Changing goalposts... the ride continues!!!

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Hi all ! after feeling quite positive I’ve had a bit of a dive these past few days. I had a mastectomy in August (clear margins and sentinel node was clear) and after initially being told no chemo, my onco dx test came back high risk so was prescribed a short course of 4 cycles of EC of which I had my last session on 18th Dec.
Post surgery and at my first appointment with oncology I was told I’d luckily not need radiotherapy. At my last appointment with oncology the plan was for Tamoxifen and the usual breast care services follow up yearly... yay!! Life could move forward!! 
But the consultation was with a registrar and she called a few days later to say my consultant wanted me to have zoladex injections and she had spoken to radiology who said they would review my results and I would receive an appointment to discuss this also! 
So I’ve gone from thinking I’m nearly there to facing more treatment! I know this is a rollercoaster ride but since all this I’m feeling little sharp pains everywhere and convinced myself they know something I don’t and it’s obviously already spread everywhere!!

has anyone else had this experience? My clinical oncology appointment is 31st of Jan 6 weeks after my last chemo. What are the usual time frames for radiotherapy? I had my first zoladex Yesterday , not sure what to expect and when I may feel it’s affects? 

xx

  • Hi I suddenly had a question mark about radiotherapy added to my 3-weekly letters from my oncologist to my GP.

    I last year I had a mastectomy with clear margins on a grade 1/2 27mm tumour 8/8 ER+ and 8/8 PR+, HER2-, no LVI, I'd level 3 clearance after one sentinel was positive and nothing was found in any other node in all three levels.. I then had 4 x EC chemo and made it to 7x weekly Paclitaxel before early peripheral neuropathy. Last week I'd my first Biophosphate infusion and will take Letrozole for 5-10 years (whew!).....

    Well, I met the radiotherapist just before Christmas, and he said that the flag in my case was 1 positive node. I'm guessing for you it was the OncoDX score. There's apparently a list of things which make it recommended, including tumour size (combined size if more than one) over 5cms, LVI present, not all margins clear, grade 3 tumour, age, type of cancer (TN or HER2+ are usually more aggressive). He ran through pros, cons, health risks, and told me that he didn't think it beneficial on balance for me based on my pathology and, risk on Breast Predict excluding it (6% at 10 years, which could be improved by about 20% to just under 5%), but if I wanted it I could have it. It's my left breast and I have asthma, so I agreed and said no. Hopefully it was the right decision, but it's all unknown really, isn't it?

    I've had a pain in my chest since the PICC line came out 3 weeks ago, feel worse than when on chemo with leg pain, neck pain, blurry vision, stomach upset and a swollen lump on my arm where the PICC came out. I think that in the next few months our bodies will hopefully start to rebuild. I've some random dark eyebrow hairs appearing, like the first shoots of spring!

    “Remember to look up at the stars and not down at your feet.  Stephen Hawking,
  • Ah thanks , that makes sense , I had 5 tumours in all and a total of 7.5cm. All grade 2 and Er +ve , still not sure why both the surgeon and the oncologist said I wouldn’t need radiotherapy though and it took a registrar to pick it up?? But I guess I’m glad she did! I want to do everything I can to never see this again!!! 

    I’m sorry you’ve felt so bad since your picc line came out, I had mine out at my last chemo and I’ve had no problems, have you been checked out for clots? 
    I think because we’ve finished chemo I guess we think we should feel better but the ongoing hormone therapy is just as difficult! It feels like it’s never ending sometimes. I still can’t quite believe it’s happening to me!! I’m just waiting for the effects of the zoladex to start although I’ve not had a period since cycle three so I think I’m on my way to the menopause anyway. 
    Good  luck with the biophosphonates and I hope you start feeling better soon , thanks again for your advice, I feel less worried now about being referred .

    cxx

  • Ooh forgot to say , glad you are seeing the first shoots of spring, my eyebrows and lashes are hanging on in there but very thin and I look like Ken Dodd in the morning with my random head hair,( I wore the cold cap but on top of the shedding , the hair that hung around seemed to snap off at my crown leaving me with about 2 inches of hair on top but shoulder length around the sides Flushed) Youve given me hope that things might just start looking normal again at some point in the next few months !

    cxxx

  • Lol this is what my hair looks like! A month after my last chemo  It's  10% shoulder length at the back and sides, and eyebrow length fringe,  but it's mostly random shades of black and white between 1-2" long, sometimes on the same strand of hair,  with my native pre-chemo brown on the ends of my original remainng hairs. I will cut off the longer bits eventually,  and keep them in respect for their staying power!

    “Remember to look up at the stars and not down at your feet.  Stephen Hawking,
  • Joy your is definitely better than mine!! I’m very grateful to have it mind you even if it is grey and wirey! The ends are my usual blond , Thinking of making an appointment at the hairdresser this week to see what an earth they can do with it!

    Have a great Saturday xx

  •  I know! I'm trying to work out if it will be long enough generally to cut into a style so I don't have to wear a wig when I'm back at work next month, as we're not supposed to dye it for thr first few months. I might try a henna golden brown, but goodness knows how it will work on my new hair! My daughter tells me I have dog hair on my head:) I still can't get used to thr fact it doesn't come out in my hand anymore!

    “Remember to look up at the stars and not down at your feet.  Stephen Hawking,
  • Hey . How are you getting on? I had my appointment with the clinical oncologist re radiotherapy and she apologised for the fact that I was there as it had already been discussed in the MDT pre chemo and that I wouldn’t need it . So apart from the zoladex and tamoxifen I’m done!Blush
    hopefully it stays that way but as we all know it’s hard not to become obsessed with it coming back, which is where I’m at at the moment. Hope the biophosphonate infusion and it’s affects are bearable and your hair has continued to flourish! I’ve got eyebrows now and short spiky lashes! Unfortunately the head hair continues to win the award for the worlds best mullet!! Xx