3rd lumpectomy nightmare

Hello all. Not posted here befure. 51 yrs , 2 x teen daughters, lone parent. Work in emergency services. 

diagnosed in Feb witha 10mm , stage 1 grade 2 invasive cancer in right breast. Lumpectomy results took 5 weeks to come back. No clear margin in one area and upgraded to 15mm but was also down graded to grade 1.

second lumpectomy on April - waited 7 long weeks for  results which I got this week. Unfortunately Another 15mm area of pre cancerous DCIS and a 3mm true cancer. Neither of which had shown on the mammograms. One area of no clear margin.

Offered a 3rd lumpectomy with or without a minor reconstruction (LICAP) or full on mastectomy. Previously I've been told the treatment plan, now I have to choose. 
 

i think I'm going for lumpectomy 3 with a LICAP. Genuinely not holding things together very well. Have a boyfriend of 2 years that's not supportive and runs away to put his head in the sand. So I'm ending the relationship.  Anyone had a 3rd lumpectomy? Consultant said I was very unlucky. This small 10mm diagnosis in February is becoming a monster and I'm pretty low. 

  • Hi there

    Sorry to hear that the 3rd attempt didnt work for you either. We seem to be a fairly exclusive club to have reached this level of attempts!). 

    I am leaning towards mastectomy to be sure to get all the affected tissue as because my cancer wasnt picked up by mammogram (was found by chance on lumpectomy for DCIS)  at all so i dont feel very secure having ongoing monitoring with scans.  It also makes me think that a double is probably better as although the other one looks ok on scan - I know that it wasnt picked up on the right with a scan. it would also leave me very lopsided to have one remaiing breast which i think is hard to deal with physically and mentally. You have made me think that that perhaps implants better than a reconstruction - am currently e cup but v happy to have a much smaller cup size and i think that makes implants possible. i will ask.  At least it would get it all out in one go but with something there for some shape so not such a shock.  

    Although there wasn't cancer found in the 2 nodes taken I will have chemo given the invasive cancer was a grade 2 and want to hit any stray cells that might be around. I know its hard but I think better to have now and side effects are generally well managed. the hair loss bit is probs the hardest for me but scalp cooling may work to a degree.  my tumour is not hormone senstive so unfortunately I dont have endocrine drugs as an option. 

    The various choices and oprions and no one to discuss this with or waiting for an uknown time to discuss with someone is really hard I agree. i didnt actually get any leaflets and am just googling but i hope to speak with the surgeon this week at some point.

    think of you both xx  

  • Hi both 

     

    I'm so sorry I missed these posts! I've been thinking about you Flossyn. I had my 3rd lumpectomy on Monday. I will update later when not making food for children and when I can read your posts and updates properly. 
     

    hi Clarky . Welcome to the rubbish club. 
     

    laineybug
     

     

  • Hi there

    Pleased the 3rd lumpectomy went ahead and fingers crossed that this op has cleared it all for you this time.  I have appt with surgeon tues to discuss options etc. seems a shame to have more drastic surgery now that my scar is looking so small and healed.   She did say last time that 3 attempts was unusal but that a colleague had once performed 5 lumpectomies......

    Hope you have a good weekend xxxx

  • Morning Flossyn

    Its a long old journey having 3 lumpectomies to be told they haven't got clear  margins. I'm bracing myself for that news. I have a 5 week wait as that's the norm for this area currently. No clear margin means mastectomy. In some ways that news would remove the need  for me to make a decision. 
     

    So you've been given options of further lumpectomies or mastectomy (with/without reconstruction).  My breast care nurse called yesterday and was discussing the options. She reckons a lumpectomy & reconstruction (and tamoxifen with radiotherapy) had same outcomes as a mastectomy. But I know different cancers work differently so it's tailored to the individual.

    going from stage 0 DCIS to chemo and mastectomy is a huge development, how are you feeling today? Have you anyone to talk to? Are you breast care nurses in touch? 

    You're seeing the consultant on Tuesday... do you have to decide then? My BCN was able to show me photos of LICAP reconstructions and mastectomies etc. 

    thinking of you - message me if you want a chat or anything x

  • Hi

    What a shame you have such a wait . I hope you're BC nurses are able to answer any concerns or questions. Mine must be bored to tears of hearing my "what ifs...". 

    Regarding your mastectomy - have you been given the option of having both breasts done? I can see how you might want both doing. It's good that there are so options and , as I understand, the door is always open for reconstruction if you choose to wait. 
     

    I hope you're getting some support and advice .  It's hard making decisions, and such impactful ones.

     

    let me know how you're getting on x

  • BC nurse was great but it was a lot of 'You'll hhave to wait to sppeak to your surgeon'.

    Haven't been giveen option for both yet. I'll know more on Thursday. Nurse did talk about immediate reconstruction so it is done at the same time, meaning less scarring. But again, don't know until I see my surgeon. 

    I'm finding it very hard at the moment. I'm not sleeping well and can't get it off my mind. Was given a leaflet about it - well - emailed to me. It's a lot to take in. I can send it to you if you like. 

    How are you doing? Xx

  • Hi

    Are you near to a Maggies centre? There's one near me and it's a lovely  place to visit even if it's just a for a cup of tea. I managed to visit a few weeks ago and spoke to an cancer health support advisor . They also have support groups and other things to offer. Apologies if you already know this stuff. I was going to join a group but I can't drive now and , like you, feeling a bit ️. 
     

    you'll know soon what your plan is and hopefully you'll get proper answers and thoughts from an expert. It's hard getting through the days..  waiting is rubbish. 
     

    i got a heap of information leaflets after my second results. I took a while to decide, rang a cancer helpline and had a separate meeting with my BCN. Then decided on 3rd lumpectomy with LICAP. Post op my cavity is filled with saline which makes an entertaining noise. But im aware it could go the same 'no clear margin' route and I'll be having mastectomy conversations. 
     

    my surgeon told me to stay positive - very very hard to do. Hope you're getting through the days with some support and help. 
     

    Laineybug x

  • OMG that wooshing sound in the cavity. I have to admit, I found it funny. 

  • Have found a Macmillan support group I might join but they meet evenings and I'm usually too knackered by then to go out xx

  • It's a definite party trick. Did you have the same? My life has definitely taken a bizarre turn !