Starting treatment for TNBC seems slow!

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I was diagnosed on 18th September with stage 1 triple negative breast cancer and I am still waiting for my treatment to start.  Is it usual to take this long?  I have waited 6 weeks so far and everything seems to be crawling along and I am getting worried that the treatment will start too late. Since the diagnosis I have had to have a vacuum assisted biopsy, a blood test, an MRI scan.  I did meet the surgeon and MacMillan nurse this week and he said that I need a CT scan to check it hasn’t spread to bones or lungs then I will meet the oncology team who tell me about the treatment I will receive.  I do fully appreciate and understand that lots of tests need to happen to get the most effective treatment, but for every appointment I am told that it will be within the 2 week standard, which is good, but every appointment has a 2 week standard and all these 2 weeks are building up.  When I see the oncology team, then I will have been waiting 8 weeks since diagnosis.  I did tell the breast surgeon that I was now worried by the timescale as 6 weeks had now passed.  They reassured me that everyone concerned in my treatment was aware of me as I had been discussed at their meetings, but I just feel like this is taking ages now.  They have told me that I will start treatment with 4-6 months of chemotherapy before they can decide on the type of surgery needed.  I have to keep reminding myself that they have told me it is stage 1 and is not in my lymph nodes, so that is good, but I am so worried that it is being given time to spread as it is aggressive.

  • Hi Lilycat

    When I was diagnosed with triple negative breast cancer just over four years ago I didn't start treatment until 7 weeks after I was diagnosed.  As far as I'm aware my cancer didn't spread while I was waiting.  I suggest that you ring your breast care nurse to talk to them about how you are feeling.  They should be able to reassure you.

    Wishing you the best of luck with your treatment when it starts.

    Best wishes

    Daisy53

    Community Champion Badge

  • Thank you Daisy53, I think it’s just anxiety making me worry

  • Was you aware that to get immunotherapy it has to be 2.5 cm at least and that your Biopsy is being tested to see if its reacting to Chemo? It seems bad that your waiting but it isn't necessarily a bad thing. It seems strange that you say your grade 1 as that is usually surgery first and Chemo as a follow up. Whereas your having Neo Adjuvant Chemotherapy then Surgery which is same as what i have. 

  • I had a phone call from my appointed MacMillan Nurse yesterday and she told me the results of my CT which was all clear with no cancer showing in lymph nodes, so that was a huge weight off my mind.  She says I am a likely candidate for immunotherapy, she said it has been recently licenced for primary breast cancer and I did ask her why it was chemo before surgery and said purely because it is triple negative and there is nothing to take after treatment to stop recurrence so they go in with chemo first.  I now have an appointment with the oncology doctor next week

  • Hi, 

    I got diagnosed the same day as you and it’s triple negative. I had my first chemo last Monday and another one tomorrow, sounds like we are going down the same course, have they said what chemo you’re having yet? I’m stage 2 but they said totally curable so that’s reassuring. I felt what you felt, all the waiting it was very tough, now I feel like I haven’t stopped and it’s all a go go! I hope you get to start soon x

  • Hi, I have a meeting with the oncologist this Thursday so hopefully I will be starting chemo soon after.  I don’t know which one I am having yet.  It has been a long and anxious wait.  I hope your treatment goes well for you x

  • Hello

    I was diagnosed with Stage 1 TNBC on 30 Sept.  I had my first chemo last Friday but had bad reaction to Paclitaxel and the infusion was stopped.  I am waiting for a call from the chemo unit to discuss treatment for next week.  Did you have any probs with your first infusion.

  • Hi, sorry to hear you’ve had a bad reaction. I think it’s quite common to have a reaction. I didn’t have a reaction but I did get really hot for about half hour, then it goes away. The steroids they give you before give me really bad red cheeks the next day but that goes by the end of that day. Hopefully they will be able to work out the right course for you for next week x

  • Hi thank you.  Hope your doing well.  I had the immunatherapy drug first for 30 mins which seemed ok but only about 15 mins on Paclitaxel and very suddenly started feeling dizzy, nausea and stomach cramps.  It was quite scary and disappointing.  Fingers crossed for this Friday.  Stay well.