just wondering

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

jpann39
Regular Member


Date Joined Nov 2006
Total Posts : 71
   Posted 11/28/2006 2:11 PM (GMT -7)   
I meet my medical onc tomarrow so fully intend to ask him but was wondering if anyone here might be able to figure this out...
Ive been reading stuff about Stage II, Grade I, Ivasive Ductal Carcinoma with no node involvement....everything I read says the normal treatment after a lumpectomy (what I had) is radiation....My surgeon told me that he recommends both chemo and rad....
Can anyone help with this questions? Why do both if the norm is rad only?

postal2
Veteran Member


Date Joined Jul 2003
Total Posts : 1106
   Posted 11/28/2006 3:26 PM (GMT -7)   
Hi, i don't know the answer to that, so please let us know what he says. I don't remember what you age is, if you are in your 40's or less, I would think maybe that is part of the reason. Let us know how it goes, ok? Good Luck, Gail
  It's only when we truly know and understand that we have a limited time on earth -- and that we have no way of knowing when our time is up, we will then begin to live each day to the fullest, as if it was the only one we had.
 
Elisabeth Kubler Ross


jpann39
Regular Member


Date Joined Nov 2006
Total Posts : 71
   Posted 11/28/2006 3:29 PM (GMT -7)   
Gail,
I turned 46 the day of my lumpectomy....he did say something about part of it being my age, but I have a hard thinking that is the sole reason for doing both...
Ive read lots on the internet and it just doesnt make sense to me.
I will let you know what I find out tomarrow.
Take Care
Jule

Tavish
Veteran Member


Date Joined Jul 2003
Total Posts : 2272
   Posted 11/28/2006 4:45 PM (GMT -7)   
Be sure to keep this on your list of questions...back in my day (2000), stage II was a pretty good candidate for chemo. But grade I is the best you could ask for, so I am not sure how that factors in. It may be that makes your chance to benefit from chemo not as great, and the risks may outweigh the benefits. A question for the doctors... for sure. Now they have tests to look at the traits of the tumor to see if you do stand a chance to benefit from chemo.
Don't forget that tape recorder tomorrow!
Lori


barkyboys
Veteran Member


Date Joined Jul 2003
Total Posts : 1564
   Posted 11/28/2006 4:54 PM (GMT -7)   
Different oncologists have different opinions, but I think most, with invasive cancer, recommend chemo, just to be safe. They don't remove all the lymph nodes in a dissection, but take a sample. In lay terms, if the cancer is invasive, it is always possible that a few cancer cells have escaped the lymph nodes and are roaming free. There can be micrometasteses that go undetected through the usual scans and such, which typically pick up only large chunks of cancer (remember, a breast cancer tumor has been growing for 8 years or so before it is palpable or detectable on a mammogram!).

Radiation will treat the area of the tumor only, to kill cells that may remain. The hope is that chemo will kill any cells that have escaped the immediate area.

I know women who had no nodes, had chemo, and still developed metastatic disease. Your age is a consideration because younger women tend to have more agressive cancers.

Please remember that there is no "cure" for breast cancer. We simply fight with all we have at our disposal. I would take comfort in the fact that your oncologist wants to take every avenue possible to prevent recurrence.

Good luck in your fight.

BEV

jpann39
Regular Member


Date Joined Nov 2006
Total Posts : 71
   Posted 11/28/2006 5:05 PM (GMT -7)   
Lori,
 
I have that question right at the top of my list, not sure if Im hoping the surgeon is wrong (he's the one that said that they would recommend chemo w/radiation) about the chemo or not but chemo scares me alot.
I keep reading and there is so many things that contradict each other that is is hard to decipher which would be the best...for now I think Im just stressing myself about the unknown again and should probably wait until I hear what the medical onc says tomarrow...I believe the hormone testing is also suppose to be back for this appt too.
 
Thanks for your reply
 

jpann39
Regular Member


Date Joined Nov 2006
Total Posts : 71
   Posted 11/28/2006 5:11 PM (GMT -7)   
Bev,
 
The things you said in your post are mostly what I have read while doing research....I think that between my age, the type of cancer and such it is like you said.....they recommend it just to be safer and the surgeon did say he felt it is preventative at this point.
Most of my dad's side of the family has passed away with some form of cancer or other so Ive been leaning to the side that if I add that fact into things that I should have the chemo anyway.
 
If you read my post to Lori you will see that Im likely stressing again and and the thought of chemo scares me.
 
Thank you for the reassurance about the onc, tomarrow will be my first meeting with him so am nervous, but I believe he will use everything that he can to help me ward this off.
 
Again, thank you
Jule

Tavish
Veteran Member


Date Joined Jul 2003
Total Posts : 2272
   Posted 11/28/2006 6:37 PM (GMT -7)   
You got it! There are different answers for the same questions.. depending on who answers them. That is why it is important to trust your doctor and consider a second opinion to be sure. And sometimes there may be more than one right answer, leaving the decision making to you. Bev is right in that younger women tend to have mor aggressive cancers...mine was a grade III at age 30. Grade I is the best, it means it is least aggressive, good news for you. Size is a factor in whether they use chemo or not, but so are the cell traits. Slow growing cancers are less likely to respond to chemo...but the larger tumor may have had some rogue cells slip out...try not to second guess yet, just take the facts you have and bring those with your questions to the doctor. Ask the doctor if you can email him or the nurse with additional questions...they are sure to come up at strange hours in the night...or weekends when no one is there. No reason to call and play phone tag each time. I used email with my doctors and it was a real great way to communicate on their time schedule, plus allowed me to have a written record of the Q&A's.
Good luck!
Lori


jpann39
Regular Member


Date Joined Nov 2006
Total Posts : 71
   Posted 11/28/2006 7:08 PM (GMT -7)   

Lori,

I read that about the slow growth rates not responding as well and that is one of my questions if they recommend chemo. As far as the tumor size, mine was 2.4 cm so not sure that is why either. Most everything that I have read on the net to do with the size, age, growth rate and the little amount of information that I have dosesnt seem to indicate chemo...thats why Im so confused. Also I try to factor in that it was the surgeon who told me he thought they would do both and Im not sure treatment is his field of expertise here, but I still wonder.

That email idea is WONDERFUL.....as you said I normally wake up in the middle of the night with a question and if I dont get up and write it down I forget it by morning, but if I get up to write it down it stays in my mind and I cant go back to sleep.
 
I actually slept 5 hrs in a row last night, the first night I have gotten more than two hours rest since this all stated a month ago...I was even hungry last night for the first time in weeks!!!!
 
Now its starting all over again, I can feel the nerves building as tomarrows appt gets closer so I dont expect to sleep very well tonight or have much of an appetite....
 
Will post here tomarrow evening so that maybe someone else will find some answers too...
 
Jule

barkyboys
Veteran Member


Date Joined Jul 2003
Total Posts : 1564
   Posted 11/30/2006 5:51 PM (GMT -7)   
Jule, I think the thought of chemo is worse than the chemo itself...just like losing your hair is not as bad as the thought of losing it. I had the older CAF, 9 rounds, so I don't know how that compares with the A/C followed by taxanes that they use today. But I do know that I never threw up and I never missed a day of work. I was queasy sometimes, tired most of the time, but I was determined to keep my life as normal as possible.

I've heard as many complaints about the effects of radiation as I have chemo, I think.

Just think about what you could do for six months when your choice is between that and the rest of your life! I know that 6 months of chemo was well worth the twelve years that I've had to watch my children grow up, watch my granddaughter be born...I'm going Tuesday to see her Christmas program at preschool (she just turned five!)...and let me tell you, in retrospect, I know that 6 months of chemo will be worth that one evening alone!

And believe it or not, I think often of how worth it those six months of chemo were to me. Every day, I am reminded of how lucky I am to still be here. I lost my mother to cancer when I was 7...she had experimental chemo and whole body radiation to try to get more time. She was sick as a dog from the cancer and the treatments alike. But I like to think that her attempts to survive somehow helped the scientific process that has given me these extra years.

Just my perceptions, and I know...it's so much easier to look back on it now than it was to face the "unknown" back then! But you can do this!

Good luck, sweetie.

BEV
 

Post Edited (barkyboys) : 11/30/2006 5:54:21 PM (GMT-7)

New Topic Post Reply Printable Version
Forum Information
Currently it is Sunday, December 04, 2016 7:25 PM (GMT -7)
There are a total of 2,732,818 posts in 301,057 threads.
View Active Threads


Who's Online
This forum has 151209 registered members. Please welcome our newest member, Old Editor.
334 Guest(s), 18 Registered Member(s) are currently online.  Details
Wdan, Psilociraptor, JaSanne, trader758, Tick41, Pratoman, Alice22, Buzzlymeyear, ks1905, Ed Ski, lynn421, Red_34, Ggrlsav, The king, Old Editor, Sue*Nash, Sissy63, Peter A


Follow HealingWell.com on Facebook  Follow HealingWell.com on Twitter  Follow HealingWell.com on Pinterest
Advertisement
Advertisement

©1996-2016 HealingWell.com LLC  All rights reserved.

Advertise | Privacy Policy & Disclaimer