Just diagnosed with Triple Neg Breast Cancer - I'm scared
I've been reading about TNBC (I can't help myself and hopefully I got this information from reputable sites and the latest articles...I hate Dr. Google it just scares the crap out of me). It seems that chemotherapy can reduce or actually kill the tumor and stray cells that may have traveled. Is that true or at least somewhat true? I don't know my stage yet but because of the tumor size which is 3.2cm and the time that I waited for the "injury" to go away I worry and worry about whether it has left the breast. I'm encouraged that my lymph notes are not swollen although I realize that doesn't mean there is nothing in there.
I had a clean mammogram last November 2017. I first noticed this lump around mid July. I was recovering from a hysterectomy and my 80 lb German Shepherd jumped up and landed on that breast. I noticed the lump about 2 weeks later and told the OB dr what had happened and asked him to check it. He felt it and said that yes it feels like it could be an injury but would take a while to go away. I didn't worry about it too much at the time because seriously my dog can pack a punch and my last mammogram was clear. About 2 months later I went back and told him that it hurts now and is not going away. He said it feels bigger and that is when he referred me to the breast surgeon. I can't tell if it feels bigger because I've been poking at it. It's right on top so I can't really miss it. Hoping it was an injury going away I suppose.
I have surgery scheduled for this Friday 11/2 to insert a port. I will have an ultrasound of lymph nodes, whole body bone scan and CT of Chest/Abdomen/Pelvis all on the following Friday 11/9 and it is very likely that I will start chemo the following week. I don't know anything yet except that it is "Triple Negative" and "invasive carcinoma of no special type / ductal carcinoma NOS, Grade 3. When talking with the breast surgeon yesterday she rated my stage at Stage IIB vs Stage IIIB if lymph node involvement. Things are happening quickly and it is a lot to take in. I don't know if they usually push this fast with this type of cancer or if it is because I am pushing them. The not knowing is terrifying and affects my appetite and sleep
Comments
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Susan05 - I'm so sorry you find yourself here. The truth is that right now is the worst time - you don't have the answers you want, you've found out that not only do you have Breast cancer but TN and you just want to get it gone!
Staying away from Dr Google is wise - it is a wormhole of terrifying misinformation that you can get lost in for hours - I know!
Please ask for Ativan or a similar medication to help you with sleep and anxiety - it really does help.
Yes, TN is scary, but remember that the vast majority of us will beat it. You're definitely on the right track and you'll get through the treatments anD find so much support on these threads - you are not alone.
And yes, chemo can make the tumor smaller or disappear altogether and it is to mop up any cells that may have left the breast.
Hugs and know I am thinking of you.
Vanessa
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Hi Vanessa, thanks for your response. Waiting is the worst! Thanks for the medication suggestion I will ask about it.
Hugs
Susan
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Hi Susan,
Come join us over here: https://community.breastcancer.org/forum/72/topics...
You will find lots of support!!
Hugs from NYC!
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Thanks NYC I will go there
hugs
Susan
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Hi Susan,
Hugs, TN is very scary but they are making improvements to treatment all the time, so I am holding onto that and you should too.
Here are the things that I wish I had known at the start.
1) It really is best if you can get treatment at a teaching hospital. Or at least get some second opinions at one. If you have one near you should consider it. They will have treatments and ways of doing things that other facilities don't. I wish I had started out at a teaching facility. The care I received at my community hospital was good but had I started at a teaching facility I most likely would have gotten immunotherapy up front, which I now won't be getting. I will always question "what if". Because the cancer field is rapidly moving and Triple Negative is particularly being looked at more closely than ever right now, teaching facilities will have the latest and greatest information and treatments.
2) Demand genomic testing of your tumor. This is different than genetic testing. It is specifically testing your tumor for characteristics of YOUR cancer. Everyone's cancer is slightly different. This testing is not generally covered by insurance, but in many cases the companies that do the testing will write it off for you. I got mine for free after negotiating with the testing company.
3) When you have surgery, make sure they are retesting the tumor for the receptor status. It can change over time and that would change your treatments. They will probably be doing this as a matter of course, but just make sure.
4) Know that post surgery your tumor will be saved somewhere. The reason why this is important is that you may want to get into a clinical trial or have more information about your tumor that requires testing the tissue. Tissue is KEY.
5) Don't be afraid to get second opinions. You MUST advocate for yourself. No one cares about you as much as YOU care about you. This was hard for me in the beginning because I'm very shy, but my fear was stronger than my shyness and I forced myself to PUSH when I needed to go in a particular direction and i was getting resistance from my doctor.
6) Make sure you get reports of ALL your treatments. Read them. Understand them. Ask questions. Keep them in a binder for future reference.
Hugs. It will get easier. You are in the scariest part right now. Once you start getting chemo you will most likely actually start feeling a little better mentally because at least you are doing something. Reach out with ANY questions. We are here for you.
Rebekah
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Don't get carried by fear (add to Rebekah's suggestions). I am trip negative, stage 4 and am plugging along after 7 years.
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WinningSoFar, I am so glad to hear you are doing well! I know a couple of other TN Stage 4 ladies that are doing well too. One is NED now after an immunotherapy trial. I am holding onto hope that we are on the brink of some BIG breakthroughs.
Rebekah
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Susan, I would suggest taking notes about all the different options and terms the doctors are using. Don’t be afraid to ask them to repeat something. So much information is coming your way, it’s very emotional, and you are only human. Adjuvant, neoadjuvent, AC chemo, AC + T chemo, TC...and the name of any clinical trials so you can not only remember, but research.I also keep a notes thing on my phone for questions that pop up so I don’t forget the next time I see my MO.
Remember to ~ Breathe ~ when it gets to be overwhelming. You can do this.
Winning, glad to hear you are doing good...gives me hope
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I don't post much, nor do I read a lot...……..so please if you want to talk (anyone here) e-mail me so that I will see it.
I just wanted to say that I am still cancer free at 7 years after the 1st diagnosis and 5 years after the 2nd. Thank God.
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Susan05 - Thinking of you as you're getting all the pieces to your puzzle figured out. As others have said, this was the hardest, scariest part of my journey. Once we had a plan in place, I went into fight mode. You can beat this. See my diagnosis information below. I'm not only still here, but I am thriving, 8 years later. Just take it one day at a time. And reach out with questions, concerns, vent, etc. We're all here for you!
Hugs,
Kathy
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All my scans are this Friday to see if it has spread...full body bone scan, axillary ultrasound and CT scan of chest/abdomen/pelvis. The tumor feels bigger (its right on top and easily felt) and the breast hurts a little more now. I originally went back to the dr because it was starting to hurt. Now if feels like it aches on the outside going towards my armpit. I hope it's just pressure from the tumor moving healthy tissue out of the way as it grows. It's so hard to not think the worst. Sorry guys I'm just having a bad day I guess
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Hi Susan,
I know this is really hard to do but think positively and put out good vibes. I believe cancer feeds off of stress and constantly worrying doesn’t change the outcome. I’m a planner and when I was diagnosed with TN, I had to throw all of my plans out the door and I had to learn not to worry. It was hard and I still work on that especially with my surgery coming in a month. So.....while you wait for your scan results try to do something fun and not think about it. My mass for sure got bigger from my time of diagnosis to the time of treatment which was about 2.5-3 weeks. I’ve spoken to other TN survivors and they have had similar experiences (with size increasing) and everything was isolated just to the breast for them. Based on imaging, I only have a fragment of a lymph node involved otherwise no Mets, praise God! I know it seems that it’s going really fast and it probably is but that’s a good thing! I got diagnosed in the summer when a lot of the good doctors I wanted to get into were away with their kids so I had to fight hard to get things done quickly. I even had to go to a facility other than my treatment facility just to get my port because I was getting scheduled weeks later due to 4th of July! Also, if you are going to read stuff online, read encouraging things. Reading the posts about long term survivors gives me so much hope and encouragement! The chemotherapy threads are great too because it helped me to know what to expect. However, if someone has a bad side effect, don’t think it will happen to you. Basically, positivity, positivity, positivity!
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I had all my scans this last Friday & they all came back clear! The cancer has not spread! I am so relieved!
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Yaaaay! I’m so happy your scans were clear.
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Susan05, it's so good to read your posts as I'm in a similar place as you. I have a 4.1cm lymph node of TNBC. Results from my MRI came early this morning and there are 2other places in my right breast recommended for biopsies. I can't tell from the lingo if they see something in my left breast or not. Tomorrow I'm going for 3 scans: CT scan, NM scan, Echocardiogram. I had a wonderful weekend with lots of laughter and friends camping. Hopefully, I can start chemo Thurs as planned, but I haven't had a call about getting a port yet. I'm just so ready to get this show on the road.
I, too, think my lymph node is growing. There were no signs of a large node per mammogram from Jan '18. I love learning what you're going through as it seems like I'm going to fall in line. -
My cousin is five year cancer free from stage lllc tnbc, she had 14 positive nodes and 4 cm tumor, she is doing great now
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Hi duncmelsmom I hope your scans go well and all come back with nothing to worry about! I see my medical oncologist today so hopefully I'll find out today when I can start chemo. I'm with you on getting the show on the road. I know it needs to happen so I want it to start yesterday!
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Susan05,
I'm so sorry. It's time for you to get busy. Get to your treatment. Don't put anything off. Make it a priority because this is your life in jeopardy and you have a great chance of saving it. I'm ten years out today. Alive and well and sassy. Delegate what is not important to your wellbeing, and get down to the business of surviving this nonsense. Love and hugs to you. Find your inner anger and unleash it on this beast. I was Stage IIB, with 4 lymph nodes involved, and today I am free and clear.
And medicine has come a long way in ten years.
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Hi yellowdoglady you bet I am! I had my first infusion on 11/20. My Medical Oncologist told me that I could wait and start on Monday after Thanksgiving and that one week would not make any difference. I told him absolutely not! I feel a lot better knowing that my scans were clear but that just means there is nothing big enough that can be seen on the scans. I feel like the longer treatment is delayed the greater chance that my prognosis can change so when they asked me when I wanted to schedule my first treatment date I told them yesterday please!!
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Nas , that's certainly wonderful news about your cousin and I pray she continues to do well.
About three months after I was diagnosed with breast cancer, my sister was diagnosed with triple negative breast cancer. I don't fully understand it. All I know is that her oncologist is recommending radiation and chemo, and she doesn't want to take chemo.
She didn't know the name of the test but I believe she was referring to the Oncotype D. Her survival rate was not much longer with chemo so I suppose she doesn't think the chemo will be worth it.
Can anyone give me any insights to treatment of triple negative breast cancer that I might share with her.
Thank you.
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viewfinder - sorry for your sister. Oncotype does not apply to TN - it is only for hormone positive.
TN is aggressive and the only weapons in the arsenal are surgery, radiation and chemo. Chemo is usually advised even at stage 1. Do you have her stats?
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Could the sister be referring to her ki1-67 score? I know everyone’s decision for treatment is very personal. For me it was a matter of looking back and not regretting doing everything I could for myself, but also my family. I hope your sister isn’t putting a timer on her life. My MO told me that my specificprognosis gives me anywhere from 4 months to 2 maybe 3 years. I say f that. You never know what will happen.
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Hi everyone. I too am triple negative, diagnosed in june. Started chemo Taxol in august did 12 rounds, now on my third a/c. One more to go. My lump was small when found 8 mm, in a moth before treatment started it went to 1 cm and spread to 1 lump node.
I was so elated to start chemo it gave me a sense of control. Now 16 weeks later and 2 more to go I am terrified. Every ache I feel I worry it is spreading. I question if all this chemo worked. I have been having a tough few weeks, I am crying everyday and so scared chemo is not working. After chemo is surgery and 6 weeks radiation .
I handled chemo pretty well, just now at end of it I am more tired. No eyebrows or lashes ot hair, which was hard
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Volleyballmom,
It's so normal to be worried, but it's also normal to feel more awful as treatment goes on....the cumulative effect. The good thing is TNBC responds well to chemo. I still had a "lump" after chemo, but there were no cancer cells when they removed it during mastectomy.
Hugs,
Vickki
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I have TNBC. I have had an excellent response to chemo (so far; just had my last one!) and I will know in a few weeks if there is any residual cancer or not... hopefully not! My tumor was about the same size as yours and it melted away. I had a 3 cm lymph node- it also melted. I hope your melts too!!
I have been very proactive with diet and complimentary therapies alongside chemo. Knowing my best shot is kill this cancer right now, I decided to throw the book at it. I have been using the fasting mimicking diet just prior to chemo day, followed a mostly ketogenic diet-- very low carbs -- and also eating way less animal products. I am taking a raft of supplements. There are things like melatonin and metformin which have shown anti-metastatic activity -- I have added them too. I do nutritional IVs, high dose C IV and hyperbaric oxygen. It's a full time job!
In addition to the teaching hospital advice (smart) I strongly recommend you find a naturopathic or integrative medicine physician who can guide you to the supports that will help you. Some help kill cancer and some help your body tolerate the chemo. Oncologists do not necessarily know this stuff. Their job is kill cancer. Naturopath's job is build your system to be unfriendly to cancer. Those are different jobs. There is a cancer clinic in Chicago run by Dr Keith Block-- he is very experienced with complimentary therapies done alongside chemo. He has a book, "Life Over Cancer," that contains a wealth of info. You can get a consult w him as well.
Wishing you the best!
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