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First diagnosis-Received Lumpectomy or Masectomy

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billie View Drop Down
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    Posted: Nov 11 2008 at 6:14am
Hi Ladies,
    I am starting this thread because I personally cannot stand to read all of the terrible things being written on this foundation.Do you ladies not know that everytime that a person googles Triple Negative Breast Cancer that this foundation is like a beacon for all of the ladies out there searching for information that are literally scared out of their mind.
   And this is going to be where each of us can come to express our opinions.No we are not going to get angry,name names,or point fingers at each other .We are going to give our opinions as to why we are so angry about the possibility that we have been guided in the wrong direction by our (sometimes beloved)oncologist.
   I have tried to express this many times.All the oncologist out there are learning about triple negative every day just as we are.They do not (and I repeat this)they do not know all of the answers to this awful breast cancer.
   So why is it so diffucult to stop the argueing and join in trying to find answers.
   Once more I will tell this.My sister before diagnosis had made the comment that she would prefer to have the breast removed,but because we were green at this we were at dr.s mercy.So while we tried to seek what was best for her,a radiation oncologist told her that all she needed was a lumpectomy and a little radiation.(COME TO FIND OUT ,HE HAD NOT EVEN BOTHERED TO READ ALL OF HER PATH REPORT.)So all of you know the rest.Lumpectomy,chemo and radiation.
   So my sister is out there just like all of you that are getting so upset about this discussion.
    But this is what I personally would like to say to all of you.It does not matter now that we were maybe given the wrong path to take.What is important now is that we get the word out to all of the new ones coming behind us.And if this is proven to be true then my sister and all of you out there can maybe have the right to go back and have a double masectomy and the insurance will have to pick up the tab.My sister is 67 and I will tell all of you that I do not believe that her body can go through poisen again.I know that a double masectomy is a horriendous surery to have to endure ,but I do believe that any of us given the choice would rather endure that than to have the cancer reaacure in the same breast or even the opposite one.
   Remember how upset everyone got when the little celebraty was telling every one that she was cured by the removal of her breast.Well ladies I am here to tell you that if we can prove that for this perticular breast cancer that a double masectomy is our first line of defence to be true then perhaps we should all stand up together to tell all of the dr.s out there that our bodies cannot take the poisen the second time and if there is any slim chance that we could lessen our chances of having to do endure the poisen a second time then ladies ,why would we not go for that.
   We are trying to fight for our right and all ladies behind us,to possibly make the right decision the first time.And for us all of you and my sister to have the right to maybe correct false information that may have been given to us.And I would like for this decision if we can get it proven to be for all women and not just the braca.It should be the choice of all women to make this decision.
    I am still reading on this foundation where there are members that are still having a problem with our trying to find out what is best for all of us. I have to get ready to go to get a flu shot.So ladies ,this is your time to voice your opinion without anger and without pointing any fingers and without naming any names.
   Let's have a civalised discussion.Let's all one by one voice our opinion.I have voiced my opinion why I am for this study to be conducted from this foundation.Now let's hear from all of you.For or against. 
    LOt's of Hugggssss to all of you.    Billie
Billie posting for sis Betty/67/caucasion female/diagnosed 2-27-08/gradeIII/7mm/invasive ductal carcinoma/T N /clear margins/node neg/4 X's taxotere-cytoxan/36 rads/7-08 PET/CT double image/no cancer
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Ronda Quote  Post ReplyReply Direct Link To This Post Posted: Nov 11 2008 at 6:34am
Hi Billie,
    We TNBC gals really have only one shot to get it right.  Doctor's who think it's o.k. to keep us in treatment until we finally die are out of touch.  Women who do the doubles are out from under TNBC in three years (some say five, but either way) Women who do lumpectomies are never free of doubt.....ever!  It will hang over your for life and for quite a few of us TNBC's it will come back again and the second one is worse than the first, and is often deadly.
 
Ronda
 


Edited by Ronda - Nov 11 2008 at 7:04pm
DX 3/07 IDC Trip neg, stage 2b, SN biopsy 3 node neg. No vascular invasion, Mast 4/07 AC+T DD Finshed 8/07 BRCA 1, Proph Mast 10/07. Reconst & Prophy Hyst. 10/08
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Post Options Post Options   Thanks (0) Thanks(0)   Quote bcslayer Quote  Post ReplyReply Direct Link To This Post Posted: Nov 11 2008 at 8:27am

It is a personal choice!  Not every woman is early stage when dx, no two are alike I think all of us know that.  Not every woman can have reconstruction when they have a masectomy and many still have to have radiation regardless of weather they choose masec or lump(like myself).  To claim that a woman who has a lumpectomy is never free, and it will hang over me for life, thats nuts! Why do some have to be right and others wrong, its our choice.  Woman come here because they are scared and looking for suport, I am very disapointed. 

dx 1/10/08 age 37
stage 3 IDC postive nodes Gr.3
tumor 2.5 auxillary 5 cm
6 rounds of TAC
6/08 lumpectomy with lymph node removal and clear margins
35 rounds of rads and 7 dose 9/9/08 finished
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Post Options Post Options   Thanks (0) Thanks(0)   Quote kmartin Quote  Post ReplyReply Direct Link To This Post Posted: Nov 11 2008 at 9:49am
Dear bcslayer,
 
I hear, and feel your pain. I, too, chose to have a lumpectomy in March but it was framed with the explanation of "there is no difference" in mastectomy v. lumpectomy outcomes. The study that has ingnited this discussion is a very large one, so the results can be taken more seriously than small studies.
 
Here is the link:
 
 
As I stated on the thread "one year after" I have come to the conclusion that my initial response (similar to yours) was based on my fear that perhaps I should consider more surgery...a thought that had not entered my mind until after reading this study. Since the discussion began, I have seen my med. onc. who supports this path, based on this study.
 
I think this has been a difficult but important discussion.
 
Kathy
Round 1 - 2/8/08
IDC, Stage 2, Grade 3, TN (R)
Lumpectomy, ax nd 3/11/08, 4/33 positive
TAC x 4, AC x 1; RT x 33
genetic tests -
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Nancy Bell Quote  Post ReplyReply Direct Link To This Post Posted: Nov 11 2008 at 10:21am

bcslayer,

I think this study is important but I agree  with you that women come here for support and the words to relay the message  need to be in a manner that does not express hopelessness. 

Ronda,

Please be careful.  Is it in the study that women who chose lumpectomy will never be cancer free?  These women need to make an informed decision but not be scared into it. 

dx 8/17/2007 IDC Grade 3 Stage2
lumpectomy 9/19/2007
1.2cm w/extension into multiple intramammary lymph nodes
SNL 0/1
Ki-67 81%
Dose Dense AC/T completed 2/21/08
37 rads completed 5/02/08
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Post Options Post Options   Thanks (0) Thanks(0)   Quote CarynRose Quote  Post ReplyReply Direct Link To This Post Posted: Nov 11 2008 at 1:03pm
Informed consent is the key, but this is such new territory that I cast my vote for being overly aggressive.  I think it would have changed my outcome.
 
I don't think there is enough information out there for the general medical community and for that reason, anyone dx'd with tnbc should RUN to someone with expertise.
 
My suggestion steps:
Biopsy -- pathology
If TNBC, then do BRCA test immediately.
If positive, then mastectomy/lymph dissection.
Chemo
Rads
tests, tumor markers, scans on a more regular basis than with hormone positive folks.
 
JMHO
Orig dx 6/03 - St.2a, IDC
gr.3,0 nodes, TNBC/BRCA1+
7/07 St 4 mets to nodes/lungs. PACA/Rads NED 11/07-10/08
Lepto mets 10/08
Rads for 4 brain tumors 4/10.
Leptomets return 6/10
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Post Options Post Options   Thanks (0) Thanks(0)   Quote trip2 Quote  Post ReplyReply Direct Link To This Post Posted: Nov 11 2008 at 2:41pm

I have to go with CarynRose with this one, I think being aggressive and informed is the key.  We may frighten a few people in the medical field or irritate our doctors cuz they are not up to the latest TNBC study or irritate the nurses with our pesty little phone calls but we have got to fight with all that we know and can learn.  It is our lives we are talking about here.  The heck with them and their feelings.

Of course every woman can make her own choice but what would make it better is if she would be given the correct information to begin with instead of out of date information.  Triple negative is a relatively new term and they are just really on the brink of some chemo for us and hopefully soon setting up some guidelines to go by, meanwhile we are thrown in with the rest of the bc crowd.

I was told the first time lumpectomy, ok didn't know anything different, this was in 12/02 so that is what I did.  Then 4 yrs later it came back on the other side, doc says lets do another lumpectomy.  Well I had had alot of surgeries and decided after thinking and researching that I had had enough, so got a bilateral mastectomy.  Now I read in the study everyone is talking about that a bilat mast won't even really help me cuz I'm in that teenier group who is "older".  Ok I want my boobs back, right.
 
I don't think at this point there is a right or wrong, everyone is just trying to figure out what is best and we have so little to go on right now.  Even though I have had a bilat mast I still feel like the other shoe is going to drop so that didn't change my mind anyway as far as worrying about cancer spreading.
Stage 2 2003
Stage 1 2007
BRCA 1+
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Post Options Post Options   Thanks (0) Thanks(0)   Quote sibu Quote  Post ReplyReply Direct Link To This Post Posted: Nov 11 2008 at 4:48pm
Okay, if this one study is what we're discussing, I suggest we all read it again without our "me" goggles, for what it actually says.

"Contralateral prophylactic mastectomy improves survival only for younger women with early-stage, hormone receptor-negative disease, analysis of a large government database suggests."


If I'm getting this right:

1. ALL of the women in this study had a mastectomy. This is not "proof" that mastectomies are better than lumpectomies for triple negatives.

"All patients had unilateral cancer treated with mastectomy. Patients who had contralateral prophylactic mastectomy served as cases, and the remaining patients served as controls."

2. For younger, tn, early stage patients, they do better if they take the other (unaffected) breast, too. Is that a correct translation of "contralateral prophylactic mastectomy?

3. Therefore, what this study does not say is:

 


Donna, age 42
Dx IDC 12/06, 5/18 Nodes + BRCA1+
Double mast. 1/07
Chemo 6 X TAC 6/07, rads 10/07
Hyst./Recon. 12/07
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Post Options Post Options   Thanks (0) Thanks(0)   Quote sibu Quote  Post ReplyReply Direct Link To This Post Posted: Nov 11 2008 at 4:50pm
Sorry, hit return too soon!

a) Anything about "older" or stage iii triplenegs

b) Lumpectomy versus mastectomy

c) chemo or radiation


Am I understanding this right?


Donna, age 42
Dx IDC 12/06, 5/18 Nodes + BRCA1+
Double mast. 1/07
Chemo 6 X TAC 6/07, rads 10/07
Hyst./Recon. 12/07
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Post Options Post Options   Thanks (0) Thanks(0)   Quote krisa Quote  Post ReplyReply Direct Link To This Post Posted: Nov 11 2008 at 5:52pm
that's my understanding-although,
basically, I don't what the heck it is telling us. Smile
nor how to interpret the study and results. 

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Post Options Post Options   Thanks (0) Thanks(0)   Quote sibu Quote  Post ReplyReply Direct Link To This Post Posted: Nov 11 2008 at 6:13pm
So... if you're young and stage i or ii

If Leftie tried to kill you, take her out with a vengeance, and have no mercy on her twin sister Rightie, either. 
Donna, age 42
Dx IDC 12/06, 5/18 Nodes + BRCA1+
Double mast. 1/07
Chemo 6 X TAC 6/07, rads 10/07
Hyst./Recon. 12/07
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Ronda Quote  Post ReplyReply Direct Link To This Post Posted: Nov 11 2008 at 6:42pm
Hi,
   What I got out of it was that young, early stage ER neg woman get benefit from it.  
   Many suspect there is a genetic component with other ER negatives besides BRCA's, which stands to reason because it's presenting  in young women.  These genetic types of bc have added protection with doubles.  I think most would agree it's valuable information even if they don't act on it.
    I almost think the BRCA testing confuses the issue IF IT"S ALL YOUNG ER NEG THAT COULD BENEFIT,  a negative BRCA result leaves them believing there is no benefit, when actually it means they perhaps don't need an oopherectomy.  Get me?
   The point is they should be told.  As I said on my "FIX THIS"  thread, we need to ask ourselves "Is it any of our business?" and if the answer is "No" then we provide support on this site.  If the answer is "Yes" then we need to ask "Are we really doing enough regarding awareness?"  We are causing awareness just by these posts, but it feels like we could be doing more.  It's sad to see even today some gals are just not being given the information to make informed decisions, this is a tragedy...but is it any of our business?  
 
Ronda 
 
    
  
DX 3/07 IDC Trip neg, stage 2b, SN biopsy 3 node neg. No vascular invasion, Mast 4/07 AC+T DD Finshed 8/07 BRCA 1, Proph Mast 10/07. Reconst & Prophy Hyst. 10/08
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Nancy Quote  Post ReplyReply Direct Link To This Post Posted: Nov 11 2008 at 6:47pm
Ronda and all,
 
Go to the top of the page...under "about us". and read the mission of the TNBC Foundation. It says it all.
 
Nancy


Edited by Nancy - Nov 11 2008 at 6:48pm
Nancy
DD Lori dx TNBC June 13,2007
Lumpectomy due to incorrect dx of a cyst
mastectomy July 6 2007
chemo ACT all 3 every 3 weeks 6 tx Aug-Nov
28 rads ended Jan 2008
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Post Options Post Options   Thanks (0) Thanks(0)   Quote kirby Quote  Post ReplyReply Direct Link To This Post Posted: Nov 11 2008 at 7:27pm
It is the lack of tolerance that bothers me with this thread. Turning this into black and white. For a sisterhood, this is not coming across as supportive but more a vigilanty. Breast cancer patients are blamed enough for their cancer we do not need to further that by blaming us for our choices. Or in some cases, not our choice. The information has been posted, why does it need to be hashed and rehashed as a topic of right and wrong.
 
What is known about this study? How many people were involved in it? What was the time frame? On top of all that information...it is still open to interpretation as stated above.
 
Those in favor of mastecomy's as the only way I commend you for your strength of opinion but please do allow that others may not share or CHOOSE that as their path. This going on and on has made it feel uncomfortable and intolerant if we do not share your passionate mindset.
 
If it is the knowledge and information to newbies that is truly of importance in this cause having tolerance will go further than fear and zealotry.
 
Chemo is proven to further the outcome of TN's but some are unable to tolerate it or have CHOSEN alternative pathways yet that is not being attacked. In fact some postings are welcoming the different information being given.
 
It would be nice that this site be a place of peace and acceptance and INFORMATION for those in need.
 
As a [what is considered]  long survivor I do like to give encouragement and hope and tell what the possiblities can be...not what we cannot do. I  am not sugar coating nor diminishing anyone else's experience.
kirby

dx Feb. 2001. Age 44
Lumpectomy

2cm. no nodes stage 1 grade 3

4 rnds AC, 35 rads
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Post Options Post Options   Thanks (0) Thanks(0)   Quote sibu Quote  Post ReplyReply Direct Link To This Post Posted: Nov 12 2008 at 4:43am
Hi Kirby,

Well said.

And you make me laugh thinking back, between my 4 'real' sisters, as well as my college sorority with 80 'sisters,' all this interaction is about par for the course! Love them just the same.

XOXO

Donna
Donna, age 42
Dx IDC 12/06, 5/18 Nodes + BRCA1+
Double mast. 1/07
Chemo 6 X TAC 6/07, rads 10/07
Hyst./Recon. 12/07
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Jessie Quote  Post ReplyReply Direct Link To This Post Posted: Nov 12 2008 at 6:27am
I suspect the study is likely not applicable to older women because it's based on a 5 or 10 yr survival.  Women > 60 already have a lower rate of 5 or 10 yr survival because of many factors other than the BC.  They may not be good candidates for the study for purely practical statistical reasons and just too many variables.
 
Both Pam and I have heart issues that are at least as big a factor as the BC in our surviving 5-10 years.  Whether we had lumpectomy or mastectomy is just one of several issues that impact our survival at this point ---- so sorry Pam.  Embarrassed
 
Does this sound logical to explain the comment about older women?
 
Personally I chose to have a dbl mastectomy even tho my surgeon said there was no difference, because I thought I could withstand the surgery better in my sixties than anytime later.  Age was a major factor in my mind and I simplistically felt I'd be avoiding additional surgery later.  My decision if I were in my 30s might have been very different.
 
Hugs to all who've had to make this horrible decision.
Jessie
IDC,Stage I,Grade 3,dx 4/06
dbl mast 5/06,
systemic MRSA post surgery
septic shock, heart attack
triple bypass 1/07
no chemo due to infections and heart issues
so far NED!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Ronda Quote  Post ReplyReply Direct Link To This Post Posted: Nov 12 2008 at 6:49am
Good Morning,
 
     I was thinking about chemo last night and when I was told the statistics (not the right statistics because turns out I'm a BRCA positve, who would have never known had it not been for this site) the doc said 56% of women with my tumor type size etc. going through rads or masts. will be cancer free, they can add another 17% to that if they do chemo.  So I said "Basically 56% didn't need chemo", the answer was "yes".  So for example when 100 women receive chemo, it's to save 17 women, 56% of them will be cancer free.....EXCEPT FOR THOSE WHO HAVE GENETIC CANCER, THEY FALL INTO A DIFFERENT GROUP.
 
     I think that is where this study comes in.  If there is another genetic component at work here, then ALL YOUNG ER negs including  BRCA unknowns and BRCA neg. could fall into this group ALONG WITH BRCA positves (this ofcourse includes us triple negatives too), it may be a better filter to get to the higher risk patients and then add the BRCA test to those with family history or  insurance that will cover it.
 
    If currently the standard or treatment with chemo is for example to treat 100% to save 17% woman, then the question is how many women young ER neg. early stage women can be educated and possibley saved by the double mast?? This will include a much of the untested BRCA unknowns also because most get it when they are young too.
 
    Admittedly I've jumped over the deep end on this, but I think this is a missing filter that could make things more simple and could really save a few lives.
 
Ronda
 
Nancy Bell,  Thank you,  I edited that phrase, what I meant to convey was the anxiety women can't get out from under, not the disease itself. 
None of us are cured until we die from something else, that's just how BC works, but we can get more peace of mind if we're given the correct information from the start, so we can maximize the benefit of treatment.
 
P.S.  Keep up the input, I really think this is a valuable discussion.
 
    
         
 
      


Edited by Ronda - Nov 12 2008 at 7:34pm
DX 3/07 IDC Trip neg, stage 2b, SN biopsy 3 node neg. No vascular invasion, Mast 4/07 AC+T DD Finshed 8/07 BRCA 1, Proph Mast 10/07. Reconst & Prophy Hyst. 10/08
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Post Options Post Options   Thanks (0) Thanks(0)   Quote runawaybunny Quote  Post ReplyReply Direct Link To This Post Posted: Nov 12 2008 at 7:29am
Weighing in on this...
 
I had the lumpectomy & radiation 21 years ago. They didn't test the tumor because it was so small, 3mm. How many studies go out 20+ years? But breast cancer came back this year in the same breast and if my surgeon had said there's a chance it could come back, I may have opted for a mastectomy in 1987. This time, I opted to remove both and endure the most aggressive chemo they would give me.
 
I remember Nancy Reagan had a mastectomy right after my lumpectomy and I freaked out wondering if I should have done the same. My radiologist was upset because he said the medical community is no longer in the busines of mutilating women and he wished Nancy Reagan had had a lumpectomy. I remember her reason being she didn't want to go to a daily radiation treatment for six weeks.
 
21 years ago, most of the data looked at 5-10 year survival. So, why wouldn't a doctor recommend a lumpectomy over a disfiguring surgery?  Doctors make recommendations based on data, their bias and your input. We all ask our doctors what course of treatment will ensure our survival. In 1987, I was told that 5-10 years out lumpectomy and mastectomy patients had similiar survival rates.
 
If you keep your breast, you need to be vigilant. I had my annual tests and hopefully found it early enough the second time. 
 
We are a sisterhood united by our diagnosis. I am grateful all of you are here. There's just too darn many of us and my anger is directed, at this disease, how it affects our lives and families. 
 
Hugs to all,
Catherine
Left breast, DX 4/87 DCIS,18 neg nodes, lumpectomy,radiation, Stage 0
Left breast,DX 6/08 TNBC, 6mm grade 3, Stage 1, bilateral mastectomy w/recon, AC X 4, Taxol X 4,BRCA-neg.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote billie Quote  Post ReplyReply Direct Link To This Post Posted: Nov 12 2008 at 7:37am
Hi Kirby and all,
     I really hope that I can get through this without offending anyone,but again,because believe me that is not my intentions.But I for one do not know how you have come to the decision that any of us have a lack of tolerance,or any of us see this as a black or white discussion or that any of us are doing this in a vigilanty form of any manner.WE are not saying to you that the choice that you made is not right for you.How can you possibly believe that?When there is a first diagnoses ,you are told to go home and make a decision.Lumpectomy or masectomy.All that we are saying is this.All dr's should be made to follow a prodacal at the time of discovering triple negative.Simply said ,that every test that is available out there in his discovery of triple negative be given to this new patient and in a hurried manner.We are certainly not saying that anyone should be looked at any differently  ,just because they are surviving and they happen to chose a lumpectomy.We are all aware that this Breast cancer is a crap shooot. 
     I am so very sad today,because so many of our beautiful ladies are having to once again look death up close and personal in its ugly face.The struggles that they have had to endure ,I would think, very much gives them the right to cry out to these dr.s ,oncologists,scientist,to please try to get it right the first time.They are fighting for their lives trying to hang on just in case something is discovered to help them ,but they are also fighting diligently  to help the triple negatives following along behind them and that the right choice be given to them the first time.They are trying to get the message out that this subtype is a killer and that because there is no known way to treat it other than the poisen called chemo,and until there comes a time that there is another way to treat it ,then there should be a protocol that all dr.s immediatly have to ask to have a gene test done.Supposedly only for younger women.They say that they have narrowed it down to young women and women of color,and of course the brca gene.But I have to say to all of you.Why are so many late 40's ,50,s,and 60 yo women all of a sudden being given this diagnoses.So much is unknown about this subtype that you would certainly think that every dr. out there would want to be more agressive with this diagnosis than any other subtype.They are now advertising on tv now about the brca gene test.Surely now it should not take a month to get results.
   There is a terrible sadness in my dear dear friends voice.When this foundation was started she was right there welcoming with open arms so many of these ladies.And now so many stage 4's at one time are having to fight even harder for their lives,just trying to hang on long enough for a discovery  for trip. neg. And guess what ladies,my dear friends already damaged heart is slowly breaking into pieces.And yes what she meant when she said that she was waiting on the other shoe to drop,of course she meant that she would probably get trip. neg. a 3rd time and her already ravashied body from chemo. would not be able to fight a 3rd time.
    If there had been a protocol that all trip. negs., (until we have found a better way to treat them other than poisen put into their bodies)be immediatly gene tested then her decision would have at the first time been entirely different.There would not have possibly been a 2nd time then my dear friend could maybe endure the likes of the poisen again in the event that it should return again.One day she will tell all of you new members how 2 rounds of chemo has left her body.It is a daily struggle for her to just to live one day at a time.She does not speak much about this ,because she is thankful for the gift of life.But ladies what a hell of a tradeoff.
     Kirby ,we are all so proud that you have made it as far as you have without many problems,and yes we all believe in our sisterhood,and yes we are always going to be there reaching out our hands out to whomever needs them,but I again would like for you to go to the top of this forum,and again I would like for you to read why a group of friends wanted to start this foundation for their beloved friend.It was started ,yes to be a becon for all triple negatives to realize that they are not alone,but it was also started because these friends wanted to try to find answers and if there was something that could have been done differently for their friend.And I commend them for this.We were not all brought together to be silent.We were all brought together to help in what ever way we could to get out here and help to inform the newbies, and god help us there are plenty of them daily ,know from the beginning of discovering us that they too have a voice. and that they too have the right to tell these dr.s oncologist what they expect them to do for them.Because this foundation is groing by leaps and bounds,we are now being able to reach the newbies shortly after they are given the report that they are triple negative.And that it is their right to demand that every possible test out there that can maybe help them to beat this beast be at their disposal,and that they not have to be at the mercy of an oncologist that doesn't give a hill of beans as to how many times that the once beautiful healthy lady has to have poisen put into her body because as of right now ,that is the only defence that triple negatives have.My heart cries every day,that my sister was not given all of the facts.If the breast had been removed that certainly would have lessened the chances of the return in that perticular part of the body.
     So Kirby, it is not my intentions to upset anyone,but to try to find anwers for this dreaded breast cancer was the beginning of this foundation and its cause,not to let sleeping dogs lie simply because some one out there may take offence ,thinking that possibly there was something that they could have done differently.I do not believe that.We have women on here that are causcious about every choice that they make in their life and yet they are brought down by a diagnosis of breast cancer, and I am speaking of all breast cancers.So to all of you women out there that think that there is something that you have done to cause this.You are so so wrong.We are all trying to find answers and that is why we are putting things into catagories,but to believe that it is something that you have done to cause this is ludricous.Never Never believe this.
    So my dear friend Ronda,I do not have any answers at this time to help you to conduct this survey,but I give you a vote to continue on and I am sure that you will find a way to figure this out as to what we have to do.I would have liked it had all of the women on this foundation to have agreed with what your reasons were.But I guess that is not to be.CarlynRose has passed the torch to you and that is good enough for me.
        Lots of Hugggggssss to all of you beautiful couragious women who every day makes my heart skip a beat to have been given the privoiledge to become a small part in your lives.We have all been brought together here to be a voice for all of the ones who have fought and lost their battle,and the ones that are every day fighting this battle. We have to try to fight for the ones that are in this limbo now.We are not stupid, are we ladies?We all are very aware of how long it may take for these scientist to come up with something to get approved upon.And I do not know about the rest of you, but I am not willing to just sit here and wait while so many of you right now are being given this diagnosis and not being all of the facts. Yep, we are being given the statistics yes,but all of the facts no.As CarynRose says,I refuse to be a stastic,and yet she is going to be in the event that someone does not take up her cause.Tell us all of the facts and what is available for us in ways of helping to prolong our lives in the event that this agressive breast cancer should indeed reaacure or metasitize, and then let us still make our choices as to what we think would be best for ourselves..Lets at least come up with a prodical for all dr.s out there to read before they make any decisions as to the treatment for their triple negative ,newly diagnosed patients.You ladies say that we are all given the choice of lumpectomy are masectomy which is so true.But we are not being given all of the facts along with this choice.We are only being told that we have to choose one or the other.God some Dr.s can not even bring themselves to say the words triple negative.We all have a right to the way that we think and feel ,and some we are not going to change no matter how we lay it on the table,but as our dear 17 something survivor flutist said to us.This Breast Cancer ,you have to hit it with every bit of arsonal there is.Because when and if it hits again it hits with a vengance and it is up to us to try to take every precaucion there is out there the first time.For those who have not had the privaledge of talking with her.She just this year ,after fighting this for about 17 years, has made a dicision to have reconstruction for her new breast.I wish she would come back and visit us and she probaly will at some time,but right now I see her and her husband trying to get a little normalcy out of what years they have left.And this is what we hope for all of you and not just a chosen few.Love you ladies and lots and lots of hugs.   Billie
Billie posting for sis Betty/67/caucasion female/diagnosed 2-27-08/gradeIII/7mm/invasive ductal carcinoma/T N /clear margins/node neg/4 X's taxotere-cytoxan/36 rads/7-08 PET/CT double image/no cancer
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Ronda Quote  Post ReplyReply Direct Link To This Post Posted: Nov 12 2008 at 8:23am

Thank you runaway bunny,

     This is the input I was hoping for.  This notion that mastectomy is disfiguring and lumpectomy isn't is a farce.  The radiation women go through can cause severe disfigurement, lymphodema, heart damage, thyroid damage and other long term side effects and make it extremely difficult to do reconstruction should they later opt for the mastectomy.  They throw radiation around like it is the lesser of the two evils, and I don't agree at all.  Women who are node positive have to go this route anyway, but the node negative women have a rare opportunity to get through this efficiently.  The results of recontructions are pretty darn good these days, and because reconst. is require by law, insurance has to pay for it.  This was not the case in years past, so this choice did leave women disfigured, times have changed and for young early stage ER negs they can avoid what runaway bunny and several other women here are going through.
     When you ride this ride you are given a choice, do you want your arm broken or your leg broken, there are no easy choices, but for young, early stage TNBC's and other ER negative gals, the path is getting clearer.
 
 
Well said billie.
 
Ronda
 


Edited by Ronda - Nov 12 2008 at 8:27am
DX 3/07 IDC Trip neg, stage 2b, SN biopsy 3 node neg. No vascular invasion, Mast 4/07 AC+T DD Finshed 8/07 BRCA 1, Proph Mast 10/07. Reconst & Prophy Hyst. 10/08
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