Trying not to spiral

  • 8 replies
  • 420 subscribers
  • 393 views

Hi, first time posting. Sorry about the length of this post but I need to get it out. I’m trying not to voice my fears to my husband and kids as I don’t want to stress them out anymore than they already are.

2 weeks ago I got the results of my biopsy that found invasive ductal carcinoma with lobular characteristics in my left breast. I don’t know the stage or any other information yet. I have an appointment with the breast surgeon in 2 days and I’m terrified that the news is going to be bad. 

I had a slightly retracted nipple and weird sensations in my left breast about 6 months ago. I could also feel a small lump right behind my nipple which had been investigated before. My GP didn’t think it was very suspicious but referred me for a diagnostic mammogram that took 4 months to get. I also had weird sensations in my armpit on that side which I had an ultrasound on which didn’t show any abnormalities though I’ve since found out that’s no guarantee that cancer isn’t in the lymph nodes. 
When I finally had the mammogram and US there was an area of concern. I was scheduled for a biopsy but the radiologist couldn’t locate the area so seemed to think there was nothing there. Luckily she sent me for a MRI just to be safe. This showed the same area of concern didn’t see any lymph node involvement. Second biopsy scheduled, this time a more senior radiologist completed the biopsy under mammogram guidance. 

I’m so worried about the time it’s taken to get this diagnosis. Until 2 weeks ago I was on hrt which I stopped as soon as I found out. What worries me most is 5 years ago I had a needle aspiration biopsy done on the same area. I was told then that everything was fine just tissue changes due to menopause so I have basically ignored that area until 6 months ago when I finally noticed the nipple retraction and stinging sensations. Now I’m wondering if the cancer was there then and has been growing all this time.

Everything is moving so slowly. I’m in Canada and the province I live in has the worst breast cancer survival rates in the country. No option to go private here unfortunately. 

Trying to formulate questions to ask the surgeon and hoping I won’t just be a blubbering mess 

  • Hi  

    I am sorry you are going through this and hope things become clearer when you meet with your surgeon later this week. Uncertainty makes all of it far worse doesn’t it. It’s so hard not to worry about what might have been missed opportunities to find things sooner. I have added a link below of questions you might want to ask. Our information is written with the UK health system in mind but I am sure a lot of it remains relevant. 

    https://www.macmillan.org.uk/cancer-information-and-support/treatment/your-treatment-options/questions-to-ask-your-healthcare-team

    Community Champion badge

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

    I am a Macmillan volunteer.

    I have metastatic Triple Negative Breast Cancer, in remission

  • Thank you Coddfish for your reply and the link. I have my list of questions ready to ask tomorrow and hoping that getting some answers will help.

  • Good luck today Clare5 please let us know how you get on.

    Lee x

  • The lymph nodes would show on a scan if they are thickened as a result of being cancerous having spread from the breast. They can still become cancerous before your surgery but it sounds like you have caught it at an early stage even if it has been growing in your breast for some time, so the cancer is very unlikely to have spread elsewhere. Any microscopic cells that have escaped will be eliminated by chemo/radiotherapy/immunotherapy to prevent the cancer coming back 

  • I met with the surgeon last week. He was very nice and took his time explaining everything. He thinks the tumour is small and seemed confident that a lumpectomy followed by radiotherapy will be sufficient. I’m scheduled for surgery next week which can’t come fast enough. He’s going to remove the sentinel nodes at my request because I have had armpit pain and am worried about spread even though the ultrasound I had back in February didn’t show anything.

    I’m concerned about the potential side effects of the radiation on my heart and lungs down the road but hopefully this will be addressed when I meet the oncologist. Still wondering if I should have gone with a mastectomy so I wouldn’t need radiation, my breasts are very small so I wouldn’t miss it, my main reason for opting for a lumpectomy was the quicker recovery time but maybe this is short sighted. 

  • My wife still needs radiotherapy to the breast area to help prevent the cancer coming back.  As for the radiotherapy, there is a technique called Deep Inspiration Breath Hold (Dibh) where you take a breath in and hold it for up to 20 seconds at a time for your radiotherapy planning and treatment.

    Taking a deep breath inflates your lungs and can potentially move your heart away from the chest wall and the treatment area to protect your heart

  • Hi Clare5 I had 20 sessions of radiotherapy to my left breast and this was 13 years ago.  No real problems since then so you should be alright and as Shell says they recommend you do the breathing exercise these days (wasn't around when I had my first lot of radiotherapy.

    Lee x

  • Thanks Leelaloo, that’s reassuring to hear. I’ve always been a very healthy person and this cancer diagnosis has knocked me for six. I’ve gone from being extremely positive about my health to now expecting the worst at every turn.