HER2 Support Group Forums - View Single Post - T DM-1 Approved !!

StephN · 02-25-2013, 02:45 PM

In theory, being NED in body below the neck, can keep the brain clear, but often NOT in practice.

Note the increasing number of Brain As First Site of Mets we have reported here.

Note the number of us here who have stayed NED in body on maintenance Herceptin, then have had brain mets appear while remaining NED from neck down.

Mets can be seeded during active cancer and sit there for some years (as in my case).

Any treatment such as IT Kadcyla (T-DM1) seems a little harsh and WAY down the road to me. Perhaps Perjeta as a direct treatment to brain has a possibility, but have not yet heard of that happening.

I certainly hope Tykerb is working for you, Denise! It is very hard to say when and/or if we might be out of the woods with brain mets. I still get a brain MRI twice a year, and would get one immediately if I thought I had any symptoms.

02-25-2013, 02:45 PM	#38
StephN Senior Member Join Date: Nov 2004 Location: Misty woods of WA State Posts: 4,128	Re: T DM-1 Approved !! In theory, being NED in body below the neck, can keep the brain clear, but often NOT in practice. Note the increasing number of Brain As First Site of Mets we have reported here. Note the number of us here who have stayed NED in body on maintenance Herceptin, then have had brain mets appear while remaining NED from neck down. Mets can be seeded during active cancer and sit there for some years (as in my case). Any treatment such as IT Kadcyla (T-DM1) seems a little harsh and WAY down the road to me. Perhaps Perjeta as a direct treatment to brain has a possibility, but have not yet heard of that happening. I certainly hope Tykerb is working for you, Denise! It is very hard to say when and/or if we might be out of the woods with brain mets. I still get a brain MRI twice a year, and would get one immediately if I thought I had any symptoms. __________________ "When I hear music, I fear no danger. I am invulnerable. I see no foe. I am related to the earliest times, and to the latest." H.D. Thoreau Live in the moment. MY STORY SO FAR ~~~~ Found suspicious lump 9/2000 Lumpectomy, then node dissection and port placement Stage IIB, 8 pos nodes of 18, Grade 3, ER & PR - Adriamycin 12 weekly, taxotere 4 rounds 36 rads - very little burning 3 mos after rads liver full of tumors, Stage IV Jan 2002, one spot on sternum Weekly Taxol, Navelbine, Herceptin for 27 rounds to NED! 2003 & 2004 no active disease - 3 weekly Herceptin + Zometa Jan 2005 two mets to brain - Gamma Knife on Jan 18 All clear until treated cerebellum spot showing activity on Jan 2006 brain MRI & brain PET Brain surgery on Feb 9, 2006 - no cancer, 100% radiation necrosis - tumor was still dying Continue as NED while on Herceptin & quarterly Zometa Fall-2006 - off Zometa - watching one small brain spot (scar?) 2007 - spot/scar in brain stable - finished anticoagulation therapy for clot along my port-a-catheter - 3 angioplasties to unblock vena cava 2008 - Brain and body still NED! Port removed and scans in Dec. Dec 2008 - stop Herceptin - Vaccine Trial at U of W begun in Oct. of 2011 STILL NED everywhere in Feb 2014 - on wing & prayer 7/14 - Started twice yearly Zometa for my bones Jan. 2015 checkup still shows NED 2015 Neuropathy in feet - otherwise all OK - still NED. Same news for 2016 and all of 2017. Nov of 2017 - had small skin cancer removed from my face. Will have Zometa end of Jan. 2018.