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Mar 8, 2008 06:53PM
I don't like the looks of that score. Hopefully, it's only the first inning of the game, and you have 8 more innings and a lot of at-bats to turn things around!
If you are really considering a bilateral mast. as the solution to your newest tumor, I think these issues are the most important:
1) Is there a strong history of BC in your family? Were you (or were others in your immediate family) tested for BCRA1 and/or BCRA2 and found to be positive? That would increase your risk, for sure.
2) Have you had a breast MRI in association with this most recent dx? That will tell you whether there is anything of concern in the "good" breast. If there is evidence of another malignancy there, that would strengthen the argument for a bilateral (for some women).
3) How hard is it (or how hard has it been) to check your breasts for recurrence or new tumors? If you have very dense breast tissue or fibrocystic breasts (like mine), you've had a devil of a time sorting out the normal from the suspicious, and mammograms haven't helped very much. How was your newest tumor discovered (mammography? self-exam? annual CBE?)?
4) You said this was a "new breast cancer" in the same breast. Are you sure it's an entirely new tumor (new primary), or is it recurrence of the original one that was treated in 1999? The rate of same-side recurrence after removal by lumpectomy/rads is around 10% over a 12-yr period. The same-side recurrence rate after mastectomy is only 5%. So, maybe your new tumor is actually due to cells left over from your old tumor.
I don't know how your previous chemo fits into the recurrence picture. And, I can certainly understand how frustrating and saddening this must be. Hang on to that dh--he sounds like he will be your rock through all of this!
2008, IDC, Stage Ia, Grade 2, 0/3 nodes, ER+/PR-, HER2-