I thought I would feel better after surgery!

  • 9 replies
  • 280 subscribers
  • 644 views

Hi, I'm new to the group and thought I was doing so well...

I had my diagnosis early February of Invasive Carcinoma grade 2 after a 3 week wait for mammogram, biopsy etc and then 2 weeks for the results. I had a lumpectomy operation and lymph node biopsy in March and 2 weeks after an appointment with the surgeon who told me the 3 nodes removed were clear as were the margins but they upgraded the cancer to grade 3 with 16mm carcinoma with associated high grade DCIS 26mm. I was so happy to hear the nodes and margins were clear but then with the upgrade came the suggestion I may now need chemo.

They have referred me to an oncologist but nearly a month wait which seems incredibly long? My nurse said they are struggling due to covid and are triaging patients. I'm having the Oncotype Dx test to see if I need chemo and won't get the results until I see the oncologist. My mind just won't settle with thoughts that the delay may mean my cancer is more likely to return and feeling semi abandoned with a nearly 6 week wait in total from surgery to seeing an oncologist to even discuss the next phase. Is this normal? How do you manage the wait? I feel so low and trying to get a grip on it. I just want to know so I can prepare myself.

Anyone going through similar?

  • Hi Sunnydays

    the wait is awful, but normal. I was diagnosed on 8/12 and only due to start chemo shortly after having two surgeries.  I’m clinging onto the oncologist saying it won’t make a difference (the wait) but finding it hard to believe.  

    all the best with yours and I really hope you can avoid chemo with the oncotype. X

  • HI

    What you are feeling is normal and the waiting is really the worst part.  Although you've had your operation, you're still on the waiting wheel - so no wonder you are struggling.  I am guessing that you are ER+ due to the Oncotype DX and potential for not having chemo.

    When I was diagnosed the Oncotype DX wasn't used much, so I didn't know about it nor have the test.  It was only if my cancer had spread to lymph nodes that would have meant that I would need chemo. I was lucky that it hadn't spread, but I didn't even know about clear margins at that point - it was only when the surgeon said in my follow up that they'd achieved clear margins that I realised if they hadn't, I would have had another operation.  So, I had only worried about it spreading to lymph nodes.  I think this shows that we worry, but actually there is very little point because it isn't going to change anything  - and because I didn't know about it, I couldn't worry, if that makes sense.  It's obviously easier said than done to 'not worry', but it really doesn't do any good whatsoever.

    With regards to the cancer being more likely to return, I also realised that it doesn't grow that fast.  It was well over a month from diagnosis to operation, then over a couple of months before radiotherapy.  It hadn't grown whilst I waited for my op. and I've been clear for 5 years in June.  (I was grade 2 IDC ER+ and 2 areas of grade 3 DCIS ER neg., totaling an 80mm lumpectomy and unusually, 2 different types).

    I do think things are a little slower now due to Covid, but the Oncotype DX gets sent to USA I think and that all takes time, so it probably is normal as that takes a while to come back and for your team to review the results to decide on your treatment.

    I can't really say anything other than worrying won't change anything - but we all know that, and the shock of having been diagnosed with cancer is enormous isn't it?  Other than tying yourself up with doing things that give you pleasure and hopefully distracting yourself, there isn't much else you can do to cope with the wait.  I can remember my partner talking about mundane things that he normally would and me thinking the whole time "who cares? I have cancer!"  

    Now I look back and think it wasn't that bad after all - hopefully you'll get to that stage in a year or 2.  I think it was after my first clear mammogram that I finally felt that I was ok mentally about it all.  Each year at mammo. time, I get a bit jittery, but other than that, it's not really at the forefront of my mind any more.

    Kindest wishes to you and huge fingers crossed that you don't need the chemo.

    Lesley

    Community Champion Badge

  • Similar to me , my grade 2 went up to grade 3,a little bigger then what they thought, tho my margins wee not clear ,. But I think it was close margins, so didn't need another operation.

    I waited for onco type tests ,took 3 weeks from end of Jan for results.

    I was lucky that I saw my oncologist 2 weeks after surgery but I still had to wait for my oncotype results so didn't start my chemo until 14 th march.

    Standard is 8 weeks wait from surgery  I was told for treatment to start  as you need to heal from surgery.

    It sounds like your on the right path, without the oncotype results your oncologist won't have a plan so by time you get you results & see your oncologist that plan should be more in place.

    I will add, I got told to think about what I would do if I was in the middle with the results as it can be a shock if you are as it's literally your own choice if you want chemo or not, altho they normally advise it it's your decision in the end.

    If it's high they give it to you low they don't.

    X

  • Hi Hel39

    thanks so much for replying, it helps to know that it's normal though the frustration is still there a little. I hope the wait for you hasn't had a negative impact, hopefully once you know the chemo has started and it's working you feel more reassured. 

    wishing you all the best and hope you feel ok during the chemo x

  • Hi lesleyhelen

    you're right I'm ER and PR positive, I don't know much about the Oncotype test yet (I'm going to be part of an information trial apparently) but it should determine whether my cancer will react to chemo or not? I'd been told it takes about 8 days but the results will go to the oncologist.

    I'm so grateful for the advice, it's amazing how our minds can wonder off in every direction, one minute thinking all will be fine and the next, thinking the worst, I'm definitely going to try and relax a bit now I'm hearing the waits are normal. The shock of finding out continues to have an affect every time I go for results, as I wonder if I'm going to get another bombshell.

    I'm so happy to hear that you have been clear for nearly 5 years and that it stops taking centre stage in your mind eventually.

    I really your best wishes xx

  • Thanks Etna for your reply. It's re-assuring to hear that treatment is normally 8 weeks after surgery.

    Did you have to make a choice? Does the test also tell you how likely your cancer is to return?

    Do you think I'll have to decide if necessary at that first meeting with the oncologist?

    x

  • My oncologist gave me a week to decide, you have to sign consent papers.

    It depends on the results really, on what she will do .

    I did have to choose , mine was 23 intermediate range, oncologist advised it so I just said yes .

    It just gives you a scale of out of 100 how likely your cancer will come back. 

    It's no guarantee either cancer is a horrible, it's got a mind of its own, I'm doing what I can for myself, if it doesn't work I know I've tried.

    If you haven't had any leaflet / booklet about the test ask your team as they should be able to find one, I had one sent to me it explains everything.

    X

  • Hi Sunnydays, 

    Sorry to hear your diagnosis.....The waiting is the worst, and although I think everything has been done quickly it still seems ages, it will be 8 weeks from surgery when I first see the oncologist.....I was diagnosed with papillary breast cancer on 12th January.  I had a lumpectomy and lymph node removal as well as Therapeutic mammoplasty on both breasts on 8th February.  They removed 3 lumps 47mm 20mm and 13mm, the margins were all good and lymph node clear.  Been advised that its HER2 negative and Herceptin positive but now told that they think an Oncotype test would be a good idea so surgeon is getting a sample sent.  As yet not seen an Oncologist should have been tomorrow but moved to next Monday now. I think treatment is still aimed at Radiotherapy and tablets guess I’ll find out next week but with the Oncotype test I’m assuming dependant on results maybe chemo....but not going to worry about that until I know.... 

    Hope your wait isn’t too long...

  • Thanks Tigger62

    Also sorry to hear about your diagnosis. It really does seem ages doesn’t it. I hope your meeting goes ok and that they get the results back for the oncotype test. I’m also going to try not to worry about possibility of chemo too. 
    x