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Lulu View Drop Down
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    Posted: Jun 06 2009 at 2:58pm
im lynda, aged 40 and a  nurse from the UK

was diagnosed aged 37 with ER+ve IDC in R breast in 2006 treated by surgery (WLE and SNB), rads and tamoxifen..... then after complaining of bone pain in R breast in april 09 i was seen by specialist who did bilateral breast exam and said could feel lump but not to be concerned as didnt feel cancerous although got sent for USS.

was told still nothing appeared cancerous but could have annual mammo a month early in may 09 and again had breast exam which was again normal sent for mammo.

4 days later had call to say mammo was suspicious but on L side..... 4 days after that (14th may) went for repeat mammo and USS and biopsy.... radiographer confirmed malignant tumour with appearance of new primary.

on 20th may had biopsy results.... new primary confirmed grade 3 looked approx 1cm. pre op assessment that day and admitted for surgery following day.... WLE and SNB.

10 days later (2nd June) got histology results.... new primary tumour, ER, PR, and HER2 negative, basal cell type IDC with high grade DCIS. tumour 1.9cm extending to 2.5cm including DCIS, 0/1 node although lymphatic invasion present in margins.

pretty devastated at first about TNBC Dx but starting to come to terms with it.

plan now is for E-CMF for next 7 month followed by rads... to stop tamox whilst having chemo and restart when finished.

still really peed off though.... its bloody unfair to get BC once even worse to get it twice :(

had a genetic test 3 years ago for a reserch trial for ? brca3 showed neagtive to brca 1 and 2... getting re-referred as consultant surgeon and radiographer both think its a genetic mutation.

only family Hx is mum who had IDC at age 57, grade 1, ER +ve, 1.1.cm, no nodes 4 1/2 years ago now well and stil AI meds.

well thats all about me would love to hear from anybody who has similar experience.




Edited by Lulu - Jun 06 2009 at 2:59pm
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trip2 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote trip2 Quote  Post ReplyReply Direct Link To This Post Posted: Jun 06 2009 at 4:20pm
Hello Linda,
 
I too am another who has had it twice and it does stink that is for sure.
Always sorry to read someone else has to go thru it again.
 
Interesting they will treat this new primary and then put you back on Tamoxifen, I don't believe we have had a situation like that but I may be mistaken. 
Because tumors can turn it really becomes complex doesn't it?
 
I was first diagnosed at the very end of 02 so went thru treatments thru 03 and again diagnosed in 07 and did treatments once again for the other side but both were triple neg tumors and I do have a brca 1 mutation.
 
So did I understand you were tested in a research trial for brca 3?
 
Your mother's diagnosis would sure set you up for a possible inherited breast cancer but it is of course no guarantee as your test results were negative.
 
My mother died young of ovca, left were my sister and I.  My sister is negative for a mutation although she did develop Leukemia.
 
Have you spent any time at the website http://www.facingourrisk.org?
If you have not check it out, a wealth of information on familial cancer.
 
Something else in your story popped out at me.  They told you you were basal.  We have only one member that I can think of that knows for a fact told by her Oncologist she is basal.  This is a test not normally done in the US and I wish they would begin doing this in the near future.
Not all triple neg are basal but many are and since they are subgrouping and subgrouping, the basal is an important element to know.  Also I have read if I recall correctly basal falls more in the brca 1/2 group.
 
I sure can understand your being upset about going thru this again and hope you will feel at home here, we will do our best to help and support, listen to your vents, you call the shot.
 
Welcome, have a look around, there is much to see, we try to post the latest news in the Resource section as we find it.
 
When do you begin your treatments?
 
 


Edited by trip2 - Jun 06 2009 at 4:24pm
Stage 2 2003
Stage 1 2007
BRCA 1+
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Lulu View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Lulu Quote  Post ReplyReply Direct Link To This Post Posted: Jun 06 2009 at 5:20pm
hi Pam

i think they want me restart the tamoxifen after my treatment as i have only been on it for 3 years and the schedule is usually 5 years so i think iv to go back on it for another 2 years.

the basal thing did worry me too as i have done a lot of researching in the last couple of weeks since id found out my histology and it does appear that there is an increased link with genetics with younger women, with triple neg women, and with basal cell type cancers.

somebody on a uk website thought that perhaps when i was in the trial it wasnt as intensive as it would be if it was aproper gentic test so may have been a false negative.

i guess time will tell

thanks for your message though xxxx
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SagePatientAdvocates View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote SagePatientAdvocates Quote  Post ReplyReply Direct Link To This Post Posted: Jun 06 2009 at 6:13pm
Dear Lynda,

welcome to this wonderful site..

I, too, am very sorry about both your dx.

I have a very specific suggestion for you and that is to try to make an appointment to see a brilliant researcher by the name of Rosalind Eeles.

Dr. Eeles is associated with The Institute of Cancer Research: Royal Cancer Hospital

http://www.icr.ac.uk/research/research_profiles/2765.shtml

I know about Dr. Eeles because of a research study called IMPACT I am joining regarding BRCA+ men and prostate cancer. This study originated in the UK under Dr. Eeles supervision and has an arm in Chicago where the P.I. is Dr. Wendy Rubinstein who is also a brilliant researcher.

Sorry, I just re-read your post and see you have tested BRCA 1/2 negative..nevertheless I think Dr. Eeles may be able to give you an important perspective on this. perhaps there is some other gene involved?

good luck to you.

all the best,

Steve



Edited by steve - Jun 07 2009 at 1:56pm
I am a BRCA1+ grandson, son and father of women affected by breast/oc-my daughter inherited mutation from me, and at 36, was dx 2004 TNBC I am a volunteer patient advocate with SAGE Patient Advocates
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Lulu View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Lulu Quote  Post ReplyReply Direct Link To This Post Posted: Jun 06 2009 at 6:49pm
thanks for the link steve

unfortunately i dont live near the royal marsden where she practices however often trials run from more than one site so perhaps there is a link with her work in edinburgh....... if i find out more ill keep you posted
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Nancy Quote  Post ReplyReply Direct Link To This Post Posted: Jun 06 2009 at 7:39pm
Hi Lulu,
 
I just wanted to welcome you to the site and also tell you that we have a few gals on here who are also from the UK. My dear young friend Ali is one. She did go to Royal Marsden, and although you said that was not near you, perhaps you and she could chat? Her user name is Alison41 and I will tell her that you have joined.
 
Ali may have information for you also.
many hugs,
Nancy
 
 
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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