Breast cancer - Post treatment follow up worries

  • 9 replies
  • 273 subscribers
  • 867 views

Hi everyone

I have dipped in and out of here since my diagnosis in early March and found it helpful and then sometimes information overload so stepped back from the site for a bit. But now I feel ready to ask some questions since finishing radiotherapy. I'm wondering if anyone has been in a similar situation to me.

I was diagnosed in the left breast with Invasive cancer (9mm) - Non specific type (they told me that's the same as invasive ductal cancer) and 9cm of DCIS. I was told nothing in my right breast and though I frequently have pain here they said that was likely hormonal and nothing showed up on mammogram or ultrasound. In fact I was flabbergasted it was the left and not right breast initially!

I was told it was Stage 1, Grade 2 and that has remained the diagnosis 

Cancer was E+, P+, Her2 -ve. 

Due to the large area of DCIS they recommended mastectomy and I have to say the treatment and relative speed of it all was amazing as well as the kindness of all staff I've met in the NHS (up here in Scotland). I've recovered fairly well from the operation and my lymph nodes (SNBiopsy) were all clear. I finished 5 days of radiotherapy with bolus sheet last week and started letrazole 5 weeks ago with no awful side effects so far other than some hot flushes and tiredness.

My main questions/anxieties now that active treatment has finished are:

- I feel a bit abandoned having been on the appointment/surgery rollercoaster and have nagging doubts that they got it all - I'm sure it's pretty standard to feel like that

- Follow up seems far off apart from a telephone call in 5 weeks with radiotherapy to check progress with that re side effects

- I see the surgeon (or oncologist?) in one year and have a mammogram then, it all feels so far off and I'm already questioning each ache and pain and wondering what if ..

- I can call the breast nurse but feel that given I've just finished radiotherapy I should leave it a while, I don't want to bother them too much

- I'd also like to see the oncologist again as I didn't ask all the questions I want eg why no Oncotype test for me, recurrence risk?, right breast concerns. But maybe these are questions for the breast nurse in the first instance.

I know its pretty normal to feel worried and abandoned after most treatment is done but I am having worrying thoughts creep in.

Thanks so much for reading this far and I'm grateful for any advice and/or whether this follow up plan is pretty standard for this type and stage of breast cancer.

Best wishes

  • Hi  , your case sounds similar to mine although my invasive beast was a bit bigger (13mm) but no DCIS. So I had a lumpectomy/ wide local incision rather than a mastectomy. If you click on my username you can see the details. I agree about the abandonment feeling, suddenly it feels like you’ve been cast adrift. And yes definitely that nagging worry about whether it’s all definitely gone. But I think we just somehow have to accept that, at least for now, there’s no evidence of disease. But it’s really hard to trust that all is ok. 
    Re follow up, it may differ from area to area. I’m in Hertfordshire and had an oncology follow up 10 weeks after my 3 weeks of rads finished. At that appointment I had an examination and discussed any concerns - this resulted in a referral back to the breast clinic and a lympheodema referral. I never thought to ask re oncotype testing, I wasn’t offered that either. Otherwise my follow ups sound similar to yours - yearly mammograms and then an appointment with the breast surgeon. I’ve past the 5 year mark last November but am having a final mammogram this summer - it’s out of sync because I self referred to the breast clinic one summer and had a mammogram ahead of schedule so it became a summer event instead of autumn. Please do contact the breast clinic if you have worries, that’s what they’re there for! I was told I could self refer during the 5 years post diagnosis and have done so a few times. I always feel like I’m making a fuss but they’ve never made me feel that way. We’re just not used to asking for stuff I think! And don’t want to ‘bother’ them. But it’s important that you do if you have concerns. 
    Sorry such a long ramble! I blame the Anastrozole; I feel I’ve lost the ability to be concise! Love and hugs, HFxx

    HappyFeet1 xx
    Don’t be afraid to cry. It will free your mind of sorrowful thoughts. – Hopi
  • Hi Happy Feet1

    Thanks so much for your reply. I think I was having a bit of a wobble yesterday and feeling a bit vulnerable. I'm planning to phone my breast care nurse next week just to go over the follow up details and probably for a bit of reassurance. It's been such rollercoaster, as I know it is for everyone, and now I've ended the active treatment it's almost like I don't know what to do with myself. Lots of rest and self care planned over the next few weeks though.

    I know I have the radiotherapy follow up in a month where I can talk about concerns too so that's helpful and my mammogram next year. That feeling of uncertainty probably won't ever completely leave but I'm hoping it fades a bit over time. Like you say, acceptance is key.

    I really appreciate you taking the time to reply - plus you weren't rambling, it was just what I needed to hear! Slight smile

    love and hugs to you too x

  • Hi  , meant also to mention this article which I’ve found really useful over the years… I’ll try to post the link …. ok don’t think that’s a function here anymore, or I can’t figure it out. If you Google After the treatment finishes by Peter Harvey it should come up. Xxx

    HappyFeet1 xx
    Don’t be afraid to cry. It will free your mind of sorrowful thoughts. – Hopi
  • Thanks  ! I can find the article but can’t post the link - how did you do it? Have been able to post links in the past but have failed twice now! Very much worth repeated reads over the years xxx

    HappyFeet1 xx
    Don’t be afraid to cry. It will free your mind of sorrowful thoughts. – Hopi
  • Hi HappyFeet1,

    Thanks, that's great - I'll have a search for it.

    Frankie123 xx

  • Hi Moomy

    Thanks so much for finding the link and posting, I'm I'll definitely read it more than once!

    Frankie123 xx 

  • Ha! I just ask my phone to copy link,  and then go into where you want to post it, then press till you see ‘paste’, it’s the old copy and paste trick. (To be honest, if an old fogey like me can do it….!Joy

    hugs xxx

    Moomy

  • That’s exactly what I did  ! But nothing happened! I tried on another thread too. Who knows why?? Anyhoo thanks for managing it. Xx

    HappyFeet1 xx
    Don’t be afraid to cry. It will free your mind of sorrowful thoughts. – Hopi