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Old 01-06-2013, 05:06 PM   #2
Joan M
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Re: Liver Mets Update & maybe some good news re: Perjeta

Kim,

If your new oncologist can get you Perjeta, that would be great. In the meantime, I hope your numbers keep dropping.

The radiologist who you consulted about cyberknife probably referred you to an interventional radiologist. These are docs that do radioembolization, chemoembolization, RFA, and cryoablation of liver tumors, and they would know best about whether you'd be a candidate for a local procedure. Such a doc did an RFA of my lung tumor in 2008. Even if you do a local procedure it would still be best to follow up with chemo and of course stay on Herceptin.

Here's a great 2-minute video that explains radioembolization for others to view, as I'm sure the radiologist you spoke with explained the intervention to you.

http://www.youtube.com/watch?v=QmvCbS6xiHA

Good luck with your new oncologist!

Joan
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Diagnosed stage 2b in July 2003 (2.3 cm, HER2+, ER-/PR-, 7+ nodes). Treated with mastectomy (with immediate DIEP flap reconstruction), AC + T/Herceptin (off label). Cancer advanced to lung in Jan. 2007 (1 cm nodule). Started Herceptin every 3 weeks. Lung wedge resection April 2007. Cancer recurred in lung April 2008. RFA of lung in August 2008. 2nd annual brain MRI in Oct. 2008 discovered 2.6 cm cystic tumor in left frontal lobe. Craniotomy Oct. 2008 (ER-/PR-/HER2-) followed by targeted radiation (IMRT). Coughing up blood Feb. 2009. Thoractomy July 2009 to cut out fungal ball of common soil fungus (aspergillus) that grew in the RFA cavity (most likely inhaled while gardening). No cancer, only fungus. Removal of tiny melanoma from upper left arm, plus sentinel lymph node biopsy in Feb. 2016. Guardant Health liquid biopsy in Feb. 2016 showed mutations in 4 subtypes of TP53. Repeat of Guardant Health biopsy in Jana. 2021 showed 3 TP53 mutations, BRCA1 mutation and CHEK2 mutation. Invitae genetic testing showed negative for all of these. Living with MBC since 2007. Stopped Herceptin Hylecta (injection) treatment in March 2020. Recent 2021 annual CT of chest, abdomen and pelvis and annual brain MRI showed NED. Praying for NED forever!!

Last edited by Joan M; 01-06-2013 at 05:09 PM..
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