How Do You Know If You Have a Secondary?
Hello,
I am a long time reader first time poster, hoping to get some advice.
I was diagnosed with breast cancer 12 months ago today at the age of 32. I have had a lumpectomy, chemo, and radio, and am now on hormone therapy, and have been feeling pretty good the last few months as life goes back to normal.
Lately I have started to worry about developing a secondary. My medical team (who I call my cancer posse) haven't given me much information in this regard. My surgeon is in charge of my ongoing surveillance, and I am having an annual ultrasound and mammogram (my first due next month), but that will only show another breast cancer (either a recurrence or new). My medical oncologist told me not to worry about it, as I have been a very compliant patient who did everything recommend by the cancer posse, and I am on the latest hormone therapy (Exemestane and Zoladex), and that one of the posse would know if there was a problem. My question is how will they know, as I am not having any regular blood tests or other tests, and am now only having 6 monthly check ups where they just have a feel around and ask how I am feeling. She said my risk of getting cancer again is about 20%, with about 17% of that figure representing a secondary. That seems pretty high to me after all the treatment I have had, and also considering the risk of me getting breast cancer at my age in the first place was lower than that!
So how do you know if you have a secondary? What symptoms should I look out for, and is the annual mammogram / ultrasound and 6 monthly appointments with my surgeon and oncologist enough?
Normally I wouldn't worry as I had been feeling perfectly fine, with just the usual side effects from the hormone therapy that I can happily live with, but over the last week or so I have been feeling a bit under the weather and fatigued, which I just put down to doing too much at work and needing to slow down a bit. This last weekend I felt as rubbish as I did during chemo and spent the weekend in bed. I did feel a bit better for it, but am still fatigued this week and struggling to get through the day. It is hard to know if this is something to worry about or not.
Any words of wisdom would be greatly appreciated!
Bec :)