? recurrence

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Hi, I’m a 58 year old female, diagnosed with 33 mm stage 2, grade 3 ER positive breast cancer in June. I had a lumpectomy and bilateral reduction in August, with 1/2 nodes showing micrometastasis. I started the first of four EC on 4/10, and am to have 9-12 doses of paclitaxil following that, with four weeks of radiotherapy to finish my treatment. I’ve been doing really well and have stayed very calm throughout, however this morning I found another lump which feels exactly the same as the first one, although smaller. It is in the same breast although on the outer part of the breast, whereas the previous lump was on the lower, inner part of the breast. When I looked more closely, it is just beside a very faint scar which I think must be one of the biopsy scars, so I’m trying to tell myself that it’s most likely fat necrosis. There’s no heat or redness, although it is slightly sore to palpate. I feel well in myself and am apyrexial, so I have no concerns that this is infection. I spoke with my breast nurse and she has made an appointment for me to see my surgeon on Friday morning, so I’m not having to wait very long. The problem is that the first time around I convinced myself that I was imagining the lump, and even when I was referred to the breast clinic I still thought it was nothing to worry about. Since I’ve been diagnosed however, I can’t shake the feeling that the cancer will return, in fact I almost have an expectation that it will, so now I’m panicking and struggling to stay rational. I know that it’s only my surgeon who can either allay my fears/organise tests if necessary, but is it possible that this could come back within four months? Thank you in advance. 

  • My name is Alison, and I am one of the Cancer Information Nurse Specialists.  Thank you for getting in touch with Macmillan Cancer Support.  I hope that you find the online community a helpful and supportive environment.

    I’m sorry to hear about the anxiety you’re experiencing. It’s completely understandable to feel this way given your recent diagnosis and treatment. Here are some points that might help:

     

    Possibility of Recurrence

    While it’s less common for breast cancer to recur within such a short period after initial treatment, it is not impossible. Recurrence can happen in the same breast (local recurrence) or in other parts of the body (distant recurrence). However, the lump you found could also be due to other factors, such as fat necrosis or scar tissue, especially since it’s near a biopsy scar and doesn’t show signs of infection.  Treatment if your breast cancer comes back | Cancer Research UK.

     

    Monitoring and Follow-Up

    It’s good that you have an appointment with your surgeon soon. They will be able to assess the lump and determine if further tests are needed. Regular follow-ups and monitoring are crucial to catch any changes early.

     

    Managing Anxiety

    Stay Informed: Understanding your condition and the likelihood of recurrence can help manage anxiety. Your healthcare team can provide detailed information.

    Support Systems: Lean on support groups, friends, and family. Sometimes talking about your fears can help alleviate them.

    Mindfulness and Relaxation: Techniques such as meditation, deep breathing exercises, and yoga can help manage stress and anxiety.

    How to manage and reduce stress this guide provides you with tips on how to manage and reduce your stress.

    At Macmillan we can offer Free counselling for people with cancer | Macmillan Cancer Support, please have a read through the support on offer.

     

    Next Steps

    Until your appointment, try to focus on the positive aspects of your treatment progress and the support you have. Your healthcare team is there to help you through this, and they will take the necessary steps to ensure your health and well-being.

     

    If you have any more questions or need further support, feel free to ask. Wishing you all the best for your upcoming appointment and continued recovery.

    Kind Regards

    Alison, Cancer Information Nurse Specialist 

    You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or send us an email

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