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Old 04-23-2009, 02:21 PM   #3
Colleens_Husband
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Join Date: Jan 2008
Location: Oregon City
Posts: 856
From my understanding, the baseline MUGA is used to see if there is any degradation of the function of the left ventricle due to Herceptin. Raw numbers may or may not tell when the Herceptin is getting to the danger level. As an example, if someone scored a 56, then a doctor may consider pulling them off of Herceptin without a baseline measurement. If the initial base test had a MUGA score of 54, then obviously, there would be evidence that the Herceptin is doing no damage to the heart even though the score was low.

Likewise, if someone scored a 66, then it would appear that everything was normal without a baseline test. If the baseline was a 78, then the 66 could raise a red flag and the doctor would need to schedule more frequent MUGA scans to ensure the patient's safety.

Sometimes a trend is more important than raw numbers.
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This happened to Colleen:

Diagnosed in September 2007
ER-/PR-/HER2 Neu+++ 2.1 cm x .9 cm spicluted tumor with three fingers, Stage 2B
Sentinal node biopsy and lymph node removal with 3/18 positive in October 2007
4 TAC infusions
lumpectomy March 2008, bad margins
Re-excision on June 3rd, 2008 with clean margins
Fitted for compression sleeve July 16, 2008
Started the first of two TCH infusions August 14, 2008
Done with chemo and now a member of the blue dot club 9/17/08
Starting radiation October 1, 2008
life is still on hold
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