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Topic: Mastectomy...suggestions?

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  • Posted on: Oct 31, 2009 12:54 am
Joined: Aug 2009
Posts: 68
Liz000 wrote:

Hi Ladies,

 I was diagnosed with DCIS (two sites, right breast) this July, had a lumpectomy in July and re-excision in Sept.. Still without clear margin I was offered mastectomy or one more re-excision. After struggling for over a month I decided to go with mastectomy/immediate reconstruction. Now with the surgery date scheduled on 11/16 I feel really nervous. I would appreciate if you can share some of your stories with me...

Many thanks,

Liz

Posts 1 - 19 (19 total)
mejustme09
Joined: Oct 2009
Posts: 51
Oct 31, 2009 09:29 am mejustme09 wrote:

Hi Liz, I am sure you will get many replies about your situation. I was diagnosed last week and told I need a mastectomy this week. I am considering all the options for immediate reconstruction also.

I dk when I will be scheduled for surgery yet. I pray all will go well for you.

I know how you feel, I am scared, nervous, anxious and sad. You are not alone, stick here and others will help you as much as possible.

Take care-hope all goes smooth for you~ 

Kimberly
Liz000
Joined: Aug 2009
Posts: 68
Nov 1, 2009 12:48 am Liz000 wrote:

Hi Kimberly,

Thanks so much for your nice post, your understanding and your prayers! I pray everything will go well with you too. I'm still not 100% sure what kind of reconstruction I'll have even though I have my surgery scheduled. I guess most possibly I'll do inplant. I heard tissue expander could be pretty painful...Will meet my PS on 11/10 and finalize everything. I'll let you know what my choice is if you are interested. 

Thanks again and take care,

Liz

mejustme09
Joined: Oct 2009
Posts: 51
Nov 1, 2009 12:55 am mejustme09 wrote:

Hi Liz, I am interested as I have not decided on mine either. Please keep in touch and update me with all your trials and experiences. I am here to listen and help if possible.

Take Care~ 

Kimberly
Liz000
Joined: Aug 2009
Posts: 68
Nov 1, 2009 01:13 am Liz000 wrote:

Hi Kimberly,

I'll keep you posted...

Hugs...

Liz

Cbusmom23
Joined: Oct 2009
Posts: 15
Nov 1, 2009 04:35 pm Cbusmom23 wrote:

Liz,

 My surgery is on 11/16 as well.  I haven't decided if I'm going to do a lumpectomy or bilateral mastectomy yet - keep flip flopping.  My PS thinks I am a candidate for immediate reconstruction with implants, so that is probably what I will do if I go the mastectomy route.  I hope you find some comfort here.

Laurie 


Diagnosis: 10/23/2009
alaun
Joined: Nov 2009
Posts: 4
Nov 1, 2009 09:58 pm alaun wrote:

You will be fine.  I did the same thing, left breast mastetomy and reconstruction at the same time. Ask your Plastic surgeon plenty of questions, how long recovery will be,  know exactly what he is going to do.  I had the tram flap on my left breast, where they take your stomach muscle and use it for your reconstruction.  I liked the idea of using my own body for reconstruction. I am now facing cancer in my right breast 6 years later and will have to have some skin taken from my back so it will look natural.   I had DCIS and was told not to worry! But here I am facing surgery next week.  I am having reconstructive surgery , but I will have an implant this time.  I can't have the same surgery as the first time,.  If I had it to do over I would have a double mastetomy and   reconstructive surgery.  MAKE SURE YOU  KNOW ALL YOUR OPTIONS, you will do fine and take good care of yourself after surgery.  It is worth taking the extra time to get completely well, don't rush your recovery, pamper yourself.   Good Luck !

Kathy16
Joined: May 2009
Posts: 123
Nov 1, 2009 10:12 pm Kathy16 wrote:

Dear Liz,

I had the mastectomy with immediate expander placement.  My advice would be to be sure you research the surgeons and have a great breast surgeon and a great plastic surgeon.  I did and my surgery was much easier than I envisioned.  Ask your plastic surgeon about the On-Q pump.  It's a pain pump that  he put in me following surgery.  I only asked for 2 pain pills over the course of 2 days and my pain in the weeks following the surgery (even after the On-Q pump was out a few days later) was minimal. The other thing that helped me was to follow all my instructions - especially on when to do the exercises.  And I found a video a very kind woman did on UTube where she showed the drains and explained a little bit about her surgery - very geneous thing to do and it helped me.  You might need button down clothing choices for a while - it's hard to lift your arm right away if they take any nodes under there.  Also, I was most comfortable in the weeks and couple months following in a special mastectomy camisole that I got on www.thepinkbra.com.  It was very comfortable and helped even me out in clothing while I was getting the expander filled.  It's really nice to wake up from surgery and not be flat - I'm so glad I had the recon right away.  Dr. thought 2 weeks would be the earliest that I could go back to work, but I found I needed 3 weeks after surgery and felt pretty good.  Other women have needed more - everyone is individual.  I'm having my implant exchange the same week as your surgery, so I will be thinking of you and wish you all the best for a speedy recovery.  Take care. 


Diagnosis: 5/12/2009, IDC, 2cm, Stage II, Grade 2, 3/16 nodes, ER+/PR-, HER2-
Kathy16
Joined: May 2009
Posts: 123
Nov 1, 2009 10:15 pm Kathy16 wrote:

I forgot one more thing that helped me - my husband bought me a wonderful comfy recliner that I could sleep and rest in for a while rather than having to be flat in bed and that helped me tremendously.  Treat yourself to a great one if you don't already have a recliner. 


Diagnosis: 5/12/2009, IDC, 2cm, Stage II, Grade 2, 3/16 nodes, ER+/PR-, HER2-
rubybuttons…
NY
Joined: Nov 2008
Posts: 471
Nov 1, 2009 10:29 pm rubybuttons wrote:

Hi Liz!

Last year at this time I was just trying to come to terms with my DCIS diagnosis (mine was in left breast, grade 3.). I went with a bilat mx with a tram flap reconstruction. Recovery takes a while but the most mentally draining, emotional parts took place at the stage you are right now, just before surgery. I am so glad I took the route I did. Thanks to my nipple tattoos last week - I am sitting here one year later with pretty normal looking breasts, and more peace of mind than I had last year. My 3 essentials after surgery were - a recliner to sleep in, a shower chair, and a small pillow for placing under my armpit. Before surgery - a prescription for xanax was wonderful! I even took it the morning of my surgery and I had no anxious jitters. So sorry you have to face this but I pray you'll have a complication free experience and speedy recovery.

Keep coming back with all your questions - this site saved my sanity!

Take careSmile Carole


Diagnosis: 10/15/2008, DCIS, Stage 0, Grade 3, 0/10 nodes, ER+
Liz000
Joined: Aug 2009
Posts: 68
Nov 2, 2009 12:36 am Liz000 wrote:

Thank you soooo much amazing Ladies! Your kind posts made me feel so much better. Smile

Laurie, I flip flopped for over a month after two surgeries on the same breast. What really made me choose mastectomy was I could avoid radiation afterward. Hope you'll figure out what is best for you soon.I surely will say a prayer for you before my surgery on 11/16.

Alaun, I'm sorry you have to go through this again. I'll wite down a lot of questions for my PS to answer. My PS suggested implant for me because he was not sure if I had enough extra tissue to spare for a new breast. What kind of implant are you going to use? I pray your surgeries go well and you have a fast recovery.

Kathy, thanks for suggesting On-Q pump. Pain management is a big thing I keep worry about. I passed out twice while have my wire localization done mainly because of the pain I had. You only needed three weeks to go back to work? That was fast! I'll be very happy if I can be back in a month. I'll check out the mastectomy camisole and recliner too.

Carole, congratulations on your new breast! It must feel good to have all these behind you now. You are absolutely right. I would be totally insane if I didn't find this site and all you wonderful ladies. 

Hugs to you all...

Liz

kittycat
Las Vegas, NV
Joined: Mar 2009
Posts: 558
Nov 2, 2009 12:57 am kittycat wrote:

I was dx in June 09 with DCIS.  I also had the BRCA1 gene.  Before I even had my gene test results, I had pretty much decided to have a bilateral mastectomy with immediate reconstruction - tissue expanders.  My sister was dx with BC 8 months before me (stage 2, grade 3).  She was 44 and I was 39.  She had a lumpectomy and then BMX with expanders.  I am VERY HAPPY with my decision.  I just didn't want to deal with screenings and all that crap for the rest of my life.

Good luck in your decision.  Weigh your options and if in doubt, get a 2nd opinion.  :)

Dx 6/17/09 at 39 yrs old, DCIS, Stage 0, Grade 2, ER-/PR-, BRCA1+, bilat mast & TE recon
Liz000
Joined: Aug 2009
Posts: 68
Nov 2, 2009 11:26 pm Liz000 wrote:

Hi Kittycat,

Thanks so much for sharing your experience. I'm very nervous about my MX in two weeks, but as you said, I'll have my normal life again once all of this is over. 

take care,

Liz

kanthony
Syracuse, NY
Joined: Oct 2009
Posts: 24
Nov 4, 2009 08:28 pm kanthony wrote:

Hi Liz,

I feel badly that you have had two surgeries and now face another, more extensive one!

I was diagnosed on Oct 9th and had a lumpectomy on Oct 26th, but they found extensive DCIS, in addition to my 2 IDC tumors, both over 1 cm, so now I face more surgery. I don't really want to go through another lumpectomy just to find out that I need a mastectomy! This summer must have been so stressful for you!

I see my surgeon tomorrow for the first time since the lumpectomy. He already called me with the path report, but now we need to talk about further decisions. I already have a second opinion set up for next week. I am not sure yet what I will choose to do. I  want to be tested for the BRAC gene....my mom and grandmother had breast cancer. Maybe that will help me decide a single or bilateral mastectomy. I really have no idea what to do right now.

Good luck with your surgery. I will think good thoughts for you that day!

Take Care, Karen


Diagnosis: 10/9/2009, IDC, 2cm, Grade 1, 0/1 nodes, ER+/PR+, HER2-
kanthony
Syracuse, NY
Joined: Oct 2009
Posts: 24
Nov 4, 2009 08:49 pm kanthony wrote:

Kathy16:

Can you tell me the name of the camisole you purchased for post-mastectomy?

Thanks!


Diagnosis: 10/9/2009, IDC, 2cm, Grade 1, 0/1 nodes, ER+/PR+, HER2-
Shoshi
MD
Joined: Oct 2009
Posts: 179
Nov 4, 2009 10:39 pm Shoshi wrote:

hi ladies,

i am having a bmx in dec.  I  am seeing my ps again next Fri & would love to know what kinds of questions to ask.  Any suggestions for b4, during & after the surgery..clothes, friends helping, drains (YUCK),& i c my bs in Dec after i have an MRI b4 the surgery. I do not have cancer, this is preventive b/c i have abnormal cells (LCIS, density etc...)had way to many biopsies & lumpnectomies already..thx!!!

shoshi
Liz000
Joined: Aug 2009
Posts: 68
Nov 5, 2009 12:48 am Liz000 wrote:

Hi Karen,

Thanks for your nice post! I'm sorry you have to have another surgery. I hope you'll make the right decision after you talk to your bs tomorrow. For me I was not given a choice before my re-excision even after I asked my surgeon about mx. Now I see a different bs and I feel much better about her.  It's a good idea to have your BRCA genes tested. I have mine done and luckily they came back negative.

take care,

Liz

Anne1962
IA
Joined: Oct 2009
Posts: 76
Nov 5, 2009 01:07 am Anne1962 wrote:

Hi Ladies,

I, too, am facing a double mastectomy. Not positive what my decision will be, but am leaning more toward having it done. Like Shoshi, I will have a preventive mastectomy due to several risk factors. Have any of you had a BSGI done? That is my next step. Hopefully, that will help me in my decision  process.

Good luck to those of you going under the knife this month; I will be praying for you.

Anne1962 

Anne1962
seltzer
Joined: Feb 2009
Posts: 63
Nov 5, 2009 02:09 am seltzer wrote:

I had a preventive mastectomy in April.  I am happy that I made the decision.  The one regret is that my BS did not recognize lymphedema developing, and that I was not aggressive enough about pushing for answers to arm swelling afterwards.  I only had one lymph node removed, but of course a BMX disrupts the lymph flow in a lot of different ways.

I spent two months in normal physical therapy and a lot of mistakes were made and time wasted.  When I finally got to a lymphedema expert, the problem cleared up in 3 treatments.

It is said many times on these boards, but I had to learn the hard way:  doctors really don't know much at all about lymphedema and BS,  they want to believe no one young and healthy gets it, and it is really incredibly important to get the right kind of help.

Otherwise, the recovery was really not too bad, but it is important to watch out in month two and three, when it is easy to overdo it physically.  But it IS good to do the arm raises, hand pumps and other mild exercises to get things moving again.  The pain scared me off too much and I got into trouble.  Dosage is everything.  Try baby steps, but keep trying.

I did not get reconstruction, now I can't because of the lymphedema.  But I have no regrets.  It would not have been acceptable to me to have more surgeries OR more pain tha I already had.

Now, I hardly remember what it was like to have breasts any more.  It's not bad, really.  Especially if you have had dense, "busy" complicated breasts that have created soreness.   My family and my boyfriend really don't seem to care about the missing breasts, either.  it has all been a big surprise. 


Diagnosis: 12/31/2008, LCIS, Stage 0, 0/1 nodes
CharlestonG…
Joined: Nov 2009
Posts: 124
Nov 5, 2009 01:23 pm CharlestonGirl wrote:

Shoshi,

I went through BMX plus immediate SGAP reconstruction. Long surgery, 4 drains. Reconstruction places additional limits on you as far as raising arms, handling weight, etc. So, here are my recommendations (a) teach your mate how to wash & dry your hair - it's amazing what they don't observe and I don't care HOW long you've been together! LOL. (b) consider renting a hospital bed. Adjustment ability is fantastic for sleeping, resting, taking weight off various areas, etc (c) consider getting one of those grabbers from WalMart to help pick up things you will drop or reach things you can't (d) Get very large button down the front shirts. Thrift stores are a good source and then you can re-donate (e) For flap reconstruction get scrubs/pants from WalMart or Thrift store; again larger than normal to accomodate drains (f) request extra surgical bras (g) have a side table to hold all your stuff - mirror, small flashlight, wet ones etc (f) Drink all the water you can stand (g) put clothes, kitchen stuff where you can reach them without raising arms past the shoulder (h)pre-prepare meals (i) lots of fiber, get your system regular as those drugs tend to stop you up.

Finally get lots of rest before. Ask the doctor to show you the result and answer any questions you have - mine kept saying 'wonderful, beautiful, great results!' and then I went home and looked. aaaack! Now it's much better, but I was thinking cosmetic and they were thinking surgical success - - - they are different, trust me!

Good luck. For me the BMX was a tremendous relief and when they also found LCIS I realized it was exactly the right path to choose. There is always some risk, but I've minimized mine by going this route and you will also.

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