Hi all.
I'm 5 weeks post bilateral mastectomy without reconstruction, with sentinel node removal. My recovery has been going well and it's been much more manageable than I thought it would be; far fewer wobbles than I thought I would be having!
I got my pathology results this week. They weren't what I'd been hoping for and now I feel like I've mentally gone back a step and can't stop crying, even though I know the cancer has gone and all further treatment is preventative.
Due to a large invasive lobular on the right, I already knew I'd need radiotherapy on the chest wall. However, the pathology showed I also had an invasive lobular on the left, alongside the multiple invasive ductal lumps I knew about (has anyone else had 2 different cancers in one breast, as ive not come across it?).
They also found cancer in 2 of my lymph nodes on both sides. So it'll now be a longer course of radiotherapy, as needed on the chest wall on both sides and on my lymph nodes.
So a lot to take in! I'm peri menopausal, but just had a blood test to confirm. If this is the case, I'll also need preventative chemotherapy, which has really throw me...I've gone straight into panic mode about extended treatment, hair loss, etc and a longer journey to recovery.
I'm just trying to understand why I need chemo as well as 6 weeks of radiotherapy?
I'm waiting for my oncology appointment, but could anyone share their experiences of preventative chemo in a similar situation? What was it like, how long was the course and was there a gap between chemo ending and radiotherapy starting? Could you work during chemo? And when in the process will I start on the hormone tablets (I'm hormone receptive).
Many thanks in advance xx
Hi, your oncologist wants to prevent a recurrence of your cancer either locally( in the breast) or distant (in other parts of your body). The radiotherapy I believe is to reduce local recurrence and other treatments are aimed at distant recurrence. He has the education, and will be aware of research studies and NHS guidelines which will guide him with the treatment plan that is offered. The treatment plan will be discussed and agreed by a multidisciplinary team (MDT) of doctors prior to being discussed with yourself. Factors which will influence the MDT are your age, are you pre or post menopausal, the fact that you have 2 types of breast cancer, the fact that there is lymph node involvement, the size and grade of your tumour, is it ER and PR positive and it’s HER2 status.
I have been in your situation as initially I was told I would probably need a lumpectomy and 5 sessions of radiotherapy. I’m 2 years this month following a lumpectomy of a 25mm tumour which turned out to be a grade 3 and in 2 lymph nodes. My treatment plan changed to a second op for a full node clearance, 6 sessions of chemotherapy, 5 sessions of radiotherapy, 10 years of letrozole and 2 years of the targeted drug Abemaciclib. It’s not been an easy journey but it’s doable. I am due to finish Abemaciclib in October. If this treatment prevents a recurrence of my breast cancer then I am pleased I have been able to access this treatment and I consider myself lucky. However when I was first offered this treatment plan I have to confess I was angry, but I worked through that emotion.
I wish you well with your treatment plan.
Thank you so much for your detailed answer and sharing your experience. Abemaciclib has also been mentioned to me, along with endocrine therapy as im both er and pr positive.
You are completely right - they are the specialists and will be offering me the treatment plan that best suits my situation.
I think I was having a wobble and had lost sight of that!
I just need to stop overthinking and wait until I get my oncology appointment.
Many thanks and glad to hear you are nearing the end of your treatment x
Hi
Recently found myself in a similar situation, completed chemo had a mastectomy knew I needed radiotherapy but could see a light at the end of the tunnel. Got my pathology results BAM need another 14 rounds of chemo Kadcyla they removed the cancer 12 lymph nodes 6 cancerous was told I had 1 maybe 2. That hit me more than the initial cancer diagnosis but at the end of the day we have to do what we can to survive and stop any reoccurrence
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