Best Of
Re: Just diagnosed with Atypical Ductal Hyperplasia (ADH)
Hello Everyone,
I feel like I am on a rollercoaster ride, but it has meant so much to read your stories and feel like I am not alone in this journey. I'm 39, married, with two kids under the age of 10. In December 2018 I began to have a heavy, tight feeling in my right breast. In January 2019, I would wake up with blood on my nightgown and on my sheets. I couldn't figure out where it was coming from. With pressure, nothing could be expressed from my nipple. I kind of pushed it to the side because I was going for my annual exam the same month. My ob-gyn started to do my breast exam, and blood squirted out everywhere. It wasn't until then I realized I had palpable lumps and they were tender. She told me it was probably a papilloma. I was then scheduled for my first mammogram and ultrasound.
The results were to just monitor the lumps and I wouldn't need another mammo for a year. A recommendation was made for a surgical consultation due to the bloody nipple discharge. I waited a few weeks for my doctor's office to get back with me, but I heard nothing. I finally contacted my ob-gyn only to find out my results had never been sent over from the mammography office. At that point I scheduled with a breast surgeon, but the appointment was weeks out.
In the meantime, I continued to have spontaneous bloody discharge and an achy breast. One night I bled so intensely, my husband called the breast surgeon's office himself to have my appointment moved up. Because nothing was coming up on the mammo or ultrasound, she scheduled me for MRI and core biopsy. The results came back on the continuum for ADH and DCIS, so I was recently just sent for another MRI with vaccuum-assisted biopsy.
I am still awaiting results. My nerves are kind of shot and I feel like I have experienced a gamut of procedures and emotions in the past 3 months. At my list visit, the breast surgeon mentioned lumpectomy with reduction or even mastectomy as a possibility. My mind is just reeling. I just need answers so I can start living my life again. As a mom of a 1st and 2nd grader, as well as being a teacher, I am pulled in so many directions and this time of the year is especially hectic.
I am trying to be positive, but it's all a bit much for me right now. My kids are too young to to really tell them anything. My husband is supportive in that he drives me to appointments, but as his own mother passed from ovarian cancer when he was only 5, I think he is living in the land of denial and avoidance. My own mother passed from complications from diabetes 10 years ago. I am a only child and although I have a close relationship with my father, it can be awkward to speak with him about my boobs.
I feel isolated right now, so I am so happy to meet you all. I am praying for all of us and I appreciate any advice you may offer.
Re: Chemo or not?
Now days 6 nodes is actually quite a few for an early stage cancer, so I think they have been very cautious.
Re: Chemo or not?
Molly - the doctors weight the benefits vs. the risks of chemo. Taking out 6 nodes is quite a bit and typically breast cancer would move to the sentinel (first) nodes initially. I also had Stage 1, grade 1 BC. It was just a bit larger than yours and my Mammaprint was similar to your Oncotype. Many doctors do not use the Ki-67 in calculating benefit of chemo as studies have not shown a benefit and Oncotype is considered more accurate.
If you are concerned you can always get a 2nd opinion. I am older than you (63 at diagnosis) but even with my genetic mutation that causes a high risk for breast and ovarian cancer, my treatment was a lumpectomy and radiation. My surgeon refused to give me a mastectomy as survival rates are equal between the two surgical options.
Re: Chemo or not?
I would go with my doctor's recommendation. Less than 1% benefit is not worth all the potential (and sometimes lifelong0 side effects chemo can have.
