Surprising diagnosis - grade 3 invasive ductal carcinoma

Hi all, 

so, after finding a lump last month on my tiny boobs I booked an appointment to see the doctor. I’ve got a slight family history of bc and knew the risks. But, I’ve had a scare before, so I was prepared for biopsy, etc, and a talking to about changes etc. 

I had a biopsy and scans on Thursday last week and was told it was a Fibroadenoma, not to worry I’m only 32, yadda ya. I got a call for results today.

As soon as I walked in the (lovely) consultant asked me to phone my husband and ask him to come in. At that point it clicked. 

So ive been diagnosed with a grade 3 invasive ductal carcinoma. 

I feel kind of weird. I haven’t cried or anything, I feel numb I think. I don’t want to upset other people etc. Weird situation to be in !

anywho I have to wait for a few more results to know if we are going for chemo or surgery first, and I’ll know in a few weeks. Right now I’m just looking for a mate

Parents
  • Hi, I don't even know where to begin, I'm sorry to hear about your diagnosis this year was the hardest year of my life; it was meant to be special and exciting but it turned out to be a nightmare.

    At the start of the lockdown in March I found out I was pregnant with my second child everything was great I was over the moon my partner and my daughter were so excited, then a few months down the line I felt a lump on my right breast.

    I booked an appointment done some test and got diagnosed with TNBC in July whilst 5 months pregnant at 30. I didn't enjoy the end of my pregnancy at all 

    I started chemo 3 weeks later, at first I was scared because I didn't know if the treatment would harm the baby, but the doctor's assured me that my baby would be safe. I think because my hormones were all over the place I used to cry non stop... I thank God every day for my partner he's been my rock through out this horror movie.

    I started chemo in August I would have treatment every 3 weeks but unfortunately my tumor was not shrinking. The my treatment was changed in October, I had to go in every week for 3 weeks and then stop a month before I was induced.

    I was induced on the 11th of November 2020 and my princess was born on the 14th of November she was born 2 weeks early. 

    For that moment I forgot I had breast cancer I  went home the same day because I had a natural birth and the doctors gave me the all clear.

    On the 19th of November I had a mastectomy I'm still coming to terms with it, all I could say to myself was im doing it for my children. They took some lymph nodes to check the staging.

    The surgery went well, my lymph nodes were clear and my ct scan was clear aswell. I due to start treatment again in a week.
     

    We will beat this beast and it will never come back again. 

  • Hi, [@Angelbless]‍ 

    Thanks for sharing your story.

    How awful this year has been for you, and it must have all been so much harder with all of the lockdowns and uncertainties surrounding that. But congratulations on the birth of your daughter, I am glad she was able to be the light at the end of the tunnel for you.

    How did you find chemo? Is that what you will be starting again next week? 

    I just want to get going now lol.

     

    yes, absolutely we will ! 

  • [@yorkiegal]‍ did you get your results Hun. 

    Aw thank you for taking the time to explain that. I really do appreciate it! 

    Yeah I think it's all in my head to be honest! Typical monkey mind running riot. 

    Covid swab tomorrow ... One step closer! 

    Hope your well 

    Phili xx

  • Hi [@Phili1]‍, Got the results this morning, lymph nodes are clear, but cancer size larger than first thought, so now grade 3, appt with onco in 3 weeks time. Glad it was of help to you. Good luck for thursday x Lyn. 

  • [@yorkiegal]‍  hi Lyn.

    So pleased to hear your lymph nodes are clear! Must be a big relief. Your HR2+ aren't you? So chemo already on the cards? Mines grade 3 too. Nasty lumps! 

    Thank you. I will let you know how I get on. Fingers crossed it's smooth sailing this time :laugh: 

    take care of yourself xx

  • [@Phili1]‍ Hi Phili, It was a relief without a doubt. I am HER2-positive. Chemo was always on the cards, plus Herceptin which is a targeted therapy only for HER2-pos cancer that helps ‘up’ survival rates. But, as the cancer is now bigger than originally diagnosed I will be having radiotherapy at the very end of all the treatment. I will know more, length of treatment, exact type of chemo etc when I see the onc on 2nd march. I will be thinking of you tomorrow Phili, good luck with things - you’ll be fine. Lyn. x

     

  • Hi all 

    I haven't commented for a while but have been following the thread and everyone's cancer journey. I had original surgery in December lumpectomy and sentinel lymph node biopsy.  Was called back a week early for results so knew something wasnt quite right however lymph nodes were clear so that was good.  Tumor turned out to be bigger than thought at 4.5cm so is now grade 3 invasive ductal cancer.  Margins were not clear so needed further surgery which was done on 28 Jan.  Again no pain after surgery.  Went back to clinic last week for results and unfortunately the margins are still not clear.  As I am a larger breasted woman I have been given the choice of two options.  Either a reduction so they remove a large amount of tissue with surgery to the other breast at a later date or masectomy with implant done at the same time.  Although the reduction cannot guarantee clear margins the delay in further treatment would not impact on my prognosis as they have removed the invasive cancer. They have said going straight for masectomy does not change my treatment plan either but some woman can't bear the thought of another surgery.  To be honest that doesn't phase me.  I think the consultant wouldn't suggest trying the reduction if medically my best option is masectomy.  They have been great and I am due back Friday to sign consent for surgery.

    They are also doing an oncotype test to see if I will need chemo which won't be ba k for a few weeks. 

    Although each time I've gone back it's not great news I am still positive. 

    We have all got this stay strong everyone 

     

    Sue xx

     

  • [@Sue49]‍, Hi sue, What a worrying time you’re having, I’m sorry to hear this. You are totally right, optimism is key to our overall well being. It’s hard not to stress, thankfully I am pragmatic and strongly feel what will be will be, i’ve learnt that things change, my original diagmosis was HER2-positive invasive ductal carcinoma some history - The lump I felt at 6 o’clock in my breast was thought to be 6mm, I then went for ultrasound immediately, having spoke to the consultant the same day, it was then two lumps thought to be 10mm and 6mm, biopsies taken and two clips were put in at the sites, I knew that wasn’t a good sign. I then got the grade 2 diagnosis. Surgery was swift, 3 weeks ago yesterday, I got the negative node test but the overall size was vastly different, 25mm and 18mm and grade 3. I didn’t get the stage yet, as the path lab is rechecking it all at the request of the surgeon. This puts me in radiotherapy territory now, at the end of all other treatment. My mastectomy choice was governed by the only 20mm space between the two tumours. I have a large breast 38e, though I acceot that these are small compared to some. It would have been tricky to get the margins. It was a no brainer for me, I wanted peace of mind. So I had a  mastetomy with recon on the day, and I now have an expander in 2/3 full, the new boob size should be a healthy C cup with which I’m thrilled, I will find it freeing, no more ‘sweaty summers’ under the boob, i’ve tried bras at £20 up to £90 but they don’t stop the droop and awful moisture under the breast in the heat, I lived in temperatures of up to 46 degrees living abroad for years, it was murder. My surgery looks amazing now it’s settling and the bruising is lessening, to say I’m thrilled would be sn understatement. So, we are all in a constant situation of ‘change’, the surgeon only has a best guess of cancer size until it’s out and on that lab table, that’s no ones fault. I am looking at chemo, then herceptin for a year, then radiotherapy. I’m not over the moon at what’s to come, but come it will, and we just have to get on and play the hand we’re dealt, to the best advantage we’re given. I see the onco in two weeks for a definitive treatment path. I hope your choice gives you that peace of mind Sue, please keep in touch, and keep that positivity, I know you will from what you’ve written. sending you a huge hug. Lyn. X

  • Hi lyn

    Sorry to hear what you have been through too but your message did make me smile.  I feel your pain with regards to the downside of big breasts.  I am a 36H cup and also have to say that the thought of them being reduced in size is a big positive for me.  The consultant did say that if I had been smaller the reduction would not be a viable option.  I have said all all along that if they need to take the whole breast to do it.  I also had the clips put in during biopsies as they originally thought there were two areas of concern. Luckily for me the other area was fibrosis.  That was a bit if a shock finding out there might be another area.

    I still have the blue boob from first surgery.  I have always been told I woukd need radio and hormone tablets but don't have stage yet.

    If the reduction works he says I will be about a D cup but if I end up having masectomy then like you woukd be a C cup.

    Keep in touch and you stay positive too. Hope the next steps for you are not too grueling. Take care

    Sue xx

     

  • [@Sue49]‍ , Hi again. Thanks for getting back. What type is it if you don’t mind me asking? We’re all different with different treatment paths as you will know. Having a C cup sounds very agreeable after a H cup, you will know exactly what I’m talking about with bells on! I used to love running up until an ankle injury almost 20 years ago, but sports bras back then were worse than useless, and the pain and discomfort I got from doing something I loved was not enjoyable. I’m thinking - when the other is reduced to match, assuming all goes well..........pretty bras from anywhere, wearing a tailored suit or dress without my boobs walking in a room first, wearing something tailored ‘well’, I was a size 10/12 in my youth, I’min my 50’s now and  a 16, so my back size has gone up, but a jacket never fitted me right, always pulling at the front. I can’t help but see the positives, and hopefully will do for as long as I’m around. Good luck with everything, and do get back through your treatment, I’d love to hear what you ‘chose’ surgery wise. All the best, Lyn. X

  • Hiya

    All I have been told is that it is now grade 3 invasive ductal cancer.  It was originally grade 2 as they thought it was about 3cmbut after surgery it was actually 4.5cm.   I have been told that dcis is in the margins bit the invasive cancer has been removed.

    Chemo has never been ruled out and part of me is expecting that I might need some but radiotherapy has been mentioned tight from the word go along with hormone tablets. 

    I think I'm more or less set on trying the reduction first unless advised differently from the medical team.  The nurses have said there is no right or wrong answer.  I've just turned 50 so hadn't started having mammograms.  Just felt a lump and then noticed a dimple. I knew it wasn't right. 

    I will let you know how I get on.  I also am very positive with everything you have to be

     

    Sue xx

     

     

  • [@Sue49]‍ Hi Sue, I think you should go for whatever you yourself feel the most comfortable with, only you can decide that. If the reduction is fine to go ahead with as far as your surgeon is concerned, rather than the mastectomy that’s brilliant news for you. By the type I meant the oestrogen or progesterone negative or positive as in mine being Her2-positive, they’re all different, I didn’t know which type has hormone tablets as treatment, I’m a bit green about anything other than Her2-pos.  I wish you all the best going forward and do let us know. You take care, Lyn.X

Reply
  • [@Sue49]‍ Hi Sue, I think you should go for whatever you yourself feel the most comfortable with, only you can decide that. If the reduction is fine to go ahead with as far as your surgeon is concerned, rather than the mastectomy that’s brilliant news for you. By the type I meant the oestrogen or progesterone negative or positive as in mine being Her2-positive, they’re all different, I didn’t know which type has hormone tablets as treatment, I’m a bit green about anything other than Her2-pos.  I wish you all the best going forward and do let us know. You take care, Lyn.X

Children
  • Hi, recently found this forum, I am triple positive with 5cm lump and positive lymph nodes. I am to have chemo first, then mastectomy, then radiation therapy. I am to have herceptin. Can anyone tell me how this is administered?? I read it is IV, do you attend clinic for it?.

     

    Thanks and sorry for the hijack 

  • [@Anniemc2]‍ Hi Annie, please don’t apologise for the hijack, all are very welcome. Sorry to hear of your diagnosis. You are having chemo first to shrink the tumour. If you’ve read the thread I am 3 weeks post mastectomy (with reconstruction on the day), my treatment path is - surgery first, small tumours (or first thought to be), then chemo, then 1 year Herceptin, then radiotherapy after everything else including surgery is finished. Herceptin can be given via IV or a via a subcutaneous injection to alternate thighs, I don’t really know why the decision is made on the administration of Herceptin or what determines it. My first onco appointment is the 2nd march when I will find out more, but that is definitely a question on my list. If IV i’m sure it would be given at the same place as chemo, unsure about the injection. If someone else doesn’t add to the link with more info for you given on their experience I will get back to you as soon as after my appointment. All the very best, Lyn. X 

     

     

  • Thanks for the reply, it was also mentioned to me that it could be IV or subcutaneous. How are you feeling after mastectomy? Is recovery longer with reconstruction?? I am starting chemo on March 3rd, my oncologist said the first four treatments are the worst and then it gets better after that as the drugs are changed, I'm getting pertusamab at the start. 

  • [@Anniemc2]‍ Hi, I’m nor sure if it’s longer with recon, I only really experienced real pain when the nerve blocker they insert during surgery wore off on about day five. I was given strong painkillers for ten days, they killed the pain almost immediately. By the tail end of week two I was fine. The drains coming out made a difference to things, it was very ‘freeing’. I had heard someone mention that Herceptin was a bit tough and Pertuzumab is similar. The very best of luck for march 3rd, I do hope you get a smooth ride, please do let me know how you get on, if you feel up to it. I will get my exact treatment path on march 2nd. Look after yourself, Lyn. x

     

  • Hi all. 

    Nice to see some new posters here. If you know what I mean! Hope everyone is doing well. 

    My surgery went well and I seem to be recovering ok. Took a few days away from it all as I was feeling a little squeamish after surgery but it was just me being whimpy :laugh: I bled a bit after but thankfully my sister is a community nurse and came to change my dressings a couple of times. Now they are off and I'm trying not to look at my frankenboob too much lol. 

    It will be two or three weeks until I get my results so fingers crossed all is good news. My oncoplasty said the lump had grown from diagnosis to surgery but I haven't had any specific details yet. I knew it had so that wasn't a great surprise. 

    At the minute I'm just doing my exercises, trying not to think too far ahead and letting myself heal. 

    hugs all round 

    XX

  • [@Phili1]‍ . Hi Phili, You were on my mind thursday, I thought you’d be back when you were a few days on. I didn’t want to message you, and give you a chore getting back to me. SO pleased everything went well, you sound in really good spirits, how fab having sis on hand - marvellous! that’s so great for you. Mine had really grown too, to be expected I guess. The results took 3 weeks to come back with all the added pressure of covid on the path lab. Fingers crossed for good news for you love. Chill out, treat yourself kindly, enjoy eating what makes you happy, and a huge hug back to you. All the best, Lyn. X

  • Hi everyone.  Hope nobody minds me gatecrashing.  One of my relatives has just been diagnosed with Stage 2 IDC.  She has had a CT Scan which we are awaiting results for.  She's quite a close relative, so I'm in bits with her waiting for the results.  I'm sorry to read that so many of you are going through this.  We've been here before with my relative too, stage 3 triple neg. mastectomy followed by chemo.  This time it's different so different treatment.  

     

    Sorry for gatecrashing, but you all seem lovely and I hope I'll be able to help with moral support (even though I'm not experiencing it myself)

  • [@yorkiegal]‍ Thank you. Yes I'm very lucky to have her, she loves wounds too so good job lol it makes me laugh how different we are :laugh:. 

    struggling with rib pain at the minute. Not sure what that's all about but I'll ask my BC nurse when I speak to her next. 

    how are you doing? What's new? I read you've got an appointment 2nd march. I'll be thinking of you then. 

    @Supergirl12 I'm sorry to hear of your relatives diagnosis. I think back to when my uncle got his cancer diagnosis and I think I had a harder time getting to grips with that then I have with my own diagnosis. I know it's very hard to feel like you can't help. But just by being there to listen to concerns or rants or just to talk about something other than cancer is a huge help! 

    your more than welcome on here lovely. We've all been touched by cancer in some way or another and it's just about sticking together. So anything we can do or questions we can answer ask away xx

  • [@Phili1]‍, Hi, Phili, Sorry to hear about your rib pain, not had that as such, could it be the compression bra? I can only explain that for me it felt like I had an iron bra on crushing me at first, now four weeks on that feeling has completely disappeared even though I’m in the same bra (x 2). You might automatically think ‘rib pain’ as the bra, if tight, could feel like it’s impacting on your ribs. Not much doing here at the moment, the visits to see my wonderful breast care nurse (and surgeon when he’s around) are now just once a week. Looking forward to next tuesday the 2nd (and not looking forward to it at the same time if you get my drift!). I want to know my exact treatment path, i’ve had the ‘supposed path’ from the first biopsy stage, but as we all know in this ever changing scenario, that has possibly been revised after the breast removal and final cancer size result.

    So, it’s friday, and hubby and I have an uninterrupted four days together, it looks to be dry here in sunny (not!) Lancashire, lots of walks, fresh air, a bit of garden work (right hand only), but probably me just orchestrating hubby! My mood has lifted, I feel positively positive, lets see what tuesday brings.............. a big hug to you Phili and ALL other lovelies out there going through similar things. X

  • [@yorkiegal]‍  Hope you enjoyed your weekend, what a cracker it turned out to be! Everything feels better with the sun shining :cool:

    I Don't think it's my bra, to be honest it feels bruised and I wonder if there was just a lot of pressure in that area during surgery. Hopefully it will start to ease. I'll bring it up when I get my results if it's still there. No date yet though. 

    ​​​​​Will be thinking of you tomorrow! Look after yourself and let us know how you get on when you are able. 

    hugs to all

    Phili xx