Waiting time for therapy
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Hi, sweet of you to remember.. Heard back yesterday, appointments on 15th and 16th with oncologist, and radiotherapist.. The nurse said its a good sign they didn't rush appointment, as it could mean not an urgent case at this stage..hope that's it, and not that its worse than we thought??! REALLY overthinking everything.. Thank you for caring.:-)) xxx1
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Non-node involvement doesn't mean cells haven't escaped - metastasis could have occurred with no node involvement. That's the nature of cancer, and people with ILC may be more aware of this than most. The MO said, relatively speaking and it varies from person to person, that the tumour biology (aggressiveness) is most important. If you go to www.breastcancer.org and view various diagnoses, you will see some people have had chemo with no node involvement and others with node involvement did not have chemo. I hope you trust that your medical team is doing the right thing for you. If you have any doubts or concerns or don't understand the 'why's', speak up to your doctors. They are there to serve you.
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Hi..unfortunately I had 7 out of 10 lymph nodes removed come back as a problem.. The excision went ok, no new developments..haven't seen oncologist yet, so my mind is racing with all sorts of scenarios.. Just the surgeon so far, after surgery and checking wound/ dressing..hope things are ok with you.:-))0
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Hi @Joarden,
The long wait between appointments were excruciating for me too. I encourage you to be your own advocate. I am very glad I followed advice to get copies of ALL test results and pathology results and my GP later gave me copies of the letters from the surgeon, medical oncologist and radiation oncologist. I went entirely through the public system and have been very well looked after. My confidence has been shaken on occasion, however, because there is little to no central coordination of data/test results or appointments with different departments, etc. The left hand doesn't know what the right hand is doing Plus, I was often 'handled' by the interns/registrars rather than the specialists themselves. One made a mistake which I was only able to pick up because I knew my own pathology results. Anyway, I take my folder with me to every appointment now, just in case. Doing research and organising my data helped me calm my racing mind. Just keep to reputable sources and medical journals. I read Breast Cancer: Taking Control and DCIS: Taking Control by Professor John Boyages. Others have recommended The Complete Guide to Breast Cancer, How to Feel Empowered and Take Controlby Trisha Greenhalgh, Dr Liz O'Riordan.Also see https://www.bcna.org.au/news-events/book-reviews/
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Thank you !!! The waiting is awful because I don't know if that means no hope??.'-((..have appointment on the 15th and 16th, hope things make sense after that!!.:-))2
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Yes, the waiting is awful but it has nothing to do with hope or lack of hope. I was diagnosed in June and had masectomy early Dec. Try to avoid 'reading' to much into dates, times etc, that is, avoid over thinking which someone has already mentioned. Stay in touch with this forum, reading old posts gave me a sense of belonging to an on-going community. I told myself that I was not going to let anxiety and worry steal away my day! I did phone the BCNA help line and the conversation settled me down. The roller coaster ride that is BC is best endured with laughter, determination, tears, sprinkle of anger etc etc. Stay in touch! xxxxxxxx
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So true!! Chatting here has kept me going.so much kindness and support..:-)) have never been sick before, so all new to me..I'm also the sort of person who wants to know every detail, and have things done quickly.. As much as I am.hating the idea of treatment, need to start to at least feel there is hope..the rollercoaster is getting annoying.!! :-)) xxx1
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My surgeon told me that bc is a slow growing cancer - even high grade - and weeks won’t make a difference overall. He said the growth happens every 80 days which calmed my mind while I waited. Hang in there xx2
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Thank you, that helps a lot!! Not much information off my surgeon.. Hope things are going well for you..:-))0
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Hello @ddon
I just wanted to clarify your surgeons comment about slow growing breast cancers. - even high grade.
The grade of a breast cancer describes how active the cancer cells are. Breast cancers are graded 1, 2 or 3.
Grade 1 (low grade) breast cancers and are usually slow growing.
Grade 2 (intermediate grade) are growing faster than grade 1 cancer cells
Grade 3 (high grade) breast cancers are fast growing.
See attached information https://www.cancercouncil.com.au/breast-cancer/diagnosis/staging-prognosis/
@Joarden You may like to speak with your breast care nurse who can contact the medical oncologist to clarify your individual situation and reassure you regarding the wait time. If you are worried or have further questions dont hesitate to call our helpline on 1800 500 258 to speak with a cancer nurse.
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Hi Joarden, I just posted this on a Scan thread and thought it might provide some perspective on your concern about treatment timing:Links to three resources for insight into general growth rate and cell estimation for BC tumours:1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3320224/
From start of 7th para: 'The number of cancer cells is a function of
tumour volume in cubic centimetres. Each cell is about 20 μm in
diameter. A 1-cm cancer has about 100 million cells, a 0.5-cm cancer has
about 10 million cells, and a 1-mm cancer has about 100 thousand
cells.'2. https://scienceblog.cancerresearchuk.org/2018/10/18/science-surgery-how-quickly-do-tumours-develop/Near
the end 'Scientists have found that for most breast and bowel cancers,
the tumours begin to grow around ten years before they're detected.'3. https://oregon.providence.org/forms-and-information/a/ask-an-expert-breast-cancer-growth-rate/ Q&A re breast cancer growth rate
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Thank you both, VERY helpful information..:-))..hope all is well with you xxx0
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Try and keep as busy as you can while you wait for your appts @Joarden .... busy hands, busy mind .... and if you are up to it, as much as you can during your treatment.
Stay away from Dr Google ... if you find yourself feeling stressed, please ring the helpline and have a chat with them about coping strategies.
take care xxx1 -
Unfortunately I check Dr Google too much!! Trying to stay away..appointment coming in in less than 3 weeks, surgeon told me yesterday to " anticipate a good result "..feel a bit better, but can't help thinking the worst..the pain is all the way down my arm, still try to do chores etc, just avoiding lifting.. Thank you for your kind words, hope all is well with you..:-)) xxx1
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HI @Joarden,
Our brains will always think the worst. They give you recovery time from theatre before they proceed with chemo. @Giovanna has good advice to contact your BCN and get clarification. These women are an invaluable asset and so helpful as a go between us and the doctors.
One thing you have to be along this trip is your own advocate. If you don't understand something you must keep asking questions until you do.
All the best lovely
xoxoxo3