Newly diagnosed invasive ductal and lobular in right breast

Posted by maggiejinx @maggiejinx, May 29 2:35pm

Hi. I just turned 50. I was recently diagnosed with a 6.1 cm non mass like enhancement which is confirmed invasive ductal and lobular cancer. I see the surgeon on Tuesday to find out the plan. I do believe he will recommend mastectomy due to the size and it is located centrally and under the nipple. I am debating where to have the left breast removed also even though it is not showing any signs of cancer. I don’t want to go flat for emotional reasons and also I am a double D bra size so it would be a huge difference between the sides. But it also makes me sad removing a healthy breast. I am also wondering whether I will need chemo before or after. Has anyone experienced this diagnosis or similar? I should add there is no lymph node involvement.

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So very true. I have a strong faith and I keep praying that the answer will become clear in time. Thank you for sharing your experience.

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Good luck with everything. The waiting and the anxiety that goes along with it is the worst.

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Maybe I miss wrote - following the masectomy I will have a 3% risk. If I don't do anything my risk is 35% and that risk could elevate if the BRIP mutation proves to be a variant that drives BC development. Of the choices presented I have chosen prophylactic bilateral mastectomy.

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Profile picture for Chris, Volunteer Mentor @auntieoakley

I did not have a dual diagnosis like you, but when I was diagnosed, her2+ was a really bad thing because herceptin was not even approved for frontline therapy.
My tumor was grade 3 and anchored to my rib, so they said we are going to hit it with pretty much everything we have.
That included multiple surgeries, a chemo cocktail of Taxol, Adriamycin, and Cytoxin for 6 rounds which I was told was the maximum lifetime dose of at least one of those drugs.
Then came radiation for 6 weeks which was easy but exhausting.
I had my ovaries removed but they still gave me tamoxifen for 5 years and anastrozole for 10 after that.
The tests that determine the percentage of risk with or without endocrine therapy didn’t exist either, my doctor said if I wanted the best chance, take the medicine.
It wasn’t easy, it wasn’t debilitating either. I had to walk every day or I would be really stiff and I definitely have aged a lot faster than my peers, but I am still here to complain about it.
I would have done just about anything to not go through hard chemo again, although I would if it meant more time with my husband.
A lot of patients now don’t have to go through the whole thing, and that is awesome but sometimes we don’t really have a choice if we want the best chances.
I should add that I was in my 30s when this started.
Have your doctors recommended a treatment plan yet?

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Thanks for sharing - wow...sounds like you were put through the ringers! I am happy you are well; and also here to complain about it!

Because my lumpectomy evidenced pre-cancer, and not cancer, I was given choices regarding preventative treatment (chemoprevention - low level tamoxifen for 5-10 years OR annual high risk surviellence = MRI and Mammo OR prophylactic bilateral mastectomy). But you never know...at excision and pathology they may find early cancer in either breast. I like to be proactive and gather a lot of information before I have to make a decision. I find making these decisions exhausting; second only to waiting for any diagnosis! My original diagnosis was April 2. Much of my spare time has been used exploring treatments and reading research articles. I think I joined this group only a couple weeks ago; I was hoping to understand what the process has been like for others in order to prepare myself for any eventuality. Grateful for everyone who is willing to share. I don't believe there is a right or wrong decision for anyone - or any right or wrong treatment. We all have to do what we believe to be best for our future. If I were younger (I am 63 soon to be 64) I probably would have gone with another preventative option; but I can't say for sure. What was appealing to me about a bilateral mastectomy was not having to wait for results from biannual diagnostics - or the possibility of multiple lumpectomies or surgery - or a more advanced diagnosis. Also recovery is quicker ...so long as a more advanced form of cancer is not found. Time will tell - thanks again for sharing!

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Profile picture for dianetich @dianetich

They did not mention that. The only options that I have been presented with at this time is lumpectomy vs mastectomy. They are currently not recommending chemo because my type is resistant to chemo but they said depending on the results of my genetic testing and type of mutation, what they are proposing could change. It is all so overwhelming and the more I read/research the more conflicting information I get and I find myself going down some rabbit holes.

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Whatever you decide (lumpectomy or mastectomy) you'll get a new diagnosis following pathology from your tissues. I get it...it's hard to make a decision when when one report says this and another that. For my BRIP mutation three research articles say suspect variant one says verified variant for BC; it all depends on data the research group amassed. While most suspect variants are disproven (90 + %) I have sense that BRIP will eventually be deemed driving some mechanism of BC. But also, how do you make a decision when one day you have this diagnosis and the next day/path report says you have that - or another in addition! Seems this is the process that most of us have historically faced.

When I asked myself what is my biggest fear about my diagnosis - and what do I want to avoid (aka how do I want to live the rest of my life), I gained some clarity. I hope you gain some too - good luck making your decision!

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Thank you. I hope so too!

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Profile picture for anatomary @anatomary

Maybe I miss wrote - following the masectomy I will have a 3% risk. If I don't do anything my risk is 35% and that risk could elevate if the BRIP mutation proves to be a variant that drives BC development. Of the choices presented I have chosen prophylactic bilateral mastectomy.

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I think I just misunderstood. Thanks for the clarification.

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Profile picture for anatomary @anatomary

Maybe I miss wrote - following the masectomy I will have a 3% risk. If I don't do anything my risk is 35% and that risk could elevate if the BRIP mutation proves to be a variant that drives BC development. Of the choices presented I have chosen prophylactic bilateral mastectomy.

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I am glad you have made a decision. Sometimes just getting the plan in order helps me to feel like I am moving forward. This is such an anxiety producing time for a lot of us.
I know it is a hurry up and wait time too. Do you have surgery scheduled yet?

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Yes, July 9th. I scheduled it as soon as possible, because I work in academia and I hope to not miss the start of the fall semester. Knock on wood I don't need any further treatment plan. Thanks for the hug!

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Profile picture for anatomary @anatomary

... and good luck with your chemo!

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I feel like reason for removal of a heathy breast is that it helps with anxiety for some. You are already looking at scars and or reconstructive surgery. If you leave one you still have higher chance of recurrence. No right answers and such a personal choice. For me if I take one breast I am taking Both.

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