Nancy Reuben Greenfield

When we get an ache or pain in our house, we wait a few days before we call  the doctor. But when I felt a pain in my breast at 40 years old, my husband and  I didn’t want to wait that long. Neither did the doctor who saw me first thing  that Monday morning. Nor the radiologist who saw me that afternoon.

There was no tumor. I had microcalcifications. My left breast was scattered  with white particles dotting the darkness. My right breast was smeared white.  Eventually it was determined by my doctor that I had ductal carcinoma in situ  (DCIS), which was described to me as a precursor to breast cancer that, if left  untreated, might mature into invasive breast cancer. Even though it was DCIS, I  still referred to it as breast cancer. Why? Because it was close enough, similar  in treatment and much easier to explain.

Based on the prognostic score I received, my right breast was high risk and  my left breast was low risk. Since my microcalcifications were so scattered, a  mastectomy to remove all the breast tissue and the nipple was considered the  best option. Statistically, 99 percent of the women who treat DCIS with a  mastectomy do not get it again. My right breast clearly needed a mastectomy  based on my high prognostic score. We could wait on my low-scoring left breast.  But did I want to wait and wonder if the left breast would become cancerous? And  what if it did? I didn’t want another trauma for my whole family to endure.

Call it what you want, I attributed the loss of my breasts to breast cancer,  regardless of a DCIS classification. Fortunately, the DCIS had not spread and I  wouldn’t need chemotherapy or radiation. After surgery and breast  reconstruction, I just had to heal.

Eventually I got back in action, but I defied statistics. At 44, I was  diagnosed with invasive breast cancer in both breasts. I became part of the 1  percent. Having invasive breast cancer didn’t feel different from having DCIS.  Instead, it was more like breast cancer round two. I ended up having additional  surgeries as well as chemotherapy and radiation.

I am nearly a year past the last of my surgeries and treatments. I made it  out of round two flat-chested and healing nicely. I’m getting back in  action.

--Nancy Reuben Greenfield is the author of the illustrated children’s  book When Mommy Had A Mastectomy (Bartleby Press 2005,  

Articles

Treatment options for ductal carcinoma in situ (DCIS), a precursor to breast cancer.

Nancy Reuben Greenfield

Back in Action After DCIS

Latest News