Calling all TNs
Comments
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I had found mine lump. Mis-diagnosed @ mammogram later found my pain in shoulder was swollen lymphnodes. Had chemo prior to surgery LX since I still needed radiation. This all happened this year..reasoning of chemo before surgery is to try to reduce the size.LX is bcuz skin needed to heal and reduce the amount of possible complications.
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Hope, I chose neoadjuvant AC chemo (chemo before surgery) as my MO said the data with this kind of treatment was more favorable. I also chose a Lumpectomy as to try to preserve the option of breast feeding when we could have kids. I was 28 at the time and this was important to me. My SO also said the data was almost negligible in comps for lumpectomy vs mastectomy. The research I did myself mirrored what they told me so my choice was made. No genes saying I should have cancer. Got clean margins for surgery and the lymph node they removed looked good in surgery. Later pathology showed the node did have some trace TN cells, but SO didn’t want to operate to remove more. I wish she had. I had a local recurrence during radiation late 2017 and didn’t realize it. None of the 3 doctors that checked thought the lumps were cancer so I went on to be NED for 2 months. Early this year I found out I had brain mets after having a headache for 2 weeks. It was so slight I almost cancelled the MRI. I look back and know I did what I thought was right for me. I don’t think any treatment is required. I chose radiation and my MO highly suggested I do it given the nature of TNBC. I also chose to do TC chemo after my surgery at the recommendation of my MO because of the positive node. Then I had radiation. Do what’s right for you, but push for what you feel is right. If you don’t think something is on the up n up get a second opinion. I just followed my MO’s lead like a kid following a parent even when I felt something was wrong (like with the lumps I found during radiation). A women I know who also had BC, but not TN, had a double mastectomy and didn’t do radiation. She also had a recurrence along the scar on the opposite side of the original cancer boob. She told me that is extremely rare though. I’m not sure if it’s the same for TN. She was very happy with her choice and opted for reconstruction. The things they can do with tattoos and making what looks and feels like a real nipple these days is impressive. She did do radiation after the recurrence though. It’s not so bad. Funny enough we ended up in radiation at the same time and got to compare boobs each week and how to help with the se’s. I know it’s overwhelming making all these choices now and praying you don’t f it up somehow. I think you are off to a good start asking questions and researching. Best of wishes to you
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HopeBry - I received chemo after lumpectomy, but I didn’t know I had TN tumor until pathology came back after surgery - the two that were found on the mammogram were hiding the third, which was the TN tumor.
Once I found that out, I panicked and considered getting a mastectomy. However, after speaking with my cancer team, I am at a highly recommended cancer center, I was 100% fine with my decision. I’m very happy to have my breast, but I completely understand why others make the choice of a mastectomy.
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I have been doing chemo first. A big advantage is watching the tumor to know if it is or isn't responding to the chemo.
I am on Taxotere/Carboplatin. I have had a great response, in terms of shrinking; it appears to be totally gone. But we will know for sure only after surgery is done. I will have lumpectomy + radiation. My surgeon and oncologist both said the long term survival is the same, and I have to have radiation anyhow, due to involved lymph node, so why not the less gnarly surgery?
If I do not appear to have pCR when I get my MRI in another 2 weeks, I will likely switch to a different surgeon, in order to get intra-operative radiation to the tumor bed (radiation is done during the surgery). Hopefully then I will do proton beam radiation for my whole-breast followup.
Good luck to you. Great that it is not in the lymph node!
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Thank you all for the feedback. I have not had my genetic test results yet but want to lesson my chances of reoccurrence. My young daughter lost her dad to colon cancer this year. She does not know yet of my diagnosis. Trying to figure out when to tell her. Shes 9 and still having a hard time. I want to eliminate the cancer ever coming back if possible. Want to be here for my baby. I like to hear other peoples experiences. thanks
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Cathytoo! Congratulations!!! Thanks for coming back and sharing your success! I can't wait to be in your shoes!!
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Thanks for your story
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HopeBry - poor kid. You’re in a delicate situation for sure.
My advice is always to be honest, because kids are so aware of our change in mood etc - they know when something is going on. And to me the worst would be for a child to find out from someone else.
That being said, there is plenty of great advice to be found online. I believe one thing is that you don’t want to scare them. You can share your diagnosis and all you are doing to fight.
My kids were older - 13 and 16 - and it was hard. My older son actually stayed home from school the day after I told him - he was literally in disbelief because I am such an otherwise healthy person. I saved my breakdowns for in the shower.
Sorry I can’t be more help - all kids are different and your DD has already had such heartbreak.
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I don’t have kids, but my grandma (who I was closer with than my mom) passed away from cancer. I found out later that she had had 3 different cancers in her almost 80 years. I knew nothing of the first 2, but she told me about this last time. I was so grateful I got to make the most of my time with her even though we didn’t know what the outcome would be. It also gave me time with her to slowly accept that she could/was being taken from me. Time that I otherwise would have thought I had in the future to ask her questions and plan trips to see her. She didn’t tell me all the details of her diagnosis just the need to knows which I think was her way of protecting me. She did what she felt was best and that’s all any of us can do I think.
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That is helpful. I will tell her the basics in a way she understands and share the positives of finding it early as opposed to what her dad experienced finding out too late. Thank you!
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Good luck, Hopebry! It’s hard making all these decisions and juggling little ones. My twins were 6 when I was diagnosed and they are 8 now. They have been the driving force in most of my decisions. I’ve also gotten some good ideas for empowering them and tons of support from fellow BC survivors. PM me if i cnhelp!
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CONGRATS, CATHYTOO!!!!!
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HopeBry
I found my lump about a month before my mammogram. I can't explain really, but I knew without a doubt it was breast cancer. This was later confirmed with biopsy. My lump was 2.2cm. I was misdiagnosed as estrogen positive due to my 1%, so I had my surgery prior to chemo. I was upset once I found out I actually had TN, but all I could do was move forward. But I will say some parts of me were glad the cancer was out. I had clear margins and 2 nodes/sentinel were tested and were negative. I also had no vascular invasion. I did 4 dose dense AC and 4 DD taxol. That was it. I had a right sided mastectomy so no radiation. I actually wanted radiation but my MO didn't agree I needed it. I sure hope she was right! So now I'm 3 months out and trying my best To put this behind me. This is my story. Hope it's helps in some way! Good luck.
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Just stopping in to celebrate 6 yrs from daignosis (10/30/12). Lots of scares since then but each year gets better. Stay strong, be inquisitive, dig in and partner with your medical team (don't take orders), be reasonable (and rational), make memories (better prioritize whats important), accept what's happened (you'll never know why) and carry yourself with grace (always think of your legacy). xo
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Thank you jenjenl...words and perspective to live by!
Congrats on 6 yes, and many, many more to come! ☺️
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@cccmc2 - thanks for your story, it was helpful. Did you get reconstruction or you kept as is with the scars?
Im still leaning towards the dbl MX as a precaution and definitely want evenly reconstructed breast without the use of the flap techniques. I dont want any other parts of my body cut to create a boob.
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Good afternoon . I come on once every so often. I finished my 12 taxols, and Wednesday will receive my 2nd of 4 rounds of a/c. I am tnbc. I just have been feeling very overwhelmed about everything. I started feeling positive now closer I get to ending chemo I feel panicked. I keep reading about tnbc and I fear all this chemo isn't working, I just needed a little pick me up today. I have like 4 eyelashes left on one eye and know whatever has grown back on my head will fall out again. I am tired of people saying it is only hair also. Anyway if anyone experienced all this negativity and panic please share how you get through it.
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Volley, I was where you are once and it helped to know that once treatment was over my MO was still seeing me every 3 months and that I would still be getting scans. If something comes up it will probably be caught. During this time I also learned a lot about my body. Trust that you know yourself, and when something is not right. I made that mistake and believed my doctors when they said the lumps I felt were from scar tissue because ‘you’ve had so much chemo’ I also found I was way more upset and emotional when I was done with treatment than during. It’s ok to feel overwhelmed...it a crazy thing to go through so don’t be hard on yourself is my advice. I hated having random hairs! I had one long long lower lash that wouldn’t fall out. I was so self conscious of it I wished the hair falling out would be all or nothing! It was easier to manage once I did lose my hair though as I did not have energy to wash it and style it and I didn’t wake up with tons of hair on my face, in my mouth and all over me from falling out in my sleep. It sucks since hair, for me, made me feel feminine and was part of how I identified with myself. I hope the rest of your treatments go well and who knows I’ve heard some people’s hair grows back fuller and healthier than before!
Mine turned curly -
I don't think I've ever posted on this TN thread before, though I've been reading it. Volleyballmom2008, for what it's worth, I was very much in the same place emotionally. There came a point where I realized nothing "sensible" other than exercising was going to ease my anxiety (like concentrating on work or meditating or doing relaxation exercises or journaling, etc.). I resorted to binge watching stuff on TV or Netflix or Prime and occasionally taking Valium, especially to help me sleep. I hear you on the hair. I found it beyond absurd to realize that emotionally, I was more disturbed by my hair loss than the life and death situation I was in. My last chemo was at the end of August, and my hair is growing in fairly thick by oh so slowly. My eyebrows are more or less back as are my eyelashes, though they're not long enough or strong enough for mascara.
I feel very lucky to have gotten a PCR and clear nodes, and I hope the same for you. However, I know it's no guarantee, so the worries will probably continue indefinitely. The panic has faded, though, thankfully.
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Volleyballmom, Parrynd, sillyoldrabbit,
Thanks for sharing these feelings so I can be prepared. It sounds like something I would go through. I am impatiently waiting to get started on the treatments. Tomorrow I have a biopsy for a place found in a vertebrae. Hopefully the results come back negative and we go the course as planned with chemo starting 11/28.
I cherish everyone's post as it makes me feel among the strongest women!
Happy Thanksgiving to everyone!
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The truth is that no one “gets it” unless she’s gone through it. It is just such an overwhelming experience - emotionally, physically and mentally. Some days you’ll feel you’re in control and maybe have a grasp of things and then the next day you’re a weeping mess.
I marvel at the strength , respect and compassion on these threads - we are never alone.
sillyoldrabbit - we followed the same coping manual! I exercised, binge watched and took some drugs to sleep!
I did also journal, but mostly just to rage. My plan is to burn it on a camp fire at some point in the future.
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Volleyballmom, and all who have responded, I firmly believe that when faced with a beast like TNBC, freaking out is the most natural and normal thing in the world. I mean, who wouldn't? Unfortunately, it is not very helpful, so, when I had a chance to participate in a "stress management skills group" for cancer patients organized by a psychologist at the hospital system where I get my treatment, I jumped at it. That has been helpful. Over the course of six weeks, we talked about a number of topics, including taking care of yourself; recognizing and challenging unhelpful thought patterns; focusing on what you can control; and taking an inventory of your sources of social support and learning to identify the people who are most likely to be willing and able to help you with emotional or practical needs as they arise. The most useful lesson was: this is a stressful situation, so you WILL have stress. Be ready for it. Another one that I found helpful: doing something you enjoy is a perfectly valid stress management tool. At least when used in moderation. So if you find yourself thinking bad thoughts on some dark night, and meditation, deep breathing, and stomping all over those bad thoughts aren't cutting it, and binge-watching TV while eating pepperoni pizza makes you feel better, then binge-watching while eating pizza is an OK thing to do. Of course, you may not be a fan of pepperoni or whatever is on TV in the wee hours. In that event, use the "stress busters" that work best for you.
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I also found doing normal things I did before diagnosis helped me find a new normal and feel like the whole world wasn’t crashing around me.
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Parrynd1,
That's what worked for me as well. Great advice!
Vickki
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hi all.
So I’ve been out of treatment about 3 months. I have a stressful day here and there but I’ve really been doing pretty well- staying out of my head. That is until last Friday my dr called and said my labs were great except my vitamin d was really low. She promised she wasn’t hiding any bad news from me and said I need to start on a supplement and we will redraw labs in 3 months. So the past few days my knees have been really achy and I’m scared. Maybe I shouldn’t be. Can this still be an effect from chemo or the low vitamin d? Thanks for any info!
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cccmc2 - bone pain is definitely a symptom of low vitamin D. And you can definitely still have joint/muscle pains from chemo - I was in a lot of pain for at least 3 months after chemo.
Also, the knees would be a very unusual spot to have bone Mets, if that is your fear.
Hope you feel better soon - it is so hard not to get in your head and worry.
Hugs.
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VL22,
Thank you for easing my mind a little
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I also had very low level of vitamin D when I was diagnosed. My MO has me taking 2,000 IU of vitamin D3 daily. There has been some research that good levels of vitamin D help prevent some cancers. Bone pain in a symptom of low vitamin D as VL22 mentions. I tell everyone to get their viatmin D level tested.
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elindy,
Thank you :-)
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interesting to know about vit d and bone pain. I had joint pain for months and still do sometimes the day after I’m especially active or workout really hard.
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