in my lungs which are little tiny ones dispersed over both of my lungs and accompanied by a very large lymphnode between my lungs and smaller enlarged ones on each lung. My husband said "what if it's lung cancer?" The doctor said "treatable". What about a recurrence of breast cancer? First, he told me that usually people with metastatic cancer are not going to the gym multiple times a week, hiking and running around three kids. Because we wouldn't take thtat as an answer . . .the doctor told us that 1) I was almost 6 years out and had been discharged by the cancer center more than 2 years ago. He knows my breast surgeon and told me "she knows her stuff - if she said you were good to go then you were." He knows my former oncologist - who also told me that I wasn't a good candidate for a double mastectomy because "you are good" - I went for the double and a DIEP Flap reconstruction. He told me my former oncologist also knew his stuff. He then told me that if it was breast cancer even another go around with TNBC - it would be likely beconsidered a "new primary" since TNBC is now known to recur mostly between years 2 and 3. He also said BTW, people who manage to beat a cancer successfully in terms of years clear are now strangely known to have a more successful outcome with a new cancer. It's some weird twist of fate. He also said breast cancer is now "a chronic disease" if it is a recurrence. We asked him about the "lump" I had removed from my lower back the prior week which was suspected at one point to be a lipoma and he said "I'll look at it and if it changes anything I want to do - I'll let you know." He hasn't been in touch yet. And . . .I'm liking him a bit more . . .
So then he draws a nifty picture of my lungs spots and huge lymph nodes (which causes my husband to turn green and hate him) and says he's wants me to undergo an endobronchial ultrasound/scope where he will look at everything and biopsy anything that looks weird. I'm doing that tomorrow afternoon. He said he assumes the big lymphnode in the middle will tell us what we need to know.
He then says "You are going to be around a long time - so let's get this done." And now I'm in madly in love with him. Not once in the history of my breast cancer treatment did anyone ever say that to me. He told me that usually when a woman shows up and has a big lymphnode in the middle between her lungs and little spots all over her lungs it's sarcoidosis. A treatable disease. It starts with an infection usually in your lungs and then it creates cysts all over other organs. I told him I also had Hashimoto's thyroiditis and nodules in my thyroid - he said it was common to have multiple autoimmune diseases. [I have since discovered kidney stones which I have also have are considered to be part and parcel of these sort of immune problems- so I have hope for the cyst on my kidney now. Stones and cysts go together.]
While I am starting to feel OK and believe . . .my husband who was Mr. Upbeat and Perky all morning while I was a zombie - we switched personalities during the appt - still cannot let it go and asked yet again about cancer. The surgeon comes back into the room and sits on the examination table where I NEVER got to sit and says "You two are smart . . .I'd would have a different conversation with you just now if I felt it warranted it. You know that. So let's get this figured out."
So tomorrow I go. It could all turn to s*** but for now I'm good to let this surgeon do his work and try to figure this out. I'm still coughing but it's much better. I also have a wheeze which I didn't realize I had until my husband noticed it. I have had my moments all weekend but it's been a great weekend filled with family and fun and yelling - we have a soon-to-be 14 year old boy - enough said . . .but my husband and I have been through hell a number of times and he has spent the weekend telling me - we've got this. If we need a second opinion - we will go to the US and get one. He also mentioned that he cannot be left to raise the kids alone - I said yes, I know they will eat you alive . . .it's true. My son in particular can finesse him like no other . . .LOL
I will let you know if I learn anything tomorrow. And beyond.
It's all insane.
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Oh my HJHCats first of all big hug. You are in the thick of it. Your attitude is inspiring!
I like the sound of your new doctor. I hope he comes back with good news.
I’ll keep you all in my thoughts. Take care!
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Hi everyone...so sorry for those of you that have a recurrence. I don't want to harp on the same subject but there is a trend on the forum to not make stats public. When you just put your stats in your first post, they won't be seen after the first page. It is so much easier to make appropriate comments and answer questions more accurately when you have all the information. Thanks and good luck to all.
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dtad, you are so right. Please publish stats, and age at diagnosis would be so helpful too.
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