So while I was busy with the above and other
projects, looking after the girls etc, what I
wasn't doing was paying attention to myself (every preschoolers' mums
dilemma!). It wasn't until Brent's
Birthday (of all days) that a very slight dull pain made me feel my
right breast and there was a large, hard and seemingly mobile lump
inside pretty much the centre. Needless to say I panicked and assumed
the worst (I'd had my last breast check 1.5 years earlier, no
mammogram). I saw my doctor the following morning (Tuesday) and was referred on to
specialist on the Wednesday for a mammogram and ultrasound. 3 biopsies were taken and I was
told not to worry, results due on following Wednesday.
On Friday they called and moved my appointment
forward to the Monday - that made me nervous! Monday morning we were told
it was cancer, and I'd need a full mastectomy (32 nodes were also to
be removed from under my armpit to check for spread). All this was a
shock to us, and they told me to go away and come to terms with it, I said
"No - I want that lump out now!". I was booked in for the operation
on Tuesday afternoon (8 days after I first found the lump). That day
and a half between the verdict and the operation was pretty
emotional I have to say.
After the operation I was of course very sore but resigned to the
new situation and much more positive. I stayed in hospital for 5
days and had the most beautiful hospital room with sweeping views
over the city and harbour. I was very happy
while staying there, receiving a ton of gifts, cards and wellwishers, and treated very well by the staff.
The post-op recovery took a
while - about 4 weeks all up till I could say I was comfortable. During that time I had to have an MRI
and bone scan to check for cancer elsewhere. Waiting for all the
results to come back, I couldn't help but assume the worst at times, so when
the results did finally come there was a mix of good news (MRI and
bone scans clear = no visible cancer anywhere!!!) and not-so-good news (the cancerous lump
had been large
and aggressive) and OK'ish news (cancer detected in only 3 of the 32
nodes, so it had started to spread).
For those who want the technical details of my tumor (I have been
asked) here they are:
T2, N1, Grade 3, ER-, PR-,
HER2-, NPI 5.7. The tumor was 3.5cm in diameter, 1mm away from my
chest wall.
|
Here I am, 5 weeks
after the operation |
I was referred on to an oncologist for chemotherapy (approx 6 months)
followed by radiation. Excerpts from the oncologists report follow:
"Sonia has a poor prognosis
breast cancer with a predicted cancer without systemic adjuvant therapy
of 50% or a little less at 10 years. This can be improved by between 10
and 15% by standard AC chemotherapy and a further 5 to 7% by the
addition of Taxtotere. There will be no benefit from hormones, as her
tumor is receptor negative, but she will need local radiotherapy,
because of the size of the tumor and the close deep margin (1mm)"
"The AC chemotherapy is given by a drip over about
2.5 hours on 4 occasions at 3 week intervals. Taxotere will follow,
involving another 4 injections at 3 week intervals. The chemotherapy may
be associated with side effects which include nausea (usually controlled
by anti-emetics), hair loss (which will be complete but temporary),
induction of menopause (50% permanent at her age) and, potentially the
most significant, the possible development of sepsis at times of
neutropenia. The neutropenia will occur about 10 days after each
chemotherapy injection and last for 2 or 3 days. Should she develop
fever or ill health without fever at this stage, she will need
consideration of hospital admission for intravenous antibiotics. The
chance of this happening is low (less than 5%) but she has been warned
that should it occur it needs to be treated seriously. The side effects
of the Taxane therapy include muscular aches and pains for a few days
after each treatment, but is less likely to cause nausea. The risk of
sepsis at times of neutropenia will persist through the taxane therapy,
though it tends to occur a little earlier in the cycle (at about 7 days
after each injection)."
"Radiotherapy will follow the complete
chemotherapy, starting about a month after it finishes. She will be
under regular review during her treatment..."
Treatment begins 19 September 2005. So with all this intervention my chances of
still being here in 10 years are approx 70% - I see those as good odds
:o) I have elected to take the high road, assume that I am in that 70%
group and put my faith in science. I've living for today and for the
future, and choose to not immerse myself in the details of what I am
dealing with. I'm actually in a very positive place as we enter this new
chapter and plan to live and socialise as normal throughout this time.
I've already got a gorgeous wig organised that looks very trendy and
real - I'm actually looking forward to the new do! I've also ordered some neat
hats, caps and scarves with hair fringe bangs etc from a great store in
the USA. I plan to do this in style!
Why did
I get this? We now have no idea, no indication, no identifiable cause.
I fit basically none of the
high risk groups identified. Apparently it's
the new curse of the modern age and family history plays a surprisingly
very small part (there is none in my family). I urge every woman here to please get a mammogram, I'm sure you'll ALL be fine, I drew the short
straw, just for my peace of mind. It has been an awful month and I don't
want anyone else to go through this. If only we'd found this earlier...
I also recommend that you check your health insurance - I was on Southern Cross Ultracare (supposedly the best) and while they paid the surgery costs no
problem they are only paying 5% of the chemotherapy bill - that leaves
us with a HUGE outstanding bill. While no insurance companies would
cover all the cost, some do pay considerably more [This relates to New
Zealand, the same drugs are available in Australia free under the public
health system, so it seems it's a different story in every country].
Our oncologist recommended that we progress with the bathroom project to give us a distraction
during all this, and something positive to look forward to. But our friends are my number one
priority from here on. The support I've received from friends and family
has been tremendous and has meant the world to me. A huge thanks to all
of you for the kind wishes, the yummy meals etc, and everything you have done and continue to
do - simply awesome - big hugs to you all :o)
|