How to monitor for reoccurring BC after double mastectomy?

Posted by Rom828 @jgallagher04921, May 29, 2023

I have been told that since I had a double mastectomy, I would not have any future imaging...no mammogram, ultrasound, mri etc, but to just keep drs informed of my health. Does this mean if I do notice any health changes ( aside from hormone blocking therapy side effects) would this mean I likely will not know if the BC has returned until its already in stage 4?

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@gina5009

Like you I no longer have breasts, but I still feel most of my cheest and arm pits for unual lumps. I found a lump in my thigh, just above the knee. I was told it was a fat pad and the doctor told me to stop worrying. It did not seem to grow very much, but it did seem to be firmly attached and it constantly worried me. I finally convinced my doctor to take it out. He said O.K. but we would do it in his office because it would not take much time. Three hours later, I was finally ready to go home. Local anesthetic only, and tissue to the Lab. I could tell by my doctors face this tissue was not what he expected. One week later, verdict was in DERMATOFIBROSARCOMA. A couple of years later, I had another lump on my right rib area. Everyone was more concerned and it had to be taken off in the hospital with prep for more surgery if it were cancerous. This time LIPOMA. Everyone had a big smile.
A few years ago a small reb pimple on my right collar bone. It was kind of ugly, and been around for a while. I was at the dermatologist, and asked if she could take it offl the chain on my locket was kind of bothering it. We took it off and sent it to the lab just as a precaution. Guess what SQUAMOUSCELL CARCINOMA. Who would have thought. Who found these cancers? How were they found? I fully believe in MRI'S and X-RAYS, but as I said, Cancer is sneaky, and any type of observation is good observation. If something is worrying you GET IT OFF, THROW IT AWAY.
Gina5009

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Wow!! Curious, did you have chemo for the breast cancer?

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No, in 1965 Chemo was not an option, and Radiation only if you had positive lymph nodes. Surgery was the only treatment for breast cancer. Tamoxafin was not found yet, so you had surgery and prayed alot.
Gina5009

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You are so right on so many points, but some bone cancers can be felt early. My husband had a bone cancer develope in his hip which gave him considerable pain. He thought it was arthritis, and was going to ignore it. I convinced him to see a doctor and have an x-ray which showed a small cancer. He received radiation, and was placed on Ketokonasol (incorrect spelling Toe Fungus Medication) and no further bone cancer. The type of cancers you describe are definitely not palpable, and we have to be alert to things that seem unusal and see a doctor to be checked out. I know we all feel the medical people look at us and think "she is just over sensative", but the primary thing we all have to remember. "It is out body, we are the one with the history of cancer, not the medical personal, and we are going to do everything possible to keep that body healthy."
Like you, I never had an oncologist, just a Vascular Surgeon and after 1 year, just my primary doctor. Look at it this way, "You are stranded on a deserted Island, you are in charge of your survival."

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It probably means no more mamograms, but if you see something that is disturbing to you SEE A DOCTOR. i SUDDENLY had a lump in my thigh. Doctor said Lipoma, no need to get excited. One year later, because I could not stand to look at it any longer, removed it in doctor's office. DERMATOFRIBROSARCOMA. Lucky, slow growing, no complications.

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@windyshores

You cannot feel bone cancer or cancer of internal organs in the way you describe. Lung, kidney, brain. Eventually there are symptoms but I assume things are pretty far gone by that time. I wish there was a way to catch things early and have hope for liquid biopsies being developed, and perhaps blood tests.

I had an autoimmune reaction to my cancer, that made my eye movements go horribly awry, so if that happens again I will get checked!

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@windyshores -- that's so weird about having unusual eye movements. While it was detrimental at the time it happened, but you're right in thinking it may just be a warning sign in the future.

As for liquid biopsies and blood tests, @colely recently mentioned CTC tests (breast cancer related) and Galleri (tests for 50 cancers). I can't remember which thread it was on or if you commented on it. Google them if you didn't see that before.

I've commented on so many threads now and to so many different people that I can't keep everyone's story and all the different threads straight so I may repeat myself. I do see your name on most every support group I'm on. We seem to share a lot of medical issues so I'm starting to feel like we're unknowingly related. 🙂

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@californiazebra

@windyshores -- that's so weird about having unusual eye movements. While it was detrimental at the time it happened, but you're right in thinking it may just be a warning sign in the future.

As for liquid biopsies and blood tests, @colely recently mentioned CTC tests (breast cancer related) and Galleri (tests for 50 cancers). I can't remember which thread it was on or if you commented on it. Google them if you didn't see that before.

I've commented on so many threads now and to so many different people that I can't keep everyone's story and all the different threads straight so I may repeat myself. I do see your name on most every support group I'm on. We seem to share a lot of medical issues so I'm starting to feel like we're unknowingly related. 🙂

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@californiazebra maybe you are a long lost cousin 🙂

My autoimmunity is flaring badly this summer so I did wonder if it was cancer related. Testing showed scleroderma. I have had a lupus diagnosis for years but rheumatologist never did the full panel for ANA reflex.

The connection between cancer and autoimmune flares makes sense since the immune system revs to fight the cancer. My eyes are okay I think but getting them checked. It was called paraneoplastic syndrome.

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@windyshores

@californiazebra maybe you are a long lost cousin 🙂

My autoimmunity is flaring badly this summer so I did wonder if it was cancer related. Testing showed scleroderma. I have had a lupus diagnosis for years but rheumatologist never did the full panel for ANA reflex.

The connection between cancer and autoimmune flares makes sense since the immune system revs to fight the cancer. My eyes are okay I think but getting them checked. It was called paraneoplastic syndrome.

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@windyshores that all does not sound fun. The one thing I’ve noticed on these message boards is that there are a lot of people like us that seem to just get blasted with a variety of different medical disorders. It makes me feel less alone in that regard. Blessings to you in all your battles.

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I have the same concern as you. My doctor insisted it is outside of guidelines to do any screening and therefore would not order it. You can always request for outside imaging centers for either an ultrasound or mri. I am not sure if you can have mammograms especially if there is no reconstruction done.

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I figure that without breasts, chances are any cancer recurrence will be stage 4 anyway. I mean, there are exceptions but the likelihood is that it will be in bones, lungs, liver, brain, or GI etc. etc. not local or regional.

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@windyshores

I figure that without breasts, chances are any cancer recurrence will be stage 4 anyway. I mean, there are exceptions but the likelihood is that it will be in bones, lungs, liver, brain, or GI etc. etc. not local or regional.

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Hold On! not all second or third cancers are Stage 4, just new cancers. I had breast cancer at 36, Dermatofiibrosarcoma 20 years later, and Squamous Cell Cancer 35 years after that. None of them Stage 4.
Gina5009

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