Debated whether or not to post, but I read back several pages and feel comfortable exposing my newly found vulnerability.
My nightmare began back in October 2021 when I was called back for a second screening following a routine mammogram. I was told after the screening that something is in my right breast but it's "not suspicious enough" to biopsy. Something about those words did not sit well with me. I went for a second option, had another mammogram in November followed by biopsy the week before Thanksgiving. The day before Thanksgiving the doctor covering for my gyn called with the news. The cells are consistent with breast cancer. The doctor refers me to a surgical oncologist. I met my surgical oncologist the first week of December. She told me the diagnosis is invasive ductal carcinoma and it is triple negative. While at her office I did the genetic testing, signed for a lumpectomy and possible port placement. The genetic testing results came back about a week later and she called me right away. I have the BRCA 1 gene mutation.
So now the plan changes. She refers me to a plastic surgeon since now that I am brca positive and the recommendation is prophylactic double mastectomy, she wanted me to have reconstruction options. While waiting to see the chemo doc and radiation oncology I saw the plastic surgeon. I also saw a gyn oncologist since it is also recommended to have my ovaries removed. Panicked with the hysterectomy option and decided to put that off a bit since as of right now I don't have any questionable cells in that area. Saw radiation oncologist and she was optimistic that I will not need radiation. Saw chemo oncologist and she gave me the regiment should the mass measure over 5mm at final pathology. It measured 7 on mammogram and 1.1cm on mri- oh yeah somewhere between surgical oncology and Christmas I had an mri.
Next new plan was to have a double mastectomy with diep flap reconstruction. It was scheduled for 1/17. Tomorrow. I had to have a CT scan angiography to map out blood vessels for the reconstruction. The scan showed a legion on my pancreas, about 1 mm. And a 3 mm kidney stone (but no one cares about that in all this). So now the plan changes again.
Last week I had a lumpectomy with sentinel node dissection. Doc took 5 nodes. I was surprisingly calm going into it, recovered quickly from anesthesia, and was feeling energetic almost giddle by the evening. I have no soreness and didn't need to take any medications. I do not like to take medications. I saw a pancreas oncologist last week and I will have an endoscopic biopsy this week to see what the heck that legion is. I am terrified by what it might be.
Friday the surgeon called me to her office to discuss the pathology report from the lumpectomy. It was not the absolute final report but she was confident enough to share the lump measures 1.2 CM, had clear margins, and the lymph nodes were clear. I felt like that was good news, until she said I will still need chemo. She plans to put the port in next week. Maybe I wasn't listening well or maybe I am getting confused, but why do I still qualify for chemo if it appears the cancer is out, and I'll be have the double mastectomy anyways? Is it because it's triple negative? I am absolutely terrified to have the port placed and to have chemo. I do not like taking medications and this is complete toxicity. I put a message on the portal to talk to her again. I am just so nervous. I am scheduled to see the chemo doc this week as well. I believe the regiment she is planning is cytoxan and adriamycin every 2 weeks for 8 weeks, then taxol weekly for 12 weeks. I've had the echo already to make sure my heart is strong enough. So that's 20 weeks of chemo then the double with reconstruction 6 weeks after that.
I am mostly upset for the people around me having to deal with my while I go through this. I am the planner, the organizer, the glue that holds it all together. I don't have down time, I don't even like to relax. I am mostly scared for my kids, 6 and 4, to have to watch me go through this. Earlier today they were brushing me hair sort of randomly and I started to cry. DS6 got nervous and went to get "help". I felt just terrible and I cry just thinking them being upset. I have told very few people, some family and a few friends. For me I need to do this a quietly as possible but lately I am a mess emotionally.
Welcome!

Many of us have bared our souls here. It’s ok. I think a lot of good comes from it as it’s a way to connect with others who’ve been down the same path, and even if people don’t post, they read, and it could be the thing that gets them in for their own testing, or they found something said that helps someone else, etc.
One thing that comes out at me is that you are getting an early diagnosis, which is great. Had that been left for a while, things could’ve been different. Our cases sound very similar. I had a clean mammogram 11 months earlier, but within a year I got the same diagnosis: invasive ductal carcinoma, triple negative, 2.1cm tumor, with two positive lymph nodes, and grade 3, so aggressive. I had 5 yr old twins at the time of diagnosis, and being a nurse, was pretty terrified not just knowing what I was in for, but seeing some of the most difficult cases where I work.

Such a difficult period. But it sounds like they are being very thorough with you, which is great. I didn’t have gene testing till later (which was negative, they didn’t routinely do it then), but I did wind up having my ovaries out anyway when needed a hysterectomy down the road (which my GYN and oncologist argued about, but oncologist won out, saying breast and ovarian cancers can be related). I also still get tested for new gene sequences that are discovered every few years.
Happy to report that I am 18 yrs out and doing well, never (knock on wood) had a recurrence (great with triple negative). Oncologist, who I still see, says that it is unlikely that that original cancer will recur, but that I have the same risk as everyone else now of getting a new cancer.

So that was sobering. I did do the same chemo regimen you are getting. I, too, wasn’t too wild about getting it, but I looked at is as insurance and my best shot at beating the cancer, my main motivation being my kids. With triple negative you don’t get to take anti-estrogen drugs later, so you have to hit it as hard as you can at the outset. And it sounds like they’re doing that for you.

So all good news.
I hear you on the worry about your pancreas. But oftentimes when they do these scans they find things, called incidental findings. It happened with my mother, she had a spot on her pancreas but they watched it and it never grew, thankfully. Sometimes they give you the option to take it out if they think that it’s worrisome, but that’s perhaps the time that you go to see someone who specializes just in pancreatic lesions and get their opinion on it, too. Preferably at the best hospital you have around you. At the time of my diagnosis I was having biliary colic (pain in liver area) and was afraid of what was causing it. We did all the testing but my oncologist kept saying we weren’t going to find anything, and we didn’t. I still live with it, it’s one of those quirky things we all have, but when you have cancer, you worry. I really try hard not to worry about things. I did do radiation (because I chose to just do a lumpectomy) and I have some scar tissue from that that is growing and painful now, but I figure it was a small price to pay for getting to see my kids grow up and all that. I still thank God for every day I have. I was also one of those people who does everything for everyone and found it hard to accept help, but eventually I realized I had to. Even though I had lots of loving people around me, I found emotional support at a cancer support center, because they knew how to help me. It is hard for people around you to talk about the really tough things that you sometimes need to process when you get something like cancer. It’s not that they’re not well meaning, it’s just that they probably aren’t prepared to talk about the things you might want to talk about, etc.
I hope things are going well with your surgery today. Saying some prayers for you. Please let us know how you’re doing.
