Forum Discussion

lfillmore's avatar
lfillmore
Member
3 months ago

Newly diagnosed and waiting for appt. breast becoming more tender as I wait :-(

Hi there,

I feel I’m in the difficult position of waiting four weeks between diagnosis and first surgeon appointment.  Invasive lobular ER+ PR + HER2 - lump that I noticed in right breast a month ago. I’ve had the MRI done privately this week so the information is ready at that appointment.

Trouble is the breast and armpit just feels increasingly niggly and slightly tender while I wait. I’m worried that it’s just growing/spreading as I wait.

I don’t have private insurance, do have savings. but wanted to hold out for public and it being a more multi-disciplinary team.

I’m really struggling wondering if I should have gone private and quick :-(

Thank you x

14 Replies

  • Hi lfillmore​ 

    The waiting between detection & diagnosis, then biopsy and surgery is always a worry - as is the wait between surgery & Pathology results, then waiting to see the Medical Onc and/or the Rad Onc .... the waiting always just SUCKS  😟

    I know it is hard to do - but try not to worry about the lesion growing over the next couple of weeks ... Many of us have faced that concern, but in reality, Invasive Lobular is considered one of the slower growing BCs .... The lesion is unlikely to be getting bigger - but our brains will always go off at all sorts of tangents, scaring us! xx

    Chances are, the area may still be tender because of the biopsy - I know my own was quite badly bruised & tender for some time, as they had about 5 goes at getting tissue, after the first couple of goes didn't 'get enough'.  And if you are  'testing' the area to see if it is 'still sore' ... that may (in itself) extend the pain too.  

    Have a listen to the first couple of Podcasts recorded by Dr Charlotte Tottman (a specialist Breast Cancer Psychologist) she is very easy to listen to and, having had a double mastectomy herself about 5 years ago, she has been 'thru it' herself, so she knows how we feel and offers good advice ..... 
    https://podcasts.apple.com/au/podcast/upfront-about-breast-cancer-what-you-dont-know-until/id1595689416

    Also, consider giving our help line a call tomorrow morning, on 1800 500 258 (Mon-Fri, 9-5) ... for a confidential, one-on-one chat, as just talking about it with someone, often helps. 

    Try and stay 'in the present' whilst you are waiting to see the surgeon, keep getting out & about, doing things you love doing so you AND your brain are kept busy .... or even try something 'new'!   Worrying about the 'what ifs' will only muck with your brain xx.  We've all been there tho, so we know how anxious a time it is xx

    take care & all the best

  • Hi there lfillmore​, thank you for reaching out to our community! The waiting time right after diagnosis can feel so hard, especially when you’re worried about changes. You’ve already done something really proactive by getting the MRI, which is a big step that you can tick off your list!

    Your preference for a public multidisciplinary team makes sense, but if the anxiety feels overwhelming, you could call your GP or breast care nurse - they might help reassure you, or advocate for an earlier slot, or advise you on the pros/cons of switching to private. From what you've said, you're already doing every you can and doing it right. 

    Sending you strength over the coming week, you’ve got this 🩷

    Our Helpline is here for you whenever you feel like you need that extra bit of support on 1800 500 258

  • Hilfillmore​ 

    its a worrying time. Especially coming into the Christmas season. Some great advice above already. I hope you’re able to get in touch with the helpline.
    I went private but just wanted to share that it still took a bit of time (6 weeks between diagnosis and the start of treatment). I was diagnosed towards the end of the summer holidays and remember feeling incredulous that it could be such a wait for access to all the diagnostics (on reflection I realised how prevalent these illnesses are and the pressure there is on our available resources). 
    I was ILC (unusually with a lump, 3.8 cm ) and triple positive. 
    My friends who went through the public system spoke very highly of the services and living where I do, some of my treatment (radiation therapy) was done out of the public centre.
    Going private meant I incurred out of pocket expenses where there were significant gaps, especially for surgery, and that surprised me, so it’s worth looking into and being informed before making a decision. I experienced very positive treatment, specialists of choice, excellent oncology nursing care and a multi disciplinary team too. 
    Sending you  lots of positive vibes and virtual hugs during this really rough period of uncertainty. 

  • Hi there, 

    First time post. I have exactly what you have and the waiting sucks. I am going for surgery on 30 January to remove my nipple and lump. They will be taking some on my lymph nodes should be tested to see what treatment I need. 

    I’m still in shock

    • lfillmore's avatar
      lfillmore
      Member

      Hi Carolyn, I know exactly what you’re going through, and we are all on this journey with you. Let yourself deal with the shock and  cry or swear when you need to! I find it helpful to let it out, and often feel a bit better emotionally afterwards. Reach out on here, phone the number, reach out to McGrath Foundation website, where you can find a phone number for your local breast care nurse, reach out to any other numbers or resources you have been given, trusted friends/family. All of these angels were extremely helpful for me. Rest assured you are in good hands, and try to distract yourself other times while you wait. Also, I now know any niggles and perceived pain are most likely from biopsy inflammation and/or the brain’s imaginings. Lastly, I am now a few days post- lump removal and lymph biopsy. There is some soreness and stiffness at times, to be expected, but only need Panadol now. Gently does it.

      Be kind to yourself and we are all in this together *big hugs*

      • Carolyn12's avatar
        Carolyn12
        Member

        Hi, I have good days and bad days. I hate the unknown feeling. 
        Do you have to have the hormone blockers? Any radiation? I’m still getting my head around it. I feel normal like nothing is wrong. How can I have bc? 

    • Tri's avatar
      Tri
      Member

      HiCarolyn12​ I am so sorry to read about your recent diagnosis: not the New Year news you would have expected.  I am sending big virtual hugs.

      Some excellent suggestions for you fromlfillmore​ (and it’s also good to hear your surgery and recovery has gone well so far lfillmore​ it’s a milestone on the treatment plan worth celebrating). 

      Carolyn12​ there are many variables in how our breast cancer is treated but in my case I also had radiation therapy and - after completing some more chemotherapy I was started on hormone blockers (about 2 years ago). The 15 doses of radiation was manageable, in my experience the build up effect on my breast by the last dose was no more painful than sunburn with some itchiness. There are side effects with any treatment (and many people experience these
      differently), having said that the nursing care and oncology support checked for any side effects and tried different things to minimise them, sometimes adjusting treatment, to make it manageable. 

      I decided I would take the recommended treatments, and even now I don’t love being on hormone blockers ( !) but I really want to give myself, and my lovely family, the best chance of not having to go through a bc recurrence. 

      I feel for you finding it surreal. I had a feeling of being fully let down by the body I had tried hard to look after and with no family history I was surprised. In the weeks before my treatment began (I had to have chemotherapy before surgery) I was very frustrated because I had to start suspending plans and explain to people that I simply didn’t yet know when I could resume. But in amongst it I feel I was lucky to have been able to do a few “holiday” type things (being January), like going to the tennis (the Australian Open), some exhibitions and a concert.

      I felt more purposeful when my surgeon had the pathology information and explained what my course of treatment would be. That’s just my experience and what is so good about this forum is there are many versions and experiences and there’s no judgement. Occasionally you’ll read someone’s post and think “wow they nailed it, that’s just how I experienced it/or am feeling”

      Will be thinking of you andlfillmore​ as you approach your similar courses of treatment and sending positive vibes your way :-) 

       

       

  • Im really struggling with the waiting - I had a lump I discovered last year and had a upcoming mammogram booked that come back no evidence of cancer just before christmas. So by the time I went to the GP it was Mid Jan- had Ultrasound on 29th - no doctor there that day to do biopsy so had to get new referral and come back another 10 wait. Diagnosised ILC T3 ER+ PR + HER2 Low +1 grade 2 possible 8.3cm ( all information I have had to gather myself) on 11th Feb. Still waiting for a specialist appointment so its been going on for about 5mths. Only help information I have so far is what I have got from my GP and from private PET scan the waiting feels like forever. I got an appointment date today for another 12 days away. I really just need to know what treatment will look like. I like to plan.

    • Tri's avatar
      Tri
      Member

      HiMillymonster​ I am sorry to hear about your diagnosis and the recurring hurdles you have encountered to arrive at a diagnosis. This is a tough phase and I’m sending you big virtual hugs as you try to find out what this might mean for you.

      It sounds like you’re triple positive and ILC which is the same type I had.  My tumour was 3.8 cm in the left breast situated near the nipple.

      So much about breast cancer, including triple positive, is variable including treatment as it takes account of a whole range of things, some relate to family history - so what I experienced may not be what is recommended for you. However in case it helps to give an idea my treatment was broken up into 5 phases:

      Phase 1: Neo -adjuvant (pre-surgery) chemotherapy /immunotherapy, comprising 6 doses of 4 drugs (“TCHP”). I had a port surgically inserted under the skin in my right arm as these drugs are given intravenously over approximately 4 hours. I would have 3 weeks off between doses. 
      Phase 2: Surgery: my breast surgeon recommended a lumpectomy and it took place about a month after the 6th dose of TCHP.
      Phase 3: Radiotherapy. This started 6 weeks after surgery. I had 15 of radiotherapy doses - every business day for 3 weeks. Phase 4: Phase 4: Immunotherapy and Chemotherapy: 11 doses of a combination called Kadcyla. This extra bit of chemo was needed because the pathology in my lumpectomy showed I still had a few little pieces of the tumour and cancer cells. It was about 14 months from the first dose of chemo to the last (March 2023-May 2024).
      Phase 5: hormone therapy (in reality hormone suppression therapy aka endocrine therapy). This commenced during my phase 4 and has continued- I take an Aromatase Inhibitor tablet called Letrozole every day. It is aimed at preventing recurrence of the breast cancer associated with my oestrogen and progesterone positive attributes. 
      Millymonster​ I hope you can find some calm during this uncertain time. The not knowing and challenges in waiting took a lot for me to get used to, mainly because I had a role where I wanted to let people know what they might have to change in their expectations of me. 
      There is a Triple Positive private group which you can ask to join also several good recordings and podcasts about what to expect.

      I found this resource useful too, it’s a treatment and decision making guide put out by Breast Cancer Trials in collaboration with BCNA and others. 

      https://www.breastcancertrials.org.au/breast-cancer-resources/neoadjuvant-patient-decision-aid/?srsltid=AfmBOop-At08xMVuBWf-8e3e4pMFKgTLdizAFQKpYtWO8SjhJJ6ANKMt

      Wishing you lots of positive energy and do ask questions of your GP or treating oncologist or surgeon. 
      This network also has so many wise people on it too, so you’ve come to the right place. 

       

    • arpie's avatar
      arpie
      Member

      Golly Gosh, Millymonster​ I am so sorry that your diagnosis has stalled so much ... I would have expected you to have been diagnosed & had a date for surgery/treatment by now, so I fully understand you struggling with how things have gone so far.  😪  xx.

      Do you have a Breast Care Nurse assigned to you who can go in to bat for you re appointments etc?  They can often get the ball rolling faster!

      Out of interest - are you in a city, or are you rural/regional/remote?  Those of us living away from major cities often have greater 'waits' then our city cousins ... and it just adds to the stress & pressures that we are already under - and financially as well  xx

      Please ring BCNA Helpline on 1800 500 258 for a confidential chat - they may be able to give you some strategy tips xx

      Take care - I hope you get all the info you need asap, to be able to move forward and start healing xx

      Check out this link - it shows the 'optimal care' plan for women diagnosed with breast Cancer .... compare it to what you've experienced so far xx. Always have a family member (or a trusted friend) with you at your appointments, who may be able to support you & speak up loudly about your concerns with the delay in your treatment even starting!  xx. An extra set of ears can be a real bonus.

      https://www.cancer.org.au/cancercareguides/breast-cancer#initial

      • Millymonster's avatar
        Millymonster
        New member

        thanks for the information--regional location - havent been given any information except for appointment date from hospital as yet.