Two sisters with same breast cancer- what be learned
My sister who is two years younger than I am and who has lived a completely different lifesyle from mine (never smoked, drank, did drugs, had children, is vegan...) was diagnosed with a breast tumor three years ago. It was her first mammogram ever at age 58. She was given a 14 gauge needle biopsy (four samples taken) and then diagnosed with a 1.6 cm. tumor/IDC and DCIS that was estrogen and progesterone reactive. They waited six weeks before doing a lumpectomy followed by a lengthy course of radiation. Three or four months ago, she was suffering from an unrelenting chest cold and coughing that would not respond to antibiotics. She also had joint and bone pain. You guessed it. The cancer was finally found with a chest xray and the PET scan showed it was now in her spine, lungs, liver, bones, and lymph nodes.
Now I had felt a lump in my own left breast, but having had fluid filled cysts a few times before, I was not super concerned as it felt similar.I also had also been having unexplained hives on my torso and chest for a few months Right after my visit to see my sister, I returned home and was given an ultrasound which detected a BIRADS 5 2 cm mass. I was bullied into a very invasive biopsy which I regret having had now, but there is no going back I guess. The pathology so far reads EXACTLY the same as my sister's did. I am schedule with a surgical oncologist in two days, but I am really torn on whether I want to go down the same road my sister did.
I immediately started using heat, mushrooms, soursop tea, kelp to replace my low iodine levels, vitamin C, and IP-6 + Inositol to try and build my immune system and ward off the cancer's progression. After my body healed from the biopsy, I was finally able to detect that the tumor actually feels smaller. I am wondering if I should postpone surgery or try something like letrozole first.
I don't know why doctors aren't JUMPING on the opportunity to study a case like this that can clearly rule out certain factors as having caused the cancer? Don't they want to figure this out?
I am questioning everything that is standard practice. My sister may very well have had the cancer cells spread as a result of the biopsy. That's what I truly feel happened. And she went through all that radiation for nothing!
Anyone with thoughts or a similar experience, please chime in. I have to decide what to do next.
Comments
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I am not a researcher or medical professional. The idea of biopsy seeding, while certainly possible, is generally considered rare, though not impossible. As for using you and your sister for research or case studies, I'm afraid that the two of you don't provide enough data by yourselves, to support that. Is there some type of similar study going on with a larger sample than just two? Perhaps, so you might want to search for that or ask your mo if she knows of such a study.
As for “feeling" that seeding occurred for your sister, well, a feeling isn't considered science based evidence. Whether you agree or disagree is immaterial. Currently, research is conducted based on facts. As far as going through tx for nothing, there is NO treatment currently available that will guarantee that a patient won’t have a recurrence or metastasize and I hope your sister was made aware of that by her mo.All the best. -
I'm sorry you and your sister are going through this. I agree with exbrnxgrl above. Also, it would be highly unethical to do a study within which one "twin" or sibling has treatment withheld. And you say "can clearly rule out certain factors as having caused the cancer" but there is no way to rule out these factors as contributing to, much less causing cancer.
As to ways to cure or treat cancer, you can opt not to have surgery or any other standard-of-care treatment. That would be your choice. However, statistically speaking your chances of survival will be worse if you don't treat it with conventional medical practices. They have their risks, but they are less risky than not using them.
I wish you well.
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calf - you got quite a few responses on your other site. In general it's a good idea to stick with one site so the people who are following get the whole picture. When you get a chance, please go to My Profile and put your diagnosis and treatment to date. It helps people who want to respond know the background.
I agree with the posters above - while you can choose to pass on treatment based on science if you want, it leaves you in danger of not stopping something in it's tracks by clinical methods.
I think everyone was pretty much in agreement that a biopsy is VERY unlikely to spread cancer. In fact, I learned something about my own recurrence from a post shared by another member. I'll re-post below.
"Like a lot of cancers, breast cancer grows by simple cell division. It begins as one malignant cell, which then divides and becomes two bad cells, which divide again and become four bad cells, and so on. Breast cancer has to divide 30 times before it can be felt. Up to the 28th cell division, neither you nor your doctor can detect it by hand."
"With most breast cancers, each division takes one to two months, so by the time you can feel a cancerous lump, the cancer has been in your body for two to five years. It can certainly seem like a lump appeared out of nowhere – especially if you or your doctor have recently examined your breasts and not felt anything suspicious – but in reality, the cancer has simply doubled that one last time necessary to be noticeable. By the time you can feel it, a breast tumor is usually a little more than one-half inch in size – about a third the size of a golf ball. It has also been in your body long enough to have had a chance to spread"
Here is a nice explanation of the above concepts from: https://oregon.providence.org/forms-and-information/a/ask-an-expert-breast-cancer-growth-rate/ -
As an update to my previous post, I chose to have cryoablation (freezing) of my 2 cm. breast tumor with no other treatment or drug therapy, while my younger sister had lumpectomy, revised lumpectomy, radiation, a recurrence of her cancer in her lungs, liver, spine, bones, and lymph nodes. She is beginning her third round of drugs after two combinations of genetically proposed drugs stopped working.
What's wrong with this picture? I think the treatments beginning with the surgery and including the radiation and drugs are making what started as a 1.5 cm. tumor turn into stage four metastatic cancer.
Cryoablation followed by good nutrition, supplements, counseling, and 8 hours of regular sleep each night seem to be working very well for me. Please look at all of your options before you go down the rabbit hole of "standard of care" treatment for a small breast tumor.
I am so angry that my sister is being put through all of this.
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Calfam04, There are lots of folks here who are de novo Stage IV. Surgery, radiation, and cancer fighting drugs did not cause our mets, and often they were found "by accident" .
"Cryoablation followed by good nutrition, supplements, counseling, and 8 hours of regular sleep each night seem to be working very well for me"
I'm glad you're happy with your approach, and I hope you don't progress. It is probably NOT the best approach for everyone.
The one point that I agree with is every person has to follow their own convictions about what is the best course of treatment. Personally, I'll take the extra years and quality of life that conventional treatment can provide, and new treatment trials are the path to better treatment, and - dare i say it? - a cure.
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You have no way of knowing if your choice of treatment is working... I sincerely hope you are not telling your sister she made the wrong choice. Had she acted differently she could have advanced much sooner.
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If family members were used as sole research specimens and qualified as definitive, it would be short changing a lot of women.
Simply because you are related isn't enough. You yourself said you had totally different lifestyles, so what or how would they "study" and research this? If you asked 1000 women what their pathology report was, I'd bet more than a dozen would have "the exact same pathology report." That's not a basis of studying how the cancer developed. I could go on why scientifically, your idea would not be plausible, but I totally understand your frustration.
I am so deeply sorry you and your sister are having to deal with this. And yes, all of us here are angry that we are in the 21st century and still dealing with fairly "primitive" (meaning only a few fairly new options) treatments. When you're told you have cancer, you want to know why. That's normal. The problem is, there isn't an answer yet. Anger, frustration, depression...all those happen but in hopes of survival, we do the best treatments we can with the information that is current and available.
You said your sister's first mammogram was at 58; if you want to do the "what if" scenario, then what if she had the cancer at 50 and she waited so long to get a diagnosis that the cancer had already spread. They found the site of the original start of the cancer with the mammogram, but that doesn't prevent cancer from spreading and being discovered later. My DH has metastatic prostate cancer. We have no idea when it metastasized since he did not go for routine PSA/prostate checks and his mets findings were incidental.
I'm not sure how you detected that your tumor is shrinking. I sincerely hope that it is, but there's really only one way to find out...even with imaging, they thought my tumor would be 7mm. It turned out to actually be 1.8cm. And no one...doctor, tech, ultrasound or mammogram were able to detect the tumor at all, so palpating a mass doesn't give you much accuracy.
Your sister's willingness to use science based treatments, follow the best doctor advice she can gives her hope to extend her life. It's not the other way around. Ignoring science and waiting are not usually advised.
I wish you both the best of luck through this journey. We all have to follow what we feel is right for us, then live with the outcomes that come from that. I wish you strength and conviction in your decisions and may they be wise ones.
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I would have skipped this if this were in the alternative or complementary treatments section but here, it's too.much.
Untreated breast cancer metastasizes all by itself. It doesn't need surgery or chemo or rads. You say you're keen on research but then you ignore that these treatments have reduced the rates of recurrence in the past 20+ yrs. That's what the research *shows*. But sometimes still, in spite of treatments the cancer recurs anyway. Choosing not to have systemic treatments does put you at higher risk of recurrence. meditating and eating well and exercising are not guarantees - I did all those things years and years before I ever got cancer, and still got it. Because cells replicate all the time and make errors and sometimes all safeguards fail.
Choose what you want for yourself but please don't blame your sister or the medical treatments for her terminal diagnosis because that is totally unfair.
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Wallycat, sorry to hear that hubby has pc while you have bc. I’ve had to deal with both those cancers. Loved your post and the Advice you are suggesting. Ditto the others here recommending evidence-based scientific treatment. I have to say, being around these boards for six years now, that the treatments that are omitted are the treatments many regret.
Calfam, don’t take this disease too lightly. It’s the gift that keeps on giving, as your sister discovered. If she had a recurrence with treatment, you could well find that the light treatment you’re suggesting could turn into a similar result.
Good luck with whatever you decide.
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OP, it's waaay too soon to declare victory, actually I don't think you ever can, but a few months is certainly early days. And remember 20-30% of early stagers go on to stage 4 eventually, even with treatments and sometimes many years later. Unfortunately, your sister fell in that group, and your different choices in treatment doesn't prove that yours was superior to hers.
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