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Medical Forum / Diseases and Disorders / Breast Cancer / May 2006

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2nd time around

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dobby the house elf - 22 May 2006 17:26 GMT
I was dx in 12/04 with LCIS - after mammogram, ultrasound and biopsy, and
lumpectomy.  The tumor board recommended bilateral mastectomy for me. I went
for a second opinion to a large cancer center.

The doctors at the cancer center recommended against mastectomy and
recommended frequent monitoring instead. I had a 6 month follow up mammogram
in 06/05  - they felt something wasn't 100% and had me return in four
months - 10/05.  That mammogram showed nothing. I had my latest mammogram 2
weeks ago and an abnormality was found. They did an ultrasound and confirmed
a 3mm mass in the same breast, but opposite side. The doctor recommends
skipping a biopsy and having another lumpectomy.

I'm going back to the cancer center for a consult prior to making any
decisions. I just cant believe this happened again so soon.
A. P. Thorsen - 22 May 2006 20:06 GMT
Hi, Dobby,

> I was dx in 12/04 with LCIS - after mammogram, ultrasound and biopsy,
> and lumpectomy.
.....
> I had my latest mammogram 2
> weeks ago and an abnormality was found. They did an ultrasound and
> confirmed a 3mm mass in the same breast, but opposite side. The doctor
> recommends skipping a biopsy and having another lumpectomy.

I'm so sorry to hear you're on the roller coaster for another round!

> I'm going back to the cancer center for a consult prior to making any
> decisions. I just cant believe this happened again so soon.

Going back for another consult before making decisions sounds like a
good plan.  3mm is fortunately quite small, so you certainly have enough
time to gather some information before making a decision.

I'm a little suprised that they're recommending lumpectomy again (vs.
mastectomy), but I have to admit I don't know much about LC (vs. DC)
treatment.  I guess if you didn't have radiation the first time, though,
lumpectomy + radiation would still be an option if treatment besides
surgery is needed, though.

Here's hoping things go as smoothly as they can for you from here on out
-- you'll keep us posted, right?

Sending positive thoughts --

Ann T.
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dobby the house elf - 26 May 2006 15:45 GMT
Ann,

Thank you for your positive thoughts - god knows I can use them right now.
My consult at Roswell is next Thursday so hopefully I'll have a much better
idea of what's going on by this time next week.  I've been reading the
messages in this group but haven't seen too much here about LCIS or ADH -
both of which were on my pathology reports from the biopsy and lumpectomy
last time around.  Wonder if these are less common??

Chris
aka Dobby

> Hi, Dobby,
>
[quoted text clipped - 29 lines]
> Ann T.
> Remove 'dontsendspam' from address to reply by email
Tim Jackson - 26 May 2006 20:52 GMT
> Ann,
>
[quoted text clipped - 4 lines]
> both of which were on my pathology reports from the biopsy and lumpectomy
> last time around.  Wonder if these are less common??

Possibly because LCIS is considered to be technically not a cancer but a
pre-cancerous condition. It is also now known as Lobular Neoplasia to
reflect this.  ADH I presume refers to Atypical Ductal Hyperplasia,
which is similarly a non-cancerous overgrowth of breast tissue.

Both of these are non-malignant, but can indicate an slight increased
risk of future cancers.

Tim Jackson
alex - 26 May 2006 23:17 GMT
The last newsletter, I got recently from the high risk clinic questions
where  LCIS or ADH  are malignant are all.
There is a debate where or not to worry about these conditions.
Alex
 
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