Am I a BC Impersonator?
It is October, Breast Cancer Awareness Month and I am feeling a little unsure of myself. I was diagnosed with LCIS and ALH/ADH this year and had bilateral mastectomies with DIEP. Most doctors say LCIS is not breast cancer, so I feel weird saying I am a BC survivor. I have also heard the term "Previvor" used. I know my life has been forever changed because of breast cancer, but somehow I am left feeling displaced.(don't get me wrong, I am thankful every day my diagnosis was a precancerous condition) What do you think, my fellow LCIS sisters?
Comments
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I am an LCIS sister with surgery scheduled and am wondering if I am doing the right thing. Do you have feeling in your breast after the surgery? Did your pathology show anything else?
I have been doing MRI, Mammo, & US every six months for the past two years and feel I may be pushing my luck.
Thanks for any input.
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My path report from the mastectomies showed ALD, ALH and LCIS in both breasts. I already knew I had LCIS and ALH in my right breast from my path report on a lumpectomy I had last January. I think seeing the path report from the PBMs helped me to feel justified in choosing such an agressive approach. If I had it to do all over again, I would make the same decision.
I have feeling in my breasts everywhere except the areolas. I also have loss of sensation along my abdominal incision. I went into surgery with my eyes wide open. I read every story and report I could get my hands on and I still had some unforseen complications. (my heels had compression bruising and sores and are still quite painful).
I think you have to have a positive attitude and know that complications are just a temporary hinderance. Come to this site for encouragement and commiserating. Many women have been through this surgery and most have gone on to encourage others long after their surgery is complete. That gives me great comfort. You can do this.
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Hi..I had bilats too, and am very thankful for the timing of my surgery. Personally I think the " BC survivor" term in my head really usually refers to those women who are fighting invasive disease. It is such a different, and much higher stakes proposition...and they are going through the big ticket experience. I don't think anyone who does not have invasive disease can understand what it really means.....In general, I see myself as a " Surviva!!" like the Destiny's child song, of a lot of things in life.....I've been through some boobal stuff and it has changed me. This month and all that it represents is an attempt to say that all women who have had BC touch their lives, are one in the fight against it. At least that's the spirit I'm embracing.
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Bacismom:
Go with your gut!!! I never slept as well as that first few hours after they told me my mast biopsies were only LCIS and a grabbag of other stuff...but not invasive!!! The stress, and changes in my breasts were constant , and at least I can develop a more relaxed approach to my health without constant biopsies.
If your gut is telling you to do this, it probably is right for your spirit.
Moogie
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I think you're a bc survivor. 70% of my tumor was LCIS with 30% ILC. You were just able to treat it before it became invasive. I would have done the same thing had I known beforehand. Mine was never picked up on a mammo.
Suz
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Thank you so much for the support. I went for my pre surgery MRI today and they called already and said I have to go back for an ultra sound to make sure the new "thing" is another fibroadenoma . I think this only reinforces my feeling to get "it" before "it" get's me. Surgery decision is a big yes for today anyway!!
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You go, girl - follow your heart!
When I went for my major university consult for high risk for breast cancer, on their written questionairre, they asked if I had a history of breast cancer. I circled both yes and no. Then I said it depends on how you define breast cancer.
I am tired of telling docs "I have LCIS and according to the NCI website most oncologists consider it benign. It only makes me at high risk for breast cancer." Then I watch their raised eyebrow. I don't want to spend 5 minutes of my time trying to explain I am not in denial, especially when I am not seeing them for my LCIS.
Last time I said I had lobular neoplasia (LCIS). That worked better. Then he asked me what organ.
Leaf (LCIS + ALH) -
Ladies, it really helped me tonight to read all your post on this subject. Last night I was certain that on 11/8 I would be doing a PBM w/ IGAP reconstr. because of a LCIS dx in July, and a ADH w/ borderline DCIS in 05. Today, I met with another bs for a second opinion. She tells me that they had the radiologist at their hosp. review my path slides and he does not agree w/ my LCIS dx. According to him its ALH and this bs is recommending another sur. biopsy to further evaluate. It's been a very long road for me in accepting that PBM was my best option.But once the decision was made I was already planning my recovery and was experiencing a sense of relief. No more Tamox.(hate the stuff), no more mamo's, no more worry. This bs feels that if not LCIS then watchful waiting is best option. I feel like my going backwards again instead of forward. Shouldn't I be rejoicing that I might need to take such a drastic step. Go figure...
Leaf I've been following your threads and I've been meaning to respond. Both bs that I've met with have offered PMB as a very good option for LCIS. I'm surprised your having a hard time finding a bs or onc. to offer this as a viable option for you. Good luck in your quest for info.
Thanks to everyone on this site who has shared their experiences. I couldn't wait to get back today so I could read and gather more info.
Stay well!!!
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From what I understand from my own experience, the adh versus LCIS diagnosis is often a visual judgment call...accounting for the differences in pathologist responses to the same slides. I researched the facility that had the most " Breast Traffic" in my region, and the one that is an NCI place, for my second opinions. They upgraded my diagnosis and had several pathologists who deal pretty exclusively with cancer, in large volumes since people travel there for treatment.....unlike in a regular hospital setting. Before you make a decision, perhaps considering sending your slides to someplace like MD Anderson, Sloan Kettering, Duke, etc...would be of use to your decision making process.
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Thanks, moogie
My latest dx was from BI in Boston which is an NCI site. I'm going to make sure the next path. slides go there as well.
Stay well.
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Amy---you are definitely a bc survivor, and don't let anyone tell you differently!!!! You not only have survived the mammos (and probably other tests like US and/MRI), but also the biopsies, wire localizations, lumpectomies, bilateral mastectomies and reconstruction (and the pain and recovery following MAJOR SURGERY), the the doctor visits, the breast exams, and the endless waiting for test results; not to mention the anxiety that is caused by the unpredictability of an LCIS diagnosis. -
I was not dx with lcis but DCIS and I just wanted to get in on this discussion. Even before my DCIS dx this past April I was dx with AHD 2 years ago and the local breast cancer support group took me in as an honorary member. they said that you have had the 6 month mammos, stero biopsy, excisional lumpectomy, you deserve to be a member. I actually called it pre-vivor. Then when I was dx I was prepared for what to expect with surgery/recovery because of the relationships I developed with the group. Even though I am not doing the chemo or rads, I am still a survivor, I have fought the beast and I am winning!
Sheila
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Ophelia:
Just wanted to share my experience with getting my slides re-read at a major university. They said up front they charge >$500 per biopsy or excision. I had my LCIS excision reread, as well as my 2 negative biopsies.
They charged over $1600 to look at a total of 4 slides. Only after the fact did I find out that pathologists at my biopsy/excision institution select how many and which slides to send.
My LCIS excision had at least 16 pieces of tissue (per the path report). They sent 2 slides to be reread.
So
a) You may want to inquire about getting a 'representative sample'.
b) Be prepared for the cost (which was out of pocket.) -
Leaf, I am sorry you had to go to such expense!!! I had my slides reread and had no such charges. Perhaps this is an issue with your insurance ? I went for a consult and got my slides reread.
Moogie
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hello everyone,, I am going crazy here,, abou two years I got a knot in my right chest wall the my arm began to shake like there is something blocking the muscle now abou a month ago the lump in my chest is bigger and my right breast has a large purple color to it and the skin is raised up quite a bit around i'm talking a large area abou 5in long by abou 7in long my lymp nodes around my collar bone and in my neck on the right side are swollen ,, whent to the doc he gave me anibotics had a mammo had a MRI laying on my back all came back normal , I just dont understand how you can have a swollen purple breast lump in your chest and swollen lymp nodes and all the test are normal ,,, my breast is not itchy my nipple has flatened some ,,,, can anyone out there give me any advice as what I can do , it just seems the doctors are making me feel like im crazy,, Thank You for your time to read this ,,, Judy
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Bacismom,
Only you can decide if you are doing the right thing.
I had LCIS and ALH right breast and when I had another diagnosis 8 years later in the left breast it turned out to be LCIS ALH DCIS and IDC.
I wouldn't have had Bilateral Masts for the LCIS but certainly with the second diagnosis it was the only way to go for me.
Best of luck with your surgery
Janette
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Hi: I did a dbl masectmy in July bc I am brca2 (very dense in my family with 7 out of 12 cousins having bc). Post surgery finding of lcis. I am so grateful to have the chance to get rid of breast tissue prior to a finding of bc. The surgery was not terrible and I had the implants put in last wednesday. Will be doing the ovary removal in december. My cousin had lumpectomy last month with rads and just was told the tumor was moderate and therefore now needs chemo. Here is the hard part: how do you tell people that you think they need to be more aggressive with their treatment?
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I am so sorry you are going through this. It must be so frightening to see so many people in your family getting bc. It sounds like you are a very concerned member of your family.
I don't have an answer to your question.
Has she asked you your opinion about treatment?
Some people do not like to be told what they should do. I know if I advised my sister about just about anything, she would do the opposite.
I am not in my sister's shoes, nor is she in mine. As far as I know, she does not have any breast diseases, and my genetics counselor assured me she would be adequately monitored by the routine screening she should be getting anyway.
If she got breast cancer and chose no treatment, then I would probably have a hard time to keep my mouth shut, but I would think it is her choice. It would be even harder to support her choice of no treatment. My sister and I are not close, but I know unless she asks my opinion, she will not welcome my comments.
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Judy, I wouldn't let that rest. I've heard too many people who were put off by their docs, only to find out later that valuable time was wasted in their battle with BC. Pursue it until you either have a clear biopsy, or you are certain that you have nothing to worry about.
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I'm with leaf: relatives usually don't want to hear this kind of information, even if you are providing it to protect them. My sister is a " head in the sand" type...and only when she developed a lump would she even ask me what my doctor's recommendations were....or what my diagnosis was!!!!! She still never got it biopsied, and I can't do anything to change that. Keeping open to questions about your own treatment and decisions seems to be the only way to be a helpful presence. Answer when asked.....that's my motto.
Moogie
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