Poss DCIS on right side after Invasive Cancer on Left

Hello,

I was diagnosed with invasive breast cancer on my left side in 2020 - had mastectomy. Just got recalled after annual mammogram on the right side because there are suspicious/new calcifications which could be DCIS. I’m a bit downcast because a) I thought the annual risk of contralateral bc was fairly low and b) (if there is DCIS and it’s ER-positive) does this suggest that the tamoxifen I’ve been taking for the original diagnosis isn’t working for me?

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Hello, I had ILC and mastectomy in 2023. I think we all worry about recurrence or a new cancer in the good boob. I was told that we are 20% more likely than average to get it in the other breast and as 1 in 7 women get BC that puts the chance somewhere around a 35% chance ( I think that’s how it works but I am no mathematician). I also don’t know if that % goes down over time. The drugs ( like Tamoxifen) only offer a small percentage benefit so that would reduce chances a bit. From the medics point of view, when treating thousands, they are saving lives. Mostly that is down to the mastectomy and they can get a few more over the line with radio, chemo and drugs. We just have to hope we are the right side of the line.

Now, if you have it in the right boob you are in that unlucky percentage but your prognosis for treatment may be very good. Hopefully the extra monitoring during this period means it is caught early and, although the thought of treatment again is awful, you know what you are in for and you know you can do it!

I wish you the very best x

Hello Bellis_Coldwine,

Thanks for posting.

Its understandable you are feeling a bit downcast as you have an area of suspicion, and calcifications in your contralateral breast.

Hormone therapy like tamoxifen aims to reduce the risk of breast cancer recurrence but also the risk of a new cancer developing. As @laneycass says these additional (adjuvant) therapies often have a small percentage benefit and when added together are effective for many people.

If you do have ductal carcinoma in situ (DCIS), it doesn’t mean the tamoxifen hasn’t been of any benefit but it’s likely your treatment team will discuss switching you to one of the aromatase inhibitors (AI). We’re not sure how old you are but if you are premenopausal, it’s still possible to have an AI, and you can discuss this with your treatment team

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