PORTLAND — A local boutique owner recently diagnosed with stage four breast cancer wants the age for a first mammogram ultrasound lowered from 40 to 30.
Small business owner Abbie Paklos, 33, who took over the Wedding Dress shop at 162 Main St. seven years ago, felt a lump about the size of a marble in her breast at the end of January.
In mid-February, Paklos was diagnosed with breast cancer and sent for a CAT scan and bone density scan, the results of which indicated her cancer had metastasized to a part of her lung, liver and chest bone.
Since then, Paklos said, life has been a “whirlwind.”
“It was devastating,” she admitted. “I never imagined I would have breast cancer, especially this young. It came out of nowhere.”
Paklos leads a healthy life, and finds it strange she feels “completely normal."
"It’s scary all this stuff can be going on inside of you and you don’t even know,” she said.
She and her fiancé Rick planned to marry in July. They had a 200-guest wedding planned, but have decided to postpone their nuptials.
“Once we get through this, we will one day get married, but it’s too much stress … That’s not important right now,” she said. “I’ve got to be healthy to get married.”
Paklos was lying on her couch one night and felt something small but firm near her armpit. “I’ve never felt anything like that before,” she said.
The next day, she visited her former gynecologist and got an appointment the next day for a mammogram. The physician told her it was a fluid-filled cyst and to come back in a year, Paklos said.
"Something inside me … was like ‘push for more,’” she said.
She asked for an ultrasound four times that day, and eventually got one, Paklos said. After the test, the radiologist urged her to get a biopsy. It revealed the cancer had spread to a lymph node in her left armpit, she added.
Stage four breast cancer is treatable but not curable, Paklos said.
She hasn't had symptoms, but wonders if her immune system was compromised since she got pneumonia in November 2024, followed by COVID and the flu — something unusual for her.
The doctors tell her it’s not related but she’s not convinced, Paklos said.
“Nobody knows your body like yourself,” she said.
Soon after, she started an Instagram account @bloodsweatandboobs to spread the word to other women like her.
“It’s not something to be scared of,” Paklos said of her diagnosis.
Her goal is to provide information in her posts as she moves along her cancer journey.
“It’s important to be aware," she said. "If I can spread information and help even one person catch something really early and not be in the position I’m in, that’s what I’m trying to do here."
Paklos said even more women are getting diagnosed before they're 40, even in their 20s.
The U.S. Preventive Services Task Force recommends women at average risk for breast cancer start screening mammograms at 40, and continue every two years until 74.
While BRCA1 and BRCA2 gene mutations may increase someone's odds of developing breast cancer, according to the American Breast Cancer Association, the odds of having either mutation are pretty small.
An estimated 0.25% of the general population carries a mutated BRCA gene, or about one out of every 400 people, the ABCA website said.
Paklos is also encouraging women to get genetic testing. Hers revealed she carries the gene mutation PALB2, the “sister” gene to BRCA.
Paklos later found out a family member carries the gene, something she wishes she knew earlier.
“Once you find the lump, it’s too late,” she added.
She has gotten a dose of Luprin, which suppresses estrogen and puts patients into early menopause, Paklos said. Early next month, she’ll begin oral hormone blockers she’ll take for the rest of her life.
Paklos, a social drinker, has stopped her alcohol consumption.
“I’m into the mocktail life right now,” she said.
She also enjoys walking and yoga, and is trying to eat a very clean diet. Her family and friends have been a huge support, she said.
This week, she and two other young women diagnosed with breast cancer will be participating in an online forum with state legislators.
Meanwhile, Paklos is taking a positive view of her situation.
“People live years and years with this," she said. "I’m optimistic for that. They’re coming out with new treatments every year."
Often, patients’ tumors shrink and can go dormant for years, Paklos added.
“I’m … grateful I found it when I did,” she said. “Information is power here.”
Friends are raffling off a 15-pound chocolate Easter egg from Italy until April 14 to raise money for her medical bills. Tickets can be purchased at Avella’s and Melilli’s market at 871 Newfield St., by calling 860-301-3323 or emailing [email protected].
March 24, 2025
Reporter
Cassandra Day is an assistant managing editor with the Middletown Press. She is an award-winning multimedia journalist and resident of the North End of Middletown who has been reporting nearly every facet of the city for over two decades.