Going in again after lumpectomy

chriskaput
chriskaput Member Posts: 109
edited March 2014 in Breast Cancer #1
I just met with my surgeon for a post-op appt. I had a lumpectomy and sentinel node biopsy last Monday. Although the good news is that my lymph nodes were clean, he wants to go back in and get clearer margins. I know this is common from my reading on this site but I am so annoyed right now. Basically he said he got all the cancer out of my right breast but that the path. report showed a really microscopic <3mm spot (DCIS) near the margin and that he wants to go in again and clean some more out. He said radiation alone wouldn't be safe enough that he'd rather do a re-incision and go in again, Anyone else have this done and what was your experience? I know I should be grateful for the good news about the clean lymph nodes and having the chance to have a lumpectomy in the first place but I am still upset : (

thanks for listening
Chris.
«1

Comments

  • Bella Luna
    Bella Luna Member Posts: 1,578 Member
    This happened to me too.
    This happened to me too. Better that he go back in and get the rest of the DCIS than leave ANYTHING to chance. In my case, my margins were not clear. The second round will be much easier and quicker because your lymph nodes have already been taken out. Hang in there!
    BL
  • Gabe N Abby Mom
    Gabe N Abby Mom Member Posts: 2,413
    Lumpectomy is not an option
    Lumpectomy is not an option for me...but I agree, get it all out! Leave nothing behind so you can have many many many cancer free years to come.

    Hugs,

    Linda
  • joannstar
    joannstar Member Posts: 403 Member
    Same thing happened to me
    I had a similar experience except when they did the second "re-incision" the pathology report re-classed me as Stage 1B (it had been Stage 0 after the first partial mastectomy--called that because they took more of my breast than expected). I found that the incision took a bit longer to heal because it had been re-opened, but this was easier because they didn't need to take any nodes the second time.
    Even though I had no node involvement, my onc wanted me to do chemo because I had a high-grade tumor (1.2 cm) and I am triple negative so there is no hormone treatment that will work for me.
    I'm half-way through the 6 chemo treatments with new side-effects each time. What a challenge it is to stay positive as new things start to "appear"--this cycle my feet are burning, last cycle I got a rash and the first I had dental issues.
    I'm looking forward to radiation (33 treatments) which means that I'll be finished with the chemo!!!
    Your onc is being thorough and that is a good thing...you really wouldn't have wanted it any other way, I mean to go through all of this and not be sure that he got it all would be more upsetting.
    Chin up...we are all in this together...it has to get better!!
    <<<hugs>>>
    JoAnn
  • MAJW
    MAJW Member Posts: 2,510 Member
    It Happens
    I was fortunate, this didn't happen to me.......but a close friend had this experience 3 TIMES! Took three surgeries to get clean margins. Each time pathology said the margins weren't clear enough.....if it's any consolation, she said other than being put to sleep 3 times, it wasn't bad at all. She even played tennis inbetween! The surgeon used the same incisions.....she also had clean lymph nodes and after her third surgery, she was onto radiation in 3 weeks.....I hate this is happening to you, but I don't think it's all that uncommon.

    I wish you the best
  • missrenee
    missrenee Member Posts: 2,136 Member
    MAJW said:

    It Happens
    I was fortunate, this didn't happen to me.......but a close friend had this experience 3 TIMES! Took three surgeries to get clean margins. Each time pathology said the margins weren't clear enough.....if it's any consolation, she said other than being put to sleep 3 times, it wasn't bad at all. She even played tennis inbetween! The surgeon used the same incisions.....she also had clean lymph nodes and after her third surgery, she was onto radiation in 3 weeks.....I hate this is happening to you, but I don't think it's all that uncommon.

    I wish you the best

    I agree--so much better to be safe
    I also had a re-excision. Unfortunately, on the first lumpectomy I had 10 positive nodes. So, the second surgery (for clear margins) was actually a piece of cake. You'll do great. I know it wasn't what you wanted to hear, but thank God you had no positive nodes. See--there's always something to be grateful for!

    Hugs, Renee
  • Jean 0609
    Jean 0609 Member Posts: 2,462
    Hi Chris,
    Glad to hear that your nodes were clean!!! That's great. Sorry to hear that they have to go back in. I had a lumpectomy first. My margins weren't clear, and he wasn't sure he would be able to get everything if he went in again, that's why I opted for a mastectomy. That was my personal decision. Hang in there, I know a few ladies who were completely clear after their second lumpectomy. Just try to keep a positive attitude! Hugs, Jean
  • warrrior3
    warrrior3 Member Posts: 92
    Sorry you have to
    go back to the OR but....congratulations on the negative nodes!! That is wonderful news.
  • crselby
    crselby Member Posts: 441 Member
    another experience
    Just to give you different input...
    I had DCIS (stage 0)9mm x 13mm grade 3. In one of the lumpectomy margins she removed there was a spot of calcification. I was told the radiation would take care of it if there had been any left behind. I did NOT have sentinal nodes tested since DCIS is, by definition, confined to the ducts and not invasive. My rads were finished 9/4/09. No further sign of trouble on either the mammos or the MRIs.
    Good luck with whatever you choose.
    ~~Connie~~
  • carkris
    carkris Member Posts: 4,553 Member
    crselby said:

    another experience
    Just to give you different input...
    I had DCIS (stage 0)9mm x 13mm grade 3. In one of the lumpectomy margins she removed there was a spot of calcification. I was told the radiation would take care of it if there had been any left behind. I did NOT have sentinal nodes tested since DCIS is, by definition, confined to the ducts and not invasive. My rads were finished 9/4/09. No further sign of trouble on either the mammos or the MRIs.
    Good luck with whatever you choose.
    ~~Connie~~

    its dissapointing I know to
    its dissapointing I know to not have it over with. My first time, I had a couple of re-exisions before they did a mammo and found all these microcalcifications. I ended up with a mastectomy and got a recurrence a year later. (1994) turns out I had scant but scattered DCIS. so better to go in and get it cleaned up and be done with this mess. Yay on the negative nodes that is the most important part.
  • mrs gadget
    mrs gadget Member Posts: 118
    Sorry
    On the good side, this will be your chance to be cancer free...Even though you don't know me, I am right there with you...Hopefully this second attempt will be your last..
  • jnl
    jnl Member Posts: 3,869 Member
    MAJW said:

    It Happens
    I was fortunate, this didn't happen to me.......but a close friend had this experience 3 TIMES! Took three surgeries to get clean margins. Each time pathology said the margins weren't clear enough.....if it's any consolation, she said other than being put to sleep 3 times, it wasn't bad at all. She even played tennis inbetween! The surgeon used the same incisions.....she also had clean lymph nodes and after her third surgery, she was onto radiation in 3 weeks.....I hate this is happening to you, but I don't think it's all that uncommon.

    I wish you the best

    No, I had clear margins with
    No, I had clear margins with my lumpectomy, and, then rads. I am sorry you have to have this done, but, you want clear margins. Good luck!


    Leeza
  • disneyfan2008
    disneyfan2008 Member Posts: 6,583 Member
    Happened to a coworker
    sorry to hear you have to go through this again..
  • disneyfan2008
    disneyfan2008 Member Posts: 6,583 Member
    crselby said:

    another experience
    Just to give you different input...
    I had DCIS (stage 0)9mm x 13mm grade 3. In one of the lumpectomy margins she removed there was a spot of calcification. I was told the radiation would take care of it if there had been any left behind. I did NOT have sentinal nodes tested since DCIS is, by definition, confined to the ducts and not invasive. My rads were finished 9/4/09. No further sign of trouble on either the mammos or the MRIs.
    Good luck with whatever you choose.
    ~~Connie~~

    I too had DCIS
    But had nodes removed-all fine...and then I had 8 wks radiation! So far almsot 2 yrs since all ok..going to Oncologist Friday & think getting ok to go annually for mammo...yipppee (been every 3-6mths)
  • jnl
    jnl Member Posts: 3,869 Member

    Happened to a coworker
    sorry to hear you have to go through this again..

    When is your surgery?

    When is your surgery?
  • chriskaput
    chriskaput Member Posts: 109
    jnl said:

    When is your surgery?

    When is your surgery?

    surgery
    surgery will be on Nov. 29th. Wish me luck : )
  • 24242
    24242 Member Posts: 1,398 Member

    surgery
    surgery will be on Nov. 29th. Wish me luck : )

    Good Luck
    It isn't easy for fears can rush in but know it just is...
    It isn't easy facing all the news and then decide our own treatment plans. Hang in there and I will be thinking of you.
    Strength is an amazing feeling and sometimes resigning ourselve's to what ever it is we finally decide can take off some of the pressure and stress.
    Tara
  • surgery
    surgery will be on Nov. 29th. Wish me luck : )

    Same Story for me, Chris
    First of all celebrate the node negative!! Secondly, the same thing happened to me and recovery the second time is a piece of cake. (Though, I had month and a half between my surgeries.. may have made a difference?)

    I, too, was pissed off that I had to go back in, BUT, the great news of BENIGN BREAST TISSUE is so worth the journey... and I hope that for you :)

    Blessings and hugs,
    Stace
  • DebbyM
    DebbyM Member Posts: 3,289 Member
    joannstar said:

    Same thing happened to me
    I had a similar experience except when they did the second "re-incision" the pathology report re-classed me as Stage 1B (it had been Stage 0 after the first partial mastectomy--called that because they took more of my breast than expected). I found that the incision took a bit longer to heal because it had been re-opened, but this was easier because they didn't need to take any nodes the second time.
    Even though I had no node involvement, my onc wanted me to do chemo because I had a high-grade tumor (1.2 cm) and I am triple negative so there is no hormone treatment that will work for me.
    I'm half-way through the 6 chemo treatments with new side-effects each time. What a challenge it is to stay positive as new things start to "appear"--this cycle my feet are burning, last cycle I got a rash and the first I had dental issues.
    I'm looking forward to radiation (33 treatments) which means that I'll be finished with the chemo!!!
    Your onc is being thorough and that is a good thing...you really wouldn't have wanted it any other way, I mean to go through all of this and not be sure that he got it all would be more upsetting.
    Chin up...we are all in this together...it has to get better!!
    <<<hugs>>>
    JoAnn

    I am sorry that you have to
    I am sorry that you have to go through surgery again. Praying for a clean path report this time. Keep us updated.


    Hugs, Debby
  • Ticky
    Ticky Member Posts: 117
    Second operation
    I had a left lumpectomy and a right mastectomy five years ago they told me the same thing, they didn't get a clear margin. Since it was the first operation I had ever had in my life, it totally freaked me out and I told them there was no way I could handle another operation. Also I am self supporting and was concerned about holding my position at work if I stayed out additional time. I chose the alternate method of doing chemo and radiation which I probably would have had to do even with the second operation.

    I have been cancer free for five years, however; some small specs showed up on my mammogram recently. I was called to the surgeon’s office and told it might be cancer in the very early stages. I did the biopsy they recommended and the results were negative, no cancer. The surgeon said I want you to have an operation anyway. I didn't know what to think and wondered if this was just a surgeon trying to increase business. I told him I wanted to talk to my oncologist before making a decision.

    My oncologist went along with the surgeon. She said they did not get good samples and some of the calcifications (specs) might be cancerous. I am scheduled to have them removed on March 23, 2011 and I am still not convinced that I have cancer but I am afraid to take a chance so I am taking my doctors advice.

    I know you must feel anger as I did but it might be best to have it removed to prevent cancer from returning in the future.

    May God bless you and give you strength through this difficult time.
  • Lighthouse_7
    Lighthouse_7 Member Posts: 1,566 Member
    Ticky said:

    Second operation
    I had a left lumpectomy and a right mastectomy five years ago they told me the same thing, they didn't get a clear margin. Since it was the first operation I had ever had in my life, it totally freaked me out and I told them there was no way I could handle another operation. Also I am self supporting and was concerned about holding my position at work if I stayed out additional time. I chose the alternate method of doing chemo and radiation which I probably would have had to do even with the second operation.

    I have been cancer free for five years, however; some small specs showed up on my mammogram recently. I was called to the surgeon’s office and told it might be cancer in the very early stages. I did the biopsy they recommended and the results were negative, no cancer. The surgeon said I want you to have an operation anyway. I didn't know what to think and wondered if this was just a surgeon trying to increase business. I told him I wanted to talk to my oncologist before making a decision.

    My oncologist went along with the surgeon. She said they did not get good samples and some of the calcifications (specs) might be cancerous. I am scheduled to have them removed on March 23, 2011 and I am still not convinced that I have cancer but I am afraid to take a chance so I am taking my doctors advice.

    I know you must feel anger as I did but it might be best to have it removed to prevent cancer from returning in the future.

    May God bless you and give you strength through this difficult time.

    It happened to me too. I was
    It happened to me too. I was angry at first too because I thought why didn't they just take more the first time. Iknow now that this is common, figure the microscope shows them more and thank God it did.
    Just part of the fight against the beast.
    God Bless you and keep you.
    P.S. Anger is one of the emotions that we have also! LOL
    Hugs,
    Wanda