Diagnosed with Grade 1 DCIS and with pre-existing Cardio disease wish to do mastectomy
Looking for info and experience of people with both pre-existing Cardio disease and now diagnosed with Grade 1 DCIS, has gone ahead to successfully did a Mastectomy surgery? I am a public hospital patient, cardio team assessment of my high risk to adverse event due to general anesthetic and hence the breast cancer team decided to cancel my scheduled mastectomy surgery appointment. I feel like I have a death sentence. Looking for supportive experience and reference of surgeon and hospital and willing to travel to where the breast cancer team has strong anesthetic and cardio support, as I just found out my Medibank fund cover cancer treatment.
Breast reduction and the risk of recurrence
Hi everyone, I wasn't sure which category and forum to post in; hopefully this one makes sense. I had a lumpectomy in December 2017 (left breast) which was followed by chemo (hello menopause!) and radiation therapy. I've also been on aromatase inhibitor tablets since 2018. My right breast was always a little bigger than my left but the radiation stopped the latter from behaving normally in the menopausal years and my right breast is now significantly bigger and spreads wider. I've been thinking about breast reduction surgery for the right one and am wondering, if anything needed to be done to the left breast, if surgery might increase the risk of recurrence. I've tried Googling this but the results are all about surgery to treat the breast cancer, not post-treatment surgery. I'm thinking of making an appointment with my surgeon to see what he has to say, but thought I'd post here first in case anyone had some information.
Cryoablation & Breast Cancer. FREEZING the tumour via MRI! The treatment of the future?
https://www.facebook.com/watch?v=2233946977028488 Cryoablation for breast cancer is a minimally invasive procedure where extreme cold is used to destroy cancerous cells. A thin, needle-like probe, guided by imaging like ultrasound, is inserted into the tumor to create a freezing ice ball. This treatment is used for patients who are not good surgical candidates due to age or other health issues, or those who prefer not to have surgery, and is most effective for small, early-stage tumors. How Cryoablation Works Imaging and Probe Insertion: A doctor uses imaging, such as an ultrasound or CT scan, to locate the tumor. Freezing the Tumor: A cryoprobe is inserted into the tumor. Ice Ball Formation: A gas, often liquid nitrogen or argon, is pumped through the probe, creating a ball of ice that freezes and destroys the cancerous cells. Thawing: The tissue is allowed to thaw naturally, and the dead cancer cells are then cleared by the body's white blood cells. Who Is a Candidate? ... (Hmmm Why not ALL patients?) Poor Surgical Candidates: Patients with significant comorbidities (like heart/lung issues) or advanced age who are not eligible for surgery are good candidates. Patients Opting Against Surgery: It is a viable option for those who simply choose to avoid traditional surgery. Small, Early-Stage Tumors: The procedure is most effective for small, unifocal tumors that are visible via ultrasound. Potential Benefits Minimally Invasive: It avoids large surgical incisions and often can be performed on an outpatient basis. Preserves Breast Appearance: Cryoablation can preserve the breast's shape and result in better cosmetic outcomes with only a tiny scar. Faster Recovery: Patients typically experience a quicker recovery time compared to traditional surgery. Potential Immune Response: The process of freezing and thawing can increase the presence of tumor-specific proteins, potentially helping the immune system recognize and attack cancer cells. Things to Consider Scar Tissue: A small amount of scar tissue will remain at the tumor site, which may form a painless lump that shrinks over time. Not Always a First Choice: While effective, it's important to remember that it's not a universal breast cancer treatment and is best suited for specific patients and tumor types
DIEP fails in surgery
Hi everyone, just wondering if any one went in for a Double DIEP surgery and because there were complications had to have a double TRAM instead? My surgeon is saying if I start with a DIEP I have to be accepting of the possibilty of TRAM flaps. Plus, he tells me, only 20% of DIEPS are successful??? Help, so confused JodieLooking for suggestions after double Mastectomy
Hi everyone. How good is this website? I have learnt so much. I have been recently diagnosed with Breast Cancer 😒 and will be having a double mastectomy in the coming weeks. I am looking for suggestions/ideas for post surgery. For example clothes to wear, pillows, chairs, sleeping positions and the like. Looking forward to your ideas. Thank You
Mastectomy /post surgery pillow
Hi all, I have a brand new mastectomy pillow that I found really helpful that is basically as new. I would be really happy to post it to anyone that is about to have surgery at no cost. I just can’t bear to throw it away and would be happy for it to help someone else! Just dm me with your address if you would like it. I’ve attached some photos x
Partial mastectomy & Tdap flap experience
Thought I would share my experience here for future users as I didn't find many examples for partial mastectomy and Tdap (thracodorsal arterial perforator) flap reconstruction. I was diagnosed at 43 with stage 1 idc of 3.5cm in my right breast. It was found in my first ever mammogram which I only had as baseline because I was starting HRT for perimenopause. Thank god it got caught early. My Surgeon was very thorough and ordered CT, bone scan and MRI, which didn't show any spread to lymphs or beyond. The tumour was located at about 10o'clock between the nipple and armpit. Due to its largish size of 3.5cm the Surgeon recommend partial mastectomy but indicated would be able to spare my nipple and key sensation nerves. Understanding the options available to me was really important including the pros and cons of each. In particular I wanted to understand options that would maintain sensation. My breast surgeon put me in touch with the plastic surgeon to talk through options. I strongly recommend you ask for this consult if it isn't offered to you. Given the size and location of my tumour if I had opted for a reconstruction only the breast size would be very small, and then I would have needed to consider reduction of the healthy left breast for symmetry. The Plastic surgeon identified I was a good candidate for a TDAP flap reconstruction as part of a single surgery. While there are some risks a flap might not take, I felt it was the best first choice option for me. And I was positive that if everything went well I would only need one surgery rather than subsequent later reconstruction surgeries. Involving both breast surgeon and plastic surgeon did add a few weeks and a number of appointments to the first month after diagnosis. Luckily for me with my particular diagnosis the surgeon wasn't concerned it would impact on my prognosis. I am very aware how lucky my circumstances have been to allow me these choices. My surgery was about 4 hours I'm told. The breast surgeon removed the tumour, x-rayed to check the margins and then handed over to the plastic surgeon. In the end the flap needed to be taken from between Tdap and ldap area on my back close to my armpit area in order to have suitable arteries for blood connection. 1 lymph node removed. Thankfully when I came out of surgery I didn't have any nausea and ate a meal that evening! I was in hospital for 6 nights afterwards as you have two drains for flap surgery and the plastics team like to Closely monitor the flap and drains. The main discomfort I had for first few days was a sore shoulder because my arm had to be above my head for the four hours surgery. So anti-inflammatory cream was in high use. I was able to walk from day 2 and pretty much just on Panadol for pain. The bruising all over the entire breast was epic so arnica cream was essential. After 6 nights in hospital I was allowed to go home with my drains and have daily nurse visits to check. I also had direct mobile number for my specialist nurse if I had any questions. Being home in a quiet bedroom was a relief after the noisy nights of hospital ward. Currently on day 10 post surgery and still have the two drains, although I think they will be out in next few days. Flap surgery can also mean longer period of recovery before you can drive-up to six weeks. Although that is very individual and I'm hoping I might be able to drive in another week or so. Still early days but thought I would share my experience so far. S
Experience with suction/negative pressure dressings
So last Thursday I had a bilateral "Goldilocks" mastectomy - it's Tuesday now, so today is the fifth day post-op. I had three nights in hospital and was discharged on Sunday, and every day has felt like a battle with these dressings. It's a system called Prevena that puts a foam layer over the sutures, and then a plastic dressing over that so that the attached pump can then apply a gentle vacuum. Even in hospital, every day has brought patches to the edges to try and maintain a seal. It holds if I'm sitting down but the moment I stand up, the pump goes off, and I hear a little whistle from a new leak somewhere in the dressing. It's getting pretty frustrating - I can't shower without it going off and even just doing a wash at the basin triggers leaks. And forget going for 'gentle walks' - I want to, but not if the dressing's going to leak the whole damn way. I'm due to have them removed on 9 December, so six more days with them. If I thought I was happy to have drains removed, that'll probably be nothing compared to the joy of getting rid of these dressings. Has anyone else had experience with suction/negative pressure dressings like this?
Post surgery changes
Good morning, I have a quick question to any women who have had lumpectomy/s and where the surgeon removed fat from under the underarm area right side only for me (side boob) to refill breast/s. I had lumpectomy's on both breasts at the same time, early cancers, both hormone positive ILC & IDC over a year ago now. My question is if they have been left with what looks like a small 3rd boob to me under their armpit that protrudes out. I cant understand how an area that has fat removed from it ends up bigger than before. It is uncomfortable, causes rubbing/friction that I did not have to contend with before and finding a bra that covers the area so the excess bulk doesn't get squeezed out from and overhangs from the bra line is frustrating. I only have B-Cup breasts and never had to wear heavy duty thick/wide band bras before because I wasn't big or had a lot of fat in the side boob area. Since surgery & having the fat apparently removed to fill the area my small tumours were removed from, I am now left with a bulge that is very noticeable from both the front & back. I dont wear singlet tops any more because the bulge is too noticeable. Very disappointing because I was not told about this outcome, only that there will be scar/s, which I have & don't concern me at all. Having a bulge/mass sticking out from the side of your breast seems more notable to mention than whatever scars might be left behind. Had I known I would not have had my breasts "refilled" from the small tumours removed. Any lop-sidedness or unevenness if any would have been fixed with a bit of padding, which most bras come with these days. I feel I have acquired a 3rd boob that is very noticeable whether I am clothed or not. Has this been any one else's experience?
Scar Management for anyone finding them taking a long time to heal, red, bumpy, itchy...
Hey All, I just wanted to say in the past I haven't really worried about my scars from surgeries, however since doing my Diep Flap recon in February and subsequent revision surgery in July, I had my abdominal wound reopened. It was red, itchy and bumpy so thought I'd have a consult with people who specialise in scar management. Thanks to my friend @nikkid for the contact, I went today. I know in my post op visits there really wasn't much talk of scar management at all, so thought I'd pop a post for anyone who is finding them annoying red, itchy, bumpy and wanted some help with it. They use silicon dressings that I wear at night only, I then massage over 4-6 weeks in circular motions, (even an electric toothbrush) to break up the scar tissue about 4 times a day. My scars are so annoying and irritating,so that's why I decided to get some extra help. So I have a great recommendation in Melbourne for anyone needing that. Big hugs Melinda xo
