I will praise thee; for I am fearfully and wonderfully made: marvellous are thy works; and that my soul knoweth right well. My substance was not hid from thee, when I was made in secret, and curiously wrought in the lowest parts of the earth. Thine eyes did see my substance, yet being unperfect; and in thy book all my members were written, which in continuance were fashioned, when as yet there was none of them. How precious also are thy thoughts unto me, O God! how great is the sum of them! If I should count them, they are more in number than the sand: when I awake, I am still with thee. Psalms 139:14-18
Some people missed the post on what was going on with the pathology from the surgery, so I am reposting this. I am also adding the details from my doctor visit on December 28.
There was much good news and some bad news in the pathology report. My main tumor measured 7cm, but was mostly DCIS, a non-invasive cancer. That was wonderful news! I do have several invasive tumors, but the largest is only 4mm. This takes my cancer back to stage 1! Wonderful News! The stage goes by the size of the largest invasive tumor. The lymph nodes they took were negative, this is GREAT news. Radiation is not necessary at this point.
Now for the bad news:
1. The invasive tumor has invaded the lymph duct.
2. The invasive tumor is a nuclear grade 3 - these tumors tend to grow rapidly and spread faster.
3. My HER2 score is a +++. Cancers with too many copies of the HER2 gene or too much HER2 protein tend to be more aggressive.
4. My Ki-67 was 30% - High scores—greater than 20%—mean that the cancer cells are growing and dividing at a rapid pace.
December 21 they started me on Aromasin, which is a hormone inhibitor. After the 1st of the year, I will have a port placed in my chest for chemotherapy! A big answer to prayer for me. My veins are very small and even Mayo Clinic has a hard time with them. I really felt a port was necessary and yesterday the doctor brought it up himself! Praise the Lord!
The first four treatments are AC (doxorubicin (adriamycin) and cyclophosphamide) - given every 3 weeks. My first one will be on January 18. It will stop after 4 treatments.
Then they will add Herceptin for the HER2.
At the same time they will do the next four chemo sessions which will be Taxol (or Taxotere).
Most of this will be outpatient. However, the doctor said that due to my nausea problem, he will probably admit me for a couple days each round to be sure I am ok. Also, they will be keeping an eye on the node near my collarbone and the small spot in my lung. Please continue to pray. Pray that the chemo attacks any little cancer cell lurking in my body.
Of course, I hope to be done in 6 months, but that will depend on my body and how it handles all of these drugs. Maybe I will have hair by Christmas!!!
I am recovering well from the surgery, but have had some trouble from the aromasin. Pray for the headaches. I would really like to be at our New Years Eve service this year. Last year I missed it and I really want to go this year. It is one of my favorite services of the year. Thank you for your prayers.