Pathology Update

First, thank you all for the many prayers, positive thoughts, texts, messages and phone calls. I have felt so supported and loved on over the last week, and I truly appreciate it! A special thank you to my husband. He has been such a rock through this diagnosis. He’s in the midst of the busiest time of a new, demanding job, but has taken this news with poise and compassion and strength. Gosh I love him.

Earlier today I received the rest of my pathology report. While it wasn’t the specific report that my doctor suggested we hope for, after speaking with a breast cancer nurse about it (it’s nice to have family connections!), I’m feeling very happy with these results.

I will re-hash some of the details for those just tuning in: I have stage 1 invasive ductal carcinoma (IDC), and my tumor is 2 cm and considered grade 3. I also have non-invasive ductal carcinoma (DCIS) that is 9 cm (this is the calcification the surrounds the tumor, is considered stage 0 and is not worrisome to the doctors). The IDC is the main focus of this fight.

The new piece of information that I got today has to do with the receptors of my IDC (what feeds the cancer). My cancer is estrogen positive, progesterone negative and HER2/neu positive. This means that it’s being fed by hormones and the protein HER2/neu. The good news here is that there are targeted treatments for both of these receptors that are not chemotherapy. The estrogen component can be treated with a hormone therapy pill (typically taken for 5 years) and the HER2/neu can be treated with an IV medication (typically taken for 1 year). While my doctor cannot say yet what my specific treatment plan will be until all of my remaining results are in, it is encouraging to know that there are viable medical options for my scenario that are not chemo.

So here’s what’s next: I have an MRI scheduled next Wednesday and a consult with the plastic surgeon next Thursday. The following week I will receive my genetic testing results on the 8th and meet with my doctor to review the results from my MRI on the 9th. At that appointment I will learn if there is any indication that the cancer has spread to my lymph nodes and whether or not I will need chemo. If no chemo, my mastectomy will be scheduled in the weeks afterwards.

Waiting almost two weeks to really know how we’ll be treating this thing stinks. But I am encouraged by the options out there and am still finding peace through my faith. I continue to see God work through this ordeal – women scheduling mammograms; people reaching out to me about strengthening their own walk in faith. It has been truly humbling.  I believe that more good will come of this than bad, so I am excited to see how I will be used in His plan.

And perhaps God thought I needed a little distraction, because on Tuesday we had a water leak that flooded our kitchen and parts of the basement below. After emergency water remediation (AKA large airplane sounding fans throughout my kitchen and basement – which are STILL here, by the way), and a long visit by our insurance adjuster, we have been informed that in addition to new walls, ceiling and floors in parts of our basement, our main level hardwood floors have to be replaced, and our kitchen will be gutted (new cabinets, backsplash, possibly countertops). Which initially sounded awesome… until we were told that we will have to move out of our house for at least a week (but probably longer). We’re not quite sure the timing of the work, where we will go, or the timing of my surgery, but trusting that it will all work out okay.

I like to end things on a positive note, so here are my silver linings from this week: new boobs (going to make the highlight reel every time), new kitchen and a new excuse to get off the phone with telemarketers… today I was contacted by a man trying to sell me a timeshare. I told him I was not interested, and unfazed he started in on the whole “you’re not interested in vacationing every year in Hilton Head??” and without much thought I answered, “no, sorry, I’m battling cancer right now.” I have never shut up a telemarketer so fast. He answered with, “I’m so sorry, God bless you” and hung up the phone. Score. Wait, is this wrong??

For my praying friends, here are my specific prayer requests for the weeks ahead:

  • Pray for my complete healing
  • Pray for my MRI results to show that the cancer has not spread to my lymph nodes
  • Pray for continued peace and positivity for me and my family

Again, I thank you all so much for the prayers and well-wishes! I will keep you all updated as we go!

Love,
Jess

I have breast cancer.

Yesterday, I found out that I have breast cancer. I’m 35, have no family history, am relatively healthy, and I have breast cancer. Two weeks ago I felt a lump, and despite my initial hesitation to go in and be seen about it, I did. I actually went straight to a specialist. My lump was confirmed by ultrasound… and the immediately after by mammogram. I had a biopsy the next day, and then yesterday my doctor’s initial prediction of cancer was confirmed.

So here’s what I know right now… I have a 2 cm tumor, and so they are giving me an initial staging as stage 1. So far they have not seen any indication that it has spread to my lymph nodes, but they will confirm this when they test my lymph nodes during surgery. I have a 9 cm calcification field surrounding the tumor that is also cancerous. They are less worried about this part. Due to the size of the calcification I will have a mastectomy, probably double (at my own request), and immediate reconstruction (or as I’m calling it, an upgrade! LOL). Surgery will probably be 3 to 6 weeks from now. Within the next week I will get further test results that will tell us if I need chemo, so I am praying that these results are favorable for a surgery-only treatment plan.

My initial feelings of shock, anxiety and sadness have been replace through faith with peace, optimism and gratefulness. I was able to take the official results yesterday in complete confidence that God’s got this! The peace that I feel is unreal.

“Do not be anxious about anything, but in everything by prayer and supplication with thanksgiving let your requests be made known to God. And the peace of God, which surpasses all understanding, will guard your hearts and your minds in Christ Jesus.” – Philippians 4:6-7

The hardest thing so far has been seeing the worry and concern of my family and friends. And I get it, it’s scary and sad. But please, don’t worry on my behalf! My God is bigger than all of this!

I don’t know what my needs will be over the next several months, but right now what I need is prayer. Some specific prayer requests:

  • Pray for my complete healing
  • Pray that my next round of results come back indicating no need for chemo (positive, positive, negative on the three things they are testing for)
  • Pray that I continue to be filled with the peace of God and can attack this cancer from a position of positivity and optimism
  • Pray that Blake and I find the right words and right timing to communicate this news to our kids

Through all this I feel extremely blessed to have my faith, my awesome family and friends, a very competent doctor, a lot of flexibility with my job, and health insurance.

Now my PSA – ladies, if you feel something, see a doctor!! Even if you’re in your 20’s or 30’s. Even if you don’t have family history. Even if you eat organic, unprocessed food and are healthy! I never thought when I felt my lump that it would actually be cancer. But it was, and I’m so glad I called.

Moving forward, I want to talk about my cancer. I want to joke about it. I do not want it to be the elephant in the room. I want to focus on the positives (like my upcoming new boobs!) and I hope you all will join me in all this.

Love you all!
Jess