I am in the same place that increasing numbers (thank God) of Inflammatory Breast Cancer (IBC) patients find themselves – I am grateful for my birthday and what it represents in terms of a disease with very poor prognosis. Does it get any worse than metastatic, triple-negative Inflammatory Breast Cancer? What does this mean?
Metastatic means that the cancer has spread beyond the primary site and regional lymph nodes. Mean survival time from diagnosis is 2.5 to 3 years.
Triple-negative means the cancer is estrogen receptor negative, progesterone receptor negative, and HER-2neu receptor negative. This matters because hormonal and anti-HER2 therapies wont hurt the cancer. Chemotherapy is the only systemic option.
IBC is a beast of an aggressive breast cancer. The numbers are getting better, the five-year survival rate for IBC that is NOT metastatic is somewhere on the continuum between 30% and 60%. This depends on whose study and how old it is. The numbers seem to be trending better these days.
In my favor: I am relatively young (47), relatively healthy (my only other significant health issue is my obesity) and the cancer was not detectable in any major organs. Additional points in my favor since diagnosis – I responded well to chemotherapy (pathological complete response) and I’ve reduced my BMI from something over 40 to 33. Thank you Curves and the Eat Right for Your Type (blood type) diet.
Bottom line: I am thankful for this birthday and the survival it symbolizes.
I reflect on November when my medical oncologist told me to “dare to hope.” Hope that I could be disease free for a long time. It is reassuring to remember that last July he was recommending that I go on disability and spend my time doing the things I wanted to do. In April, I asked his opinion on going back to work full-time, part-time, or no time. He responded, “What are you going to do? Stay at home all day waiting for something that might not come for a long time?” This is from the guy who talked me into going on disability in the first place.
It is difficult to look forward more than six months at a time, but I am trying. I found it infinitely reassuring that someone else in my situation took about three years to get beyond waiting for the other shoe to drop. I can only try.