Doing the Cancer Dance

Sunday, November 16, 2014

Triple Negative

A friend just got a diagnosis of breast cancer and had her lumpectomy on Wednesday. 

Today, five days later, she's a breast cancer survivor and probably on her way to a full recovery.

 

Good news: her lymph nodes (those that drain the breast, called sentinel nodes) were not involved! 

The margins around the removed tumor looked good too.  Yay!

With those two factors and with God's help, I think she has this beat. 

The bad news is that the cells of her tumor test as triple negative: no estrogen receptors, no progesterone receptors, and no overproduction of the Her2 oncogene.  

Cells of this type are very fast-growing, but chemotherapy really knocks them out. 

I've met women who have 20-30 years survival after Triple N.  

Note: you make friends with a lot of cancer survivors after a breast cancer diagnosis.  

The book I find helpful:

 The Breast Cancer Survival Manual, 5th ed., by John Link, MD (NY: Holt, 2012). 
Posted by A Linstatter at 6:16 PM 1 comment:
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Labels: chemotherapy, estrogen receptors, John Link, lumpectomy, progesterone receptors, The Breast Cancer Survival Manual, Triple negative breast cancer

Tuesday, September 30, 2014

Scary statistics

The American Cancer Society posted its estimated statistics on new breast cancer cases for 2014:


...estimates for breast cancer in women in the United States for 2014 are:
  • About 232,570 new cases of invasive breast cancer
  • About 62,570 new cases of carcinoma in situ (CIS) of the breast will be found (CIS is non-invasive and is the earliest form of breast cancer).
  • About 40,000 deaths from breast cancer
  • Breast cancer is the most common cancer among women in the United States, other than skin cancer. It is the second leading cause of cancer death in women, after lung cancer.
http://www.cancer.org/cancer/breastcancer/overviewguide/breast-cancer-overview-key-statistics


It's scary to be one of the new cases--but I'm grateful that it was discovered at Stage 2 and that I am not one of the 40,000 deaths from breast cancer.

At least not this year.
Posted by A Linstatter at 10:00 PM No comments:
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Labels: American Cancer Society, breast cancer mortality, deaths from breast cancer in 2014, new cases of breast cancer in 2014, statistics on breast cancer in the US

Friday, September 26, 2014

Now It's Stage 2

Today I went to pick up my Survivorship Resource Binder called Life after Breast Cancer: Easing the Transition.

It was a gift to me for agreeing to be in a study of cancer survivors and reporting on my physical and mental state of being one month after completing radiation treatment (and agreeing to report again six months later).

I finally finished the 10-12 questionnaires and went in to pick up the binder.

The person who gave it to me pointed out the key pages summarizing my case and titled "Cancer Survivorship Care Plan."  They had been written by my doctor a few days earlier.

"Tumor type & stage: Invasive tubular carcinoma, T2"--not a surprise.

But the next line said, "Pathologic stage: Stage II (Early cancer with a good prognosis."

"Stage 2?" I asked.  "I thought it was stage 1."

"No, stage 2," she confirmed.  Like me, she was reading what the report said.  She hadn't written it.

"I didn't know that," I said.

She moved on to review the rest of the treatment plan and then presented the entire printed binder to me.

I accepted it graciously, but afterward in the car I read and re-read the summary of my case.

Stage 2?

"When were you going to tell me this?" I wondered.

Would I ever have known this if I had not agreed to be in the study and received this nice binder?

Stage 2 seems a lot scarier than Stage 1.  I had been so confident all summer because it was "just stage 1."  

I sat in the car and cried.  

What if the doctors at Women's Imaging Center had not suggested an ultrasound after the mammogram?  Was it Dr. Iyengar or Dr. Jabour who made that call?  

What stage would the cancer have been if it had not been discovered until February of 2015?

I will never know the answer to these questions.  My brush with cancer was closer than I thought--and who knows, I may still have some cells of that cancer somewhere in my body, growing and multiplying. 

Studying my books on cancer afterward, I realized that probably the length of the cancer removed was the cause of the change of the estimated stage.  

It was not quite 5 cm long--almost two inches--not the smaller size estimated before surgery.  Probably the stage had been revised to Stage 2 just after the surgery, but no one had told me. 

Posted by A Linstatter at 5:00 PM No comments:
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Labels: cancer survivorship care plan, invasive tubular carcinoma T2, pathological stages, stage 1 or stage 2?, staging of cancer, what ifs

Wednesday, July 30, 2014

No to "No Bra Day"

Apparently there's an ignorant movement to consider October 13 to be a No Bra Day... " in support of breast cancer."
 https://www.facebook.com/957kjr

Actually it's not a good idea to flaunt one's breasts while also trying to be supportive of women who have died of breast cancer or who may have lost both breasts to cancer.

See these blog posts by a woman who was diagnosed with stage 3 breast cancer at age 34.

http://cancerinmythirties.wordpress.com/2012/10/13/national-no-bra-day-and-breast-cancer-awareness-month-or-please-put-that-pink-can-of-soup-down-put-your-bra-back-on/

http://cancerinmythirties.wordpress.com/2013/10/10/national-no-bra-day-an-update/

She says:  you should think twice before you publicize a day that jokes about putting the first body parts we usually lose to this disease “out there” on display even more conspicuously and then labeling it as an activity that helps our ’cause’.

Below is one of the offending ads... men love it.  

Thanks to my daughter, Roz Arthur Eggebroten, who advised me to take this "no bra day" with a grain of salt.  (As an aging '60s person, I tend to be in favor of no-bra days.)  She said there were a bunch of t-shirts with offensive messages like this a few years ago.

The Cancer in My Thirties blog also notes the "pinkification" of breast cancer-- she says it trivializes the disease and its seriousness, makes it pink and cutesy, sells a lot of products, and probably reduces the donations that could actually go to breast cancer research.

Posted by A Linstatter at 12:37 AM No comments:
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Labels: Breast Cancer month, cancerinmythirties blog, fighting breast cancer, Oct 13, Oct 13 No Bra Day, pinkification

Tuesday, July 29, 2014

Fainting couches

I'm not getting enough compassion from my husband as I near the final stretch of my daily radiation for breast cancer.

My big mistake was declining his offer to drive me to the treatments.

Because he's retired and gets up at noon, and my treatments are at 9 am, I said, "No, you don't have to drive me.  I can find a parking place and go in myself.  It only takes fifteen minutes to go in, change to a hospital gown, get the radiation, get dressed again, and leave.  It would be nice to be dropped off and picked up, but you don't have to do that."

Being tough and independent is my usual pattern.  Maintaining a stiff upper lip worked for a few weeks, but now I'm actually tired as a result of radiation and not taking time for an afternoon nap.  

I forgot to communicate the change in status to my husband.  He hasn't asked, "How are you feeling?"

I haven't sat him down and said, "Look, this radiation is getting to me.  I need some support." 

Instead, I've gotten irritable and he has continued to yell at me whenever he feels like it--for example, when I turned on the dryer with his wet clothes in it, but he didn't want them dried.

The solution: a fainting couch.  

I found these couches mentioned in the preface to a new book by Susan Campbell, Tempest-Tossed: The Spirit of Isabella Beecher Hooker, and I took the hint.

Turns out they are for sale at Macy's and everywhere else on the internet.

Today I took a big dramatic nap in the bedroom, but tomorrow I'm ordering one of these plush red fainting couches and having it moved into our living room.

I can't say there's been any change yet, but here's hoping.

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Posted by A Linstatter at 8:40 PM No comments:
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Labels: breast cancer stage 1, fainting couches, Isabella Beecher Hooker, radiation for breast cancer, spouse support in breast cancer, Susan Campbell, Tempest-Tossed: The Spirit of Isabella Beecher Hooker
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