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All TopicsForum: Second or Third Breast Cancer → Topic: How common is a 2nd cancer in other breast?

Topic: How common is a 2nd cancer in other breast?

Forum: Second or Third Breast Cancer — For those confronting a new primary diagnosis or undergoing treatment.

Posted on: Jan 7, 2011 12:46PM

sflow wrote:

Just when I was starting to feel good about being 4 yrs and 2 months out of Stage I IDC, I talked to someone last night that said, usually if you have BC in one breast, you get it eventually in the other.  This woman had early stage at 47 in right breast and in left breast at 54--does anyone know the statistics on this?

Dx 11/15/2006, IDC, <1cm, Stage I, Grade 3, 0/4 nodes, ER+/PR+, HER2-
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Nov 1, 2017 08:46AM bluepearl wrote:

5%

Dx 1/6/2011, IDC, 1cm, Stage I, Grade 1, 0/7 nodes, ER+/PR+, HER2- Surgery 2/12/2011 Lymph node removal: Left, Underarm/Axillary; Mastectomy: Left Dx 2/2013, IDC, <1cm, Stage I, Grade 3, 0/3 nodes, ER+/PR+, HER2- Surgery 3/10/2013 Lymph node removal: Right, Sentinel; Mastectomy: Right Hormonal Therapy 3/18/2013
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Nov 3, 2017 09:04PM mermaidmamacita wrote:

Hello! I am recently diagnosed with a recurrence of breast cancer , both in right breast. 13 1/2 years ago it was DCIS. I had surgery and radiation and tamoxifen for 5 yrs. Now in the same breast I have a 14 mm invasive ductal carcinoma with 1 lymph node testing positive. I was told I was a candidate for another lumpectomy and re radiation. Genetic tests are negative. When I went for my pre op visit I asked the surgeon for statistics on recurrence with this treatment and he said it is unknown. That there have been a few very small studies done.

Is anyone familiar with re radiation of same breast and results.

So I went back to my radiation oncologist who treated me in the past to ask if he agreed with this treatment. His answer was a firm no. His recommendation is a mastectomy. Has anyone else faced making this decision?


Thank you!

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Nov 5, 2017 05:00PM Moderators wrote:

Hi Mermaidmamacita-

We want to welcome you to BCO, although we're so sorry you find yourself here. You may want to try posting in our Just Diagnosed with a Recurrence forum, members there may be able to answer your questions about radiation on the same breast after a recurrence: https://community.breastcancer.org/forum/106

The Mods

To send a Private Message to the Mods: community.breastcancer.org/mem...
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Dec 10, 2017 09:12AM dpaula wrote:

Hi all,

I'm not sure what the stats are but I was surprised when my BCN told me that I was more likely to get a second one than somebody who had never had BC was to get their first one!

Needless to say I have a second primary on the other side 10 years after my first. However, on mastectomy, they have only found 30mm of DCIS and not found the invasive yet, although I have micromet in a lymph node!

Pol xx


Dx 3/2007, IDC, Left, 1cm, Stage IIIA, Grade 2, 4/10 nodes, ER+/PR+, HER2+ Dx 10/2017, DCIS, Right, 4cm, Stage 0, Grade 3, 1/2 nodes, ER-/PR- Targeted Therapy Herceptin (trastuzumab) Hormonal Therapy Femara (letrozole) Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Radiation Therapy Whole-breast: Breast, Lymph nodes, Chest wall Chemotherapy Other Surgery Mastectomy: Right Surgery Mastectomy: Left
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Dec 10, 2017 05:43PM - edited Dec 10, 2017 05:43PM by KBeee

Rerdiation is not common. Recurrence after radiation usually is treated with mastectomy, based on all I've read

Karen. Dx 8/5/2013, IDC, Right, 1cm, Grade 2, 0/1 nodes, ER+/PR+, HER2- (IHC) Surgery 8/25/2013 Mastectomy: Left, Right Chemotherapy 9/19/2013 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Hormonal Therapy 12/11/2013 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 1/22/2014 Reconstruction (left); Reconstruction (right) Surgery 1/28/2015 Lumpectomy: Right Dx 2/2/2015, IDC, Right, 1cm, Grade 2, 0/0 nodes, ER+/PR-, HER2- (FISH) Surgery 2/24/2015 Lumpectomy: Right; Lymph node removal: Right, Sentinel, Underarm/Axillary; Prophylactic ovary removal Dx 2/25/2015, IDC, Right, 1cm, Grade 3, 0/13 nodes, ER+/PR-, HER2- (IHC) Chemotherapy 3/30/2015 AC + T (Taxol) Radiation Therapy 8/24/2015 Whole-breast: Breast, Lymph nodes, Chest wall Hormonal Therapy Femara (letrozole)
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Dec 11, 2017 06:07AM Lula73 wrote:

There is a limit on how much radiation you can be intentionally given for treatment in a lifetime in various areas of the body. Sounds like your RO checked and you’re at the limit. I had rads for Hodgkin’s lymphoma 30 years ago and hit my limit then. My local BS made the call to the RO from the exam room when we were discussing my options after diagnosis. Hearing that i hadhit the limit just reinforced my decision to do BMX.

-Lula Dx 1/2017, DCIS/IDC, Right, 1cm, Stage IA, Grade 1, 0/2 nodes, ER+/PR+, HER2- Surgery 2/14/2017 Lymph node removal: Sentinel; Mastectomy: Left, Right; Prophylactic ovary removal; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Hormonal Therapy 3/3/2017 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 11/1/2017 Prophylactic ovary removal Hormonal Therapy 1/3/2018 Femara (letrozole)
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Dec 11, 2017 08:18AM Lula73 wrote:

Livinglovinglaughing- your MO makes a good point. Would you do anything with the information? There are gene mutations for other cancers besides BC that show up on genetic testing too like ovarian cancer. If it did would you be ok to have your ovaries removed prophylactically? Keep in mind there is no screening for ovarian cancer and by the time symptoms show up it’s generally stage 4 and nothing they can do. Your girls are old enough to make their own decision. You might ask them what they think about testing for you and them. Would they do anything different? If nothing else mammos more often. You never know, they may already be stressed over not knowing if there’s a genetic factor at play since you were diagnosed twice.

-Lula Dx 1/2017, DCIS/IDC, Right, 1cm, Stage IA, Grade 1, 0/2 nodes, ER+/PR+, HER2- Surgery 2/14/2017 Lymph node removal: Sentinel; Mastectomy: Left, Right; Prophylactic ovary removal; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Hormonal Therapy 3/3/2017 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 11/1/2017 Prophylactic ovary removal Hormonal Therapy 1/3/2018 Femara (letrozole)
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Dec 11, 2017 08:20AM - edited Dec 11, 2017 08:20AM by Lula73

This Post was deleted by Lula73.
-Lula Dx 1/2017, DCIS/IDC, Right, 1cm, Stage IA, Grade 1, 0/2 nodes, ER+/PR+, HER2- Surgery 2/14/2017 Lymph node removal: Sentinel; Mastectomy: Left, Right; Prophylactic ovary removal; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Hormonal Therapy 3/3/2017 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 11/1/2017 Prophylactic ovary removal Hormonal Therapy 1/3/2018 Femara (letrozole)
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Dec 20, 2017 08:51PM Totallytubular wrote:

hello,


I have had bilateral breast cancer on the left breast 1 year after the right breast. My surgeon said the probability was I/2 of 1 percent

that this would occur one year later. mine was caught early and I had lumpectomies for both. I guess we'lll call it bad luck. I am treated and

monitored at Sloan Kettering. Important to have good screenings to catch anything early unfortunately.. but you can get through it. I am now two

years out from my last cancer. good luck to all here.





Dx 11/15/2014, IDC: Tubular, Right, <1cm, Stage IA, Grade 1, ER+/PR+, HER2- Surgery 12/11/2014 Lumpectomy: Right; Lymph node removal: Sentinel Radiation Therapy 2/1/2015 Whole-breast: Breast Dx 10/30/2015, IDC, Left, <1cm, Stage IA, Grade 1, ER+/PR-, HER2- Surgery 11/19/2015 Lumpectomy: Left Radiation Therapy 1/14/2016 Whole-breast: Breast Chemotherapy 4/4/2016 CMF Hormonal Therapy Arimidex (anastrozole) Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Mar 7, 2018 08:42AM Valentina7 wrote:

Totallytubular, how big were your both tumors? And were you already under hormonal therapy when you got the second one?

thanks

Dx 11/27/2017, IDC, Right, <1cm, Stage IA, Grade 1, 0/5 nodes, ER+/PR+, HER2- Surgery 12/21/2017 Lumpectomy: Right; Lymph node removal: Sentinel Hormonal Therapy 1/13/2018 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Radiation Therapy 1/23/2018 3DCRT: Breast
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Mar 7, 2018 08:58PM Capecodgirl wrote:

living loving-

You ask what would you do with the results if you had BRCA testing. I tested positive for brca2 after my lumpectomy. So I did not have to consider mastectomy at the get go as standard of care for early stage Breast cancer in my area is lumpectomy. My oncologist did send me to a genetic cancer specialist at Dana Farber, and from that visit it was determined that 1. Needed ovaries out ASAP. High risk for ovarian cancer and no good screening for it. 2. Alternating MRI and diagnostic ultrasound every six months, or prophylactic dmx. I chose the screening and hope I made a good choice. 3. Colonoscopy right away and every five years after (sister recently passed from colorectal cancer). 4. Yearly dermatology appointment due to elevated risk for melanoma of the skin. 5. Yearly eye doctor appointment due to elevated risk for melanoma of the eye. Also yearly gyn appointments, although I was already doing that along with eye doctor and dermatologist.

My takeaway from knowing I am at higher risk for bc and other cancers is that for some of them you can screen and hopefully catch while treatable. My son will need to be tested so he can take appropriate measures. I wish he would do it now, But he is not very concerned until he is ready to start a family (he is 27). I did find out at Dana Farber that if my son and his wife both carry the BRCA2 gene mutation, there are definetly bad consequences for biological children they may have, although apparently there is medical intervention they could do to prevent these consequences

I think knowledge is power. We cannot fix everything, but we can screen for it, hopefully catch it early,and have a plan of action ready if it does happen.

This is what is working for me, but I would be lying if I said I do not worry or think about it all the time.

I hope this helps you in deciding how you will move forward with this. Please pm me if you want to talk more about this. I am happy to share any info that I have regarding this, although I am no expert—still a newbie


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 Radiation Therapy Whole-breast: Breast, Lymph nodes
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Mar 11, 2018 01:09AM 2_times wrote:

I had my first cancer in 2000 at age 39, stage I with no node involvement and estrogen positive. I had radiation, lumpectomy, Lupron injections to reduce the estrogen, then five years of Tamoxifen. Hard to describe how agonizing it was 15 years later to develop a second, new tumor in the opposite breast, stage II and estrogen negative. That second one prompted a double mastectomy one year ago, with partial reconstruction.

Last week I found a defined lump very close the original cancer location. I've been waiting for 10 days to get in for an ultrasound to find out what it is (going on Monday morning). The breast care coordinator says it could be fat necrosis.

This is a great forum. Thank you for providing it.

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Mar 11, 2018 01:37AM carmstr835 wrote:

I was diagnosed with bilateral breast cancer, both primaries. 1 ER+PR- HER2+ and 2 lymph nodes with extranodal extension Ki-67 20%; the other was ER+PR+ HER2- no lymph involvement Ki-67 5%. There were also other areas of involvement in both breasts that would require many more biopsies, so I opted for BMX.

My first radiologist missed the 2nd breast, I went for a 2nd opinion because I wanted to be sure it was cancer, and the 2nd radiologist found the tumor in my other breast. They are both Grade II stage 2B. Both were confirmed by needle core biopsies at the same time.

It is my personal opinion that this doubles my recurrence rate and any systemic treatment gives me double benefit. I opted for chemo against my MO's opinion.

Dx 3/1/2017, DCIS/IDC, Both breasts, 1cm, Stage IIB, Grade 2, 2/17 nodes, ER+/PR-, HER2+ (FISH) Hormonal Therapy 3/22/2017 Arimidex (anastrozole) Surgery 3/28/2017 Lymph node removal: Right, Sentinel, Underarm/Axillary; Mastectomy: Left, Right Chemotherapy 5/17/2017 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Chemotherapy 6/27/2017 Carboplatin (Paraplatin), Taxotere (docetaxel) Targeted Therapy 6/27/2017 Perjeta (pertuzumab) Targeted Therapy 6/27/2017 Herceptin (trastuzumab) Radiation Therapy 9/11/2017 Breast, Lymph nodes, Chest wall
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Mar 11, 2018 06:47PM Gully wrote:

Carm,

Ditto! I think its more common than they say it is. I was dx SBBC at the start...I chose chemo too. They said my risk was only based on the "worst side" but I don't believe the other side does not add to the risk at all.

Gully

Dx 1/18/2013, IDC, Left, 1cm, Stage IA, Grade 2, 0/1 nodes, ER+/PR+, HER2- (FISH) Surgery 3/5/2013 Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Dx 3/8/2013, IDC, Right, <1cm, Stage IA, Grade 1, 0/0 nodes, ER+/PR+, HER2- (FISH) Chemotherapy 5/1/2013 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Hormonal Therapy 8/5/2013 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 8/28/2013 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Hormonal Therapy 2/20/2017 Arimidex (anastrozole)
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Apr 16, 2018 05:12AM - edited Apr 16, 2018 11:19AM by Moderators

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Apr 18, 2018 11:19AM KBeee wrote:

Carm, I think you made a wise decision.

Karen. Dx 8/5/2013, IDC, Right, 1cm, Grade 2, 0/1 nodes, ER+/PR+, HER2- (IHC) Surgery 8/25/2013 Mastectomy: Left, Right Chemotherapy 9/19/2013 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Hormonal Therapy 12/11/2013 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 1/22/2014 Reconstruction (left); Reconstruction (right) Surgery 1/28/2015 Lumpectomy: Right Dx 2/2/2015, IDC, Right, 1cm, Grade 2, 0/0 nodes, ER+/PR-, HER2- (FISH) Surgery 2/24/2015 Lumpectomy: Right; Lymph node removal: Right, Sentinel, Underarm/Axillary; Prophylactic ovary removal Dx 2/25/2015, IDC, Right, 1cm, Grade 3, 0/13 nodes, ER+/PR-, HER2- (IHC) Chemotherapy 3/30/2015 AC + T (Taxol) Radiation Therapy 8/24/2015 Whole-breast: Breast, Lymph nodes, Chest wall Hormonal Therapy Femara (letrozole)
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Apr 29, 2018 08:11PM Ultra1949 wrote:

Hi all. In mid February I was diagnosed with Stage 1 IDC in right breast. This was a second primary breast cancer after 21 years. Triple negative/Ki67 23%/onca DX 51. 1 cm/ node negative. In 1996, I had a lumpectomy left breast. That was Stage 1/1.9 cm/node negative/ER-,PR- Herceptin was not tested at that time. I then did 5 months of AC and 33 rounds of radiation. It was a clinical trial that used double dose of A and quadruple dose of C. One month ago I had a bilateral mastectomy with reconstruction. On May 3, I will have my first chemo round. TCx4. At this point, of course I’m regretting not doing a bilateral mastectomy 21 years ago. Everyone has to make their own choice. Best of luck to all of us!

Dx 11/25/1996, IDC, Left, 1cm, Stage IA, 0/12 nodes, ER-/PR- Surgery 12/11/1996 Lumpectomy; Lymph node removal: Left, Right, Underarm/Axillary Chemotherapy 12/31/1996 AC Radiation Therapy 6/14/1997 Whole-breast: Breast Dx 2/15/2018, IDC, Right, 1cm, Stage IA, Grade 3, 0/6 nodes, ER-/PR-, HER2- (FISH) Surgery 3/27/2018 Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy 5/2/2018 Cytoxan (cyclophosphamide), Taxotere (docetaxel)
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Apr 29, 2018 08:49PM Jaybird627 wrote:

Hi. I don't remember my first 'stats' 13 years ago other than DCIS stage 2b, lumpectomy , node removal, chemo/rads. Now a new primary, other breast. Just had BM, waiting on path report. Was not recommended to have mastectomy 1st time, but did finally have ovaries out about 3 1/2 years ago. I was 13 years NED. :( Regret not having a BM then, but didn't even consider it. Now I have to do chemo again and probably rads as I have node involvement again.

Jaybird. My hopes are not always realized, but I always hope - Ovid.

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