What is the norm for a complete diagnosis before treatment? I had a first mammogram end December and given all clear in January by oncologist. Found lump on my clavicle mid April and since then had ultrasound, CT scan, bloods and a biopsy of neck lump. Await results of that. CT showed suspected mets in supraclavicular node on right, axilla on right and lungs also right with a bit of intrusion into the middle part too, also node under breast. The whole shebang! I asked if PET or MRI scans will be done too and told no, they will scan as treatment advances. Looking like chemo of some kind. Biopsy will determine treatment, oncology on Wednesday to decide. I was borderline for TNBC last time with very low PR and ER and they think possibly that due to placement of mets, pathology will be the same or actually secondary TNBC? My concern is it’s grown so fast who knows where else it could be? I don’t want to be under diagnosed or treated. Aaargh!
I know the feeling - my chemo in 2015 was horrid, so I'm expecting the next lot to be bad too :-( Perhaps we'll get a pleasant surprise... 
One good bit of news for me is that I had my pleural effusion (fluid around the lung) drained on Monday and that has reduced my pain when walking; I'm still a bit short of breath but a definite improvement. I'm glad I held out for the draining as the consultant wanted me to wait and see if chemo would clear it a bit. They actually removed 1.5 litres of fluid !
I find out the results of my PD-L1 next Weds (29th) hopefully, and she said it would then be a couple of weeks after that for my treatment to start.
