Does ovarian removal reduce recurrence rate?

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ByFaith
ByFaith Member Posts: 270
edited June 2021 in Stage II Breast Cancer

I had a pre-menopausal complete hysterectomy (with elective ovarian removal) due to uterine fibroids in 2004.

Fast forward 2010 when I was diagnosed with early-stage breast cancer diagnosed by mammogram as part of an annual physical.

I'm now in my 11th year since diagnosis and was recurrence-free at my10th year BC visit last year. The Breast Clinic now has me followed by my family physician the last few years with annual diagnostic 3D mammograms.

QUESTION: I'm scared to death each year of a recurrence and my 3D mammogram is later this week. Does having no ovaries reduce my risk of recurrence? Does 10+ years recurrence free reduce my risk?


6-30-21 UPDATE: Praise God I had a normal mammogram and blood testing this year.


Comments

  • voraciousreader
    voraciousreader Member Posts: 7,496
    edited June 2021

    faith…ovarian suppression reduces the risk of recurrence in pre menopausal patients. Also, the longer you are away from diagnosis, the less likely of recurrence. With that said, because you are a woman, you will always be at risk of breast cancer. Furthermore, the fact that you had a breast cancer, you will always be at higher risk of a new breast cancer. And, as my radiologist reminded me,as you enter your 60s and 70s, you are at an increased risk of breast cancer. So……


    with all of that in mind…..


    Remember the most important thing. A decade ago, you were treated for your breast cancer. It is now more likely that you will eventually die from something else. Likewise, if you do get a recurrence or a new breast cancer, you will receive today’s best treatment and then will have the opportunity to go on living. However, if you are worrying about the what if…well….then that can distract you from living. Life is short as it is…don’t let the THOUGHT of breast cancer chip away your precious time. As I mentioned to you before, I do worry here and there about my imaging appointments. But if I found those thoughts crippling, then I would seek support. Tell your team if you are suffering. They can get you the help you need. I wish you comfort and am sending cyber hugs…

  • AliceBastable
    AliceBastable Member Posts: 3,461
    edited June 2021

    ByFaith, I've had endometrial/uterine cancer (complete hysterectomy), breast cancer (lumpectomy), kidney cancer (radical nephrectomy) and several low-level skin cancers (including a large Mohs surgery for a nasty one). I manage to not worry about recurrence most of the time - sometimes I don't even remember the endometrial one unless I'm filling out a health history! Memorize what voraciousreader wrote. If you have such constant health anxiety about recurrence, please discuss it with your doctor and ask for a therapy referral. You've been living with a form of what I call Schrodinger's Cancer, letting the possibility affect you almost as much as cancer would have. Please don't let it take more years from you.

  • orangeflower
    orangeflower Member Posts: 146
    edited June 2021

    My understanding is that the recurrence risk is somewhat higher in the first 5 years after diagnosis, and then remains the same every year from at least year 5 to year 20.

  • voraciousreader
    voraciousreader Member Posts: 7,496
    edited June 2021

    alice…that health history section…..I stopped filling in that section a long time ago! It never gave me enough space to fill in my history! My ortho procedures and broken bones left no room for, as my late mother used to say, "The biggies."


    orange…not all breast cancers can be boxed into the same long term risk…the type of breast cancer AND age will determine your long term risk…the key point is that once diagnosed, on an emotional level, all of us will always be fighting the “what if"…. I often wonder, how is it that some of us can emotionally deal with “issues" while others…not so much…I would love to see research done on that subject. I often tell people, “Most of us think that Space is the last frontier…I say it is the brain."



  • Beesie
    Beesie Member Posts: 12,240
    edited June 2021

    To VoraciousReader's comment, below is information from one study that shows the pattern of recurrence for each major subtype of breast cancer.

    According to this study, for those who have ER+ / HER2- cancers, 50% of metastatic recurrences happen during the first 66 (well, 65.95) months after diagnosis, and 50% happen between 66 months and 250 months.

    This chart has a lot on it, because the study was comparing recurrence patterns across different types of breast cancer. Focus on the dark blue line, which represents ER+ / HER2-. I have added lines to highlight the percent of recurrences that have occurred by 5 years, 10 years and 20 years.

    - The red line marks off 5 years, by which time approx. 45% of all recurrences will have happened.

    - The blue line marks off 10 years, by which time approx. 80% of all recurrences will have happened.

    - The purple line marks off 20 years, by which time approx. 97% of all recurrences will have happened.

    image

    Source: https://wjso.biomedcentral.com/articles/10.1186/s12957-016-0988-0


    Edited to add more information since I found the source of the chart and my previous post about it on this site.


  • voraciousreader
    voraciousreader Member Posts: 7,496
    edited June 2021

    beesie…to put everything into perspective, that graph is a good indicator for recurrence. Furthermore, the CancerMath website has a great picture graph that shows personalized cancer mortality risks vs. other causes of death over 10 or 15 years…in many instances, the risk of dying from other causes is greater than the risk of dying fromcancer, and yet, too often, patients worry more about recurrence….Health care providers need to do a better job at identifying personalized risks and then helping patients navigate the roller coaster of emotions associated with long term treatment and surveillance.

  • AliceBastable
    AliceBastable Member Posts: 3,461
    edited June 2021

    voraciousreader, my structural repairs, like yours, would take a whole page. Sometimes I feel like such a cancer fraud because my back issues that led to surgery, and my rotten hip and replacement recovery, were so much harder to get through than any of my cancers.

  • voraciousreader
    voraciousreader Member Posts: 7,496
    edited June 2021

    alice..i am so sorry to hear about your messy hip replacement recovery. In 2018, I had hip replacement surgery too…and aside from an unexpected blood transfusion and a few extra days in the hospital recovering….IT WAS THE BEST SURGERY I EVER HAD! Shortly after the surgery, I was pulled out of bed and told to go sit in a chair. Before the surgery, my issue was…I couldn't sit! I could walk 6 miles a day without pain and yet, sitting was painful. Following surgery, I sat down and was AMAZED. I was pain free. Then, in 2019 and 2020, I had two right hand surgeries. And, after I healed and was finally out of the casts, I fell and broke my wrist! Two weeks later, my 2 year old granddaughter stole my thunder and broke her left wrist, for a few weeks….we looked like book ends….That said….because I have Ehlers Danlos Syndrome, I am an orthopedist's dream patient. I kid you not when I say I am a bionic woman. I tell doctors, my previous surgeries start on my right foot, work their way up my right side of my body and down my left leg…I also had two life saving emergency surgeries…so I hear you when you say your cancer experiences were, relatively speaking, easier. But still, for many, cancer can suck the air out of living….

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