Why do I still feel anxious after surviving breast cancer?

Question

Hi doctor,

I was diagnosed with stage 1 metastatic breast cancer, HER2 positive, ER and PR negative, and underwent extensive treatment for three long years. I am now three years post-treatment, but I still cannot shake the fear. Every little pain makes me think the cancer is back. My doctors say I am in remission, but my mind would not rest. I keep googling symptoms and driving myself crazy. My last check-up was clear, but what if something was missed? How do other survivors manage this constant worry?

Please help me.

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concern.

Thank you for sharing your concerns. I can understand how difficult and overwhelming this time must be for you. Breast cancer can occur in both males and females, although it is more common in females. In some cases, it can be linked to genetic factors, so it is important to consider genetic testing, particularly for breast cancer gene 1 (BRCA1) and breast cancer gene 2 (BRCA2) mutations.

Since the tumor is human epidermal growth factor receptor 2 positive (HER2-positive) and estrogen receptor/progesterone receptor negative (ER/PR-negative), this indicates a more aggressive form of cancer.

If imaging such as a computed tomography (CT) scan or mammogram has not been done recently to assess tumor size and lymph node involvement, I strongly recommend that these be completed as soon as possible.

Treatment options typically include:

Neoadjuvant chemotherapy (chemotherapy given before surgery to shrink the tumor).
Breast-conserving surgery followed by radiation therapy.
Mastectomy with axillary lymph node biopsy or dissection.

I understand you are going through a very tough time. Please know that I am here to support you. You are not alone; feel free to message me anytime. In the meantime, I strongly advise that you follow up regularly with the appropriate specialists:

Breast oncology surgeon.
Psychiatrist.
Psychotherapist.

I hope this helps clarify your concerns. If you have any further questions, please do not hesitate to reach out. Also, I suggest avoiding the use of short forms or abbreviations in medical communication for better clarity.

Thank you.