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Recurrence After Mastectomy vs. Lumpectomy

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Topic: Recurrence After Mastectomy vs. Lumpectomy
Posted By: Joan2844
Subject: Recurrence After Mastectomy vs. Lumpectomy
Date Posted: Jun 27 2008 at 3:34pm
I have had a whirlwind  diagnosis of a trip-neg recurrence after only 7 months of being disease free. The doctors think this cancer was in the breast at the time of my lumpectomy, but was quiet/dormant until recently.

I'm wondering... (hind sight is always 20-20) -- If I had had the mastectomy in the first place, would the cancer have come back at all (a mastectomy would have theoretically removed all of the cancer, active or dormant)? Or, would I have had a recurrence anyway -- just somewhere else, more foreboding than in my breast?

Please understand... I am only fact finding. Not second guessing my initial treatment decision (I was not mentally ready for a mastectomy at the time) or my doctor (he has sent my slides to Harvard for second opinion; is treating me aggressively now).  I am at peace with my situation. Grateful for the treatment I've had, and that cancer has only been found in my breast so far.

I'm just wondering out loud...  Do you think trip-neg ladies should always be advised to have a mastectomy at the initial diagnosis?  We have such a high rate of recurrence. The odds are really against us. Does a mastectomy give us better prognosis? 

In my case, an initial mastectomy could have (theoretically) saved me the radiation treatments and the involved reconstruction treatment (latissimus dorsi flap) that was needed b/c of the radiated skin. 

-------------
9/06 Stage2B. Pos Nodes; Neg BRAC; TAC/Lumpectomy/Rads/Xeloda.
4/08 Local Recurrence; Mast w/ Latissimus Flap;Taxol/Gemzar/Carbo. Zometa.

NED since May 2008 :-)
www.wow-matt14.blogspot.com



Replies:
Posted By: Nancy
Date Posted: Jun 28 2008 at 3:04pm
Evening Joan,
 
Lori's onc told someone(not her) that he would always advise every woman to go for the mastectomy. He has seen women coming back with a recurrence in the same breast many times. Lori found this out AFTER her mastectomy, so it gave her more piece of mind.However, she had rads also. Ups the % of survival rate. Not alot. but every % is possibly years of living in her mind. Trust me, Lori and our family did extensive fact finding.  
 
Each woman has to make that decision. The only problem is the "whirlwind" that you so eloquently describe, which is what every woman experiences. They ask you to make a decision...OKY DOKEY!!!! You tell me I have cancer...throw all sorts of medical terms my direction, TNBC...what the hell is that???? Let's take that breast off...I DON"T THINK SOAngry Oh, and by the way, there will be  chemicals poured into your body, which,  if not done precisely could kill you. Get all the info you can, which..... by the way .....we don't have very much info on tnbc...so it will basically be a crap shootConfused Having said that..my friend, (my age),and Lori's bc mentor, dx TNBC 6 years ago, had a lumpectomy. So far so good. Her tumor was small, Lori's was not..and there were 2, one which they missed with an ultra sound.
 
Personally, if it were me..and it is not...I would go for the mastectomy, even if I was only 26 years old. I felt peace when Lori had hers. Our entire family felt peace.
 
So, Joan, you wondered out loud, and I answered, as the 67 year old outspoken woman that I have always been.Wink
 
Hugs,
Nancy


Posted By: Beth Anne
Date Posted: Jun 28 2008 at 9:09pm
Okay Joan2844,
 
Here is what I think.... The last thing I wanted was to have my breast cut off... Even after be dign. stage 3 with 11nods showing up on the PET scan as being positive, I still didn't want the surgeryCryCry I did chemo first and after 9 months 3 of A/C and 6 of Abraxine I was NED, so off to Paris for me to think about the surgery....
 
I thought if I am NED why go through all of that... My onc said okay if you really don't want the sugery we will just watch you, BUT because you have been off the chemo for 3-4 weeks, let me do a breast MRI just to make sure you are still NED... I say okay let's do it... UGHhhhh so the onc didn't call that night, and I went in to his office the next dayConfusedConfused checked in, and there is a lab form... looking for CA27.. I looked at my friend and said, I didn't do well on the test, he is checking for cancer markersCryCryCry So I had the blood taken and went in to his office... and yet again heard the words...THE CANCER IS BACK AND IT'S BIG!!! in just 3 1/2 weeks a tumor had grown in the breast 3cm, and a lymph nod was 4cm...
 
So the choice was made for me! I decided to have them both taken off, if and only if they would do reconstruction at the same time... So after much hassel I, at last was able to get doc's as well as a radiation onc to agree to the reconstruction... YEAH for my team!
 
Okay to make a short story long... The pathalogy in the right breast (not the cancer one) showed that the cancer had started to spread to this one as well... And just so you know the cancer tumors that had come back grew over 1cm in the 6 days between the MRI and surgery.   
 
So do I think TNBC should have a mastectomy???? as much as I want to say no, not necessary, I would have to say YES have the surgery and have a better chance...
 
This cancer is so nasty and it dosn't fight fair at all. I was told in the very begining that the mass. would only improve your chances by less then 10% I'am just not so sure in TNBC if that is trueConfused
 
Just my story Joan, I don't know if I answered your questions or not, but I tried...
 
Take care of yourself,
 
Beth Anne


-------------
Dx 5/07 DCIS Stage3 gr9 A/C x 6, Abrax x 16 Bi-Mass 2/08
Navelbine x 12, finished radiation end of July 08. DX Brain Met's 2/09StageIV
CK3/09.Brain resection4/09 WBR
Dreaming of dancing with Ned!


Posted By: trip2
Date Posted: Jun 29 2008 at 4:24am
Beth Anne and Nancy I agree with most of what you two said.
 
I had mine last year and understand "why" I had it I just can't accept it in
my heart.  It makes me so angry at c that women have to do this sometimes. I wish I could get to a point where I accept what I did and get my esteem back up where it should be.  It brings tears to my eyes just typing this.
 
Beth Anne you should have had your hard times!
 
 
 
 
 
Triple neg is so very nasty.  Hey you guys this is a poll, please vote.Smile
 
-


-------------
Stage 2 2003
Stage 1 2007
BRCA 1+


Posted By: Nancy
Date Posted: Jun 29 2008 at 7:22am
Dear dear Pam,
 
I hope it wasn't what I said that brings tears to your eyesCry
 
As I said, this isn't me...it is all of you. I can't even begin to imagine the emotions that all of you experience when having to make this decision. I feel such pain when I look at my daughter of only 46 years of age, and know that she felt she had to have this mastectomy to help ensure that she would live way beyond my years. Perhaps a lumpectomy would have been all that she had to do. We wil never know that, but Lori still has so much to offer to so many people, as do all of you.
 
I feel so fortunate to know all of you and please know that when you look in the mirror, you are looking at one courageous, intelligent, loving, caring woman. So, your esteem should be through the roof!!!! Inside your body beats the heart of a real woman, whether you have your breasts or not. You had breast cancer, and your life will never be what it was before bc.
 
Every morning when you get up, look in the mirror and look directly at your eyes, and tell yourself that you are a beautiful, strong sexy woman....and...believe that every hour of every day.
 
Today is the first day of the rest of your life,
Love all of you,
Nancy
 
 
 
 


Posted By: Joan2844
Date Posted: Jun 29 2008 at 7:56am
You know, I so DREADED my mastetomy, but once it was over (and I had physically recovered), I was really okay with it. The breast that was removed always felt so bad -- I thought it was left over side affect of my radiation; now I believe that breast was just DISEASED. Every day the breast ached and bothered (worried) me in one way or another. Now, it is gone and I don't have the physical aching anymore. It is a blessing.   

And... this will sound corny, but I am a strong Christian -- lots of prayer, Bible study and honestly trying to give my situation to God. Before the surgery I cried and worried about not being a "whole" woman. One day (before the surgery) I was praying and the thought came to my mind, "You are whole in the Holy Spirit." I believe in my heart that that was God talking to me, and I felt such peace in that realization.

I hate what cancer has done to me -- with a back flap and all my lymph nodes removed, I really do feel handicapped on my left side. But, I'm determined to make it through. Thanks for your responses ladies.... And yes, please do vote. The poll is mine, and I'm really interested in the results....     


-------------
9/06 Stage2B. Pos Nodes; Neg BRAC; TAC/Lumpectomy/Rads/Xeloda.
4/08 Local Recurrence; Mast w/ Latissimus Flap;Taxol/Gemzar/Carbo. Zometa.

NED since May 2008 :-)
www.wow-matt14.blogspot.com


Posted By: Joan2844
Date Posted: Jun 29 2008 at 7:57am
You know, I so DREADED my mastetomy, but once it was over (and I had physically recovered), I was really okay with it. The breast that was removed always felt so bad -- I thought it was left over side affect of my radiation; now I believe that breast was just DISEASED. Every day the breast ached and bothered (worried) me in one way or another. Now, it is gone and I don't have the physical aching (or the worry) anymore. It is a blessing.   

And... this will sound corny, but I am a strong Christian -- lots of prayer, Bible study and honestly trying to give my situation to God. Before the surgery I cried and worried about not being a "whole" woman. One day (before the surgery) I was praying and the thought came to my mind, "You are whole in the Holy Spirit." I believe in my heart that that was God talking to me, and I felt such peace in that realization. I am still a vibrant, useful person in this world without my breast. The only limitations that exist for me are the ones I put upon myself!

I hate what cancer has done to me -- with a back flap and all my lymph nodes removed, I really do feel handicapped on my left side. But, I'm determined to make it through. Thanks for your responses ladies.... And yes, please do vote. The poll is mine, and I'm really interested in the results....     


-------------
9/06 Stage2B. Pos Nodes; Neg BRAC; TAC/Lumpectomy/Rads/Xeloda.
4/08 Local Recurrence; Mast w/ Latissimus Flap;Taxol/Gemzar/Carbo. Zometa.

NED since May 2008 :-)
www.wow-matt14.blogspot.com


Posted By: trip2
Date Posted: Jun 29 2008 at 10:29am
Nancy, no no, you didn't bring the tears to my eyes, just a mixture of anger at c and emotion. I tend to cry when I'm mad.LOL
 
Thank you so much for the reminders of good things, it'll get better.
I feel bad for Heidi too and all of the women young and old.
 
Lori and Heidi seem to be handling it so well, right back at life as if (almost) nothing had happened, course we don't know what's in their mind but this second time has taken me more time to recover.  I'll be fine, need more patience though.Smile
 
Hugs sweet Nancy
 -


-------------
Stage 2 2003
Stage 1 2007
BRCA 1+


Posted By: Wendy2
Date Posted: Jun 30 2008 at 1:35pm
OK, looking at this poll, so there are NO persons out there that have had a recurrence/mets that had a Mastectomy??? That's quite a statistic don't ya think?
Hope there are some oncs. reading this and we should let them know about this poll - and mastectomies should be recommended to TNBC patients obviously!
   OK I just saw that only TWO persons have responded to this poll - nevermind!


-------------
dx 3/06 TN, taxotere/cytoxin x4; radiation x 40; mets. to lungs, lymph nodes 3/08 - to begin chemo 4/29/08 Abx/Avas., 9/08 Avastin maintenance, 1/09 - off meds to see if Avastin causing headaches


Posted By: sparrow
Date Posted: Jun 30 2008 at 3:22pm
I really will be interested to see how this poll comes out.  I had a bilateral mastectomy and do not plan to do reconstruction.  When I look in the mirror, I just try to see the scar as "my badge of courage."  Thinking this way seems to help me deal with it.  My chest already had a vertical scar from open heart surgery in 1981 (to correct a congenital defect).  My surgeon, who has a great sense of humor, told me if he had extended my mastectomy scars a bit, we could have played Tic-Tac-Toe on my chest!!!!  Laughter really is good medicine!!!

-------------
60 yowf, 1/4/08 Invasive Ductal Carcinoma, Stage 1, (8mm) grade 3, Sentinal Node biopsy 2nodes removed, both negative. Triple negative, Bilateral mastectomy 1/22/08, no reconstruction, no chemo


Posted By: smithlme
Date Posted: Jul 03 2008 at 7:12am
My vote was the " I had a single mastecomy; cancer came back in other breast," but it was a new primary, 369 days later.  I've now had two mastectomies, failed TRAM recon, genetic testing to find out I am BRCA 2+ and had my hysterectomy/oophorectomy last Friday. Talk about a whirlwind 15 months. It's been a crash course on Cancer, treatments, tests, 5 surgeries. genetics and more medical terms than I ever wanted to know. But....I am alive. Next year I WILL celebrate my 50th Birthday!
 
Yes, hindsight is 20/20 and if I could do it over again I coulda/woulda/shoulda had bilateral mastectomies. Being triple negative with the first Cancer and BRCA 2+ threw another rock into the blender and it became crystal clear that my life was going to take a major detour...again. Second guessing ourselves is a waste of the precious energy we all have...
 
Linda


-------------
Dx 3/28/2007, IDC, 2cm, Stage II, Grade 3, 0/9 nodes, ER-/PR-, HER2-, Unilateral Mastectomy, DD AC & DD Taxol
Dx 3/31/08, DCIS, ER+/PR-, Mastectomy
BRCA 2+, Hysterectomy w/BSO


Posted By: Joan2844
Date Posted: Jul 23 2008 at 6:26am
This poll has been out there for about 6-8 weeks now. It is interesting to me that NO ONE who has indicated they had a mastectomy had the cancer come back anywhere else in their body??

Ladies... please vote. It is looking as though mastectomy is the very best option for us trip-neg ladies. I talked to my surgeon on Monday, and asked if anyone is evaluating that fact specifically for trip-negs. She is a top-notch surgeon at a respected hospital -- I was sad to hear her say no.

I truly believe that the stats about lump+rad being as effective as mastectomy do NOT apply to trip-neg patients. We have not effective treatment after chemo/surgery/rads to continue protecting us.  Other BC's do. I would bet that the small sub-set of bc patients who have recurrences after lumpectomy+rad are trip -neg patients....

PleaseExclamation vote...! Thanks.



-------------
9/06 Stage2B. Pos Nodes; Neg BRAC; TAC/Lumpectomy/Rads/Xeloda.
4/08 Local Recurrence; Mast w/ Latissimus Flap;Taxol/Gemzar/Carbo. Zometa.

NED since May 2008 :-)
www.wow-matt14.blogspot.com


Posted By: Nancy
Date Posted: Jul 23 2008 at 6:45am
Joan,
I know thatI have said this several times...Lori said that her onc told someone (not her) that he would advise mastectomies. He was seeing "come backs" with only lumpectomy.
 
However, a friend of mine is TNBC, had a lumpectomy, chemo and rads. She is now 6 years out. She didn't even know she was tnbc until Lori was dx last year, and she told Lori her path report.
 
Nancy


Posted By: trip2
Date Posted: Jul 23 2008 at 7:05am
Nancy that was so kind of Lori to inform your friend what her pathology means.
I am amazed at the women I have met around here being a tiny rural town I've met a few and they don't have a clue.  OK is so behind the world it seems except in the two big Cities.


-------------
Stage 2 2003
Stage 1 2007
BRCA 1+


Posted By: patti
Date Posted: Oct 10 2008 at 7:45am
Just found this post.  My husband and I were just talking about this this morning.  In hindsight I would have had the mastectomy first.  I would also advise anyone newly diagnosed tpn to consider this.  I wonder all the time if I wouldn't be where I'm at now if I would have just gotten rid of them both at the beginning.  The oncologists/surgeons are doing a disservice to us by not telling us the challanges of being TPN.  I thought this was a good thing when I was first diagnosed.  Now, I know the truth.
 
Sorry to burst the bubble.  But I had the bilateral mastectomy and just had a recurrence in the non BC breast. (its only been 7 months since my mastectomy)
 
I love these polls though, We really can gather alot of info that way.
SmileSmile


-------------
IDC 12/06, age 42
4AC,4taxotere, lumpectomy, 33 rads 8/07 done
3/08 recurrence, bil mast w/expanders
7/08 exc surgey, recurrence
8/08 removal of implant &breast skin. 25 rad
10/08 rec


Posted By: patti
Date Posted: Oct 10 2008 at 7:51am
Joan,  I have been searching for someone like you. I also had my first recurrence only 6 months after NED.  My docs told me the same thing, it lay dormant and was able to surface after treatment was complete.  In hindsight I would have had the mastectomy hands down.
 
How are you doing now?  Smile
 
 


-------------
IDC 12/06, age 42
4AC,4taxotere, lumpectomy, 33 rads 8/07 done
3/08 recurrence, bil mast w/expanders
7/08 exc surgey, recurrence
8/08 removal of implant &breast skin. 25 rad
10/08 rec


Posted By: cmtrots
Date Posted: Oct 16 2008 at 6:17am
When first diagnosed I was not told I had triple negative. I was only told that my cancer was very aggressive. The doctors told me it was my decision, but because of my implants a lumpectomy would be tricky. I decided to have a mastectomy (on my left side). I had a tumor about 1.5cm and just wanted it off. I had reconstruction at the same time. I didn't have a recurrence till 3 yrs out in my left arm pit.Never a problem in the other breast, knock on wood. And by my signature you can figure the rest out.

-------------
12/02 mast w/recon neg nodes A/C
12/05 5/11 pos nodes,taxotere
6/06 3 nod pos,6 wks rad'tn and Xeloda
7/07 lung met, lung surgery,Taxol and Carbo
8/08 lung mets again, Avastin and Abraxene


Posted By: chaya
Date Posted: Oct 20 2008 at 2:21pm
The problem with a poll like this is that there is no choice for people who had any of those procedures & didn't get recurrence. That to me is an equally important concept.

Also to look at such a small example and make such sweeping answers scares me. If you add up the percentages, sure a larger percentage of respondents had a lumpectomy & cancer returned, but when you compare that to the numbers, it's lumpectomy: 7, mast.: 8.






Posted By: kirby
Date Posted: Oct 20 2008 at 9:29pm
I hadn't seen this survey before tonight. I agree with Chaya. Shouldn't this include those that haven't had reccurance? Also most on this site are fairly newly dx. It would be nice to see #'s and comparisons of those beyond 3 years.

-------------
kirby

dx Feb. 2001. Age 44
Lumpectomy

2cm. no nodes stage 1 grade 3

4 rnds AC, 35 rads


Posted By: trip2
Date Posted: Oct 21 2008 at 12:30pm
Chaya or Kirby,
 
If one of you would like to set up a new poll that would be great.
 
I for some reason cannot do this at this time.


-------------
Stage 2 2003
Stage 1 2007
BRCA 1+


Posted By: kirby
Date Posted: Oct 21 2008 at 7:24pm
I think Nancy has already jumped on this one.

-------------
kirby

dx Feb. 2001. Age 44
Lumpectomy

2cm. no nodes stage 1 grade 3

4 rnds AC, 35 rads


Posted By: lalala1000
Date Posted: Nov 06 2008 at 8:28am
I was told by my oncologist/srugeon that if the BRCA was present that a double mastectomy was necessary. However, I do not have the gene. How many women answering here, know your status re: the gene and how did that change your decision? Also, how many women without BRCA had a lumpectomy and the cancer still came back?

Thanks,

Linda


Posted By: patti
Date Posted: Nov 06 2008 at 9:02am
I am Braca negative.  I first had lumpectomy, came back same side. Then had bilateral mastectomy, just now came back in the skin of the prophyalactic side. 

-------------
IDC 12/06, age 42
4AC,4taxotere, lumpectomy, 33 rads 8/07 done
3/08 recurrence, bil mast w/expanders
7/08 exc surgey, recurrence
8/08 removal of implant &breast skin. 25 rad
10/08 rec


Posted By: JustVal
Date Posted: Nov 07 2008 at 7:51pm
Hi Joan,
I was going to take your poll but MY particular scenario is not listed! Heres a new choice for your poll! I had trip neg in one breast, stage 1, not in nodes, 1.5 cm tumor. I had a double mastectomy to get rid of "the cancer beast." It was found out after my surgery in the biopsy that there were abnormal cells in my "healthy" breast that was not diagnosed cancerous. So it would have been a matter of time before I would have heard those words again, "You have cancer." I had no radiation following surgery. With a double mastectomy total of six months of chemo (4 treatments of AC and 12 treatments of Taxol), my cancer came back in only 5 months from finishing chemo on the same breast. It was small, 1.5 cm and had not spread anywhere. I was shocked and in disbelief this could happen so quickly. While my oncologist believes the cancer was left behind during the mastectomy, the surgeon says that maybe the chemo did not work. All I know is I did everything they suggested to the most conservative degree.
 
I must say that the reconstruction was done beautifully and made me feel feminine and whole again. While the "feeling" will never be the same as real tissue, I look great in tank tops and bras. Having the masectomy is something I do not regret. It is amazing after the tatoos just how real everything looks. When the scars fade it will even look better.
 
I agree with you that the next round of chemo is basically a "crap shoot" and the thought of being sick and possibly losing my hair again is disheartening to say the least.
 
Now, it is suggested that I take Carboplatin and Gemzar. Has anybody had that concoction? Also, this time they reccemmend radiation. Now I am concerned about my implant and the effect radiation may have on that. Best wishes to you Joan. Thanks for the poll and sharing your story. I am new to the club and it's nice not to feel so alone with trip neg.
Val


Posted By: JustVal
Date Posted: Nov 07 2008 at 7:54pm
Hello,
Did you remove the implant because of the radiation? I had a reoccurance and will have to do radiation after just completing the reconstruction with tatoos and everything!
Thanks.


Posted By: Beth Anne
Date Posted: Nov 08 2008 at 6:51am
Hi Val...

The key for you if you have to have radiation again is to find a radiation oncologist that is willing to do it with the implants in... I was able to find one that was knowledgeable in doing that.

Beth Anne 


-------------
Dx 5/07 DCIS Stage3 gr9 A/C x 6, Abrax x 16 Bi-Mass 2/08
Navelbine x 12, finished radiation end of July 08. DX Brain Met's 2/09StageIV
CK3/09.Brain resection4/09 WBR
Dreaming of dancing with Ned!


Posted By: trip2
Date Posted: Nov 08 2008 at 7:23am
Hi Val,
 
How horrible for you to hear it is back in only 5 months!  Bless your heart.  Those are hard words to hear and it means back to chemo, again!Dead
 
I remember when I was told the second time and I was not only angry and ready to rip heads off because of the radiologist's error but devasted at the same time.  What a hurricane of thoughts.
 
I hope your second round goes smoothly for you so that you can get on with your life.  I have not had the chemos you mention, the platins are supposed to be good for us.
 
Keep us posted on how you are doing and hang in there, you'll get thru this, we just do it cuz we know we need to.
 
http://www.chemocare.com - http://www.chemocare.com is a website you can look the chemo's up on and it also has alot of good info about chemo, side effects, etc..
 
Hug


-------------
Stage 2 2003
Stage 1 2007
BRCA 1+


Posted By: Wendy2
Date Posted: Nov 09 2008 at 3:58am
Linda
 
I had lumpectomy, no nodes, clear margins and mine came back in my lungs within 2 yrs. Go figure. Thought I was clear and good to go. WHAT IS GOING ON HERE?
Wendy


-------------
dx 3/06 TN, taxotere/cytoxin x4; radiation x 40; mets. to lungs, lymph nodes 3/08 - to begin chemo 4/29/08 Abx/Avas., 9/08 Avastin maintenance, 1/09 - off meds to see if Avastin causing headaches


Posted By: lalala1000
Date Posted: Nov 09 2008 at 4:07am
We need to analyze the data ourselves and try and find a commonality. What keeps some of us cancer-free after treatment and what causes some of us to have a recurrence?


_________________________________________________________Dx 9/17/08, IDC, Sage IIb, 2.1 cm in breast, 4.1 cm in one node on PET, BRCA neg, receiving ACT X 6.


Posted By: chaya
Date Posted: Nov 09 2008 at 8:31am
Clearly it's not as simple as mastectomy vs. lumpectomy. What are the other variables - size of tumor? BRCA? Adjuvant treatment? Other genetic markers? Life style? I don't know if there is some complex poll out there already.


Posted By: ladyklj
Date Posted: Nov 09 2008 at 8:59am
Hello,
 
I am new to this site. I was diag 6/08 with grade 3, stage IIB(not in node) triple negative breast cancer. I had a lumpectomy in July, when my breast surgeon went in she found out my tumor was bigger than she thought - size 4.1cm - and she also found another small tumor - size .4 cm -  near the larger one. She said my cancer is aggresive and I am considered high risk. I am currently in chemo - just did 4 treatments of AC and now am doing 12 weekly treatments of Taxol. I have been discussing with my breast surgeon getting a double masectomy done because I am 36 and have a fear that I will have a reaccurance. I have been reasearching about this tnbc and it seems that it is a more aggressive form of cancer. I have taken the genetic test and it came back negative but of course my oncolologist and breast surgeon told me that I am still high risk b/c of my age and I am african american and the grade and stage of my cancer.
 
Do you think I am correct in making the decision to have a double masectomy done once I am done with my chemo treatments? I feel in my heart it is the best decision for me.


Posted By: ladyklj
Date Posted: Nov 09 2008 at 9:02am
Topic: Recurrence After Mastectomy vs. Lumpectomy
Posted: Today at 1:59pm By ladyklj
Hello,
 
I am new to this site. I was diag 6/08 with grade 3, stage IIB(not in node) triple negative breast cancer. I had a lumpectomy in July, when my breast surgeon went in she found out my tumor was bigger than she thought - size 4.1cm - and she also found another small tumor - size .4 cm -  near the larger one. She said my cancer is aggresive and I am considered high risk. I am currently in chemo - just did 4 treatments of AC and now am doing 12 weekly treatments of Taxol. I have been discussing with my breast surgeon getting a double masectomy done because I am 36 and have a fear that I will have a reaccurance. I have been reasearching about this tnbc and it seems that it is a more aggressive form of cancer. I have taken the genetic test and it came back negative but of course my oncolologist and breast surgeon told me that I am still high risk b/c of my age and I am african american and the grade and stage of my cancer.
 
Do you think I am correct in making the decision to have a double masectomy done once I am done with my chemo treatments? I feel in my heart it is the best decision for me.


Posted By: lrderedita
Date Posted: Nov 15 2008 at 3:58pm
Sounds like mine - lumpectomy, no nodes, chemo (because of the tripneg status) and radiation, came back 2 years later same side on the incision site, bilateral mast (one prophylactically) and different chemo drugs this year, now it's back again but same side. Noticed it being two small skin spots. I'm starting radiation on Monday. What's your plan? I've been reading about people taking Avastin or Xeloda with a recurrence...do you have any info on that?

I'm also Braca negative, no family history at all.

Lynne

-------------
Age 46-5/06 lump ACT, Rads; 5/08 Rec bi-mast,Etopiside/ Cisplatin; 11/08 Rec Rads/ Gemzar(rad dose); 7/09 supraclav nodes Avastin/ Abraxane Sept09-current
Joyful in Christ through all circumstances!


Posted By: lrderedita
Date Posted: Nov 15 2008 at 4:04pm
Oops, I forgot to mention my previous post was in response to Patti's.

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Age 46-5/06 lump ACT, Rads; 5/08 Rec bi-mast,Etopiside/ Cisplatin; 11/08 Rec Rads/ Gemzar(rad dose); 7/09 supraclav nodes Avastin/ Abraxane Sept09-current
Joyful in Christ through all circumstances!


Posted By: Laura
Date Posted: Jun 18 2009 at 4:20am
I had a mastecomy and the cancer came back under my arm of the same breast.


Posted By: JustVal
Date Posted: Jun 18 2009 at 6:19pm
I too had a double mastectomy, 4 treatmenst of AC, 12 weeks on Taxol. No nodes first diagnosis. Five months after finishing chemo, I found a small bump. Breast cancer in the original breast. I did not understand, and still don't, why the chemo did not get this! BUT, I then did radiation, and had a choice to do chemo. I opted for the chemo and am currently on Carboplatin (?) and Gemzar. Much easier than the first time. IF I HAD IT TO DO OVER AGAIN THE FIRST TIME, I would have had the mastecomy, radiation, and chemo. Also, radiation first, then chemo which is not what they normally reccemend. i belive that if I would have done the radiation the first time I would not have gotten it the second time.....maybe :)

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Val


Posted By: Joan2844
Date Posted: Jun 19 2009 at 5:33am
Val,

You say that you think if you had had the radiation then the cancer would not have come back, but... I had the radiation in my original treatment, and wondered if I had had the mastectomy if the cancer would not have come back?  In the end, I've decided there is no magic formula. We do what we think is best at the time, and then we have to move on. It is in God's hands.

Recent articles have talked about the benefits of carbo (a platinum drug) against trip-neg --- you are very lucky to be able to take this drug. I pray it works for you.

I did Taxol & Gemzar the second time, and tried carbo, but by then my body was too saturated with drugs to tolerate the carbo. I had 1.5 doses of the 4 my doc wanted to give me. He smiles and says I had "enough." I hope and pray that for myself, as well.

Joan    


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9/06 Stage2B. Pos Nodes; Neg BRAC; TAC/Lumpectomy/Rads/Xeloda.
4/08 Local Recurrence; Mast w/ Latissimus Flap;Taxol/Gemzar/Carbo. Zometa.

NED since May 2008 :-)
www.wow-matt14.blogspot.com


Posted By: trip2
Date Posted: Jun 19 2009 at 6:12pm
Hi Val,
 
I am so sorry the breast cancer came back.
 
I think what you should do is not be so hard on yourself about
how you did your first treatments.  You did the best that you could at
the time.
 
I believe many of us who have had it come back can look back and wonder if but it won't change a thing.  My first time I had the chemo/rads and it came back although I did have a lumpectomy.
 
It is crazy the way this disease works and appears darn hard to stay ahead of the game.  Joan is right, the Carboplatin is supposed to be a good one for tri negs.
 
I hope you will keep us posted on how you are doing and best wishes.


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Stage 2 2003
Stage 1 2007
BRCA 1+



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