Diane had her appointment with the breast surgeon this morning.   The surgeon told us everything is going well with Diane’s recovery.  There is a little fluid building up on the side of her left breast and if it continues to accumulate, then it may need to be drained.  If the fluid needs draining it can wait until Monday to make an appointment for later that day.  The breast surgeon said she could do it; or if the plastic surgeon prefers, he can do it otherwise.  The body would normally absorb most of the fluid at this stage, but sometimes it does need to be drained.

The breast surgeon wants to see Diane every six months for the next two years to do a visual check-up.  There will  always be a minute amount of breast tissue present in her body, it is not possible to remove all of it, individual or small groups of cells are so small that some are always left behind.  If a mass did form from what is left behind there is very little space for the mass to hide.  So if anything does form it can usually be found easily, with Diane’s frame there is just a thin layer of tissue left between the pectoral muscle and the skin.  Mammograms are a thing of the past, an ultrasound or MRI would be ordered if a mass was visually found at some point.

Diane is still finding regular sleep hard to achieve, last night she forced herself to stay in bed, but she was constantly waking up during the night.  The surgeon’s assistant suggested a new med routine to try, she thinks that Diane is getting behind the pain and muscle tightness, then when she finally takes the meds, it is working hard to catch up with the discomfort.  She sleeps hard for a bit, and then the pain and discomfort take over again.  Both surgeons told Diane that her only limitations for work and driving is her personal comfort level with each.  She just needs to ease herself back until she is at full strength again.

And then there is the pathology report…  It contained a lot of the markers that we have come to know all too well, they were found in high concentrations throughout some areas of the breasts.  What was missing was the ADH (Atypical Ductal Hyperplasia) or Atypia in the breast duct system, since there wasn’t any ADH found, that means both nipples are clear and OK to keep.  Something else was conspicuously missing from the pathology report, the LCIS (Lobular Carcinoma In SITU) that was present; was found to be all the classical type, the PLCIS (Pleomorphic type) was not found either.  Apparently the two types that had been causing the greatest concern were removed during the surgery in December.  This does not mean that they would not have re-appeared at some point, they easily could, but since they were not present now, that is great news.

Everyone made the proper decision with the information we had at the time.  The fact that the two types of cells that we were all concerned about were not found in the pathology report, does not diminish the fact that they could easily appear at any time in the future.  The fact that they were not present, means that we did not give them the chance to appear again in the state that was found previously, or perhaps in an even more aggressive state.

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