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Odds for doing nothing

by sherry29 on 6/30/2008 at 4:30 pmin category Treatment
I am curious if anyone out there has heard what the odds are in a situation like this:

.9cm invasive ductal cancer Stage 1 Grade 3 - Removed with lumpectomy clean margins within 1ml no node involvement. I am ER-, PR+ (which I just found out) and Her2neu -.

What happens when you have it all removed and have no reason to suspect anything else is in your system?

I have all the odds for if I do this & if I do that...but, seriously, if I do nothing more what are my odds of recurrence?

I am wondering if it is possible that my odds are better than if I go through the ridiculous amount of radiation (6 &1/2 weeks) and possibly chemo....still waiting for Genomics to get my tissue sample (waiting since June 5).

All I can say at this point ladies is this: Be thankful you are not in Alaska with this diagnosis.

Comments:

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Jai44...I'm certain your doctor is trying to reassure you...but, I wouldn't call diagnosis and treatment of breast cancer "just a blip on the map."

It is normal for you to be afraid.

(We'd have to swing you by the nut house if you weren't!)

This is one of those, "one day at a time" things.

Tammy Lou
by TammyLou
on 7/2/2008 at 11:21 pm
When you say do nothing do you mean no chemo no radiation no tamoxafin?
I have been looking at alternative ways to help my body heal without these things and having a very hard time because it is not recognized in the us if it isn't done through the fda.

I would like to have a mastectomy and thats all, but I keep coming back to the statistics that say if it reoccurs there is only a 25%% chance of successful treatment and 75%% of reoccurances live only 2-3 years with treatment when it does come back somewhere else. Statistics are just numbers and not broken down to specific cases with the exact figures to match each of our situations.

What I am trying to decide myself is what i am willing to accept for my life and how I want to live what I have left. I am scared of putting this stuff in my body, scared of the pain, mood changes, risk to heart, and risk of other cancers else where in my body. I am awed at the courage, humor, and resilience of those who are doing this very thing. I love to hear the success stories, those who have made it through.

My doc says this is just a blip on the map and has me scheduled for July 7 to start chemo. I just cant wrap my head around all of the fact and info out there and when I walk though the doors of the cancer center fear grips me so much I cant help but cry.

I would like to do this with dignity and courage that I see in others, but I am not sure if their way is right for me.
by jai44
on 7/1/2008 at 8:36 pm
I am 38. I have never felt sick or anything - I just happened to notice the lump. If it weren't for noticing it, I had no other warnings.
by sherry29
on 7/1/2008 at 7:06 pm
I would feel better about the "no treatment" option if the cancer was ER+ and you took tamoxifen as a preventative. (hormone blocker)

The pathology of the cancer (ER-) makes this a situation in which chemo is more yes than no. Overtreatment? Quite possible.

However, ER- cancers are known for their aggression and it is possible that the chemo icould be warranted in your case.

How old are you?

Tammy Lou
by TammyLou
on 7/1/2008 at 8:53 am
I had a .7 cm invasive ductal cancer Stage 1, Grade 3 removed with lumpectomy and clear margins. No node involvement, ER-, PR-, Hers+. I was told without any further treatment, my chances for reoccurance was 30%%. I am one treatment away from finishing chemo and then it's on to radations. Chemo has been difficult as I got extremely sick for days, but always had 2 weeks of feeling good out of the 3 week intervals. My family is the reason I did this. My mom's first occurrance was stage 1, grade 1, had a biopsy and did radiation. 4 years later she had BC again and by then it had spread. She died 2-1/2 yrs. ago from breast cancer.

Maybe chemo was too aggressive, but I know one thing. I will always find comfort in the fact that I did everything I could possibly do to keep it from coming back, and the rest is in God's hands. I feel wonderful knowing it's almost over and I can get back to the wonderful life I have.

God bless you in making your decision, hope it's what's best for you. Mary
by Mary6204
on 6/30/2008 at 10:24 pm
Sherry,
Addem:
ER+ and PR+, for mine, I typoed

Lumpectomies with Radiation 83%%/ Mastectomies without radiation 98%% Both for DCIS and Stage 1 no lymph node involvement. American Cancer web site. Friend just called and found the numbers, (website page she didn't write down.)

Like I said, BC has been a very hot topic for this week-end's nightshift group.
Kaylyn
by kaybear
on 6/30/2008 at 7:38 pm
Sherry,

Breast Cancer was a hot topic at work this week. This is a composite of several different peoples observations personally and at work.
I'm a hospital RN , in the last 3 weeks we've gotten more than our share of Breast Cancer survivors coming in for other medical issues. They are 7 to 27 years post. The one biggest common factor is all of them have had Mastectomies. Most were single sided, only a few were Bilat. Several had reconstruction, majority hadn't

I know that Lumpectomies have been common for more than 10 years. Why did it happen that this cluster of women were all mastectomy vs Lumpectomies? Personal Choices vs Dr. desides? Two were in their mid 50's now 10+ years out. Most were late 60's and up. Maybe age made a difference in proceedures offered or requested.

Maybe the younger Survivors are out there and not having aging health issues yet.
Everyone personally knew someone who lost their battle. Most didn't know if it was Lumpectomy or Mastectomy. So I won't venture.

Personally, I choose Mastectomy to avoid Radiation, some people have life long sensitivity and pain. I was offered one mega round of Chemo that I declined. Ductal Carcenoma In Situ, Highest Grade with Comedo. It was "Multi-focal" Large amounts of ducts were involved. 6.5 cm x6.5 cm. But not a solid tumor. It was growing so fast it was choking itself to necrosis. It was still Non-invasive. 5/5 nodes were negitive, ER- and PR-, HER2 not done, Gray Area for Chemo.

I have sensitive skin, burn easily, strong family history of Melonomas. And I have all the side effects of any medication I've ever taken. Yes I'm taking a chance by not doing the Chemo. I think there is a lump on the right breast(Mammio July8), if so then my choices will be different and I'll deal with that when I get there. 2nd opinion Oncologist on July 9th. First one is way too unsure about the bleeding issue. Need to get that one dealt with before another surgery.

Multible Doctors, Multible Tests, Multible Choices.......Some days my head just spins.
Kaylyn
by kaybear
on 6/30/2008 at 7:29 pm
Hi Sherry, Your diagnosis is similar to mine. I had the exact same thoughts, they got it out so why do I need further treatment. The lumpectomy pathology showed extensive DCIS, Grade 3, and a microinvasion, clear margins but close. With the microinvasion I needed to go back to surgery for SLNB (7 nodes removed and all negative). I was headed to radiation, but as I healed I realized that I had lost far too much tissue for a decent cosmetic result. I will always remember the day I looked in the mirror and "lost it". I did not want any of my options (mastectomy or radiation). I fought mastectomy all the way. I went to see the radiation oncologist basically kicking and screaming...I did not want to be there and I did not want further surgery. She was so incredibly kind and helpful. After a long consult she suggested that I call right from her office to make an appointment for a consult with the reconstructive plastic surgeon. I knew once I had R.T. my reconstruction options would be very limited. I had the consult and never looked back. I had a bilateral mastectomy with immediate reconstruction (expanders and later silicone cohesive gel implants). The mastectomy pathology showed four areas of previously undetected cancer. We never know for sure if the lumpectomy removes every last bit of it and that is why R.T. is part of the treatment. I have a cousin who is a nurse in Fairbanks who recently went through lumpectomy with R.T. Her diagnosis was also similar to yours. She went for consults in Seattle before making her decision. She was treated in Fairbanks. What is your age? For pre-menopausal women treatment is typically more aggressive. I was 57 at time of diagnosis and menopausal. I recently had my nipple reconstruction surgery and tattoo will be done Aug. 8th. I feel your anxiety. I would not want to be where you are again, another reason I chose a bilateral mastectomy. Keep us posted as to how it goes.
by Geri
on 6/30/2008 at 5:54 pm

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