Wednesday, May 22, 2013
Just Diagnosed with Cancer? Chat with Experts

The awful truth

By christy826 Friday, February 08, 2013

is that I am 43 and just got my first mammogram.  No excuses other than my dad passing of non Hodgkins lymphoma several years ago have locked my psyche in a certainty that I too, will die of cancer.  It makes no sense, and it is horrible and I feel like a horrible person right now.

 

Last Saturday, I felt a mild discomfort on my right breast.  I can't feel any lumps or bumps.  Breasts look same size, nipples look the same.  I was called this evening though because there is a "spot" on my mammo.  I have to return tomorrow for ultrasound and another mammogram.  The worst part, they will send me away without knowing any answers until next week.  I don't know why, that is just how this place operates in my lovely town.

 

I've read online that a metastatic tumor would cause pain.  What am I in for?

 

Feeling sad and lonely, Christy

Too Much Sharing, Katie
PJ Hamel, Health Guide
2/ 8/13 5:11am

Christy, first off - you are NOT a bad person! Having your first mammogram at age 43 is definitely in the ballpark of responsible behavior around your health. Current recommendations by the US Preventive Services Task Force include women getting their first mammogram at age 50; so don't beat yourself up over this.

 

Second, I'm sorry about your dad. You should know that his dying of lymphoma doesn't increase your risk of breast cancer at all, so don't connect those two circumstances, OK?

 

Next, women having their first mammogram – a baseline, it's called – often get a callback for another view. That's because the radiologist reading the scan has nothing to base his/her readings on, and an unusual variation in your natural anatomy, scar tissue, even a fold of skin can appear as a "spot." The additional mammogram and ultrasound will help identify just what this spot is – and chances are good it's not cancer. 

 

Pain or discomfort in your breast would be unlikely to signal cancer, metastatic or otherwise; what you heard about pain is just plain wrong. Breast cancer can be painful, but the majority of the time it's not. Cysts are often painful, and the ultrasound will reveal whether what you feel is a cyst.

 

I'm glad you're following through with additional testing; and trust me, it's not unusual at all to have to wait (and wait) for the results. Try to stay occupied, and see the glass as half full; because chances are, it is. Please let us know what you find out, OK? Take care - PJH

2/ 8/13 1:05pm

PJ,

I'm so grateful for your kind words.  I never meant to put myself or family in harm's way. 

 

I can't feel a lump in the right breast, nipples look the same, no discharge....you know what is really scaring me?  I've read women's posts that say of course it hurts when the tumor gets big and hits surrounding nerves.  But like a kitty kat chasing her tail, I don't see any external changes to my breast like I've read about.

 

Again, grateful for you and thank you, Christy

2/ 8/13 1:07pm

Thank you for adding i"m not a bad person.  My daughter was crying this morning because she lost her sock monkey hat and I just wanted to break down and cry with her, for obviously different reasonsFrown

PJ Hamel, Health Guide
2/ 8/13 2:40pm

SO unlikely to be metastatic breast cancer if you can't even feel a lump; it's natural to be emotional about this, as it's very scary. But hang in there - one foot in front of the other, and you'll get through this. Hey, I'd cry if my son lost his sock monkey hat - those things are just too cute! Wink PJH

2/ 9/13 10:16am
PJ, Waiting for my ultrasound yesterday I reread your words and I clung to them! How you are able to give comfort and facts like a friend is a gift. I will consider the events of this week an awakening. Thank you doesn't cover it! My own GP couldn't be bothered this past week to tell me what you did! Isn't that wrong? I called his office after hours to basically ask the same questions I asked you and he was annoyed! I thought it would be okay since I've been a patient of his for several years. He just said he knows I have a second appointment and there was nothing he could say to me until those results came in. I mean, you can say it is sad I had to turn to the Internet for advice at that point, but I found you and I'm grateful. (Although I won't lie----might leave this GP!!!) The radiologist said the 1st image must have been because of tissue density. The breast pain is hormonal. The pain is still there today---trying to let it go for now. The radiologist said in six months to redo it again but not be surprised if I get called back! So, see you in six months PJ??!!! You are an amazing soul. With gratitude, Christy
Phyllis Johnson, Health Guide
2/ 8/13 5:42am

The links PJ provided will give you plenty of good information that should reassure you.  Getting a call back on a test and waiting for the results creates terrible anxiety.  Keep reminding yourself that your father's lymphoma isn't a predictor of breast problems.  This weekend try to find something fun to do or something that requires concentration to take your mind off the stress of waiting for results.  This will be hard.  I wrote about my experience with a mammogram call back and the resulting stress in a sharepost that you might want to read too.

 

There is every reason to believe that the area they want to look at will turn out to be a cyst or benign lump.  I'm sending best wishes for good results.

2/ 8/13 1:09pm

Thank you Phyllis.  I'm also grateful for your comforting words.  Feel very lost and tired right now. 

Phyllis Johnson, Health Guide
2/ 9/13 8:01am

I hope yesterday's tests went well.  It will be hard to wait this weekend, but keep in mind that worry cannot change the results of the test.  The chances are extremely high that this will be fine because it is your first mammogram, and the radiologist wants to be sure to get good baseline images.  That way if there are changes in the future, they will have the best pictures for comparison.  You don't want to waste worry and tears over what turns out to be fine.  If there is some spot of cancer there, you will need energy and a clear mind to understand your treatment choices.  Let us know when you get your results.  We are cheering for good results.

 

Phyllis Johnson, Health Guide
2/ 9/13 8:02am

I hope yesterday's tests went well.  It will be hard to wait this weekend, but keep in mind that worry cannot change the results of the test.  The chances are extremely high that this will be fine because it is your first mammogram, and the radiologist wants to be sure to get good baseline images.  That way if there are changes in the future, they will have the best pictures for comparison.  You don't want to waste worry and tears over what turns out to be fine.  If there is some spot of cancer there, you will need energy and a clear mind to understand your treatment choices.  Let us know when you get your results.  We are cheering for good results.

 

2/ 9/13 10:02am
Good Morning, I'm relieved and humbled. You were spot on that the tissue density made the first read a bit skewed. Yesterday, they took additional images of the right breast and an ultrasound as well. Here is the beauty---I was able to have the radiologist look at everything and tell me I'm ok. He wants me to not worry and come back in six months. I'm not quite sure my words can convey my gratitude. The kindness and education you and PJ offer are so amazing. I have learned personal and practical lessons this week. I love your common sense explanation of why we must self-examine and keep up with mammograms. I don't know why I never understood, but now I do and I'm so grateful. I suppose this had to happen here and now. Thank you and I hope to pay it forward one day! --Christy
Phyllis Johnson, Health Guide
2/ 9/13 6:09pm

I am happy that we were able to help and even happier that you got a good report right away and didn't have to wait over the weekend.  What a wonderful relief for you!

PJ Hamel, Health Guide
2/10/13 11:15am

Christy, I'm so very glad things worked out well for you. Think how much better you feel than you did a few days ago! It's hard (almost impossible) not to worry, but as Phyllis said - it doesn't accomplish a blessed thing other than make you feel bad - which it definitely does, doesn't it? Take care - PJH

By christy826— Last Modified: 02/10/13, First Published: 02/08/13