Re: Neoadjuvant Roll Call
I had neoadjuvant TCH last summer; 4 round 3 weeks apart. Last one July 22 or 23.
I started out with a large tumor of 9 cm. I think that was why they recommended chemo first--to reduce the tumor size. At surgery the mass had been reduced to 2.3 cm ( or whatever it says in my signature...don't remember at this point). So it had a big impact, though not a complete response. I was told only 7 % of patients have a complete response from neoadjuvant chemo.
Even with a complete response they said a unilateral mastectomy followed by rads would be the plan. I was told I could do a bilateral if I really wanted but I chose uni. (I am 54 w neg brca 1/2).
So far so good, just waiting to trade the expander for something else.
Shirley
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- Age 54 at dx (April '13) Stage 2b, grade 3
- ER+ PR+ HER+, 9 cm tumor one breast and <0.5 cm in sentinal node
- BRCA1 and 2 negative
- Neoadjuvant TCH chemo started 5-15-13 (4 rounds, 3 weeks apart)
- Unilateral Mx w/expander 8-22-13 (right side)
- 5/5 nodes Neg
- clear margins but close. Tumor at removal down to 2.2 cm.
- Radiation 6 wks starting 10-17-13.
- Herceptin every 3 weeks until 4-23-14
- DIEP/Mastopexy 10-8-14, U of WA
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