Hi all
I can relate to so much on here, to the words “imposter” and “guilty” and “just” DCIS…
But, really, you know, we shouldn’t feel this way!
Because:
Step 1
We still have had the trauma of either finding something, or being recalled after a routine screening mammogram. (More often than not - the first mammo we’ve had as part of the national screening programme - Happy 50th Birthday!!)
Step 2
And then, the cycle of tests, biopsies, waiting for results…all starts. Which, as everyone finds, is bl**dy hard, on us and our families. This period of time can be anything from a week or so - to a month or more. I had a MRI as part of a clinical trial - which identified a second area of concern…leading to more tests / biopsies/waiting for results, and I know I’m not the only one to have had that sort of experience. And at this point - it could still be anything from “just” DCIS, to invasive…and beyond.
Step 3 Surgery
And then - it’s mastectomy if DCIS is widespread; lumpectomy and the “Holy Grail” of clear margins, with the possibility of further ops including Mx, if said clear margins not achieved. More Mxs done for DCIS, I think - than for a defined, invasive, lump.
Step 4
OK, so, then we wait for the results from surgery - again could still be anything from “just” DCIS …or invasive that wasn’t expected…
Step 5
Radiotherapy - it’s tiring; it happens everyday; the skin gets hot/prickly/may break down
And, despite what happens on Coronation Street…a mere 6 months has past. Anything up to 3 ops (if they don’t get clear margins, have another go - then do a Mx?) - throw in the major reconstruction - that’s a fair bit of general anaesthetics to cope with, eh?
Can’t have radiotherapy till surgery has healed, then there’s waiting lists to get through…
Yes, we are lucky! - and I say that with no irony - very few of us know we have DCIS, and the press (and some surgeons - mine included) do go on about the “over diagnosed / over treated” - which can reinforce the feeling that we are " not worthy" of the comfort and support that “proper” BC patients deserve. But, big, huge, BUT - we have caught “it” early … and whether or not it might or not have developed…we have had the opportunity to have it dealt with.
Yes, we’ve avoided chemo - and I have the utmost admiration for my friends, real and virtual, who cope with that.
Yes, we are less likely to have further problems, and diagnosis of secondaries…and the same comment as above applies.
But, we have still all had an experience - which has been tough. Not as tough as many on this site, but tougher than many who - thankfully, will never feel the need to visit this site. We should not feel guilty, the psycological and physical effects of diagnosis and treatment for “just” DCIS are real. Yes, it needs to be put into perspective compared to other life changing events - but still real.
Oh, sorry, didn’t mean to highjack the thread with such a wordy post - but I am in the position of looking back on my first year - Dx 16th Feb 09…so probably more reflective than those going through the first days/weeks of confusion.
If this resonates for anyone - feel free to PM!
Lizzie xx