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All TopicsForum: Not Diagnosed With a Recurrence or Metastases but Concerned → Topic: Lump near scar after skin sparing mastectomy

Topic: Lump near scar after skin sparing mastectomy

Forum: Not Diagnosed With a Recurrence or Metastases but Concerned —

Meet others concerned about developing a recurrence or metastases.

Posted on: Jul 9, 2018 03:06PM

Piksie wrote:

I had a unilateral skin sparing mastectomy and immediate reconstruction Jan '16; revision in Feb '16 to ensure a good margin at the incision. Multifocal IDC; Onco = 17, 8, and 3; 10cm of DCIS. no chemo or rads. I've taken Tamoxifen since Feb '16 with little to no side effects. I'd almost put the whole thing behind me; enough so that when my Tamoxifen prescription wasn't automatically refilled as usual, I didn't notice until I ran out and had to go about a week without it.

Shortly after that (July 3) I found a lump very close to the scar. My last exam was a month ago, and I check all the time. Could it possibly have been there for a long time, but just stifled by the Tamoxifen?

I am seeing MO tomorrow and trying to stay out of those dark spaces in my head.

Dx 12/12/2015, DCIS, Left, 6cm+, Stage 0, Grade 3, 0/6 nodes, ER+/PR+, HER2- Dx 12/12/2015, IDC, Left, 6cm+, Stage IIB, Grade 2, 0/6 nodes, ER+/PR+, HER2- Surgery 1/27/2016 Lymph node removal: Sentinel; Mastectomy: Left; Reconstruction (left): Silicone implant Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Chemotherapy
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Jul 9, 2018 03:22PM Micmel wrote:

sounds like what I’m dealing with now. Fat Necrosis! Very common near scars. The cells die where the drain was and or scar. Because of lack of blood supply. My breast plastic surgeon Is locally taking it out July 30 in his office. Mine is the size of an acorn. I had my surgery two months ago. But they say it can be hidden very well. I have had scans the week before I found it. So it would Have been detected. I am hoping that is what yours sounds like. ~M~. Wishes for the best
Dx 1/22/2016, IDC, Left, 4cm, Stage IV, metastasized to bone, Grade 2, 13/35 nodes, ER+/PR-, HER2- Chemotherapy 2/9/2016 AC Surgery 6/20/2016 Lymph node removal: Left, Underarm/Axillary; Mastectomy: Left Chemotherapy 7/19/2016 Abraxane (albumin-bound or nab-paclitaxel) Targeted Therapy 11/6/2016 Ibrance (palbociclib) Hormonal Therapy Arimidex (anastrozole) Surgery Chemotherapy Chemotherapy
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Jul 9, 2018 04:12PM Piksie wrote:

Thank you, Micmel. My fingers are definitely crossed!

Dx 12/12/2015, DCIS, Left, 6cm+, Stage 0, Grade 3, 0/6 nodes, ER+/PR+, HER2- Dx 12/12/2015, IDC, Left, 6cm+, Stage IIB, Grade 2, 0/6 nodes, ER+/PR+, HER2- Surgery 1/27/2016 Lymph node removal: Sentinel; Mastectomy: Left; Reconstruction (left): Silicone implant Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Chemotherapy
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Jul 9, 2018 06:08PM DodgersGirl wrote:

Piksie—I had 2 fat necrosis spots develop along my mastectomy scar that I found about 6 months after surgery. I had an ultra sound followed by biopsies with dx of fat necrosis. Hoping you get b9 news, too.

Dx 3/10/2017, IDC, Right, Stage IIIB, Grade 2, ER+/PR+, HER2- Chemotherapy 4/5/2017 AC + T (Taxol) Surgery 9/11/2017 Lymph node removal: Right, Underarm/Axillary; Mastectomy: Right Radiation Therapy 10/23/2017 Whole-breast: Breast, Lymph nodes
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Jul 11, 2018 06:58AM KBeee wrote:

It could be a lot of things, but it is good you're getting it examined. 1 week without Tamoxifen should not have affected whatever it is. Do not let your doctors feel it and send you on your way, because though it is most likely benign, that is also a common spot for recurrence. Insist on some sort of imaging. My docs dismissed my lump and said they were 99% sure it was benign. I said I wanted 100% sicne my gut told me it was malignant. They were 100% wrong. Though your lump is likely benign, do insist they be thorough. Please keep us updated.

Karen. Dx 8/5/2013, IDC, Right, 1cm, Grade 2, 0/1 nodes, ER+/PR+, HER2- (IHC) Surgery 8/26/2013 Mastectomy: Left, Right Chemotherapy 9/20/2013 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Hormonal Therapy 12/12/2013 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 1/23/2014 Reconstruction (left); Reconstruction (right) Surgery 1/29/2015 Lumpectomy: Right Dx 2/2/2015, IDC, Right, 1cm, Grade 2, 0/0 nodes, ER+/PR-, HER2- (FISH) Dx 2/25/2015, IDC, Right, 1cm, Grade 3, 0/13 nodes, ER+/PR-, HER2- (IHC) Surgery 2/25/2015 Lumpectomy: Right; Lymph node removal: Right, Sentinel, Underarm/Axillary; Prophylactic ovary removal Chemotherapy 3/31/2015 AC + T (Taxol) Radiation Therapy 8/25/2015 Whole-breast: Breast, Lymph nodes, Chest wall Hormonal Therapy Femara (letrozole)
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Jul 12, 2018 12:38AM - edited Jul 12, 2018 12:43AM by buttonsmachine

I had a lump near my scar that my doctors dismissed as fat necrosis. My "fat necrosis," which was really cancer, was not biopsied for several months and it spread to two lymph nodes in that time. I don't want to scare you - most of the time it is just fat necrosis. But still... cancer is tricky, and better safe than sorry. I agree that some kind of imaging or biopsy would be best. Hope you have a better scenario than I did and that it's benign.

Initial diagnosis at 32 years old. Chest wall resection 18 months later due to skin metastasis, probably from needle track seeding during initial biopsy. Skin graft from right thigh! Dx 8/2016, IDC, Right, Stage IA, Grade 3, 0/2 nodes, ER+/PR+, HER2- Surgery 9/30/2016 Lumpectomy: Right; Lymph node removal: Sentinel Chemotherapy 10/31/2016 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Radiation Therapy 1/31/2017 Whole-breast Hormonal Therapy 4/30/2017 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Dx 9/2017, IDC, Right, Grade 3, 2/5 nodes, ER+/PR+, HER2- Surgery 10/31/2017 Lymph node removal: Sentinel; Mastectomy: Right; Reconstruction (right): Tissue expander placement Chemotherapy 12/26/2017 AC Dx 1/2018, IDC, Right, Grade 3, 0/5 nodes, ER+/PR+, HER2- Surgery 3/12/2018 Lymph node removal: Underarm/Axillary; Mastectomy: Right Radiation Therapy 5/13/2018 Chest wall Chemotherapy 7/1/2018 Xeloda (capecitabine)
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Jul 12, 2018 09:28AM KBeee wrote:

Piksie, What did hte doctor have to say? Thinking of you.

Karen. Dx 8/5/2013, IDC, Right, 1cm, Grade 2, 0/1 nodes, ER+/PR+, HER2- (IHC) Surgery 8/26/2013 Mastectomy: Left, Right Chemotherapy 9/20/2013 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Hormonal Therapy 12/12/2013 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 1/23/2014 Reconstruction (left); Reconstruction (right) Surgery 1/29/2015 Lumpectomy: Right Dx 2/2/2015, IDC, Right, 1cm, Grade 2, 0/0 nodes, ER+/PR-, HER2- (FISH) Dx 2/25/2015, IDC, Right, 1cm, Grade 3, 0/13 nodes, ER+/PR-, HER2- (IHC) Surgery 2/25/2015 Lumpectomy: Right; Lymph node removal: Right, Sentinel, Underarm/Axillary; Prophylactic ovary removal Chemotherapy 3/31/2015 AC + T (Taxol) Radiation Therapy 8/25/2015 Whole-breast: Breast, Lymph nodes, Chest wall Hormonal Therapy Femara (letrozole)
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Jul 12, 2018 10:57AM Piksie wrote:

It didn't go as well as I had hoped. Just had a mammogram and ultrasound. The radiologist wants a biopsy of the lump, but was more concerned about a suspicious lymph node. That one threw me off a bit... So I have two biopsies tomorrow morning, but probably won't know anything until at least Monday, possibly Wednesday. Being the second time around, I feel a bit more calm than last time; sort of like I've been given a few more days to feel/act cancer-free. Although I don't expect the lymph node biopsy is going to be a walk in the park. Anyone have any insight on that one?

I'm still crossing my fingers for the surprise of my life, but I'm preparing for the worst. That way I'm relieved that it's good news rather than shocked that it's not.

Dx 12/12/2015, DCIS, Left, 6cm+, Stage 0, Grade 3, 0/6 nodes, ER+/PR+, HER2- Dx 12/12/2015, IDC, Left, 6cm+, Stage IIB, Grade 2, 0/6 nodes, ER+/PR+, HER2- Surgery 1/27/2016 Lymph node removal: Sentinel; Mastectomy: Left; Reconstruction (left): Silicone implant Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Chemotherapy

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