Just diagnosed with more IDC
I had my lumpectomy on 4/12 for IDC, along with open surgical incisions for the L breast that had ADH on core needle biopsies.
There were 3 markers on the left side, BS had some trouble finding one of the markers and ended removing a large portion of tissue. I asked her to do a SNB on that side as well while she was in there, just in case.
Well, my pathology report came back yesterday, and they found 17 IDC tumors on the L side, R side was just the 1 idc as expected and margins were close. These 17 tumors have both of us quite perplexed. Her first instinct was that I will need to go in for a bilateral mastectomy as she feels it isn't safe for me to keep any breast tissue. She presents it to the tumor board next week and she will call me after that to let me know what the recommendations are.
I am disappointed as I am just starting to recover from the first surgery. And how can I have that many little tumors in one breast?
Doing my best to stay busy this week and not spend too much time worrying.
Comments
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Wow, you poor thing! That is a lot to deal with! It really does sound like you would benefit from a bilateral mastectomy. Keep us posted as to what is decided. Until then, I know it is disappointing, but you can only move forward! I actually went into shock when I was diagnosed in Dec 2018 with ILC. I had been cancer free for 15 1/2 years and never thought I would ever get it again. Yet, that is what happened and I had to deal with it and move forward. What other choice do we have?
I am sure others will post here too. This community offers a great deal of support and is great at sharing information!
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@mavericksmom.. thanks for the reply. You’re absolutely right, what choice do we have but to move forward?
It’s a whole lot bumpier of a ride than I thought it would be
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April0315,
I also had 3 IDC tumors on the left side. Two of them were discovered after mastectomy and did not show up in the MRI because they were very small. I also had paget disease on the same side affecting the nipple. I had bilateral mastectomy with radiation. I also suggest the same for you. I know it is shocking but at least you found out early to choose the correct procedure for you.
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I would bet that with 17 tumors, regards of size, a mastectomy would be recommended. I had 2 one cm tumors and one suspicious area and mastectomy was recommended. I had mastectomy and DIEP reconstruction.
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yes, the only thing my BS said during the phone call was that for sure she would recommend a bilateral mastectomy. She presents to the tumor board Thursday so I’ll have a better idea of what’s next. We knew she was taking a lot of tissue during the lumpectomies so I had plastics involved and he did tissue rearranging and a lift. They are so perky and cute. I’m bummed I only get them for a little longer. I know that seems shallow but that’s where’s I’m at. I most certainly would rather be healthy though. So I’ll do whatever I takes!
Thanks for the replies ladies. So many little tumors, both breasts effected... feeling a little lost. So I truly appreciate they connection with you all
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I had 4 IDC tumors 6 months after a mammogram, stage 3
The doctor didn't think it was anything. Had surgery on the other
side after high chem, was 2 in that side even with chemo. I will
be praying for You, I have had 4 cancers and still enjoy life, not as fast.
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April, I was absolutely horrified by the idea of the mastectomy. But after my DIEP I felt fixed, it came out better than the photos I had seen. My suspicious area turned out to be normal and nodes were clear. No other cancers except the 2 spots were found. I wouldn't have known that for sure if I did 2 lumpectomies and would have required radiation. Hope things go well for you.
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thank you for the support and sharing.
The tumor board met and my BS called me yesterday. They want me to see an MO to determine if I might benefit from chemo (don't you love how they phrase that to make it sound like it's a special treat, like oh, you might benefit from a spa day). I'll see him on Tues. I expect him to send my tumors out for oncotype or mammaprint testing and we will go from there. If I need chemo I'm to do that before my double mastectomy (which I have gotten fully on board with and not afraid of). If not we can just get that darn surgery done and I can finally move on to the next step.
I got the path report and in the "healthy" breast I actually had 17 micro tumors of ILC, one main tumor of 2.5 cm. No clue how MRI and 5 biopsies missed all of this. So apparently I have synchronous bilateral breast cancer. Not common, and not finding a ton of information on it. So, I'm just trusting my team and educating myself as much as possible.
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I'm sorry about your diagnosis April0315. It sounds like you have a good team to guide you. I would have thought your BS would have already requested the Oncotyoe though. Why wait? I too have bilateral BC although I was surprised by the second side after my BMX pathology report. Glad I decided to remove them both at the same time. My breasts look pretty good (I think). You seem happy with your PS so no reason to not expect great results after surgery. It's a challenging year ahead but you will get through it. I like your sense of humor too that helps! Let us know know what the MO recommends. I did chemo first. I guess the benefit was that I knew for sure the chemo was effective on the tumor and lymph node and pray it worked in any cells that were on the move as well. Best wishes for you
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yeah, I was surprised the oncotype hadn't been ordered by her as well. She just said she doesn't order those, the MO does. At least he can get me in quickly. In the mean time, it gives me more time to heal before whatever comes next.
thanks for the reply!
I am confused by the chemo proposition, as I (mistakenly) thought it was only if they found it in my lymph nodes and they were clear. A year of learning for sure!
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The MO does order the Oncotype test. Mine did. After my lumpectomy the Path report showed a micromet in my SN. My BS was surprised- I was stunned. He said it would get me chemo. Not his call. He even went so far as to order a port for my second surgery to even the margins. Premature to be sure. I told the hospital idk why he did that. Hadn't even had the Oncotype test yet.
My test results came back at 11. No chemo. I did have radiation - 33 treatments in all.
Some breast surgeons make decisions that aren't their's to make. My BS and MO respected each other but I could tell there was a bit of a control issue between them. My MO also said my BS staged me wrong. I was a Stage 1b not 2a. Both are good doctors however.
If at all possible I would have the test. It made the difference for me in being able to dodge chemo.
Good luck.
Diane
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Thanks Diane... Love to hear a good story of a low number
I do believe my BS to be extremely professional and aware of her boundaries and limitations so it does not surprise me that she wouldn't have ordered the oncotype. I just wish it was already sent in so I'd know sooner. I can be off work as long as needed but I'd like to get back there sooner than later.
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Thank you I am blessed. That’s good April. At least your BS knows -mine just asdumed. Btw once the test is ordered it takes about 2 weeks to get the results. I know...more waiting. Ugh. When I had the test in 2011 it was $5k. Luckily BC/BS covered the cost. I know Genomic Labs where the testing is done will work out a payment plan on a sliding income scale if your insurance won’t pay.
Diane
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Diane. I did hear that test takes a while. I’m trying to be optimistic and think about all the healing my body can do in those 2 weeks and I can enjoy my time off with the family. Pretty sure my insurance will cover the test, but I’ll definitely double check. The tax bill this year was enough of a surprise!
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