PCR, Double Mastectomy but no future screening. Spiralling. Send help!

Hello! Lurker here since my diagnosis last May. I’ve managed til now reading the amazing posts, but now I think I need help and I’m not sure where to go.

This may be long, I’m sorry!

So, I’m 41 have 3 young kids (11,8,6) and last May, after losing 3 stone, I discover a large lump in my right breast one night. Next day, in a bit of a worried haze I make an urgent appt at my local breast care centre (thank god for Bupa through work). Long story short, a week later I’m diagnosed with Her2+ grade 3, stage 3 breast cancer. Lymph nodes involved 6.5cm tumour. Holy shit!

Hospital are amazing and spring into action, due to start chemo less than 3 weeks later with potential for radio and definitely a single mastectomy afterwards. Had genetics tested, came back as positive mutation on CHEK2. Big shock as no breast cancer history in my family.

I had 4xEC +12 Abraxane + Phesgo (ongoing). Managed chemo okay, I was very lucky. Finished chemo beginning of November, had right side mastectomy and full node clearance a month later. Recovery was pretty straightforward (apart from drains, ugh!) and terrible cording (ugh!), found out just before Christmas that my results were back and achieved a full PCR! Given the size of the original tumour, it was more than I could hope for. A great Christmas present!

Second mastectomy and full reconstruction with implants at the beginning of March, didn’t go quite to plan, but got there in the end. My onco/breast surgeon is very happy and she says I’m done. I say, right, so what’s next? She says ‘nothing, you’re done! We can follow up as a courtesy in a year, but unless anything urgent crops up before, there’s no need to see you and no screening necessary’. Great :grimacing:.

So I’m still having Phesgo every 3 weeks til August, but I haven’t see my oncologist since my PCR result. He’s lovely, but can be a bit dismissive. I don’t have another appointment with him, he used to just pop in to see me when I was having chemo and once since Jan when I had Phesgo.

Mentally, I managed pretty well all the way through. Until now. Now, when I want to be swinging from chandeliers and moving on with my life with great gusto.

I’m terrified, I’m spiralling. My social media feed seems to be filled with breast cancer survivors discovering a recurrence and becoming stage 4. I came off here because I found it too triggering.

I understand that after a double mastectomy that you can’t have a mammogram, it’s not so much a local recurrence that frightens me, but bone or brain mets.

How do you navigate this with no screening? I so wanted to move on, but I seem more stuck than I ever was :cry:.

I’m signed up to the Moving On course in June. A year ago I would have been thrilled to be here, and done get me wrong, I am. But I don’t want to live in fear.

So sorry for being so long xxx

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Hi @bumpkin1 I’m sorry I can’t answer any of your questions as I’m still in active treatment. I just wanted to send you a virtual hug :heart:

We spend hours of our time wishing to reach the end of treatment and I can imagine once you get there it not sitting with you as well as you thought. During my treatment it was confirmed that I have the mutant BRCA2 gene, so after active treatment ends I’ll go on to have more surgeries and different types of hormone therapy. I honestly don’t think this journey fully ends for me because of that. I’ll always been screened for things which I feel very greatful for but it means I’ll always be looking for something. I think the only way for me to get used to that is to just accept it. I can’t change my situation, only work with it as best I can. Have you been offered any other screening for your CHEK2 results? Maybe give your old breast care team/nurses a call and ask them for the best advice on checking yourself, how to and when.

One of the things I try to repeat on hard days and ive said it here in the forum many times now is “our thoughts are not facts” Dont believe everything you think. Your brain wants to protect you and will put you on high alert (anxiety) but that’s all it is, it’s protection. It doesn’t mean there is danger. Sometimes we have to challenge our thoughts, stick to the facts and really spend time trying to relax our body so it realises there’s no current danger. Easier said than done I know. I see a therapist regularly that helps keep me in check with this. Trying to stay present helps so have a little look into mindfulness techniques. Where am I now? What can I see, smell, hear? I know it doesnt sound enough to help but if you stick with it I guarantee it will help a little bit

Thanks so much Foxgem. It’s such a rollercoaster and some days I’m definitely better at putting things in perspective than others. I really liked what you said about thoughts not being facts. I’m going to remind myself about it.

My Breast care nurse is wonderful but she’s been off sick, I’m in for my next Phesgo in a couple of weeks and hopefully she’ll be back and I think I’ll chat things through with her. I’ve been doing a lot of reading and everything I read suggests that with a PCR and double mastectomies the chances of recurrence are really low. My certain my oncologist has said this, but I think I need to hear it again from a professional’s mouth.

I hope your journey is going smoothly at the moment. Thank you for your reply xx

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I’m in a similar boat. Bilateral breast cancer diagnosed march 2025, stage 3 on left. Genetics negative. Had chemo, bilateral mastectomies and radiotherapy. Have started tamoxifen and goserelin injections. No more screening. Will be keeping a check for any lumps on the chest wall. I’m also due to have zomig infusions 6 monthly to protect bones from secondary mets and osteoporosis. But need to have 4 wisdom teeth and another one removed prior to starting the infusions :grimacing:

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Sorry to hear you’re in a similar boat. It’s so scary to get no screening isn’t it. I’m really trying to focus on being positive and on things I can control, so I’m sorry I haven’t been on here for a few days. As much as I as this is a fabulous space, sometimes I find it a bit triggering.

I have my Zometa infusion in a few weeks, yuk!!

Keep well xx

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