The breast cancer surgery is behind me - now the aftercare is very important ...
Feelings and tips:
my look / condition
in autumn 2004:
no fat reserves,
very good !
6 months before
surgery 49 kg
size: 154 cm
6 months after
surgery 45 kg
No more Kliogest after over 16 years of hormone-replacement therapy. Consequence:
- shortly after the surgery, 2 kg less weight, withered and surplus skin (no stored water anymore),
- after one month, further weight loss of 2 kg, all body fat was gone,
- the large appetite is now back for a longer period, I eat a lot, but up to today without gaining weight.
More about my state of health I mention in "Aftercare".
(further two kilos got lost during the first year after the radiotherapy...)
I am very pleased that I have been allowed to draw attention to the problems which breast cancer brings along. So far a few different interpretations of the same topic have been published: (all in German language, with pictures)
January 11, 2007: Portrait in the Tages-Anzeiger(regional section of a daily newspaper) (pdf-file)
January 2010: Krebsliga CH/Report: "Ich verstehe mich als «1-Frau-Selbsthilfe-Organisation»"
June 2010: Jahresbericht 2009 Krebsliga Schweiz, p. 45: picture/words to the "Krebsforum" (pdf, on p. 23)
October 3, 2011: Portrait in the Migros-Magazin: "Durchstarten nach dem Brustkrebs"
January 22, 2014: saldo (consumer magazine): Cancer - how to deal with the disease...
Changes in mood
I became much more sensitive, "ups" and "downs" follow each other:
- Low, when I was thinking of the cancer, after the surgery when inspecting the padded seams and the small breast, also having the continuous seromes (assembled lymph) in the armpits and thus very painful cramping. This drove me almost to despair. - And I missed the hormones taken for years.
- Then a complete deep after one's saying: "there is not much left". I was not any longer pleased with myself, the tears were always close, thoughtless remarks were difficult to bear.
- Long-continuous high after well selected words of my physician for the aftercare. I am now even somewhat proud of my "new" breast and show this also gladly.
- Then again a deep: I feel alone even I have intimate persons around me, because I don’t want to bother them with my changing moods. I would appreciate so much an exchange of ideas, an encouragement.
- An intermediate high occurred now, because I feel physically excellent, I am full of energy, perceive with joy that my breast develops to be better and better looking.
When will the very large high arrive? - Perhaps thanks to this documentation? An encouragement for me would be if this could help to spread more information about cancer of the breast and thereby to avoid possible errors. Because against cancer the correct procedure is probably the most important thing.
The cancer diagnosis produced large fear - this lies now behind me.
- that the breast cancer could successfully be eliminated by surgery and radiotherapy,
- that by taking an aromatase inhibitor no more chance exists for any new cancer cells and the side effects will be as small as possible,
- that I can still work for a long time in my garden at the Italian Riviera with all the flowers and cute "inhabitants" (many pictures, text still in German) and that it keeps me physically and mentally fit, so that unexpected things do not make me loose so fast my equilibrium,
- that getting older will give joy, that the energy and the health remain quite good, the little complaints of old age do not increase.
Could continue still 20 further good years?
By working out this documentation about my breast cancer I became conscious of
- how extraordinarily important it is to meet already at the right time the physicians really specializing in breast cancer;
- that only a well equipped hospital will be capable of surgery with sentinel lymph node biopsy (SLNB), and that a surgeon is as important who knows how to form again a breast very nicely (I was in best hands);
- how much detailed help has been given me by physicians and specialists, also by nurses, to destroy this cancer;
- what big luck I have, that the lymphnodes didn't show cancer cells and no metastases were found;
- that I will be cared for in the best way by my physician for the aftercare.
I feel marvelous - (apart from occasional unpleasant "downs").
All persons concerned who have contributed to my good recovery, I thank very cordially! - Erika Rusterholz (in August 2004)
5 Years later:
In the meantime I have been able to live without relapse and without metastasis. And for this I am very grateful. I am conscious of the fact that the generous removal of microcalcifications and the knot (to which I at first objected because of a shrinkage of the breast) has much contributed to this positive development.
The subsequent radiation therapy has also helped in obtaining the hitherto favorable result.
The recently inserted Polytech Silicone Implants, formed as a drop, Microthane® - MicroPolyurethane-foam Surfaced (MPS), improve my appearance and thereby also my frame of mind (spirits) -
If interested visit also the documentation with description of the implants and pictures: (unfortunately still in German language)
I am very well!
There is a difference in my appearance...
Please click on the picture, taken in my Italian garden, to enlarge the comparison "August 2004 ~ 2009":
Another year has passed - and again one...
Unfortunately the fresher appearance did not last, corrections were needed ...
December 3rd, 2010: I celebrate already my 75th birthday -
my new look suits me and I feel very good with it.
My "refreshed" appearance (surplus facial skin bothered me for some time) now can achieve much - also in my higher age:
a better self-confidence and therefore a more youthful bearing which again motivates to more activities: The work in my garden will continue to keep me fit, and the writing on my computer will stimulate the thinking which certainly does good to my brain and perhaps saves me from greater forgetfulness.
The dissemination of informations to combat breast cancer will thus keep me busy also in the future - I hope to be capable of doing this for a long time yet.
Will I be able to live through the fourth quarter of the century, that now has started, in good shape? This would be fine!
In May 2011 I made the first cruise on a large ship with my husband. This was so full of beautiful moments that now I added a new hobby to the other ones like garden, orchids and further more...
By the end of 2016 we were actually on 13 cruises with different ships and have visited interesting places in the western and eastern Mediterranean, the Canary Islands, and we sailed between islands in the Caribbean. Every time different, every time nice!
Some pictures of two cruise ships - and one video each, taken at the end of an Adriatic Cruise -
26 minutes drive along Venice to the port at the other end of the city:
on the MSC Armonia
June 14th, 2013:
high top deck with
full morning sun
on the L'Austral
August 23rd, 2013:
magic of the rising sun
On December 11, 2012, I wanted to have removed a small "thing" below the right eye: nothing remarkable; it would not go away, and suddenly it changed.
The diagnosis has scared me: Carcinoma spinocellulare - also referred to as squamous cell carcinoma or epithelioma spinocellulare. The squamous cell carcinoma is the second most common malignant skin tumor.
More on that in my illustrated documentation - maybe it can shake up, warn:
The spinocellular carcinoma has certainly shaken me up, now I wanted to know what kind of a funny "wart" on the side of the nose I had - this thing was previously not there.
In the tissue sample, a further white skin cancer has been found, this time a basal cell carcinoma / basal cell epithelioma.
Unfortunately, the "photodynamic therapy" had not gone off as planned...
Documentation with pictures - but not beautiful ones: (both docus in German)
There was something in my throat, which for many months already bothered me - but what could it be? The investigations were not easy ...
It was a cyst found at the base of the tongue, which I let remove by laser surgery on February 10, 2014 - the cyst was fortunately benign.
Documentation of investigations and surgery of the two vallecular cysts: (in German)
Summer 2014: still seems to me that it would be something in the throat yet - but what?
Result of the recent investigation: a new cyst almost at the same place ...
The generous laser-surgical removal took place on September 16, 2014 - also this cyst was benign.
November 2014: Now it had become necessary that my nerve tracts were released along the lumbar vertebra from various which pressed the nerves:
during the preceding weeks several times I suddenly could not stand any more on the right leg, pain moved via bottom down to the foot.
with MRI pictures and shots of the operation in the back:
My 80th year of life - it is not easy wanting to grow old:
Full enthusiasm I had begun it on the 3rd of December, 2014, because I had been able to get over rather well the previous removing of both cysts at the tongue base and the discharge of the nerve tracts along the lumbar vertebra column.
A 7-day cruise on "Mein Schiff 3" between the Canary islands and Madeira should serve now as rest. However, on the home flight on the 21st of December 2014 the left upper part of the body hurt me, and I tapped on pneumonia - but unfortunately, the further course was not quite easy. . .
Various investigations followed and proved the diagnosis "Multiple Myeloma" (smoldering type) - at that moment it was a shock, in the meantime I have caught myself and think that I feel quite good in spite of the side effects.
My detailed informations (in German):
But there is still interesting and beautiful:
In between, I have compiled many images of my Riviera Garden and its surroundings for a Power Point presentation on March 3, 2015, in Zürich.
Since the presentation is met with great interest, I made all the images as a PDF file and as pps with each 99 panels open to everyone.
All images are provided with short text, but my further explanations are missing.
The website with the two lecture versions:
of what should be taken note?
The early recognition is important: regular mammography, very often palpating the breast (not only standing, also sideways lying) and immediate reaction when finding something unexpected.
The transfer to a specialist for the clarification of these changes should not be delayed, because the clarifications (tissue samples/biopsies) are important in order to be able to plan optimally an eventual surgery.
If the lymphnodes are still without cancer, choose for the surgery a hospital which is comprehensively familiar with the sentinel lymph node biopsy .
In the present documentation all diagnoses/reports are inserted. These are however usually only communicated verbally. In written form they would have to be asked for.
To know as much as possible about the surgery calms down very much. Better ask twice, if something is not clear. With the surgeon, the possibilities should be clarified on how the breast can be treated and restored as nicely as possible.
The adjuvant therapy is very important. The radiotherapy does not hurt (only the skin itches for some time), does not make tired (mostly only the trip to and from the place of the therapy is tiresome). Fear should not arise.
In the InterNet look at Google under individual references, like "breast cancer", "breast lumps" and similar expressions. Very much can be learned thereby.
My pictures are provided to a large part with technical terms, since this documentation should also be interesting for physicians. Those medical expressions should be entered individually with Google, about so: "what is a .....", or look up in a medical encyclopedia in the InterNet. Also the pictures don’t have yet a text in English (perhaps later...) but the general explanation should be sufficient for the understanding.
In "Question/Answer" there are about 70 definitions explained quite in detail, perhaps the one you are looking for is also included.
In this homepage are some institutions on the "Link" list which contain detailed descriptions about previously mentioned biopsies and the radiotherapy.
And if just something is not clear, please send me an e-mail via "Contact", the answer will arrive immediately.
From my experience which, however, is not completely simple, I recommend: Be optimistic, that everything runs well - that helps. And don't lose courage, if the recovery lasts longer than expected. - I wish all the best in every case!
Thanks a lot
for medical support/contributions received from:
PD Dr. med. Christoph Rageth, Breast-Center Zurich:
all ultrasound pictures and mammograms made during aftercare,
PD Dr. med. Mathias Fehr, Gynaekology University Hospital Zurich: