DCIS Breast Cancer at 49 - A Most Unexpected Event

The reminder that mammography has been delayed sat in my 'in' box for over a year. I kept putting it aside, as I went through the pile every day. Finally one day I got sick to postpone it, pulled it out, and made an appointment. That day, the technician was very friendly, chatting while taking photos, but as he watched the results of your monitor, the talks stopped, and seemed more reserved. I went home and told my husband that I was disturbed by the test and would not be surprised if I got a call about the results. The call came the next day. The doctor described the findings as "suspicious" and asked me to come back in for more pictures and a biopsy. Conducted during the week, the next call (which I feared) came and told me I had ductal carcinoma in situ, which means "Ductal carcinoma in situ", an early cancer. They had found in my left breast near the chest wall. Every breastfeeding mother kept small spots of calcification in their milk ducts of the milk they produce. Sometimes, these spots become cancerous, and this type of cancer is usually not captured with a manual exam until you are more advanced. In my case, have PCOS, which hinders or prevents regular ovulation and progesterone that is released with it was probably a contributing factor, according to the oncologist. This lack of progesterone, which had taken unopposed estrogen in my system for abnormally long periods of time throughout my life and my cancer was estrogen positive. (Let this be a warning to those with PCOS - Do not miss mammograms)

The idea that I had put off mammograms for so long, while the silence grew in DCIS in my breast, it was disgusting. I have consoled many times since then with the idea that if I had gone early, ductal carcinoma in situ may have overlooked, it is too early. As it was, a year later, the areas are small and difficult to see. But who knows? He stopped beating me now - is what it is.

Therefore, since the cancer was in stage 0, I had a lumpectomy considerable, about the size of a deck of cards. When the lab work came back, he discovered that not only was there more cases of breast cancer in the left, but on a scale of 1-9 for the 'bad', mine was a 9. So the surgeon gave me the option of another lumpectomy (the normal approach for DCIS) or, taking into account the size of the area and its potential for evil, a mastectomy. I struggled with the decision of many days, and glued myself to the web in search of answers. In the end, I decided that a mastectomy, immediate reconstruction.

My research told me that I could aspire to have a "skin-sparing and nipple preserving" mastectomy, reconstruction with belly fat. We live near a tertiary medical center, but after a consultation with them, I realized I did not offer an option to preserve the nipple, and still had breast reconstruction with rectus abdominis muscle (TRAM), who knew the experience of two close friends, was no better. In fact, the muscle loss of a friend had left him in chronic pain for several years until he found a physical therapist who helped realign its core through massage and exercise. No thanks. So I got on the web and find a doctor in New York who had started the process of fat transfer, only to rebuild the breast. This is more difficult than the transfer of muscle because the blood vessels in fat are the minutes on the muscles, which require additional training in microsurgery to perform.

So I went straight to practice. I could not get Dr. Robert Allen (who pioneered the procedure), without having to wait longer than I wanted, so I went with his partner, Dr. Levine. Overall I am happy with the results. The very shape of the breast is large, and fat transfer was successful, which is no small thing in itself. Unfortunately, the nipple / areola did not do well due to a clot of blood under him after the surgery, which was not captured. Dr. Levine wanted to go ahead and remove the nipple / areola, but I was determined to continue and see what happened. This meant leaving the die area to the extent that would be from lack of circulation, and then see what was left. Now a year later, the nipple is gone, and the areola is very strong, but I have hope that with the areola tattooing scars to match the color of the other party, and a reconstructed nipple that will end up looking good. The abdominal scar, on the other hand, is 20 "long and there is no other way to describe it, but ugly, but I hope will improve as the scar fades.




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