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Topic: Apparently I Am "Just Diagnosed." :(

Forum: Just Diagnosed — Discuss next steps, options, and resources.

Posted on: Jan 14, 2021 07:34AM

LW422 wrote:

Hello everyone. Here I am, terrified and confused like most of you were when you got "The News No One Wants To Hear." I had what appeared to be a light pink bruise on my right breast the week before Christmas and wasn't concerned. Watched it for a week or so to see if it would go away and decided to Google. Bad idea, but at least it prompted me to see my PCP right away. (Note that I have no peau-de-orange, no heat in the breast, no 1/3 of breast turning red, no lump, no hardness, no itching, no other apparent symptoms other than breast is slightly swollen and a light pink "bruise".)

My doctor took one look and said I needed to have a mammo/sono and I scheduled them as soon as I could. Luckily for me, I live 25 miles from MD Anderson in Houston, so that's where I spent my day yesterday. I had a diagnostic mammogram w/tomo (whatever that means), a sonogram, and two biopsies...needle biopsy to lymph node and core biopsy to the largest mass in my breast with clip placement. I will have followup MRI and skin punch biopsies next week (hopefully) and meet with my "team."

There are no results back from the core biopsy yet but the lymph node was positive for cancer so I'm pretty sure I know what the core biopsy will say. Naturally my biggest fear is IBC, so even though I'm holding it together so far, an IBC diagnosis will be devastating (not that any BC diagnosis isn't devastating, but IBC... UGH.)

Here's a little blurb from My Chart sonogram test results:

Right breast:
There is right breast global skin thickening, correlating with mammography. A dominant area of right breast skin thickening is seen at 3 o'clock position and correlates with an area of erythema. Skin thickening measures 0.5 cm maximally.

There is no sonographic correlation for mammographic asymmetry in the anterior central breast.

There are multiple (at least 5) subcentimeter masses in the upper outer quadrant. This appears to correlate with the mammographic finding of asymmetry in the lateral breast. The largest mass is irregular and hypoechoic with angular margins at 10 o'clock position, 12 cm from the nipple measuring 0.9 x 0.6 x 0.5 cm. This mass was targeted for core biopsy and clip placement today.

Right nodal basins:
There is one malignant-appearing right axillary level I lymph node measuring 1.9 x 1.3 x 1.2 cm with replacement of the fatty hilum. This correlates with the mammogram finding of an abnormal-appearing lymph node. This lymph node was targeted for fine-needle aspiration and clip placement.

There is no right axillary level II, axillary level III, or internal mammary lymphadenopathy. There is no suspicious-appearing lymph node in the right supraclavicular region.

ACR BI-RADS Category: 5: Highly suggestive of malignancy.
Skin punch biopsy is recommended for right breast erythema.
Breast MRI is recommended.

And the result of the needle biopsy of the lymph node:

Immediate AssessmentAdequate cellularity, favor malignant
Major ClassificationMALIGNANT
DiagnosisA. Lymph node, right axilla, fine needle aspiration:

METASTATIC HIGH GRADE CARCINOMA, CONSISTENT WITH BREAST PRIMARY


I hope that "metastatic" thing isn't as scary as it sounds. Singing

Since I don't have the details of what type of cancer I have yet, I'll just put this here and move to the appropriate section once I know for certain what I am facing. I have been reading this forum for about a month but had nothing to contribute except a bunch of angst-filled questions, so I mainly read to see if others had already asked them. Nice to meet you all and I wish the best for all of us.

Dx 1/12/2021, IDC, Right, 1cm, Grade 3, ER-/PR+, HER2- Dx 1/20/2021, IBC, Right, Stage IIIC Chemotherapy 2/8/2021 Taxol (paclitaxel)
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Jan 26, 2021 11:34AM LW422 wrote:

Beesy- I just feel so sad, scared and defeated. Where did my life go? I didn't know I had so many tears to shed.

Dx 1/12/2021, IDC, Right, 1cm, Grade 3, ER-/PR+, HER2- Dx 1/20/2021, IBC, Right, Stage IIIC Chemotherapy 2/8/2021 Taxol (paclitaxel)
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Jan 26, 2021 11:42AM - edited Jan 26, 2021 05:56PM by Astrid

๐Ÿ˜ฅ๐Ÿ’๐Ÿ’๐Ÿ’๐Ÿ™๐ŸŒธ

It is going to be ok LW. Just break it down into a few hours at a time. Whatever the news is, you will deaL with it in your own unique and impeccable style. Meltdowns, 2 steps back, 1 forward...whatever you are feeling..it is so good that you can express it and with your husband or on your own. There is room for all the feelings that hit you and letting them have voice is a precious gift.

Acceptance for what is can only come after all these feelins...grief, anger, frustration, pain sorrow...everything!

Whwn overwhelmed just bring it back to right now and breathing in and out.

Holding you in my thoughts and wishing peace and comfort to surround you like a protective coat.


"You cannot step into the same river twice, for other waters are continually flowing on." Heraclitus Dx 6/2002, IDC, Both breasts, 1cm, Stage IIB, Grade 2, 1/7 nodes, ER+/PR+, HER2- (FISH) Dx 7/2003, IDC, Left, 1cm, Stage IIB, Grade 2, ER+/PR+, HER2- (FISH) Dx 6/2012, ILC, Right, 1cm, Stage IIB, Grade 2, ER+/PR-, HER2- (IHC) Radiation Therapy Whole-breast: Breast, Chest wall Chemotherapy AC Surgery Lymph node removal: Left, Right, Underarm/Axillary; Mastectomy: Left, Right
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Jan 26, 2021 01:37PM JavaJana wrote:

๐Ÿ™๐Ÿ’œ๐Ÿ˜˜ hang in there LW...one day at a time, one foot in front of the other. You're not defeated yet!

Xgeva 9/2/2020. History: 2 Borderline Serous Ovarian Carcinoma TAH/BSO, 0/15 nodes - 2/18/20. Benign Papilloma/ADH Left breast, excisional biopsy 10/11/2016 Dx 10/1/2019, IDC, Left, <1cm, Stage IA, Grade 2, 0/1 nodes, ER+/PR+, HER2+ (IHC) Dx 10/23/2019, LCIS/DCIS, Right, 0/1 nodes Surgery 11/18/2019 Lymph node removal: Sentinel; Mastectomy: Left, Right Dx 3/25/2020, IDC, Stage IV, metastasized to bone, 0/2 nodes Chemotherapy 4/7/2020 Taxotere (docetaxel) Targeted Therapy 4/7/2020 Perjeta (pertuzumab) Targeted Therapy 4/8/2020 Herceptin (trastuzumab) Hormonal Therapy 8/12/2020 Femara (letrozole)
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Jan 26, 2021 02:00PM MinusTwo wrote:

Really - once the plan is finalized and you get started, it's truly much easier. Good luck with the prep stuff.

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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Jan 27, 2021 02:37AM LW422 wrote:

Thanks everyone for the encouragement. I'm in a better frame of mind this morning; they called to tell me that my PET and brain MRI are both CLEAR!! I was so worried about some small lesions on my liver shown in the breast MRI, but the PET scan indicates they are nothing of concern. So according to the PET scan, my cancer is confined to right breast and the lymph node under my right arm; I feel like I won the lottery today!

They did add a vaginal ultrasound to my list of upcoming fun events, so something else to look forward to. :-s

Dx 1/12/2021, IDC, Right, 1cm, Grade 3, ER-/PR+, HER2- Dx 1/20/2021, IBC, Right, Stage IIIC Chemotherapy 2/8/2021 Taxol (paclitaxel)
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Jan 27, 2021 02:53AM JavaJana wrote:

outstanding news LW! ๐Ÿ™Œ

Xgeva 9/2/2020. History: 2 Borderline Serous Ovarian Carcinoma TAH/BSO, 0/15 nodes - 2/18/20. Benign Papilloma/ADH Left breast, excisional biopsy 10/11/2016 Dx 10/1/2019, IDC, Left, <1cm, Stage IA, Grade 2, 0/1 nodes, ER+/PR+, HER2+ (IHC) Dx 10/23/2019, LCIS/DCIS, Right, 0/1 nodes Surgery 11/18/2019 Lymph node removal: Sentinel; Mastectomy: Left, Right Dx 3/25/2020, IDC, Stage IV, metastasized to bone, 0/2 nodes Chemotherapy 4/7/2020 Taxotere (docetaxel) Targeted Therapy 4/7/2020 Perjeta (pertuzumab) Targeted Therapy 4/8/2020 Herceptin (trastuzumab) Hormonal Therapy 8/12/2020 Femara (letrozole)
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Jan 27, 2021 03:05AM LW422 wrote:

Thank you, Jana. I was really fretting about the PET results; what a huge relief. I think they are adding the ultrasound to my Thursday lineup, so that will be 6 appointments in one day. :shocked:

Nice that I only have to make one trip to the medical center to get all those done, though.

Dx 1/12/2021, IDC, Right, 1cm, Grade 3, ER-/PR+, HER2- Dx 1/20/2021, IBC, Right, Stage IIIC Chemotherapy 2/8/2021 Taxol (paclitaxel)
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Jan 27, 2021 03:50AM Harley07 wrote:

Great news!! Keeping you in my thoughts

Surgery 11/5/2020 Lumpectomy: Right Dx 11/10/2020, IDC, Right, <1cm, Stage IA, Grade 1, 0/2 nodes, ER+/PR+, HER2- Surgery 11/19/2020 Lumpectomy: Right; Lymph node removal: Sentinel Radiation Therapy 1/7/2021 Hormonal Therapy 2/8/2021 Arimidex (anastrozole)
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Jan 27, 2021 04:08AM MelissaDallas wrote:

Breathing a huge sigh of relief for you

LCIS, extensive sclerosing adenosis, TAH/BSO & partial omentectomy for mucinous borderline ovarian tumor.
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Jan 27, 2021 05:44AM Beesy_The_Other_One wrote:

LW, this is wonderful news! Rejoicing with you!

1997: Phyllodes, R breast. 2018: IDC, L breast. TCHP, BMX, Radiation, Nerlynx. Dx 8/20/2018, IDC, Left, Grade 3, 0/1 nodes, ER-/PR-, HER2+ (IHC)
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Jan 27, 2021 06:47AM LW422 wrote:

Thanks Harley, Melissa and Beesy! It's so nice to hear something positive for a change. You guys are the best!


Dx 1/12/2021, IDC, Right, 1cm, Grade 3, ER-/PR+, HER2- Dx 1/20/2021, IBC, Right, Stage IIIC Chemotherapy 2/8/2021 Taxol (paclitaxel)
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Jan 27, 2021 07:58AM Astrid wrote:

I'm sharing that huge sigh of relief.

So, so happy for you with this news.

6 appointments? Pffft!SillyHeart

Brava LW. ๐Ÿ’—๐ŸŒธ๐Ÿ’—

"You cannot step into the same river twice, for other waters are continually flowing on." Heraclitus Dx 6/2002, IDC, Both breasts, 1cm, Stage IIB, Grade 2, 1/7 nodes, ER+/PR+, HER2- (FISH) Dx 7/2003, IDC, Left, 1cm, Stage IIB, Grade 2, ER+/PR+, HER2- (FISH) Dx 6/2012, ILC, Right, 1cm, Stage IIB, Grade 2, ER+/PR-, HER2- (IHC) Radiation Therapy Whole-breast: Breast, Chest wall Chemotherapy AC Surgery Lymph node removal: Left, Right, Underarm/Axillary; Mastectomy: Left, Right
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Jan 27, 2021 09:00AM LW422 wrote:

Thanks, Astrid. Looks like they couldn't wedge the vaginal ultrasound into Thursday's schedule so it was bumped to Friday. My entire life is at MD Anderson these days.

Dx 1/12/2021, IDC, Right, 1cm, Grade 3, ER-/PR+, HER2- Dx 1/20/2021, IBC, Right, Stage IIIC Chemotherapy 2/8/2021 Taxol (paclitaxel)
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Jan 27, 2021 09:14AM Astrid wrote:

your new job for sure.๐ŸŒบ

"You cannot step into the same river twice, for other waters are continually flowing on." Heraclitus Dx 6/2002, IDC, Both breasts, 1cm, Stage IIB, Grade 2, 1/7 nodes, ER+/PR+, HER2- (FISH) Dx 7/2003, IDC, Left, 1cm, Stage IIB, Grade 2, ER+/PR+, HER2- (FISH) Dx 6/2012, ILC, Right, 1cm, Stage IIB, Grade 2, ER+/PR-, HER2- (IHC) Radiation Therapy Whole-breast: Breast, Chest wall Chemotherapy AC Surgery Lymph node removal: Left, Right, Underarm/Axillary; Mastectomy: Left, Right
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Jan 27, 2021 11:18AM quinnie wrote:

lw422: I have been praying for you and so happy the PET scan and MRI are good. I wish I could give everyone a big hug who is going through this. Both my cancers were minor compaired to yours but the anxiety is still there during the early stages of appointments, treatments etc. Good Luck

Dx 11/30/2007, DCIS, Right, 1cm, Stage 0, Grade 2, 0/0 nodes, ER-/PR- Dx 2/26/2020, IDC, Left, <1cm, Stage IA, Grade 1, 0/1 nodes, ER+/PR+, HER2- Radiation Therapy 5/14/2020 Whole-breast: Breast Hormonal Therapy 5/25/2020 Femara (letrozole) Radiation Therapy Whole-breast: Breast
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Jan 27, 2021 12:30PM LW422 wrote:

Thank you, Quinnie. I certainly can use all the prayers I can get. In terms of stress and anxiety, I'm not sure there is a "minor" cancer. I appreciate your post very much and I hope your treatment has been successful.

Dx 1/12/2021, IDC, Right, 1cm, Grade 3, ER-/PR+, HER2- Dx 1/20/2021, IBC, Right, Stage IIIC Chemotherapy 2/8/2021 Taxol (paclitaxel)
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Jan 27, 2021 04:40PM blue22 wrote:

LW that is such great news about your PET scan! I'm really happy for you!

It is true that once you start a treatment plan it gets easier. I also recommend looking into meditation and breathing exercises to help when you are feeling really stressed out. They can also help during treatment.

Dx 1/2019, IBC, Left, 6cm+, Stage IIIB, Grade 3, ER+/PR+, HER2- (FISH) Chemotherapy 2/15/2019 Abraxane (albumin-bound or nab-paclitaxel), Adriamycin (doxorubicin), Cytoxan (cyclophosphamide), Taxol (paclitaxel) Dx 7/30/2019, IDC/IBC, Left, 6cm+, Stage IIIC, Grade 3, 4/14 nodes, ER+/PR+, HER2+ (IHC) Surgery 7/30/2019 Lumpectomy: Right; Lymph node removal: Underarm/Axillary; Mastectomy: Left Dx 8/2019, DCIS, Right, <1cm, Stage 0, ER+/PR+ Radiation Therapy 10/8/2019 Targeted Therapy Perjeta (pertuzumab) Targeted Therapy Herceptin (trastuzumab) Chemotherapy Xeloda (capecitabine)
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Jan 27, 2021 05:25PM LW422 wrote:

Thanks, Blue. I'm very relieved after finally getting a bit of positive news. I posted on the IBC board that my skin punch biopsies came back with "no evidence of carcinoma" in my breast skin, which I find puzzling but also good news.

My port will be "installed" on Monday and I meet with my MO on Tuesday and then things get real. I need to hustle over to the chemo threads and get depressed all over again. :hrmm:

Dx 1/12/2021, IDC, Right, 1cm, Grade 3, ER-/PR+, HER2- Dx 1/20/2021, IBC, Right, Stage IIIC Chemotherapy 2/8/2021 Taxol (paclitaxel)
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Jan 27, 2021 05:28PM MinusTwo wrote:

LW - fantastic news. And Astrid is correct - this is your new job - for a while. And hey girl - pass on the chemo threads until you meet your MO and find out what they are recommending. Just take some time off!!!

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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Jan 27, 2021 05:44PM Astrid wrote:

yeah, time off...time out!

Excellent idea.๐Ÿ’—

"You cannot step into the same river twice, for other waters are continually flowing on." Heraclitus Dx 6/2002, IDC, Both breasts, 1cm, Stage IIB, Grade 2, 1/7 nodes, ER+/PR+, HER2- (FISH) Dx 7/2003, IDC, Left, 1cm, Stage IIB, Grade 2, ER+/PR+, HER2- (FISH) Dx 6/2012, ILC, Right, 1cm, Stage IIB, Grade 2, ER+/PR-, HER2- (IHC) Radiation Therapy Whole-breast: Breast, Chest wall Chemotherapy AC Surgery Lymph node removal: Left, Right, Underarm/Axillary; Mastectomy: Left, Right
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Jan 27, 2021 05:45PM LW422 wrote:

Hey -2! You're up kinda late! I need to go to bed because I have a dental checkup tomorrow. I could seriously use a day off from some kind of "appointment." Thanks for your words of encouragement; they mean a lot.

My MO told me last week that my IBC treatment will be Taxol/AC chemo, surgery, then radiation. I assume that will be the plan since it is fairly standard for IBC I believe.

Dx 1/12/2021, IDC, Right, 1cm, Grade 3, ER-/PR+, HER2- Dx 1/20/2021, IBC, Right, Stage IIIC Chemotherapy 2/8/2021 Taxol (paclitaxel)
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Jan 27, 2021 05:49PM LW422 wrote:

Hey Astrid. I was just about to go to bed; it's been a long day. I was trying on "cancer hats" earlier with my hair all hidden and it made me cry in the bathtub for about 20 minutes. Another mini-drama. Cancer sucks in case anyone was wondering.

See y'all tomorrow. (Or I suppose that would be later today.)

Dx 1/12/2021, IDC, Right, 1cm, Grade 3, ER-/PR+, HER2- Dx 1/20/2021, IBC, Right, Stage IIIC Chemotherapy 2/8/2021 Taxol (paclitaxel)
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Jan 27, 2021 06:33PM Astrid wrote:

awww honey!!

Losing our hair is hard! But wigs and hats and scarves and just bald around the house..or out..if it suits you! Whatever you feel like. Crying is also good. 'Endolphins' as we used to call them 'cos they help you feel better.

Hope you sleep well

๐ŸŒบ๐ŸŒธ๐ŸŒบ

"You cannot step into the same river twice, for other waters are continually flowing on." Heraclitus Dx 6/2002, IDC, Both breasts, 1cm, Stage IIB, Grade 2, 1/7 nodes, ER+/PR+, HER2- (FISH) Dx 7/2003, IDC, Left, 1cm, Stage IIB, Grade 2, ER+/PR+, HER2- (FISH) Dx 6/2012, ILC, Right, 1cm, Stage IIB, Grade 2, ER+/PR-, HER2- (IHC) Radiation Therapy Whole-breast: Breast, Chest wall Chemotherapy AC Surgery Lymph node removal: Left, Right, Underarm/Axillary; Mastectomy: Left, Right
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Jan 28, 2021 12:23AM Salamandra wrote:

Yay! I'm so glad you're finally starting to get back some results where the worst that could have been is NOT!! I hope they just keep flowing!

Dx at 39. 1.8cm. Oncotype 9. Dx 9/19/2018, IDC, Right, 1cm, Stage IA, Grade 2, 0/3 nodes, ER+/PR+, HER2- (FISH) Surgery 10/17/2018 Lumpectomy; Lymph node removal: Sentinel Hormonal Therapy 11/1/2018 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Radiation Therapy 12/2/2018 Whole-breast: Breast Hormonal Therapy 12/18/2019 Fareston (toremifene)
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Jan 28, 2021 01:47AM Redcanoe wrote:

I'm so happy for you! The fear is very real and I just went through the wait for staging tests myself. It's so easy to think the worst when everything has been bad news. Treatment has been a breeze to me compared to the mental battle in the beginning.

Toni - age 34, mom to 4 kids ages 11, 8, 5 and 3 Dx 11/19/2020, DCIS/IDC, Right, 2cm, Stage IIB, Grade 3, 2/5 nodes, ER+/PR+, HER2+ (IHC) Surgery 12/14/2020 Lumpectomy: Right Chemotherapy 1/11/2021 Carboplatin (Paraplatin), Taxotere (docetaxel) Targeted Therapy 1/11/2021 Herceptin (trastuzumab)
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Jan 28, 2021 03:57AM LW422 wrote:

Hiya, Salamandra! Thanks for the good wishes; it's nice to finally get a bit of positive news in the midst of all the horror. I wish none of us ever had to be here, but I'm so glad to have supportive people who understand what I'm living right now.

Dx 1/12/2021, IDC, Right, 1cm, Grade 3, ER-/PR+, HER2- Dx 1/20/2021, IBC, Right, Stage IIIC Chemotherapy 2/8/2021 Taxol (paclitaxel)
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Jan 28, 2021 04:01AM LW422 wrote:

Hi RedCanoe--bless you, I see that your diagnosis is new, too. Yes, the initial whirlwind of never-ending tests, waiting, and bad news is so devastating. I'm glad that your treatment is going well. Let me know how things progress for you. Thanks for your kindness.

Dx 1/12/2021, IDC, Right, 1cm, Grade 3, ER-/PR+, HER2- Dx 1/20/2021, IBC, Right, Stage IIIC Chemotherapy 2/8/2021 Taxol (paclitaxel)
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Jan 28, 2021 07:21AM blue22 wrote:

Hi LW,

Did you never ever have that deep down desire to see what you looked like bald? SillyHeart I did! The hair loss is really not that bad. Before chemo, I had long hair well past my shoulders. I had had fun with my hair prior to chemo, dying it purple, and then blue etc. When I lost my hair, I thought for sure people would stare, and that never happened. I occasionally had some odd comments, but I looked at the funny side of them and still laugh at some of them. Another silver lining - come Halloween you can have fun with your costume, that is what I did.

You can always wear wigs and have fun with those too!

Regarding your question on the IBC forum about pathology, the best explanation I can think of is that when you consider how a biopsy is done, it is only a small sample of your skin that they take, and of that they then likely embed in in paraffin, then take a very very thin slice and look at it under a microscope. In the end it is a very very very small bit of your breast they are looking at, even if they look at multiple sections. There is always a risk that you still have cancer in the dermal lymphatics, but it was not caught in the small biopsy they took. The safest course is to still treat you based upon the clinical presentation.

Take Care,

Blue

Dx 1/2019, IBC, Left, 6cm+, Stage IIIB, Grade 3, ER+/PR+, HER2- (FISH) Chemotherapy 2/15/2019 Abraxane (albumin-bound or nab-paclitaxel), Adriamycin (doxorubicin), Cytoxan (cyclophosphamide), Taxol (paclitaxel) Dx 7/30/2019, IDC/IBC, Left, 6cm+, Stage IIIC, Grade 3, 4/14 nodes, ER+/PR+, HER2+ (IHC) Surgery 7/30/2019 Lumpectomy: Right; Lymph node removal: Underarm/Axillary; Mastectomy: Left Dx 8/2019, DCIS, Right, <1cm, Stage 0, ER+/PR+ Radiation Therapy 10/8/2019 Targeted Therapy Perjeta (pertuzumab) Targeted Therapy Herceptin (trastuzumab) Chemotherapy Xeloda (capecitabine)
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Jan 28, 2021 09:48AM wrenn wrote:

I really missed my chemo curls. My hair was always straight until it grew back after chemo and I loved it. It was curly and I tried to keep it as long as I could. It is still quite wavy. :-).

I am sure no one looks forward to chemo for curly hair though and it is disturbing to think of being bald. So many new experiences coming up.

Metaplastic IDC Triple negative...Tumour is 1.5cm. BMX Aug. 16th. Chemo cancelled after one dose due to complications. Dx 7/25/2013, IDC, Left, 1cm, Stage IA, Grade 3, 0/6 nodes, ER-/PR-, HER2- Surgery 8/16/2013 Lymph node removal: Left, Sentinel, Underarm/Axillary; Mastectomy: Left, Right
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Jan 28, 2021 10:06AM Astrid wrote:

ha! Wrenn!

Mine came back blonde and curly like a sheep. I loathed it!

These days it is whitish grey with a lovely soft wave.Happy

"You cannot step into the same river twice, for other waters are continually flowing on." Heraclitus Dx 6/2002, IDC, Both breasts, 1cm, Stage IIB, Grade 2, 1/7 nodes, ER+/PR+, HER2- (FISH) Dx 7/2003, IDC, Left, 1cm, Stage IIB, Grade 2, ER+/PR+, HER2- (FISH) Dx 6/2012, ILC, Right, 1cm, Stage IIB, Grade 2, ER+/PR-, HER2- (IHC) Radiation Therapy Whole-breast: Breast, Chest wall Chemotherapy AC Surgery Lymph node removal: Left, Right, Underarm/Axillary; Mastectomy: Left, Right

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