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Topic: What are the chances like?

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Joined: Feb 2008
Posts: 186
  • Posted on: May 9, 2008 08:41 am
kimbly wrote:
I had a left breast mastectomy just last week and my husband actually thought of this question.  Are the chances of reoccurance greater in the opposite healthy breast or the one that was removed (or surrounding tissue I suppose)?  I have never asked my dr this question.  All those dr visits and never once thought of this question Undecided

Dx 11/21/2007, IDC, 1cm, Stage I, 0/3 nodes, ER+/PR+, HER2+
Posts 1 - 4 (4 total)
LorenaB
Joined: Feb 2008
Posts: 535
May 9, 2008 09:01 am LorenaB wrote:

I have asked a lot of questions on this topic, and also done some research on my own, as I was considering the possibility of a prophylactic mastectomy on the other side.  In terms of the other breast, the exact % of risk depends on your age and some other factors, but the bottom line is that our risk is slightly elevated over the general population because we have already had bc on the other side.  In my case, it was something like 2.5% over the next 5 years, as compared to 0.8% in the general population of women in my age group (I am 41).  My onco actually did the calculations on a website which you may be able to find by searching around (I should have written it down but I didn't).

As for the mastectomy side, I'm not sure of the data re: local recurrence vs. overall recurrence/metastasis to some other part of the body.  Again, it differs based on so many factors (node involvement, chemo regimen, whether you follow up with tamoxifen or a similar drug).  I believe my chances will be somewhere in the range of 10% over the next 10 years based on my pathology and the choices I've made.  To find out your specific #s you should definitely talk to your oncologist.

Just FYI I decided to go for just the unilateral mast (surgery will be in June) but I'm going to have an immediate reduction on the other side (currently a DDD cup, hopefully will go down to a C) and they will be able to examine the tissue that is removed to be sure that there is no cancer or atypical cells.  That will help me to feel confident about my decision to keep the other breast.  It's all a very personal decision, though


Dx 12/20/2007, IDC, 1cm, Stage II, Grade 3, 1/11 nodes, ER+/PR+, HER2-
kimbly
Joined: Feb 2008
Posts: 186
May 11, 2008 01:36 pm kimbly wrote:

I would love to know the webiste.

I did end up asking my surgeon at that dr visit on Friday and she said that the  chances of reoccurance on the same side are generally higher than on the healthy side.   


Dx 11/21/2007, IDC, 1cm, Stage I, 0/3 nodes, ER+/PR+, HER2+
hotsyta
Joined: May 2008
Posts: 31
May 15, 2008 09:07 pm hotsyta wrote:

http://www.AdjuvantOnline.com

This is the website, I got it from another thread. Supposedly it's just for the DR.s but lots of people use it. God luck I am going there now.

Ta


Dx 4/23/2008, IDC, 3cm, Grade 1, ER+/PR+, HER2-
BethNY
Joined: Nov 2004
Posts: 3831
May 16, 2008 02:12 pm BethNY wrote:

generally the chance of developing cancer in the healthy breast is 1-2% per calendar year of your life.

If you had lobular cancer it'd be a little different b/c lobular tends to mirror itself in the other breast.

That factor was part of my decision of having my other breast removed prophylactically.

I was 26 at diagnosis, so for me, I felt the risk of a future cancer was quite high, and I took the course of action that worked for me.

Your healthy breast will be monitored closely.  You will go for mammo's every 6 months then graduate back to once a year.  And if you have dense breast tissue, your surgeon may pair your mammo's with an ultra sound.

It is up to you to stay on top of your appts, and continue to do BSE's of your healthy breast each month two weeks after your period.

I told you I only play to win....

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