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Topic: MIDDLE-AGED WOMEN 40-60ish

Forum: "Middle Age" 40-60(ish) Years Old With Breast Cancer —

Meet others in this age-range who share similar life issues.

Posted on: Aug 22, 2009 12:25AM - edited Aug 19, 2018 06:31PM by elimar

elimar wrote:

This thread was created for "middle-aged" women. At the time, we didn't have our own category on the pull-down Forum menu. The ages 40-60 in the header are unofficial--we don't "card" anyone, (wink, wink) --- so if you are close in age it's meant for you as well. We aren't young with small children. Many of us have just gotten to the stage where we were all set to enjoy the freedom of our kids being grown when, Bam!, we got breast cancer instead. We aren't retired yet, so we get to juggle cancer and a job. We might have to care for an elderly parent on days when we feel like we could use a caregiver ourselves!

(BTW, those are general statements, NOT a checklist for belonging to this group. It's fine if you have some variation!!!)

Our disease unites us with ALL the strong sisters on this site, but here we can bring up some topics to share with others in the "middle," only please make it anything but the mundane topic of weather. Seriously!

s.i awareness Pictures, Images and Photos

"Home of the Hot Flash"


Dx 6/24/2009, IDC, <1cm, Stage IA, Grade 2, 0/2 nodes, ER+/PR+, HER2-
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Mar 19, 2018 03:59AM Tomboy wrote:

Hope you still had all your hair and looked lovely for the wedding, AND had a great time, dancing all the young men under the table, helenlouise!

"I will sit right down, waiting for the gift of sound & vision" David Bowie, Rest in pax, my beloved changeling... Dx 6/8/2012, IDC, Right, 1cm, Stage IIIC, Grade 3, 25/30 nodes, ER+/PR+, HER2+
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Mar 19, 2018 07:53AM helenlouise wrote:

Hi tomboy, my hairdresser did my rapidly falling hair up, used gallon of spray made sure to leave the car widows closed on trip there. I felt good all dressed up and we had a lovely time with many old and some new friends. Didn't make the distance, watched but didn't dance, a bit wobbly on the feet at times. Loved the ceremony, enjoyed some of the feast and had a glass of bubbles!

Next day my dear friend (hairdresser) took to my head with the clippers. We debated over leaving some length but in the end I asked to to make it zero. Even with a two I could still pull tufts out. The less left, the less to clean up. I don't like being bald so far. My head is tender and my brand new wig hurts if I wear it too long. Have learned to wrap a scarf. Went to local fabric store and bought some jersey in different colours. Much more comfortable for chemo days.

Had second dose of chemo today and was assured the soreness will pass. Especially once all the follicles have given up the remaining hair. Plus my wig will stretch some with Jee.

I keep reminding myself that in the scheme of things, it is only hair. Lots more challenges yet to come and hair won't be the worst. Trying to think of the upside.

Hope everyone's going along as well as can be expected! Sending good vibes your way.
2013 DCIS treatment lumpectomy x2 plus radiation. 2018 new IDC treatment Neo adjuvant chemotherapy. Surgery July 18. Dx 1/2013, DCIS, Left, <1cm, Stage 0, Grade 3, ER+/PR+ Surgery 2/3/2013 Lumpectomy: Left Surgery 2/10/2013 Lumpectomy: Left Radiation Therapy 3/1/2013 Whole-breast: Breast Dx 2/2018, IDC, Left, 2cm, Stage IIIB, Grade 3, 1/8 nodes, ER-/PR-, HER2- Chemotherapy 2/25/2018 Cytoxan (cyclophosphamide), Ellence (epirubicin), Fluorouracil (5-fluorouracil, 5-FU, Adrucil), Taxotere (docetaxel) Surgery 7/23/2018 Mastectomy: Left; Prophylactic mastectomy: Right Radiation Therapy 8/28/2018 Chemotherapy 8/29/2018 Xeloda (capecitabine)
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Mar 19, 2018 07:55AM helenlouise wrote:

Ps. David Bowie is a favourite. Saw an exhibition a couple years back, with lots of the costumes and memorabilia. It was interactive and amazing.
2013 DCIS treatment lumpectomy x2 plus radiation. 2018 new IDC treatment Neo adjuvant chemotherapy. Surgery July 18. Dx 1/2013, DCIS, Left, <1cm, Stage 0, Grade 3, ER+/PR+ Surgery 2/3/2013 Lumpectomy: Left Surgery 2/10/2013 Lumpectomy: Left Radiation Therapy 3/1/2013 Whole-breast: Breast Dx 2/2018, IDC, Left, 2cm, Stage IIIB, Grade 3, 1/8 nodes, ER-/PR-, HER2- Chemotherapy 2/25/2018 Cytoxan (cyclophosphamide), Ellence (epirubicin), Fluorouracil (5-fluorouracil, 5-FU, Adrucil), Taxotere (docetaxel) Surgery 7/23/2018 Mastectomy: Left; Prophylactic mastectomy: Right Radiation Therapy 8/28/2018 Chemotherapy 8/29/2018 Xeloda (capecitabine)
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Mar 19, 2018 11:44AM Momine wrote:

Helenlouise, the last step in the hair loss is very annoying. I finally took a dry washcloth and rubbed the remaining stubble off my head. Never did find a way to deal with the wig, so I wore scarves, hats etc.

Dx 6/1/2011, ILC, 5cm, Stage IIIB, Grade 2, 7/23 nodes, ER+/PR+, HER2- Chemotherapy 6/19/2011 Cytoxan (cyclophosphamide), Ellence (epirubicin), Fluorouracil (5-fluorouracil, 5-FU, Adrucil), Taxotere (docetaxel) Surgery 9/12/2011 Mastectomy: Left, Right Radiation Therapy 1/8/2012 Surgery 3/7/2012 Prophylactic ovary removal Hormonal Therapy 3/31/2012 Femara (letrozole)
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Mar 19, 2018 12:12PM MinusTwo wrote:

The wedding sounds lovely.

I wore mostly BUFFS. They were soft and easy to slip on. I found them at REI or Academy. http://buffusa.com/shop-buff/women/multifunctional... I still tie one to my purse when I go to concerts & expect my head or neck to be cold, and I use them when I'm walking. At night I wore jersey caps.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Mar 19, 2018 12:30PM moth wrote:

I'm really loving my bald head right now. At moments I wonder if I'll be able to go back - holy cow is it fast to get ready when you don't have to fuss with hair :D

My family also say it lends a certain gravitas to my appearance. Everything I say now apparently sounds wise LOL

Dx at 50; Left, IDC, 1.7 cm, Stage I, Grade 3, 0/5 nodes, very weakly ER+, being treated as TNBC Surgery 12/12/2017 Lumpectomy: Left; Lymph node removal: Sentinel Chemotherapy 2/14/2018 AC + T (Taxol) Radiation Therapy 8/13/2018 Whole-breast: Breast
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Mar 19, 2018 07:59PM mistyeyes wrote:

Moth! I love you!!   You are so right, I got ready for work so fast without hair and showers were so fast I felt sometimes I wasn't in there long enough.  My hair is growing and I don't know what to do with it - I wake up looking like I was shocked and have a mini afro going on, so I have to wet it down and put stuff on it to keep it down.    Go on with the wise sayings while you got the attention!


IDC right- Stage IIA, Grade 3,ER-,PR+,HER2+ Dx 11/15/2016, Right, PR+, HER2+
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Mar 20, 2018 04:42PM helenlouise wrote:

Big smiles ladies! Thank you. I must admit yesterday I did note the 'nothing to do with the hair' sped getting ready right up. Thanks for the practical tips. May even take on asage persona once the (you look like you have cancer or just got outa jail) stubble is gone!

2013 DCIS treatment lumpectomy x2 plus radiation. 2018 new IDC treatment Neo adjuvant chemotherapy. Surgery July 18. Dx 1/2013, DCIS, Left, <1cm, Stage 0, Grade 3, ER+/PR+ Surgery 2/3/2013 Lumpectomy: Left Surgery 2/10/2013 Lumpectomy: Left Radiation Therapy 3/1/2013 Whole-breast: Breast Dx 2/2018, IDC, Left, 2cm, Stage IIIB, Grade 3, 1/8 nodes, ER-/PR-, HER2- Chemotherapy 2/25/2018 Cytoxan (cyclophosphamide), Ellence (epirubicin), Fluorouracil (5-fluorouracil, 5-FU, Adrucil), Taxotere (docetaxel) Surgery 7/23/2018 Mastectomy: Left; Prophylactic mastectomy: Right Radiation Therapy 8/28/2018 Chemotherapy 8/29/2018 Xeloda (capecitabine)
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Mar 25, 2018 02:08AM Momine wrote:

Having no hair definitely has advantages, and I didn't even mind how it looked. Always wanted to get a henna tattoo on my bald head, but never got it done. A friend of mine did and it looked fab. Not having eyebrows did get to me sometimes, but they eventually grew back.

Dx 6/1/2011, ILC, 5cm, Stage IIIB, Grade 2, 7/23 nodes, ER+/PR+, HER2- Chemotherapy 6/19/2011 Cytoxan (cyclophosphamide), Ellence (epirubicin), Fluorouracil (5-fluorouracil, 5-FU, Adrucil), Taxotere (docetaxel) Surgery 9/12/2011 Mastectomy: Left, Right Radiation Therapy 1/8/2012 Surgery 3/7/2012 Prophylactic ovary removal Hormonal Therapy 3/31/2012 Femara (letrozole)
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Mar 25, 2018 09:41AM Deb_Z wrote:

Thank you for starting this group, as I am 60(ish) and with reading all the other postings, it was helpful but as an older woman some of the issues just don't fit. I was dx in Dec 2017 with IDC on the left side. Mastectomy: Left; Prophylactic mastectomy: Right removal (6) left in January 2018. The doctors don't feel radiation is necessary but Chemo is with TCHP. Had my first treatment last month and boy I sure was not prepared for the side affects. (On this I do have to say is we found out I also have kidney stones). Trying to figure out if all the side affects were actually from the chemo or a combination of both. I am not having reconstruction as my thought process is that "if all you are worried about is my breasts then you can kick rocks". I am getting ready for my next infusion here in a a couple of days, sorta scared but thinking that it was the stones that made me so sick. But I feel deep inside me that "God has a plan for me and its here on earth and the devil doesn't want to deal with me". As I was a single mum of 4 boys and my second son has been my rock. He is quite leary of most medical and he has sat with me thru the surgeries and the infusion, he told me that I will walk this with you as you were there when we were all little so I will be with you thru this and what else there is.

Enjoy your day

Deb

Healthcare is not expensive its priceless Dx 12/7/2017, IDC, Left, ER+, HER2+ Dx 12/29/2017, IDC, Left, 3cm, 1/5 nodes, ER+, HER2+ (IHC) Surgery Mastectomy: Left; Prophylactic mastectomy: Right
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Mar 25, 2018 05:11PM mistyeyes wrote:

Deb, I hope you do well through the rest of the treatments. I also had TCHP, some side effects but was mostly tired.  My side effects was neuropathy on my hands and my mouth hurt.  I rinsed my mouth with salt/baking soda water and ate lots of popsicles.   Your son sounds like he has a beautiful heart to want to be there with you.


IDC right- Stage IIA, Grade 3,ER-,PR+,HER2+ Dx 11/15/2016, Right, PR+, HER2+
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Mar 26, 2018 11:49AM Egads007 wrote:

Moth,

There are days that I actually miss the carefree, out-the-door in record time bald/brush cut hair doo. Like you my family also said it lent a certain ‘wise old soul’ edge to my ‘new normal’ look.

Then my 10 year old nephew totally blew my gravitas by saying ‘yeah, you kinda look like Yoda, he was wise!’. Out of the mouths of babes *sigh*

WinkingLoopy

"I base all my fashion choices on what doesn't itch" (Gilda Radner) Chemotherapy 3/20/2013 Doxil (doxorubicin), Taxol (paclitaxel) Surgery 8/23/2013 Lumpectomy: Right; Lymph node removal: Right Radiation Therapy 11/1/2013 Whole-breast: Breast, Lymph nodes Dx IDC, 4cm, Stage IIB, 0/2 nodes, ER+/PR- Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Mar 27, 2018 08:27AM NativeMainer wrote:

Deb_Z--what a wonderful and compassionate son you have raised. Now that your treatment team knows you have kidney stones they can adjust for that and help make sure it doesn't create a problem again.

"I have come to believe that caring for myself is not self indulgent. Caring for myself is an act of survival." Audre Lorde Dx 3/9/2007, IDC, 2cm, Stage IIA, Grade 2, 0/1 nodes, ER+/PR+, HER2- Surgery 3/15/2007 Lumpectomy: Right Surgery 3/29/2007 Lumpectomy: Left Radiation Therapy 4/10/2007 Breast Hormonal Therapy 10/5/2007 Hormonal Therapy 4/25/2008 Arimidex (anastrozole) Surgery 8/15/2008 Mastectomy: Left Surgery 6/21/2010 Prophylactic mastectomy: Right; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap
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May 13, 2018 06:29PM - edited May 13, 2018 06:29PM by MinusTwo

Hi Middies - I'm here to admit a new addiction. OH NO. I've switched from CHEETOS to CHEEZ-ITs.

I'm not sure which is better or worse for you, but a box Cheez-its doesn't last any longer than a big bag of Cheetos used to last. Edited to say, since I only ate original Cheetos (not baked for heaven's sakes), maybe the crackers are healthier?

Hope all the middies are well & thriving.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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May 13, 2018 07:50PM Capecodgirl wrote:

Cheeze-it’s has an extra toasty version that is pretty good

Brca2+ Dx 5/24/2017, IDC, Right, 1cm, Stage IB, Grade 1, 1/2 nodes, ER+/PR+, HER2- Surgery 5/31/2017 Lumpectomy: Right Hormonal Therapy 7/9/2017 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 11/16/2017 Prophylactic ovary removal Hormonal Therapy Aromasin (exemestane) Radiation Therapy Whole-breast: Breast, Lymph nodes
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May 14, 2018 05:22AM NativeMainer wrote:

MinusTwo--One of the advantages of Cheez-Its is the lack of orange dust on the fingers and mouth--harder to get caught with them!

"I have come to believe that caring for myself is not self indulgent. Caring for myself is an act of survival." Audre Lorde Dx 3/9/2007, IDC, 2cm, Stage IIA, Grade 2, 0/1 nodes, ER+/PR+, HER2- Surgery 3/15/2007 Lumpectomy: Right Surgery 3/29/2007 Lumpectomy: Left Radiation Therapy 4/10/2007 Breast Hormonal Therapy 10/5/2007 Hormonal Therapy 4/25/2008 Arimidex (anastrozole) Surgery 8/15/2008 Mastectomy: Left Surgery 6/21/2010 Prophylactic mastectomy: Right; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap
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May 14, 2018 08:35AM MinusTwo wrote:

LOL - NM. It also made it easier to finish the half full box that was on the cupboard last night since I didn't have to keep reaching for a napkin. And you can lick the crumbs off your fingers w/o transferring orange to the book you're reading when you turn the page.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Jul 26, 2018 04:44PM miranda2060 wrote:

Hi ladies ~

I have just discovered this thread. I am 56 (57 next week) and was diagnosed just after the first of this year. Two tumors, different types, right mastectomy in January, six weeks of radiation, and now on aromatase inhibitors. I will be having another surgery (sigh) at the end of September to even out my breast/implanted breast asymmetry and remove scar tissue from rads. Not looking forward to that, but hopefully things will eventually look and feel good.

I feel I have learned a LOT from my cancer experience, had insights I never would have had and met wonderful people (as well as lost some friends). I'm married to a wonderful man who's very supportive, no kids. I'm a writer and a photographer (the latter not professionally, but obsessively).

Looking forward to sharing with you.


Dx 12/20/2017, LCIS/DCIS, Right, 2cm, Stage IIA, Grade 1, ER+/PR+, HER2- Surgery 1/22/2018 Lymph node removal; Mastectomy; Reconstruction (right): Silicone implant Radiation Therapy 2/18/2018 External: Chest wall Hormonal Therapy 5/10/2018 Hormonal Therapy 5/10/2018 Arimidex (anastrozole)
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Jul 26, 2018 11:01PM MinusTwo wrote:

Miranda - thanks for posting. Unfortunately this thread is mostly inactive. I'm a bit older so can't suggest a replacement, but hopefully some one else will chime in.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Jul 26, 2018 11:37PM moth wrote:

Hi Miranda, nice to meet you!

Dx at 50; Left, IDC, 1.7 cm, Stage I, Grade 3, 0/5 nodes, very weakly ER+, being treated as TNBC Surgery 12/12/2017 Lumpectomy: Left; Lymph node removal: Sentinel Chemotherapy 2/14/2018 AC + T (Taxol) Radiation Therapy 8/13/2018 Whole-breast: Breast
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Jul 27, 2018 12:32AM - edited Jul 27, 2018 12:40AM by Amica

Hi Miranda2060 and also...waves to moth!

Miranda2060

Welcome! There is an Art thread on here, on which if you wished you could post some of your photography. I for one would love to view anything you wish to share.

thread is here

Arts thread

take care,

Amica

1998 at 39 Stage 2 IDC, 1/16 nodes, ER/PR +, HER2-,Gr 3, surgery, AC + Taxol, rads, oopher/hysterectomy, Tamoxifen, Aromasin completed 2010 - Aug 2018 metastatic recurrence Stage IV, ER+ PR- HER2-, Gr 3, Sept 2018 Letrozole/Ibrance
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Jul 27, 2018 07:14AM miranda2060 wrote:

Thanks, Amica, moth and MinusTwo. I will check out the Arts thread.

Dx 12/20/2017, LCIS/DCIS, Right, 2cm, Stage IIA, Grade 1, ER+/PR+, HER2- Surgery 1/22/2018 Lymph node removal; Mastectomy; Reconstruction (right): Silicone implant Radiation Therapy 2/18/2018 External: Chest wall Hormonal Therapy 5/10/2018 Hormonal Therapy 5/10/2018 Arimidex (anastrozole)
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Jul 27, 2018 07:28AM NativeMainer wrote:

Miranda--Welcome to the club no one wants to join! I'm sorry to hear you have to have surgery due to rads damage. I pray it heals up quickly and easily for you. Care to share some of your photos?

Minus Two--Good to see you again!

Hi, Moth!

Hi, Amica!

"I have come to believe that caring for myself is not self indulgent. Caring for myself is an act of survival." Audre Lorde Dx 3/9/2007, IDC, 2cm, Stage IIA, Grade 2, 0/1 nodes, ER+/PR+, HER2- Surgery 3/15/2007 Lumpectomy: Right Surgery 3/29/2007 Lumpectomy: Left Radiation Therapy 4/10/2007 Breast Hormonal Therapy 10/5/2007 Hormonal Therapy 4/25/2008 Arimidex (anastrozole) Surgery 8/15/2008 Mastectomy: Left Surgery 6/21/2010 Prophylactic mastectomy: Right; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap
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Jul 27, 2018 07:51AM Amica wrote:

Greetings NativeMainer...err, I mean SuperGal! :)

1998 at 39 Stage 2 IDC, 1/16 nodes, ER/PR +, HER2-,Gr 3, surgery, AC + Taxol, rads, oopher/hysterectomy, Tamoxifen, Aromasin completed 2010 - Aug 2018 metastatic recurrence Stage IV, ER+ PR- HER2-, Gr 3, Sept 2018 Letrozole/Ibrance
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Jul 27, 2018 08:56AM miranda2060 wrote:

Thanks, NativeMainer! My hope is that I'll look better than ever, with fat grafting/breast reduction. I just don't like the idea of recovering from another surgery, though I have been assured it's NOTHING like the original surgery (mastectomy/lymph nodes). Still, it's surgery.

I do street photography, i.e., candid photos generally of people on the streets of my city (Cleveland, O.). Many of them are in this gallery. https://www.deviantart.com/waitingforlefty/gallery/

Dx 12/20/2017, LCIS/DCIS, Right, 2cm, Stage IIA, Grade 1, ER+/PR+, HER2- Surgery 1/22/2018 Lymph node removal; Mastectomy; Reconstruction (right): Silicone implant Radiation Therapy 2/18/2018 External: Chest wall Hormonal Therapy 5/10/2018 Hormonal Therapy 5/10/2018 Arimidex (anastrozole)
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Jul 27, 2018 11:13AM mistyeyes wrote:

Hello all and welcome Miranda!

IDC right- Stage IIA, Grade 3,ER-,PR+,HER2+ Dx 11/15/2016, Right, PR+, HER2+
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Jul 28, 2018 08:20AM - edited Jul 28, 2018 08:23AM by NativeMainer

Hi, Amica! SuperGal?Now I really have something to live up to!

Miranda--the photos are awesome! Thanks for sharing. Surgery is surgery, true. I do pray that your upcoming surgery recovery is easier than the original.

"I have come to believe that caring for myself is not self indulgent. Caring for myself is an act of survival." Audre Lorde Dx 3/9/2007, IDC, 2cm, Stage IIA, Grade 2, 0/1 nodes, ER+/PR+, HER2- Surgery 3/15/2007 Lumpectomy: Right Surgery 3/29/2007 Lumpectomy: Left Radiation Therapy 4/10/2007 Breast Hormonal Therapy 10/5/2007 Hormonal Therapy 4/25/2008 Arimidex (anastrozole) Surgery 8/15/2008 Mastectomy: Left Surgery 6/21/2010 Prophylactic mastectomy: Right; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap
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Jul 28, 2018 10:55AM miranda2060 wrote:

Thanks, NativeMainer!

Dx 12/20/2017, LCIS/DCIS, Right, 2cm, Stage IIA, Grade 1, ER+/PR+, HER2- Surgery 1/22/2018 Lymph node removal; Mastectomy; Reconstruction (right): Silicone implant Radiation Therapy 2/18/2018 External: Chest wall Hormonal Therapy 5/10/2018 Hormonal Therapy 5/10/2018 Arimidex (anastrozole)
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Sep 5, 2018 09:19PM Ms_secgo wrote:

Well I made the age limit I'm a very young 60 diagnosed invasive ductal cancer , under went bilateral

Mastectomy July 25. All I can say is WOW a earth shattering experience. I'm now waiting the 6 week

Downtime before before having real implant surgery. Any ladies have opinions regarding

Silicone vs saline implants

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Sep 6, 2018 02:03AM MinusTwo wrote:

Ms Secto - sorry you have to join these boards, but welcome. Unfortunately this thread isn't very active anymore. If you go to "active threads", you will be able to find great groups discussing surgery, chemo, radiation, implants, etc. There is such a wealth of information and it was so great for me to go through everything with other women experiencing the same thing in real time. Personally i think the tide has turned to cohesive gel silicone implants. Look for Breast Implants 101.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014

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