TNBC diagnosis - pregnancy related
Hi everyone. I was diagnosed 11 November 2020 with TNBC, 10cm tumor in my right breast, no lymph node spread. Specialist says that if it was graded it would be between a 2 & 3. I was 36 weeks pregnant when I noticed the small lump, which would have been in May. My baby girl was born early July. Didn’t think anything of it until it became uncomfortable due to its rapid growth. I breast feed my baby until I had to start chemo on 25 November. Just wondering if anyone out there has had the chemo, surgery and then radiation? I’ve had my second last chemo today and surgery is set for end March. It will be a mastectomy and an expander inserted under the pectoral muscle. Implant will be at least 6 months after this. Oncologist said there may be follow up chemo tablets after the radiation dependent on the pathology etc at time of surgery. Just wondering if anyone out there has a similar story?
Lumpectomy or Masectomy
I am nearly finished 16 weeks of chemo - 8 weeks of fortnight AC and then 8 weeks of Taxol. I am also Hert 2 so started Herceptin on 26th August every 3 weeks for 48 weeks. Due to have surgery in about 20 days. I had a 4-5 cms tumor left breast which has shrunk with chemo to 1cm and nothing in between and 1cm - which oncologist thinks could be 2 x 2.5cms tumor joined together - wont know till surgery. Also had spread to Lymphn nodes so will take out about 2/3 which is 20 out of 30 lymph nodes. Oestrogen + 30% Progesterone - and Her 2 positive. Invasive ductal cancer grade 3. Options now are (1) lumpectomy with reduction (2) Bilateral mastectomy or (3) Double Masectomy (all with lymph node removal). The first option could be do lumpectomy with margin and lymph nodes and go back following week for reduction in that left breast and if pathology shows more needs to be done could do mastectomy week after? Any recommendations or thoughts?