Stage 1 Breast cancer Recurrence

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Im 42 years old. Last Sep (24) I had a lumpectomy to remove a 19mm lump. Pathology report after the surgery confirmed. Its a grage 3,, stage 1 multifocal IDCS. Oncotype DX score was 18 (5% chance of recurrence in the 7 years and 1.6% benefit from chemo) and clear margins and no lymph nodes involved.
I had 15 rounds of RT and on Tamoxifen. Doctors didn't expect a recurrence. I had my annual mammogram in Sep 25 and it confirmed I have extremely dense breast. But they said they cant see anything other than the scar tissues.

A week ago I felt some abnormality in my armpit and thought of getting it checked. Did an ultrasound and they confirmed there is nothing in the armpit. But the radiologist said there are two things that she could see right near the scar tissue and she said she couldn't see it in the previous USS. So she did a biopsy. Report came back as malignant leave the whole MDT surprised. I did a PET CT scan this week and I have my surgery next week to do a mastectomy.

Just when I thought Im one year on remission my life just fell apart.

Just like to see if anyone has seen stage 1 cancer recurring in one year as I cant find an answer as I was on treatments and did a whole life style change to my diet etc. My oncologist even told me Im a model patient. Dont have words to explain how disappointed Im about life.... !

  • Hello there,

    I'm so sorry you find yourself in this position. 

    I have had a similar experience although my initial lumpectomy had unclear margins on the first attempt and I had a slightly bigger growth which tipped me into a stage 2 diagnosis .It was triple positive. I had surgery, chemotherapy, radiotherapy and targeted drugs, herceptin and an aromatose inhibitor. I found 2 tiny lumps 1mm and 5mm just above the lumpectomy scar, before the year of herceptin was completed and neither of these could be seen on mammogram or MRI. I went on to have an ultrasound scan with fine needle aspiration which confirmed that they were cancerous. I had surgical biopsy and then a mastectomy. That was 2 years ago now . My only other treatment has been that the aromatose inhibitor was changed from anastrazole to exemestane.

    I was totally devastated, terrified and felt very resentful that it should happen before my treatment had even finished but had support from my GP and some counselling which helped.

    Well done for changing your life style and diet , it will help you going through your surgery next week and your recovery. Remember that having a local recurrence doesn't automatically mean that you will have recurrences in the future.

    Wishing you all the very best for next week and a speedy recovery.

    Sending lots of love and hugs.

  • Thank you so much for sharing your experience and for the well wishes for my surgery. Glad you are 2 years on remission. Mine was ER/PR+ and HER 2 negative. Receptors are pending in the recent diagnosis.

  • Hi,

    I 100% understand your frustrations. 

    I was Triple Negative, had some chemo (but it made me too sick, so I had to stop it), then surgery (clean margins and no lymph nodes impacted), radiotherapy and then oral chemo for 6 months.  No evidence of disease and discharged from oncology. 

    I have had this cough that has lingered, so they decided to do a CT scan. I just got off the phone with the hospital.  It seems the CT scan picked up that some kind of nodule in my lung. They've just referred me for a PET scan. 

    I thought it might be radiotherapy damage, but it is on the opposite side to the breast cancer and where radiotherapy happened. The PET scan will hopefully show if it is only in the lung or whether other places are also affected. Maybe it is nothing, but I've obviously worried, as I know that TNBC has a very high recurrence rate. 

    So, back to the waiting game and the prospect of further surgery and treatments. Crossing fingers for both of us. 

  • I also had TNBC 4 years ago just had CT and PET scan for lung nodule waiting results . Fingers crossed for us all xx

  • Hi... Thanks for sharing your story.. I really hope its nothing..Waiting is the hardest bit in this journey. Take care. xx