Molly Greenwade, M.D., a gynecologic oncologist, was nearing the end of her subspecialty training at Barnes-Jewish Hospital in St. Louis, MO, when she discovered a small, hard lump in her breast. She was busy with her fellowship and caring for her young daughters, then ages one and three, during the spring of 2020, amidst the COVID-19 pandemic.
Dr. Greenwade initially ignored the lump, but as it grew and became firmer, she realized she needed to take action. She underwent an ultrasound and was eventually diagnosed with stage 1B invasive ductal carcinoma. The diagnosis was a shock, as Dr. Greenwade was 34 years old with no family history of cancer.
Her treatment plan included a lumpectomy, followed by a second surgery to remove a sentinel lymph node, then 12 weeks of weekly paclitaxel with trastuzumab, followed by trastuzumab, to complete one year of HER2-directed therapy. After reviewing her options, Dr. Greenwade chose to get a double mastectomy.
Lessons Learned as a Cancer Patient
Dr. Greenwade says it took being a cancer patient to learn important lessons about managing the disease. One key lesson is not to ignore symptoms. She admits to being in denial for a long time, ignoring changes in her breast for several months. Dr. Greenwade now tells people not to ignore their symptoms, emphasizing the importance of listening to one’s body.
As a gynecologic oncologist, Dr. Greenwade often hears women sharing that they had postmenopausal bleeding but didn’t act on it. She notes that postmenopausal bleeding is not normal and encourages people to educate themselves and listen to their bodies. Dr. Greenwade also stresses the importance of getting a second opinion, especially if something doesn’t feel right.
Dr. Greenwade’s initial biopsies were inconclusive, with the first result being negative and the second result being uncertain. However, she returned to Barnes-Jewish Hospital, where she was diagnosed with invasive ductal carcinoma and received a personalized treatment plan. She encourages her patients to get a second opinion, saying that having multiple minds working on a case can be beneficial.
Dr. Greenwade also emphasizes the value of bringing a companion to appointments. A friend or family member can serve as a second set of ears, helping to listen to and remember what the physician is saying. This can be particularly helpful for patients who may not have a medical background or support system.
Dr. Greenwade found support through a group for young breast cancer survivors. She notes that finding a support group is invaluable, as it provides an opportunity to connect with others who understand what you are going through.
Dr. Greenwade says that exercise can be an emotional outlet as well as a physical one. She notes that exercise is one of the most powerful evidence-based tools for managing cancer-related fatigue, physical function, and quality of life.
Life After Cancer
Today, Dr. Greenwade, who practices with Cox Health in Springfield, MO, says she is in good health and feeling strong. Dr. Greenwade’s cancer diagnosis and treatment have not held her back. She continues to practice medicine and share her story with others. Dr. Greenwade hopes that her experience can help others who are going through similar challenges. She believes that by sharing her story, she can help raise awareness about the importance of listening to one’s body and seeking medical attention if something feels off.
Here’s What Being Diagnosed With Breast Cancer Taught Me© 2026 HealthCentral LLC. All rights reserved.