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becmac's avatar
becmac
Member
10 years ago

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 :)

 

8 Replies

  • Hi Hazel,

    Thanks for your reply.

    I guess it is only natural for the thought to cross our minds from time to time. 

    I agree if something bad does happen, at least I know I did everything I could to stop it, and I will just have to deal with it as best I can if and when it happens.

    Bec :)

  • Hi Lisa,

    Thanks for your reply, that is good to know that my follow up plan is the norm, and what things I should look out for.

    Bec :)

     

  • Hi Karen,

    Thanks so much for your reply, that is very helpful.

    Yes I don't want to panic or overreact so the 3 week guideline seems reasonable. 

    Bec :)

  • Hi Maryrose,

    Thanks for your reply. Yes I think perhaps I am just overdoing it, but I will see my GP next week if I still feel unwell. 

    I was actually surprised how quickly I seemed to recover from chemo and how much I could take on during radio, so to get fatigue at this point seemed unusual. My sister said maybe I have just finally run out of puff!

    Bec x

  • Hi Bec, I haven't dwelt on the thought of secondaries very much but you have a good point, how do we know? Thanks Lisa for your input, it was very helpful. Probably the only time it crosses my mind is when I have a pain somewhere and I start wondering. They usually go away and the bad thoughts go with it. At least with all the treatment I had, if anything happens down the track I will know I did everything I could of at the time to prevent it. All the best, 

    Hazel xx

  • Dear Bec,

    It’s Lisa from the Policy Team. It is really good that you’ve posted on the Online Network as it can be such a good place to get support and advice, like you said.

    Many women talk to us about their worries that their cancer may come back. The regular six monthly check-ups you are having is the normal follow up for women who have finished active treatment (i.e. surgery, chemotherapy and/or radiotherapy). At these check-ups, your doctor will ask you about how you’ve been feeling, any changes you’ve noticed in your health, and do some examinations, but blood tests aren’t generally part of normal follow-up.

    A few things women can look out for is pain in the bones that feels like a constant ache and doesn’t go away after a couple of weeks, feeling quite short of breath or finding breathing to be uncomfortable, or experiencing nausea or pain in the stomach area or under the ribs. At your check-ups, it is good to talk to your doctor about any worries you have or any changes to your general health that you have noticed. Also, you can make appointments with your doctor between check-ups if you notice something that worries you or you want to touch base with them.

    All the very best Bec,
    Lisa

  • Hi Bec

    i finished treatment a couple of months ago and this was one of the questions I asked my oncologist. The answer was:

    • if you find any lumps or bumps that don't go away within a couple of days, whether they are sore or not
    • if you start feeling unwell and greatly fatigued that doesn't improve in a week or two (bearing in my that the fatigue symptoms will last for a good 12 months after treatment)
    • any ongoing cough
    • any new pain that doesn't go away within a couple of weeks
    • If you get reoccurring illnesses, one on top of the other
    • or you just don't feel right

    go see your Gp or come back to the oncologist. They will do bloods etc to check you out. Don't wait longer than 3 weeks if you have a concern. 

    I think we just need to be vigilant and become very aware of our bodies and what's normal and what isn't.  Hope you start to feel better soon.  Hopefully you have just been fighting off a bug. Take care. Karen xox

  • Hey bec. You raise some good questions here which i too have wondered about. 

    I was diagnosed in may last year and i have days too when i feel physically exhausted and basically think i overdo things some time.  I think it takes time to fully recover from the fatigue. If you feel crappy all the time though i would speak to your doctor about it.  Take care 

    Maryrose