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- Jul 15, 2005
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Date: 4/10/2008 6:28:32 PM
Author: Pandora II
Thanks Fire Goddess - is oncology your speciality?
No, it''s not. But being a scientist, I researched it in depth after my mom''s diagnosis and discussed things at length with my mother''s oncologist so that we could speak to each other in clinical terms. I didn''t want the patient speech, I wanted the doctor to doctor speech. It was also my way of determining how good her doctor was, as I read a lot of scientific papers and wanted to make sure he was up on the current literature, which he was. That put my mind somewhat more at ease.
From what I understood from my dad (he''s a doctor) it''s something that in 50% of cases just sits there, but in the other 50% can potentially turn into something nasty. So they''re just playing safe.
Yes, the in situ diagnosis is a small cancerous mass that has not invaded any nearby tissue. Sometimes it can just sit there, other times it can invade nearby tissue and then you start with the stage I to stage IV situations. In situ cancer is stage 0.
I was quite surprised that she has to do radio. and then take tamoxifen (if it''s hormonal) or this new trial drug. Is that normal?
Sometimes they want to be extra cautious and do radiation on the area to make sure that they didn''t ''leave any material'' behind. It''s the conservative course of action. Tamoxifen is an estrogen antagonist and works to decrease any possibility of recurrence if the cancer turns out to be estrogen dependent. If the tamoxifen is present, the estrogen can''t act to ''feed'' the cancer cells. For women post-menopause, in some cases aromatase inhibitors work better than tamoxifen does. My mom is on an aromatase inhibitor for this reason(works in the same manner as tamoxifen, to block estrogen). This is a course of action if the cancer cells are tested and come back as ER/PR positive (ER/PR = estrogen receptor/progesterone receptor).
I don''t know all the details on my cousin - it must have looked bad on the scan as they didn''t bother doing a biopsy, just went straight for a mastectomy. I don''t think the histology is back yet.
When things have settled down, I''m going to put her in touch with a friend of mine who is her age. She has a terrible family history of breast cancer and opted for a double mastectomy when she was 22. She is and EXPERT on clothes for post-mastectomy and always looks fabulous. She''s great fun, very australian and just the best person you could talk to if you were feeling down.
It''s a bit of a shock as we have absolutely no history of cancer amongst my blood relations at all.
After my mom''s diagnosis I was put in touch with a genetic counselor to determine whether there was any genetic basis to be concerned. She ended up telling me that I was not high risk, but I did get a mammogram to have a baseline picture anyway, even though I don''t actually need to have one for like, 8 more years.
Thanks for all the kind thoughts everyone.