I haven't written for a while... I just couldn't get myself to do it. I think I have officially crossed over to the dark side, as Yoda would say. I guess that sounds a little well...dark. Truth is, I have been struggling with the deepest, darkest depression I have faced yet. I have spiraled to a new all time low.
This weekend was awful. I think I had what some would coin a "nervous breakdown". I couldn't stop crying or cope with anything. My Mom (bless her heart) came up for the week to help with the girls and give me a break. Waiting for the biopsy results and then deciding what to do was far too much for me this time around. It was far too reminiscent of a year ago. I still haven't decided what to do.
As for the biopsy results, they were negative. They showed scar tissue and connective tissue...which I guess is basically scar tissue. There were no malignancy cells found, in fact, there was no breast tissue in the sampling what so ever. I was relieved...but then again, the first biopsy I had showed no malignancy and I was full of cancer.
I talked explicitly with my oncologist about what to do. He explained several options. We could watch it closely for growth or change with mammogram, etc. I could get a PET scan, which is a metabolic test, which lights up tumors in the body. However, it can also light up infection, inflammation, etc, and could show a false negative because I just had a 6-stick needle biopsy. Or they could do a MRI of the breast and look for a mass that way. Thing is, we already know there is a mass there, we just don't know if it's wise to trust the biopsy given my history of "misdiagnosis".
I am good friends with my doctor and his wife and I flat out asked him what he would recommend if it were his wife. He showed great difficulty answering, but said he would recommend a total mastectomy. I guess I was kind of floored by that response. Floored, but find of relieved. I don't have a problem with a mastectomy because of the great reconstruction they can do. The problem I worry about is the PAIN! I am still in pain from the lymph dissection and lumpectomy, not to mention the radiation...I worry about recovery. I just want to be recovered. I still fell like I haven't totally recovered from this whole damn thing and I don't want another setback. I know...real reasonable of me.
I CAN'T go through this "drama" and fear the rest of my life. My mental health can't handle it. Do I take a chance and watch it? Do I chance that it is cancer and letting it stay and grow in my body for months? The kind of cancer I had was very aggressive and do I take the chance of it metastasizing somewhere else in my body? Is a boob really worth that chance? Do I go through all the tests (which are also VERY expensive) and agonize over the results? Do I get a PET scan? If it comes out negative...fantastic. If it lights up just a little then we are obligated to figure out why. Do I get a total mastectomy and reconstruction? And if I get a mastectomy...do I do a double because they reconstruct them to look the same. So if I get surgery on the other side wouldn't it make sense to just get that one cleared out as well? Frankly, surgery makes the very most sense, but I just don't want to go through it and I don't want to deal with it. I just want to pretend I am just fine and move on. I am sick of cancer. I am sick of worrying about cancer. I am sick of freak'n CANCER! SICK, SICK, SICK!!! UGHHHHHHHHHHHHHHHH!!!! I can't handle this!
So there you go...in a nutshell. "Nut" being the key word here! And to those of you who have leant much love and support through cards,emails, and chocolate...thank you so very much. Your thoughtfulness has meant the world.