Before my diagnosis came back I scoured the net looking for real life images & references to help me understand what I was dealing with. So I'm sharing this with you, hoping to aid anyone elses who finds themselves in a similar situation.

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Friday, December 16, 2005
Diagnostic Update

Results from last surgery.

A - left breast mass was benign :D
B - 1st node was normal :D
C - 2nd node was not. Macrometastatis .2cm - 2 cm (perhaps it is me, but that seems rather vague)...
D - Right breast mass (Area 3) - DCIS 0 margin.
E - Re-excision of Right breast mass (Area 1) DCIS - 1mm margin.

What it means. Well - simply more surgery. Margins aren't good enough, and Area 3 which we previously thought was precancerous - was cancerous - so we're doing a mastectomy & axillary lymph node dissection.

I finally met with an oncologist, and he's scheduling an MRI to take a closer look at the left. He also wants me to have genetic testing done. By the end of all of this it might even be a double mastectomy. When I left the Onc's (Dr. Thunder's) office, I had the impression that he didn't think that the lumpectomy was ever a very good option for me. Makes me wish I'd met him sooner.

Oh, and as much as I didn't want to do this - it seemed only fair to my employer - I went on short term disability this week. Too much testing. Too many surgeries. - I don't have enough vacation/sick leave for it all.

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Mammogram



Microcalcifications on Right Breast
Birad 4

Diagnosis


Tumor 1: Size: 1cm; ER+(77%), PR+(10%), HER2/neu:2+ (positive?)(2) - FISH to confirm
Tumor 2: Size: .2cm; ER+(73%), PR-(1%), HER2/neu:1+ (negative?) (1.3)


Grading
Nuclear Score: 3
Tubular Score: 3
Mitotic Score: 2


Staging: TBD based on positve node count after Bilateral Mastectomy

Timeline


March 15 - Chemo started March 9 - Port installed
February 9 - Bilateral Mastectomy
January 23 - Bilateral MRI
January 20 - Genetic Counseling
December 8 - Lumpectomy with Sentinel Node Biopsy
November 8 - Excisional biopsy
November 3 - Stereotactic core biopsy on 2/3 sites
October 28 - Digital Mammogram
October 20 - Meeting with surgeon (Dr. gr8). Fine Needle Aspiration.
October 18 - Meeting w/ PCP - surgeon recommended
October 14 - Mammogram (w/immediate call back for magnified images) & ultrasound.

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    Nabby Adams


    When I first discover I had cancer I said - better today than 20 years ago,(much less early 1800's)

    This Essay on Nabby Adams shows just how far we've come.

    Journal | Mammogram | Timeline | Diagnosis | Nabby Adams |