Newly diagnosed opt next Tuesday

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IsMe
IsMe Member Posts: 23
edited May 2020 in Just Diagnosed

Last Saturday I suddenly have very bad feel that I need scan. Went for Dr, manually check can’t feel anything. Ultrasound found 4 lump around 3-5mm size. We than proceed to do mammogram to double check as one of it look suspicious. Mama gram found microcalcificacium. I was than refer to another breast surgeon in another hospital. But too bad that it only open on Tuesday. Waited badly over weekend and went for biopsy on Tuesday. Waited another two days for result. Is cancerous lump. With invasion character. The Dr suggest to do M and to determine if need chemo or other treatment after the operation. He told me that they need to analysis those Lump after the surgery. He suggest reconstruction with TRAM using abs muscle.

I was than proceed to second opinion. Lucky enough to able to squeeze in waiting list to see one of the top surgeon. She explained. G report once again, but added steps which she mention she will take up some lymp during ope for checking and decide if more lymp to remove or not during the opt. Which the previous Dr didn’t mentioned. Is it a standardised procedure? She also added CT scan a day before the opt as part of her procedure to check if it spread.

In general I not able to identify which stage am I. The DCIS In the report mentioned invasion mitosis evidences. Something like that. I am 42 married without kids.

I will go for the op next Tuesday. Will it be too rush? I just want to get it done. I am active in sport, non smoker and non drinker.i am very down with all this happening so sudden. I have yet to tell my parent. I just let my two sister know and they are very supportive. I feel like a lot of thing need to be done. Time is running out

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  • Beesie
    Beesie Member Posts: 12,240
    edited May 2020

    It sounds like you have invasive cancer, along with DCIS. The two often are found together but the invasive cancer is the more serious condition, so while the DCIS needs to be surgically removed, other than that you can ignore it. The invasive cancer is the important part of your diagnosis.

    Yes, with invasive cancer it is normal and important to check the lymph nodes. Some doctors send the nodes to pathology during the operation and then remove more nodes if necessary, while other doctors wait for the pathology report after surgery, and decide then if more nodes will need to be removed during a second surgery, or if radiation to the nodes will be done instead. Of course if the nodes show no cancer, then no more nodes need to be removed and nothing more is required.

    It is normal that staging can't be done until after surgery, because the size of the tumor and the nodal status - 2 things you won't know until after surgery - are key components of staging.

    I can't say if this is moving too quickly - a lot depends on the assessment by your doctors of your diagnosis. Are you having a mastectomy or lumpectomy on Tuesday? If you are having a mastectomy, one option is to have immediate reconstruction, but that requires a consultation with a Plastic Surgeon prior to surgery, and then the Breast Surgeon starts the operation and the Plastic Surgeon takes over. Because the two surgeons need to coordinate their schedules and the surgery plan, it usually take longer to get this scheduled. Another option is to have reconstruction later. Or some women choose to go flat. Alternatively, if you are having a lumpectomy, that usually can be scheduled more quickly since only the breast surgeon is involved.

    Good luck with the CT scan - I hope it's clear - and then with the surgery.

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  • IsMe
    IsMe Member Posts: 23
    edited May 2020

    I decided to go flat. I do not want to have another part of body to take care in the process.

    If they found things and need to remove more node during surgery, does this indicate another trend? Can the Pre CT scan give us those info?

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  • Moderators
    Moderators Member Posts: 25,912
    edited May 2020

    Welcome, IsMe-

    We're so sorry you find yourself here, but we're glad you've joined us and hope you find this to be a place of support as you being down this road. Best of luck with your scan and surgery, we wish you an easy and comfortable recovery period!

    The Mods

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