Breast cancer is something that we all need to be aware of, whether it affects us directly or not. Nearly everyone has a relative or friend who has had to battle this disease and I'm pleased to be able to welcome
Lilly Gayle to my blog today, to present some of the facts. Over to you, Lilly.
As a registered radiologic technologist with a bachelor’s degree and mammography certification- BSRT(R)(M), I think Pink is the color for October. During this time of the month, we remind women of the FDA and American Cancer Society recommendations for women concerning their breast health:
• Women 20-39 should have a physical examination of the breast (CBE or clinical breast exam) at least every three years, performed by health care professional such as a physician, physician assistant, nurse or nurse practitioner. CBE may often be received in the same appointment as a Pap smear. Women 20-39 should also perform monthly BSE.(Breast Self Exam)
• Women age 35 should have their baseline mammogram.
• Women 40 and older should have a physical examination of the breast (CBE or clinical breast exam) every year, performed by a health care professional, such as a physician, physician assistant, nurse or nurse practitioner. CBE can often be performed in the same visit as a mammogram. Monthly BSE should also be performed.
• Women 40 years of age should receive a screening mammogram every year. The National Cancer Institute recommends mammography every one to two years for women between 40-50 years of age. Beginning at age 50, screening mammography should be performed every year.
I’m also a big supporter of Breast Cancer Awareness because I’m a survivor.
In June 2007, I went to the doctor to get a refill on my migraine medications. While there, I told my doctor it had been 18 months since my last mammogram. My clinical breast exam (CBE) was normal as was my breast self exam. (BSE) I was only 47 and I didn’t have a lump, pain, or any risk factors.
So, what are risk factors for breast cancer?
A first degree relative diagnosed with breast cancer: (mother, sister, daughter, maternal grandmother, maternal aunts)
Early menarche--younger than 12
Older age at menopause--over 55
Years of artificial hormones after a hysterectomy
Nulliparity (Never having children
Not breast feeding
Late first time pregnancy
You can take a breast cancer risk assessment quiz at: http://www.cancer.gov/bcrisktool
But in June 2007, I wasn’t at risk. And on June 14, 2007, after I finished with my last patient for the day, I got one of the other mammographers to take my mammogram. We didn’t have digital mammography then and had to wait for the films to fall from the processor. And the moment I saw that spiculated lesion lying next to my chest wall in my right breast, my heart dropped. I’d seen enough radiographic evidence of cancer in my career to know. But it was the Friday before Father’s Day weekend and the radiologist had already left for the day. So, I had to wait until the following Monday for the doctor to read my films.
I didn’t mention my fears to my family. We even hosted a Father’s Day cookout by the pool. And on Monday morning, the radiologist looked at my films and confirmed my suspicions. It didn’t look good. He ordered a diagnostic mammogram, which consists of additional imaging and sometimes an ultrasound.
I told my husband and daughters I needed additional films but played it down for their sakes. My youngest daughter had just graduated from high school and my oldest daughter was married and living in Germany. I didn’t want anyone to worry.
On June 21, 2007 I had the diagnostic mammogram. The radiologist recommended a biopsy and broke the news that he thought it was probably cancer. By this point, I was expecting the news. So, I didn’t break down. There was still a chance the biopsy would come back negative. At least, that’s what I told my family. But in my heart of hearts, I knew. My youngest daughter got upset. Then my husband got upset. So, we made a pact then and there that only one of us could get upset at a time, no matter the results. If one person lost it or started to cry, it was up to the other two to talk them down.
We kept that pact, even after my diagnosis was confirmed.
On June 28, 2007, I had a biopsy. And on July 3, 2007, I got the news. I had breast cancer. Both DCIS-ductal carcinoma insitu and an invasive carcinoma. I broke down briefly at work and again when I told my mom and husband. But then we went to the beach for the July 4th weekend and had fun. But when I came home, my life changed.
On July 13th, I had a lumpectomy. The doctor removed a larger portion of my breast and implanted a port-a-cath into my chest wall. The port-a-cath would be needed when I started chemotherapy. I also had a lymph node biopsy. The sentinel node and three other nodes were removed from under my right arm. None showed any sign of cancer, thank God. I was still in Stage 1.
I had my first round of chemo on August 1 and started loosing my hair on August 13. I took chemo for eight weeks and was completely bald by Halloween. After chemo, I had to have an MRI to see if the chemo worked or if I would need to have a mastectomy. The MRI was negative. I started daily radiation treatments October 12 and finished before Christmas. In December 2007, I was declared cancer free.
But I continued seeing both my radiation oncologist and my medical oncologist until late 2008. I also had mammograms every six months instead of yearly until this year. I finally graduated to yearly screenings.
I still have to visit my medical oncologist every 3-4 months but I no longer see a radiation oncologist. I also had my port removed in December 2007 because if the cancer does come back I can’t have chemo again. I’ll have to have a mastectomy and radiation. I’m hoping that never happens.
I’m also hoping all women over 40 will do monthly breast self exams (BSE) and have yearly mammograms regardless of family history.
For now, life is good. I’ve been to Germany to visit my oldest daughter and my youngest daughter completed the radiography program and is now attending radiation therapy school in Chapel Hill, NC. And in May of this year, my first book, Out of the Darkness, was published by The Wild Rose Press. http://www.thewildrosepress.com/out-of-the-darkness-p-4039.html
No, it’s not a story about my battle with breast cancer. It’s a paranormal, vampire romance.
Out of the Darkness
When researcher Dr. Megan Harper meets Vincent Maxwell, she believes he suffers from xeroderma pigmentosum, the genetic disease that killed her sister. Sensing a deep loneliness within the handsome man, Megan offers friendship and access to her research files hoping Vincent will offer her a position in his company. But they soon become more than friendsand Megan learns the horrifying truth. She's entered the dark and unseen world of vampires and Vincent is her only hope of survival.