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Old 12-01-2010, 06:12 PM   #1
greenacres
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Had 1yr follow-up mammo today w/results - Feedback Please?

Mammogram today - first one since diagnosis on 12/2/2009. New lump on cancer side. They think swollen lymph node but radiologist is not sure, could be good/bad. Leaving it up to Dr. to biopsy. Mammo&U/S looked "good" to radiologist, but recommending MRI because breasts SO dense and cancer could be hiding.

Talk to oncologist next Thu, so now it's hurry up and WAIT. All in all, so far, so good.... Heart scan, find out results next week as well (to make sure Herceptin is not causing damage).

My question is has anyone had a follow-up with a swollen lymph node, had it biopsied and found it to be cancer? She would have said if it felt like "scar tissue" or found a benign finding so I don't honestly know why she is leaving it up to my oncologist. She definately is recommending the MRI in case there is cancer hiding in there.

Should I insist on a biopsy? Since I had ALH (atypical lobular hyperplasia) found close to the cauterized margin on my lumpectomy surgery, (and I know lobular cancer does not show up on mammograms), but do they show up on MRI's?

My HER2 is a strong +++ and my cancer was high grade (3), Stage 1 IDC with some DCIS and ALH. I am scared.

Sandra
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Sandra from WI
Stage 1, Tumor 1.4 cm, Grade 3, ER-/PR-/HER2+++
Poorly Differentiated IDC with comedo type necrosis with DCIS/ALH :(
Mammogram: 11/12/09
Call Back Mammo: 11/17/09
Biopsy: 11/25/09
Diagnosis Call: 12/2/09
Partial MX: 12/16/09. 3 LN clean.
6 Cycles Chemo (TCH) Jan-April/10; Herceptin all of 2010; 33 Rads complete 7/10. Herceptin done 12/10.
FOLLOW UPS:
Bil mammo, and Breast MRI 12/10 - CLEAN! (after a second lump was biopsied and BENIGN - showed giant cell reaction?).
Bil mammo 6/11 - CLEAN!
Left mammo 12/11 - CLEAN!
PET/CT scan 4/6/12 - CLEAN!
Bil mammo 8/12 - CLEAN!
November 2012 - Gallbladder Removed.
Bil MRI 2/13 - CLEAN!

http://www.caringbridge.org/visit/sandragreen
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Old 12-01-2010, 06:41 PM   #2
Laurel
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Re: Had 1yr follow-up mammo today w/results - Feedback Please?

Sandra,

I cannot allay your fears with any information, but I do want to wish you well. I have heard of lymph nodes being negative when they have shown up on a mammo. Your radiologist is right to suggest an MRI and I am sure your onc with order it. I suspect they will recommend a bx based on the MRI findings. You certainly have the right to push for a bx if that is what your gut tells you. Sometimes it is worth the pain and suffering to have the peace of mind. Sorry you are in the purgatory of wait-and-see. Hope things move fast and your fears are vanquished.
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Dx'd w/multifocal DCIS/IDS 3/08
7mm invasive component
Partial mast. 5/08
Stage 1b, ER 80%, PR 90%, HER-2 6.9 on FISH
0/5 nodes
4 AC, 4 TH finished 9/08
Herceptin every 3 weeks. Finished 7/09
Tamoxifen 10/08. Switched to Femara 8/09
Bilat SPM w/reconstruction 10/08
Clinical Trial w/Clondronate 12/08
Stopped Clondronate--too hard on my gizzard!
Switched back to Tamoxifen due to tendon pain from Femara

15 Years NED
I think I just might hang around awhile....

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Old 12-02-2010, 01:25 AM   #3
Sherryg683
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Re: Had 1yr follow-up mammo today w/results - Feedback Please?

I had a mammogram a few years ago that they saw something suspicous on..it was the same side as my lumpectomy. My oncologist did not want to order an ultrasound because he felt he knew what it was, scar tissue. I went around him and had a doctor at the hospital where they do the mammograms at order a ultrasound, sure enough it was just scar tissue. Didn't do a biopsy because they felt it wasn't necessary. It has never lit up on pet scans or anything.
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Diagnosed: December , 2005 at age 44
13+ positive lymph nodes
Stage IV , Her2+, 2 small mets to lungsChemo Started: Jan, 2006
4 months Taxotere, Xeloda, Hercepin
NED since April 2006!!
36 Rads to follow with weekly Herceptin indefinately
8 years NED now
Scans every year

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Old 12-02-2010, 02:56 PM   #4
greenacres
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Re: Had 1yr follow-up mammo today w/results - Feedback Please?

Thank you! They just called and my MRI is scheduled for 12/7 at 4:00 pm. I'll keep you posted!
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Sandra from WI
Stage 1, Tumor 1.4 cm, Grade 3, ER-/PR-/HER2+++
Poorly Differentiated IDC with comedo type necrosis with DCIS/ALH :(
Mammogram: 11/12/09
Call Back Mammo: 11/17/09
Biopsy: 11/25/09
Diagnosis Call: 12/2/09
Partial MX: 12/16/09. 3 LN clean.
6 Cycles Chemo (TCH) Jan-April/10; Herceptin all of 2010; 33 Rads complete 7/10. Herceptin done 12/10.
FOLLOW UPS:
Bil mammo, and Breast MRI 12/10 - CLEAN! (after a second lump was biopsied and BENIGN - showed giant cell reaction?).
Bil mammo 6/11 - CLEAN!
Left mammo 12/11 - CLEAN!
PET/CT scan 4/6/12 - CLEAN!
Bil mammo 8/12 - CLEAN!
November 2012 - Gallbladder Removed.
Bil MRI 2/13 - CLEAN!

http://www.caringbridge.org/visit/sandragreen
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Old 12-02-2010, 04:11 PM   #5
BonnieR
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Re: Had 1yr follow-up mammo today w/results - Feedback Please?

Of course you are scared. That is our normal reaction in these situations. But as someone said here recently, "it isn't something until it IS". And our doctors don't want to leave any stone unturned, which is good. But it fuels our fears, too.
Keep the faith.
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Post menopause
May 2007 Core biopsy, Rt breast
ER+, Pr-, HER2 +++, Grade 3
Ki-67: 90%
"suspicious area" left breast
Bilateral mastectomy, (NED on left) May 2007
Sentinel Node Neg
Stage 1, DCIS with microinvasion, 3 mm, mostly removed during the biopsy....
Femara (discontinued 7/07) Resumed 10/07
OncoType score 36 (July 07)
Began THC 7/26/07 (d/c taxol and carboplatin 10/07)
Began Herceptin alone 10/07
Finished Herceptin July /08
D/C Femara 4/10 (joint pain/trigger thumb!)
5/10 mistakenly dx with lung cancer. Middle rt lobe removed!
Aromasin started 5/10
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Old 12-03-2010, 04:37 PM   #6
tricia keegan
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Re: Had 1yr follow-up mammo today w/results - Feedback Please?

I had a similar thing happen but my surgeon was sure it was scar tissue and thankfully it was! Hoping for the same for you
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Dx July '05 IDC 1.9cm Triple positive 3/9 nodes positive
A/C X 4 ..Taxol/Herceptin x 12 wks then herceptin 1 yr
Rads x 36 ..oophorectomy August '06
Currently taking Arimidex..
June 2011 osteopenia/ zometa x1 yearly- stopped Zometa 2015 as Dexa show normal bone density.
Stopped Arimidex July 2014- Restarted Arimidex 2015 for a further two years on the advice of my Onc.
2014 Normal Dexa scan
2018 Mammo all clear, still NED!
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Old 12-05-2010, 08:34 PM   #7
WolverineFan
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Re: Had 1yr follow-up mammo today w/results - Feedback Please?

I had a swollen lymph node as well, and it was biopsied, but no signs of cancer. Will be thinking of you. Please keep us posted on how the MRI goes.
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Oklahoma

3/35/2009 - Diagnosed, age 39
5/7/09 - Mastectomy and reconstruction started. Two tumors found. Tumors were side by side. DCIS tumor was 2.8 cm, ER-, PR-, grade 2. Invasive tumor was 1.1 cm, poorly differentiated, grade 3, ER+90%, PR+95%, HER2+3. Thankfully, no node involvement.
5/29/09 - Second surgery resulting from difficulty healing from mastectomy.
6/2/09 - Began Herceptin treatments
6/23/09 - Began Taxotere and Carboplatin treatments along with Herception every 3 weeks.
10/06/09 - Completed Taxotere and Carboplatin - Yeah!!!
10/27/2009 - Herceptin maintenance and began Femara
12/10/2009 - 2nd stage reconstruction surgery
2/2010 - Body rejected saline implant
3/18/2010 - Second stage reconstruction using silicone implant
5/4/10 - Completed Herceptin - YEE-HAA!
May '10 - Body rejects silicone implant...taking a break.
11/29/10 - Hysterectomy
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Old 12-05-2010, 08:44 PM   #8
ElaineM
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Wink Re: Had 1yr follow-up mammo today w/results - Feedback Please?

Maybe the suspicious lymph node will show up on the MRI, and your doctors can figure out what to do about it. I would wait until the MRI results are available to ask for the biopsy.
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Old 12-05-2010, 10:28 PM   #9
Catherine
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Re: Had 1yr follow-up mammo today w/results - Feedback Please?

Sounds like a MRI is the right idea and hopefully it will just be swollen lymphs. When I first found my lump....the protocol was mammo, mri, ultra sound (and then this is when they said...we need to do a biopsy). Thinking of you on the 7th.

All the very best,
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Found my own lump in the shower
April 2006 at the age of 58
Stage IIB, ER- PR- HER2+++ multi focal tumors, largest 2.3cm
Chemo first: AC/Taxol over 16 weeks
Bilateral mastectomy Sep 06
33 rads after the surgery
1 year of Herceptin completed Dec 07
15 years and no recurrence as of April 2021
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Old 12-06-2010, 07:09 PM   #10
PatriceH
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Re: Had 1yr follow-up mammo today w/results - Feedback Please?

We'll all be hoping for good news! Hang in there!
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