Hi, I've never really posted much on here before as I'm part of other groups, but thought I'd check the forum out again now I have my new dx. I had my primary dx last July, slightly ER/PR+ grade 3 IDC, tumour circa 2cm. I was supposed to have a lumpectomy mid August and the day before the op, the surgeon pulled me in and announced he was going to get me a better cosmetic result, and I'd just have the SNB followed by chemo. I had been seriously considering not having chemo (another discussion altogether!) and wasn't happy about this. Unfortunately the surgeon deemed my wishes irrelevant! By the time I had a marker put in at the beginning of September, the tumour had already doubled in size and had felt notably bigger for some weeks. I had lots of problems with the hospital failing to do things, they botched my genetics referral, didn't book my chemo halfway scan until I chased them, on more than one occasion told me they were too busy to speak to me (!) and didn't listen to me when I told them the tumour was growing. I had three rounds of FEC and the tumour was fractionally bigger with two new blobs on the edge - I still don't understand how, but these were deemed to be part of the original tumour even though they weren't there before. I'd requested a referral to another hospital because the surgeon was quite frankly obnoxious, and I wasn't particularly impressed with my SNB scar so didn't really want him doing anything else to me. My oncologist offered to get me transferred to a different surgeon, but as mentioned already, the hospital in general had been poor (except the chemo nurses who were lovely), so a clean break was the way to go. My GP surgery dropped the ball on this and hadn't actually sent the referral through, costing me an extra 3 weeks before I got my appointment. In the absence of an alternative in the meantime, I moved on to tax. My appointment with the new hospital was on the Friday of the week I'd had my second tax on the Monday. The surgeon asked a couple of questions and said she best examine me before asking more. I removed my top, and her eyes almost popped out of her head! Less than 5 minutes in a room together and she told me no more chemo and we were booking my mastectomy. You see, my tumour that couldn't possibly be growing on chemo was now substantially bigger and was clearly visible let alone palpable. My mastectomy was booked for the end of December. A few days later I also ended up hospitalised with neutropenia and whilst there they swiftly repeated all my staging scans and I had the results before being discharged, there's service for you! When I went for my surgery, the tumour had grown further and it was thought that it would have ulcerated within the week. Histology showed the tumour to be 9cm and it was described as "well circumscribed, if not encapsulated" and was also now truly triple negative. I remained node negative - all "oops I took a few more than I meant to" 9 of them! They flirted with the concept of further chemo, but we all agreed there was no evidence that anything would have any better benefit 6than the chemo I had already been resistant too. It was also theorised that due to being encapsulated the drugs couldn't get in, and consequently no naughties got out either. I completed radiotherapy at the end of March. All seemed great at my most recent follow up in May including normal tumour markers. A few weeks ago I developed a little raspiness which developed into an on/off cough, but read it might be radiation pneumonitis. I also knew that if I went to the doctor, they would do little more than listen to my chest and possibly declare a chest infection as it had only been 2 weeks or so. However on Tuesday night I coughed up a bloody lump which of course raised concerns. It was late already and 111 was a total farce and by 2am I told them I was exhausted and would go to A&E in the morning. I did, and bloods, chest X-ray and CT later I was being told I have lung mets. The mediastinal nodes are also affected and one is enlarged and pressing on my heart. This is all I know right now, and am meeting with my oncologist on Tuesday to find out more. Thankyou to anyone that has survived to the end of my novella! xx
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