A slight bump in the road
I had an appointment this morning with the radiation oncologist to discuss future treatment. I definitely need 4 weeks of radiation which will be every day (Mon- Fri). I am still waiting for an appointment with the chemotherapy doctors to determine whether I need any chemo. If I do, it will be for 3 months and having injections every 3 weeks. If there's one thing I'm learning through this process, it's patience.
I was also given a bit of scary news in that once they finalised all lymph node testing, they discovered a small amout (less than 1 mm) in one of them. They ended taking a total of 4 lymph nodes (I orginally thought only 2) and the cancer was detected in just 1 of the 4. This may mean I need chemotherapy to kill any cancer that may have travelled elsewhere. Hearing this news was a huge blow this morning because I was so excited to think it hadn't got into the nodes. In terms of when this all starts, I have to wait to first find out if I need chemo which would happen before radiation.
I also found out that my cancer is hormone positive which means it feeds on estrogen and progesterone. This means that most likely I will be put on a drug called tamoxifin for up to 5 years. Tamoxifen acts as an "anti-estrogen" in the body. Since estrogen promotes the growth of breast cancer cells, Tamoxifen slows or stops the growth of breast cancer cells that are already present in the body. It is also used to prevent the development of cancer in the opposite breast. Although Tamoxifen acts as an "anti-estrogen" in breast tissue, it in fact acts like estrogen in other body systems.
Unfortunately this drug most likely will send me into early menopause at least until I finish taking it. I was quite upset to learn this as it probably means we won't have the opportunity to consider any more children. I recognise that Trevor and I are incredibly blessed to have the 2 children we have but it still is dissapointing to know the decision to have more may be taken away from us.
I guess you could say that today is a bit of a down day. I think the thing that worries me the most is the thought of it coming back one day after they've gotten rid of it...I can't help but be drawn to stories of women that were cancer free for a period then it came back elsewhere. I know this won't be me but it's sometimes hard to not be a bit scared of those stories.