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Invasive ductal carcinoma (IDC): Anyone else?

Breast Cancer | Last Active: Mar 24 10:10am | Replies (223)

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@jussnunu

Hello everyone . Thank you so much for all the support . I was seen by a surgeon oncologist today . She said I am at Stage 1 , and she doesnt think that it has spread yet. She ordered an MRI and we will decide on surgery from the report . She gave me 2 options:
Segmental mastectomy + radiation + med or Total mastectomy - radiation + med . As for chemo , she think I might not need it only if it has spread to lymph nodes then yes.

I am only in my 30s and I really dont want a total mastectomy so I lean towards segmental mastectomy but since I have breast implants, she suggest that I have to take it out due to radiation will cause capsular contracture and maybe rupture as well. Im really sad about this too.

I really want kids and taking tamoxifen I cannot have kids and taking meds for 5 years is too long. I am planning to discuss with my medical oncologist to see if i can just have surgery + radiation and try to get pregnant right away and after that can i take meds.

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Replies to "Hello everyone . Thank you so much for all the support . I was seen by..."

I hope the MRI puts any further diagnostic questions to rest. Sounds like a good plan. There is also the possibility of harvesting eggs which is an option for some women if medication cannot be postponed long term. Is the tumor estrogen positive?
Hoping for The best outcome for you. Keep this group in mind if you need to run some concepts by those of us who have “ been there” and “ are here” in the journey with you. Hugs

Is it ER and PR+? I assume so if they are suggesting tamoxifen. Wow - I was 62 when diagnosed, so I don't have much advice for you. I had a lumpectomy and radiation. Make sure you get the Oncotype DX test - a test on the tumor removed (from the biopsy). That tells you the likely hood of a reoccurrence. If it's high - you will need chemo, to lower the risk of reoccurrence. Are you getting a genetic study? I really recommend it. I recently met a woman that had BRAC1 & BRAC2 genes and is in her 30's and now has metastatic cancer in her bones. She had a complete hysterectomy. Make sure you trust the oncologist you have - you have to have confidence in the info she gives & trust her treatment recommendations. I had a team of doctors - surgical, oncologist, and radiation & saw all 3 for several years. They met & together decided on the recommended treatment. I still see the oncologist 2 times a year (for 5 years). Good luck in your decisions.