← Return to Aromatase Inhibitors: Did you decide to go on them or not?

Discussion
Comment receiving replies
@madeler22

I haven’t written since April when I was one month into taking Anastrozole following 25 radiation treatments, preceded by a lumpectomy (5mm) and excision of 3 sentinel nodes for DCIS.
My radiation left me with a painful rash which led me to take a long weekend off before starting my drug.
A month into Anastrozole, I felt no different. Three months in, the side effects have started, mostly in my hands, which are so claw-like stiff in the morning, that I have to work them several minutes to ease the pain - they also get this way at night. Though I am experiencing some other mild joint pains, (stiff leg joints & lower back), the brunt of it is in my hands. OH, and did I mention the weight gain?! Ok, that’s a discussion for another time! 😳
My next followup is July 5th at which time I will discuss these issues as well as the possibility of taking an alternative drug - I have a few friends who switched to Letrozole w/o joint issues, so we’ll see. My surgeon asked to try to hang in there & discuss these options with my oncologist.
I wanted to briefly discuss the “invasive” word that I’ve seen discussed. My 5mm lump (found on routine mammogram- not felt/discovered by me or my GYN even a month before mammo); was labeled post-biopsy, “invasive ductal carcinoma in situ”. When I saw the word invasive, I almost fell over, but I was quickly schooled not to confuse “invasive” with “metatastic”. I was then told that in the breast cancer world, invasive means that cancer has invaded your otherwise healthy tissue. I was further told that “types” are determined post extensive biopsy - HER2 Neg, Estrogen/Progesterone Pos; and that “stages” are determined post surgery/Biopsy (for me, Stage1A -, except for Sentinel Nodes, which are examined initially during surgery (my 3 were Neg), then further examined post surgery - all 3 were clean, as were the outer margins of the tissue in my breast.
My point being, my cancer was confined to that 5mm area, even though initial biopsy reports after mammogram called it “invasive” DCIS. A scary word to the patient, but to those in the cancer field, not so much.
As always, this is my journey & I never try to speak to anyone else’s, other than to empathize and wish you all well with yours. ❤️

Jump to this post


Replies to "I haven’t written since April when I was one month into taking Anastrozole following 25 radiation..."

I had a similar experience and descriptive diagnosis. Because there were cancer cells outside of the duct, the term invasive applied. And that made it a Stage 1A. Otherwise it would have been a Stage 0. I agree that hearing the word "invasive" got my attention. Not to mention what it likely did to my heart rate. I had visions of a very short lifetime remaining.

For what it's worth, the percentage of cancer cells outside of the duct was small and they were in the immediate area. I'd like to think that the tumor tissue was "barely invasive" but there is no such designation. I am glad that it was detected as it was so small that it was missed by two doctors', and my, physical exam.

Here's the irony. I'd had a lump in my armpit on the same side of the body as the cancer. A male friend nagged me to mention it to my PCP at my exam. (It seemed to come and go and I thought it was an ingrown hair as I'd had them before.) My doctor couldn't detect the lump but ordered a "diagnostic" mammo and ultrasound to be extra cautious. They couldn't find the lump either but found the DCIS invasive. The underarm lump never showed up again and the sentinel lymph node biopsy was clean.

Hi, Maybe this could help you a little with the stiffness of the hands
I am taking exemestane and also suffer from stiffness on my hands and tingling on my legs due to the medication. Five months ago I started to take turkey tail mushrooms as a supplement and found some improvement. I’m also working with my doctor on “medication holidays” (a month without medication) to ease the secondary effects. It is not a solution but helps to make the medication a little more bearable.