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Nov 25, 2012 04:12AM
Hello to all of you,
First of all I want to mention that I am not an English native speaker, therefore for sure you will find a lot of mistakes in my messages. But hopefully, you will still understand the message :)
So here is my story with breast cancer in pregnancy:
I discovered a dimple in my right breast when I was about 14 weeks of pregnany.I searched the Internet to find a reason for it - however, I did not search the right thing. All the sites where I searched mentioned that ''a lot of benign breast modifications can appear in pregnancy'- therefore I stayed calm.
However, in April, when I had 19 weeks of pregnancy, I started to worry. The dimple was getting bigger. I went to get an ultrasound- a lump appeared. A little bit more than 2 cm in it's highest diameter.BIRAD 5.
I went to see my OB-gyn,I was sent to an oncologist. Long story short. I had to change the OB-gyn and the first oncologist, since I could not find a chemotherapist willing to do chemo in pregnacy in our national cancer institute.I was very dissapointed, but happily I did not gave up and I searched more.
I found an amasing doctor who lead a whole team - he is also an OB-gyn and surgeon.He sent me to an oncologist who was willing to do chemo in pregnancy (eventhough it was a first time for him- he didn't have a case like this before).I had an ultrasound core nidle biopsy and it was confirmed - IDC, ER+,PR+,Her-.
I started chemo in May- I had 23 weeks of pregancy at that time. 4 round of AC. I tolerated the treatment without any side effects (only hair lost). No improvment was seen after finishing treatment - the tumor appeared to be even a little bigger. However, I was very close to full term pregnancy and I delivered the baby when I was 37 weeks without one day (C-section). During pregnancy, a specialist in risk pregnancies followed the baby development - nothing was wrong. She was growing just like any other baby.
She is a girl - a perfect little girl. She weighted 3,450 kg.APGAR score 9 at one minute, 10 at 5 minutes.
2 weeks after delivery, I started treatment with Taxol. After the 3rd round, it appeared again that no improvment appeared. I had an ultrasound and again a little progression was seen. So we schedule the mastectomy.
I had the mastectomy 2 weeks ago. I just received the pathology report. IDC, 2,8 cm in it's highest dimension. Isolated cancer cells in one lymph node (the rest of 22/23 nodes were clear). This leads me to T2N0 which happily is stage 2A. I think that the standard here is to order more investigations only if lymph nodes are affected.
Unfortunatelly 12 very small lumps were found - with dimensions between 1 and 6 mm. Only the biggest (6mm) was seen on the last ultrasound. None of the others..therefore I am more than happy that I had a mastectomy instead of a lumpectomy.
I do not know what the future will bring us. However I am more than glad that I had this baby, that it was a happy ending story and that I feel that I have great doctors to deal with this case.
I do not know if radiation will be recommended as part of my treatment, but for sure I will be put on Tamoxifen since I have high percentage of hormones receptors (ER 75%, PR 60%)