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		|  03-11-2007, 11:41 AM | #1 |  
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				Join Date: Jan 2007 
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				Bilat Mastectomy w/ Expanders Done
			 
 Had my bilateral mastectomies with expander implants done on Friday 3/2.  I'm glad that is over with.  I've had 4 major surgeries in the last 2 years plus 2 lumpectomies and didn't need any/much pains meds after any of them but I definitely did need it after this.  The pain was really from chest muscles due to the expanders.  Not sure how much fill my plastic surgeon put in but I'm far from flat chested.  The top of breasts look good but there is wad of skin at the bottom but then again I had that already.  One of my surgeries was gastric bypass surgery and a 125 lb weight loss was not kind to my breasts at all.
 I got my path report Thursday from breast surgeon.  The news couldn't have been any better.  Looks like the 2nd lumpectomy did get all the DCIS afterall though one of the margins wasn't wide enough.  No more IDC was found after initially lumpectomy.  The path from mastectomy showed nothing of interest remaining in that breast.  So, it looks like no radiation is indicated (per breast surgeon).  My left breast (prophyllactic removal) showed fibrocystic changes and some intraductal hyperplasia.  So I'm glad that is gone as well and won't be an issue down the road.
 
 I am so incredibly relieved but very cautiously of course since I've seen early stage women end up with mets surface not too long after.
 
 I finally will see an oncologist now that surgery is done!  Appointment is scheduled for 3/19.  The invasive component was very small so I'm not sure if I will be getting further treatment or not.  The largest of the two areas of IDC was .3 cm (3 mm).  I assume oncologist will order a FISH test since my her2/neu was 2.8+ via IHC.  Not sure if any treatment would be indicated even if it is + or not.  Won't know til I see him.
 
 I want you to know that while I do not post often... you are in my thoughts and prayers.  I share in your joys and sorrows.  Keep fighting the fight!
 
 Best wishes,
 
 Skeetur (Kathy)
 
				__________________12/01/2006 Initial Dx via stereotactic biopsy - DCIS, grade 3
 12/27/2006 Lumpectomy w/ SNB: 2 foci of IDC (largest .3 cm, Grade 2, Notthingham score 6) amid large area of DCIS: No clear margins on the DCIS; re-excision recommended
 ER+(55%)/PR+(60+)/HER2+ (2.8+ via IHC?)
 01/23/2007 Re-excision Lumpectomy: No clear margins on the DCIS; mastectomy recommended
 03/02/2007 Bilateral mastectomy w/ expander implant insertion
 03/19/2007 Emergency surgery to fix broken blood vessel in left breast
 03/30/2007 Met w/ oncologist; oncologist checking on HER2 status with pathologist and doing some consulting on my case - no treatments for now!
 05/02/2007 Next appointment w/ oncologist
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		|  03-11-2007, 01:45 PM | #2 |  
	| Senior Member 
				 
				Join Date: Jun 2006 Location: San Antonio, TX 
					Posts: 2,357
				 
		 
		 
		
		 
		
		
	
		
	
	 | Hi Kathy!  So glad you got all that over with!  Whew, so good to finish something, uh???  mary anne 
				__________________MA in TX.
 Grateful for each and every day....
 
 Diag. 12/05 at age 60
 Stage II, Grade 3, 4.5 cm primary tumor
 ER/PR- Her2 +3 strongly positive
 Her2 by FISH 7.7 amplified
 vascular invasion
 Ki67 20% borderline
 Jan - March '06 Taxotere/Adriamycin X 3 to try to shrink tumor - it grew
 April '06 Rt Modified Radical Mas, 7 of 9 nodes positive
 April - Aug. '06 Herceptin/Taxol/Carboplatin X 8 (dose dense)
 Sept - Dec. '06 Navelbine/Herceptin x 8 (dose dense)
 Radiation & Herceptin Jan. 22 - March 1, 2007
 Finished Herceptin Dec. 10 '08! One extra year.
 Port removed August, 2012.
 8 1/2 years since diagnosis! 5 1/2 Years NED!
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		|  03-11-2007, 02:12 PM | #3 |  
	| Senior Member 
				 
				Join Date: Jan 2007 
					Posts: 72
				 
		 
		 
		
		 
		
		
	
		
	
	 | You betcha, Mary Anne!
 I was dxed 12/4 after biopsy 12/1 so to FINALLY get the surgery part of this whole thing over with after a very long 3 months feels amazing.
 
 Thanks!
 
				__________________12/01/2006 Initial Dx via stereotactic biopsy - DCIS, grade 3
 12/27/2006 Lumpectomy w/ SNB: 2 foci of IDC (largest .3 cm, Grade 2, Notthingham score 6) amid large area of DCIS: No clear margins on the DCIS; re-excision recommended
 ER+(55%)/PR+(60+)/HER2+ (2.8+ via IHC?)
 01/23/2007 Re-excision Lumpectomy: No clear margins on the DCIS; mastectomy recommended
 03/02/2007 Bilateral mastectomy w/ expander implant insertion
 03/19/2007 Emergency surgery to fix broken blood vessel in left breast
 03/30/2007 Met w/ oncologist; oncologist checking on HER2 status with pathologist and doing some consulting on my case - no treatments for now!
 05/02/2007 Next appointment w/ oncologist
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		|  03-11-2007, 06:28 PM | #4 |  
	| Senior Member 
				 
				Join Date: Sep 2005 Location: Atlanta 
					Posts: 87
				 
		 
		 
		
		 
		
		
	
		
	
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				Yeah-Clean path!!
			 
 Hey Skeetur~Glad to hear you're doing well! Great path report- Yeah!
 I had my expander swap out & augmentation of my other breast the same last Friday (3/2) too. I hope you are healing as quickly & effortlessly as I am. The Human Body is an amazing thing!
 My surgeon filled my expander to 150cc's during the mastectomy. I was told that I'd be lopsided initially, but strangely, since I am(was?) so small breasted, I wasn't lopsided AT ALL! It was a pretty funny-only the surgical side was MUCH higher. I was holding most of the fluid (&saline fill) above the midline of the breast. But with some light massaging, the fluid eventually distributed more evenly.
 I think we waited 2 weeks for my first fill, so I had a nice long time to heal. The first fill was 100cc's, then 50, then 50. Then "rested" for 4 weeks, before the swap out last Friday.
 I went back to teaching Pilates a week after my mastectomy.I've never had any complications on the L side-after a total of 4 surgeries. No loss of ROM or strength, no edema. I think it's always been very helpful to get moving soon as possible. It was a little strange b/c as I was being expanded, I could feel/hear the saline sloshing around in the underfilled implant. And I had a little seroma on the bottom part of the breast. It looked really weird, but no pain. Everything resolved as expansion/fill process went along.
 And the swap out surgery was a piece of cake.
 I hope your path of healing goes as well and quick and uneventful as mine!
 
 Hang in there -You're in the Home Stretch!
 Take good care & Keep the Faith~
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		|  03-11-2007, 09:16 PM | #5 |  
	| Senior Member 
				 
				Join Date: Feb 2006 Location: Acworth, GA 
					Posts: 2,104
				 
		 
		 
		
		 
		
		
	
		
	
	 | Kathy, 
 Glad your surgery went well.  Now all you have to do is take it a little easy and recover quickly.  All the best to you
 
				__________________Kate
 Stage IIIC Diagnosed Oct 25, 2005 (age 58)
 ER/PR-, HER2+++, grade 3, Ploidy/DNA index: Aneuploid/1.61, S-phase: 24.2%
 Neoadjunct chemo: 4 A/C; 4 Taxatore
 Bilateral mastectomy June 8, 2006
 14 of 26 nodes positive
 Herceptin June 22, 2006 - April 20, 2007
 Radiation (X35) July 24-September 11, 2006
 BRCA1/BRCA2 negative
 Stage IV lung mets July 13, 2007 - TCH
 Single brain met - August 6, 2007 -CyberKnife
 Oct 2007 - clear brain MRI and lung mets shrinking.
 March 2008 lung met progression, brain still clear - begin Tykerb/Xeloda/Ixempra
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