My Cancer Report Card…The Results Are In

The amazing group at Fort Thomas 

Women's Wellness Center unofficially

crowned me "Ms. Fort Thomas!" I 

absolutely love and adore Dr. Heidi

Murley, Bev, Linda and Nancy. 

Bev and Linda sure know how to make a lady feel special!

PATHOLOGY RESULTS
This past week, I finally had the chance to discuss my pathology report with my oncologists following last month's double mastectomy. The pathology report is the equivalent of getting your cancer report card. It shows you how your cancer is doing after hitting it with chemo and surgery. I had a very good response to the chemotherapy and the tumors shrank significantly. Dr. Flora used the terms "near cure" and "better than expected." If this was my starting point, I would have been considered a stage 1. There were three areas left that were found to still be cancerous, but they were much much smaller than what I started with…2 mm down from 4 cm. Dr. Heidi Murley was happy about the margins surrounding the remaining cancerous sites. She said she is confident they got all the cancer in the area. 

While I am relieved that the cancer responded well, I have to admit I'm a bit uneasy that we didn't knock it out of the park. We didn't achieve the much coveted "pathologic complete response" or pCR (which means the cancer is completely annihilated by neoadjuvant chemotherapy). Those who achieve pCR have a much better prognosis than those who do not achieve it. If you know me well, you know that I have a strong competitive side. While I've been able to curb that competitive spirit with age, I still do have certain expectations when I do choose to fully commit to a competition or battle, like I have in fighting this cancer. I choose my battles and competitions carefully and throw my all into the ring when it's my turn. So, from a competitor's standpoint, my pathology results feel a bit like winning runner-up or honorable mention…or salutatorian (you know that one stings a bit for this former valedictorian, ha!). It's a position I'm not completely comfortable with so it is difficult for me to be overwhelmingly excited even though I know asking for a pCR is more than I should have expected.

I asked Dr. Flora the question I have been afraid to ask until now. I've alluded to it at past visits, but the response was always vague no matter to whom I imposed the question. How do we know the cancer didn't spread through my lymph system beyond the nodes under my arm and take up residence somewhere else? His answer was simply "statistics." I've been on the slim side of statistics too many times to gain much comfort from that. At this point, they do not recommend body scans or any other proactive work ups. They wait to see if symptoms should present themselves in the future and hope it is caught in time during routine office exams. This is where I have to learn to let go and take the leap of faith that we are doing everything that can be done and the treatments will work. Just acknowledging those feelings and insecurities allows me to push past the fear and move forward for the rest of the battle. I'm sure the fear of recurrence must be felt by nearly all cancer patients, so I know I am not alone in feeling this way.

So that's where I stand now, and I am extremely thankful for how well the chemotherapy reduced the cancer and for the amazing care I've had and continue to experience. As you can see from the pictures associated with this post, my team of doctors and nurses are making this an experience full of warm memories and lots of laughs, too! For every difficult instance or tough news, I, in turn, have a fun and wonderful memory associated with it and that is quite a gift!

ATTENTION SLATER FAMILY

Cousin Jeanne Beckwith Elberfeld recently tested for that pesky CHEK2 gene that I tested positive for. As much as I wish it weren't true, she also tested positive for this same gene mutation. The CHEK2 mutation appears to run in the Slater side of the family. We are awaiting results of my dad's CHEK2 test as well and will let you know when I hear something. If you want more information about the CHEK2 gene, I listed some sources in a previous post. What it comes down to is a need for diligence in screening to catch any cancers early. The mutation makes it easy for the cancer to proliferate quickly as the gene to suppress growth and hasten death of unwanted cells is compromised. Jeanne, thank you so much for undergoing this genetic testing and for sharing your results for the sake of our family. May our children be armed with better information that with allow them to be proactive and hopefully spare them from this terrible disease. 

RANDOM REMARKS

I will find out next week when I am able to begin radiation therapy. That should happen within the next two weeks. I am ready for this next big step which is also the last big step. I will continue to receive Herceptin treatments every three weeks through October, but I can totally handle that. It's not a mass kill chemo like two of the other medicines I was taking. Instead, it works to block the HER2 receptors on any cancer that may have been left behind or that spread beyond the localized lymph nodes. Side effects are minimal. 

In the meantime, I am excited to report that my hair is sprouting right along with the fresh spring grasses! I can see repopulation progress every day so I am now able to look forward to going hatless as some point in my near future!

Oh, and check out my dear friend Krista Krallman's appearance in a feature story about The St. Elizabeth's Breast Center. A cancer survivor with incredible strength, she continues to inspire me daily: https://www.dropbox.com/s/0chhhxueqwkhf55/Healthy_Neighbors_Spring_2014_FINAL.pdf