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02-25-2007, 08:22 PM
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#1
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Senior Member
Join Date: Feb 2006
Location: Southern, CA
Posts: 2,511
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Simple mastectomy & home same day?
I have a simple mastectomy scheduled soon. My surgeon asked if I wanted to do this out patient? My first mastectomy from last year was very painful. Any time I can go home...believe me...I want to! I had a MRM last year & stayed two days. But I just got done reading about "simple" mastectomys & it sounds like the recovery is much easier & there shouldn't be a problem of going home that same day.
I was hoping to hear from those of you that have actually had a simple mastectomy and if you were up to going home the day of surgery? My surgeon said if he knew I would be up to going home I could have my surgery at the out-patient place...which I really rather do. Its cleaner and less germs. Did any of you have a simple mast and go home that day?
Chelee
__________________
DX: 12-20-05 - Stage IIIA, Her2/Neu, 3+++,Er & Pr weakly positive, 5 of 16 pos nodes.
Rt. MRM on 1-3-06 -- No Rads due to compromised lungs.
Chemo started 2-7-06 -- TCH - - Finished 6-12-06
Finished yr of wkly herceptin 3-19-07
3-15-07 Lt side prophylactic simple mastectomy. -- Ooph 4-05-07
9-21-09 PET/CT "Recurrence" to Rt. axllia, Rt. femur, ilium. Possible Sacrum & liver? Now stage IV.
9-28-09 Loading dose of Herceptin & started Zometa
9-29-09 Power Port Placement
10-24-09 Mass 6.4 x 4.7 cm on Rt. femur head.
11-19-09 RT. Femur surgery - Rod placed
12-7-09 Navelbine added to Herceptin/Zometa.
3-23-10 Ten days of rads to RT femur. Completed.
4-05-10 Quit Navelbine--Herceptin/Zometa alone.
5-4-10 Appt. with Dr. Slamon to see what is next? Waiting on FISH results from femur biopsy.
Results to FISH was unsuccessful--this happens less then 2% of the time.
7-7-10 Recurrence to RT axilla again. Back to UCLA for options.
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02-25-2007, 08:59 PM
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#2
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Senior Member
Join Date: Oct 2005
Posts: 476
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yes. I went home the same day with simple mastec. No problem.
__________________
Ann
Stage 1 dx Sept 05
ER/PR positive HER2 +++ Grade 3
Invasive carcinoma 1 cm, no node involvement
Mastec Sept 05
Annual scans all negative, Oct 06
Postmenopause. Arimidex only since Sept 06, bone or muscle ache after 3 month
Off Arimidex, change to Femara 1/12-07, ache stopped
Sept 07 all tests negative, pass 2 year mark
Feb 08 continue doing well.
Sep 09 four year NED still on Femara.
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02-25-2007, 09:19 PM
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#3
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Senior Member
Join Date: Aug 2006
Location: Sheboygan, WI
Posts: 2,582
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Hello,
I had an MRM and came home the next day and honestly, if it weren't for the throwing up from the anesthetic could have come home the same day. I also had a simple mastectomy and came home the next day, but, could have come home that day. I did not react to the anesthia for that surgery because they gave me something to hopefully counteract the effects and it worked.
Mary Jo
__________________
"Be still and know that I am God." Psalm 46:10
Dx. 6/24/05 age 45 Right Breast IDC ER/PR. Neg., - Her2+++ RB Mast. - 7/28/05 - 4 cm. tumor Margins clear - 1 microscopic cell 1 sent. node No Vasucular Invasion 4 DD A/C - 4 DD Taxol & Herceptin 1 full year of Herceptin received every 3 weeks 28 rads prophylactic Mast. 3/2/06
17 Years NED
<>< Romans 8:28
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02-25-2007, 10:47 PM
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#4
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Senior Member
Join Date: Feb 2006
Location: Southern, CA
Posts: 2,511
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Mary Jo, I can't imagine coming home the same day after my MRM last year. That was quite painful. But I think if I didn't have the SNB I would of been ok? That caused me more problems then anything I believe. He took 16 lymph nodes...so I was pretty un-comfortable. Sounds like you & CLTann handled it rather well. 
That's encouraging because I really rather come home to my own bed. Thank you both so much.
Chelee
__________________
DX: 12-20-05 - Stage IIIA, Her2/Neu, 3+++,Er & Pr weakly positive, 5 of 16 pos nodes.
Rt. MRM on 1-3-06 -- No Rads due to compromised lungs.
Chemo started 2-7-06 -- TCH - - Finished 6-12-06
Finished yr of wkly herceptin 3-19-07
3-15-07 Lt side prophylactic simple mastectomy. -- Ooph 4-05-07
9-21-09 PET/CT "Recurrence" to Rt. axllia, Rt. femur, ilium. Possible Sacrum & liver? Now stage IV.
9-28-09 Loading dose of Herceptin & started Zometa
9-29-09 Power Port Placement
10-24-09 Mass 6.4 x 4.7 cm on Rt. femur head.
11-19-09 RT. Femur surgery - Rod placed
12-7-09 Navelbine added to Herceptin/Zometa.
3-23-10 Ten days of rads to RT femur. Completed.
4-05-10 Quit Navelbine--Herceptin/Zometa alone.
5-4-10 Appt. with Dr. Slamon to see what is next? Waiting on FISH results from femur biopsy.
Results to FISH was unsuccessful--this happens less then 2% of the time.
7-7-10 Recurrence to RT axilla again. Back to UCLA for options.
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02-26-2007, 06:55 AM
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#5
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Senior Member
Join Date: Jan 2007
Posts: 72
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I'm having bilat mastectomies with expanders implants this coming Friday. Surgeon told me that if I'm doing well and meet certain criteria I can probably go home afterwards.
I would assume that the criteria means no bad reaction to the anesthesia, oxygen levels staying good and good pain management.
Skeetur
__________________
12/01/2006 Initial Dx via stereotactic biopsy - DCIS, grade 3
12/27/2006 Lumpectomy w/ SNB: 2 foci of IDC (largest .3 cm, Grade 2, Notthingham score 6) amid large area of DCIS: No clear margins on the DCIS; re-excision recommended
ER+(55%)/PR+(60+)/HER2+ (2.8+ via IHC?)
01/23/2007 Re-excision Lumpectomy: No clear margins on the DCIS; mastectomy recommended
03/02/2007 Bilateral mastectomy w/ expander implant insertion
03/19/2007 Emergency surgery to fix broken blood vessel in left breast
03/30/2007 Met w/ oncologist; oncologist checking on HER2 status with pathologist and doing some consulting on my case - no treatments for now!
05/02/2007 Next appointment w/ oncologist
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02-27-2007, 02:17 AM
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#6
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Senior Member
Join Date: Feb 2006
Location: Southern, CA
Posts: 2,511
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Skeetur, What kind of mastectomy's are you having? "Simple", "Modified Radical mastectomy", or what? Just curious since there are different types. Wishing you well and a speedy recovery.
Chelee
__________________
DX: 12-20-05 - Stage IIIA, Her2/Neu, 3+++,Er & Pr weakly positive, 5 of 16 pos nodes.
Rt. MRM on 1-3-06 -- No Rads due to compromised lungs.
Chemo started 2-7-06 -- TCH - - Finished 6-12-06
Finished yr of wkly herceptin 3-19-07
3-15-07 Lt side prophylactic simple mastectomy. -- Ooph 4-05-07
9-21-09 PET/CT "Recurrence" to Rt. axllia, Rt. femur, ilium. Possible Sacrum & liver? Now stage IV.
9-28-09 Loading dose of Herceptin & started Zometa
9-29-09 Power Port Placement
10-24-09 Mass 6.4 x 4.7 cm on Rt. femur head.
11-19-09 RT. Femur surgery - Rod placed
12-7-09 Navelbine added to Herceptin/Zometa.
3-23-10 Ten days of rads to RT femur. Completed.
4-05-10 Quit Navelbine--Herceptin/Zometa alone.
5-4-10 Appt. with Dr. Slamon to see what is next? Waiting on FISH results from femur biopsy.
Results to FISH was unsuccessful--this happens less then 2% of the time.
7-7-10 Recurrence to RT axilla again. Back to UCLA for options.
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02-27-2007, 07:16 AM
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#7
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Senior Member
Join Date: Jan 2007
Posts: 72
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Hey, Chelee!
Simple mastectomies since lymph node was negative.
Thanks for the well wishes.
Skeetur
__________________
12/01/2006 Initial Dx via stereotactic biopsy - DCIS, grade 3
12/27/2006 Lumpectomy w/ SNB: 2 foci of IDC (largest .3 cm, Grade 2, Notthingham score 6) amid large area of DCIS: No clear margins on the DCIS; re-excision recommended
ER+(55%)/PR+(60+)/HER2+ (2.8+ via IHC?)
01/23/2007 Re-excision Lumpectomy: No clear margins on the DCIS; mastectomy recommended
03/02/2007 Bilateral mastectomy w/ expander implant insertion
03/19/2007 Emergency surgery to fix broken blood vessel in left breast
03/30/2007 Met w/ oncologist; oncologist checking on HER2 status with pathologist and doing some consulting on my case - no treatments for now!
05/02/2007 Next appointment w/ oncologist
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02-27-2007, 12:52 PM
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#8
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Senior Member
Join Date: May 2006
Posts: 144
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I had a lumpectomy & SNB, then a mastectomy a month later. The mastectomy was written up as a 23-hour out-patient procedure. Technically, anything under a day is not considered an overnight (at least on my insurance plan).
My procedure ran late because they had a hard time finding a vein - I was having a port put in as part of my procedure.
I wasn't out of recovery until 5pm, so my doctor suggested I spend the night. Got released the next day. Other than it being nice that the nurse drained my bottle instead of me having to deal with it, I think recovery was easier than my lumpectomy & SNB.
- Anna
__________________
- Anna
Stage I - DX 9/2005 ER/PR-, HER2+, grade 3, DCIS, IDC multi-focal (1.05cm)
DD 4 A/C finished Jan 31, 2006
Herceptin weekly finished Jan 31, 2007
recurrence to chest wall on last month of Herceptin
Stage 3B - 3/15/07 - 2 carcinomas in dermal lymphatic
Rads finished 6/5/07
12x TH finished 9/10/07
12/07 - Clear scan!
3/08 - 4 month Melatonin trial
1/09 - osteoperosis - start Alendronate
2/09 - 4-month Simivastin trial
3/13 - take drug holiday after 5 years of Alendronate
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02-27-2007, 01:37 PM
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#9
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Senior Member
Join Date: Feb 2006
Location: Acworth, GA
Posts: 2,104
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Chelee,
I had a MRM of the right breast and a simple mastectomy of the left breast done together. Also had 26 nodes removed. I came home the day after surgery. I was amazed that I little to no pain.
__________________
Kate
Stage IIIC Diagnosed Oct 25, 2005 (age 58)
ER/PR-, HER2+++, grade 3, Ploidy/DNA index: Aneuploid/1.61, S-phase: 24.2%
Neoadjunct chemo: 4 A/C; 4 Taxatore
Bilateral mastectomy June 8, 2006
14 of 26 nodes positive
Herceptin June 22, 2006 - April 20, 2007
Radiation (X35) July 24-September 11, 2006
BRCA1/BRCA2 negative
Stage IV lung mets July 13, 2007 - TCH
Single brain met - August 6, 2007 -CyberKnife
Oct 2007 - clear brain MRI and lung mets shrinking.
March 2008 lung met progression, brain still clear - begin Tykerb/Xeloda/Ixempra
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02-27-2007, 02:03 PM
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#10
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Senior Member
Join Date: Jan 2007
Posts: 72
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Kate,
I'm hoping for little or no pain!
My sister had bilat masts w/ DIEP reconstruction last year and her abdomen was really the painful part. She said her breasts didn't hurt much at all.
I've been through 6 surgeries in 2 years (including the 2 lumpectomies) and done well with all. So many surgeries, so little time.
Skeetur
__________________
12/01/2006 Initial Dx via stereotactic biopsy - DCIS, grade 3
12/27/2006 Lumpectomy w/ SNB: 2 foci of IDC (largest .3 cm, Grade 2, Notthingham score 6) amid large area of DCIS: No clear margins on the DCIS; re-excision recommended
ER+(55%)/PR+(60+)/HER2+ (2.8+ via IHC?)
01/23/2007 Re-excision Lumpectomy: No clear margins on the DCIS; mastectomy recommended
03/02/2007 Bilateral mastectomy w/ expander implant insertion
03/19/2007 Emergency surgery to fix broken blood vessel in left breast
03/30/2007 Met w/ oncologist; oncologist checking on HER2 status with pathologist and doing some consulting on my case - no treatments for now!
05/02/2007 Next appointment w/ oncologist
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02-27-2007, 04:06 PM
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#11
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Senior Member
Join Date: Sep 2005
Location: Atlanta
Posts: 87
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Skin sparing mastectomy...piece of cake
Hey Skeetur~
I'm scheduled for surgery on Friday too. I'm having the last stage of my reconstruction after a Skin Sparing Mastectomy (L) 10 weeks ago w/expander placement.
After gradually filling the expander each week, then resting for 4 weeks, Friday is the swap out. I'll also have my R side lifted & slightly augmented to match the L. And my surgeon's going to revise the big belly scar that I have from my liver resection last year.
The Skin Sparing Mastectomy was a PIECE OF CAKE! I could have gone home the same day, but my surgery started late & i wasn't in recovery until 8pm, so I did stay until the next morning.
Since you had negative nodes, I'd highly recommend a SkinSparing Mastec!!
Please feel free to email me if there's anything I can do to help w/add'l info.
Keep the Faith~
Jessica
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02-27-2007, 04:12 PM
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#12
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Senior Member
Join Date: Jan 2007
Posts: 72
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Thanks, Jessica!
I've got a pretty decent amount of breast skin without much filling courtesy of a large weight loss. Hopefully there is plenty there to work with and it is not far stretched out already. The weight loss also made me not a candidate for surgery that uses the belly skin - DIEP or TRAM flap. But man, I'd love a tummy tuck to get rid of the excess skin! Maybe with swap out. Hey, doc, can you make me a deal... LOL.
Good luck with your swap out!
Regards, Skeetur
__________________
12/01/2006 Initial Dx via stereotactic biopsy - DCIS, grade 3
12/27/2006 Lumpectomy w/ SNB: 2 foci of IDC (largest .3 cm, Grade 2, Notthingham score 6) amid large area of DCIS: No clear margins on the DCIS; re-excision recommended
ER+(55%)/PR+(60+)/HER2+ (2.8+ via IHC?)
01/23/2007 Re-excision Lumpectomy: No clear margins on the DCIS; mastectomy recommended
03/02/2007 Bilateral mastectomy w/ expander implant insertion
03/19/2007 Emergency surgery to fix broken blood vessel in left breast
03/30/2007 Met w/ oncologist; oncologist checking on HER2 status with pathologist and doing some consulting on my case - no treatments for now!
05/02/2007 Next appointment w/ oncologist
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02-27-2007, 06:56 PM
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#13
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Senior Member
Join Date: Feb 2006
Location: Southern, CA
Posts: 2,511
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Kate, Your surgeon must have the magic touch if you had a MRM & 26 nodes removed with very little pain. Sounds like my kind of guy! Point me in his direction. lol I know once when I was in the hospital after my MRM...they sat me in a chair and left my pain button far away from me...I had NO way of getting to it for FOUR hours. Ouch! (Thats why I can remember how bad it hurt.) I'm not sure I would of remembered it being that bad if it wasn't for that incident. Eched it in my mind forever.
Chelee
__________________
DX: 12-20-05 - Stage IIIA, Her2/Neu, 3+++,Er & Pr weakly positive, 5 of 16 pos nodes.
Rt. MRM on 1-3-06 -- No Rads due to compromised lungs.
Chemo started 2-7-06 -- TCH - - Finished 6-12-06
Finished yr of wkly herceptin 3-19-07
3-15-07 Lt side prophylactic simple mastectomy. -- Ooph 4-05-07
9-21-09 PET/CT "Recurrence" to Rt. axllia, Rt. femur, ilium. Possible Sacrum & liver? Now stage IV.
9-28-09 Loading dose of Herceptin & started Zometa
9-29-09 Power Port Placement
10-24-09 Mass 6.4 x 4.7 cm on Rt. femur head.
11-19-09 RT. Femur surgery - Rod placed
12-7-09 Navelbine added to Herceptin/Zometa.
3-23-10 Ten days of rads to RT femur. Completed.
4-05-10 Quit Navelbine--Herceptin/Zometa alone.
5-4-10 Appt. with Dr. Slamon to see what is next? Waiting on FISH results from femur biopsy.
Results to FISH was unsuccessful--this happens less then 2% of the time.
7-7-10 Recurrence to RT axilla again. Back to UCLA for options.
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02-27-2007, 09:58 PM
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#14
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Senior Member
Join Date: Feb 2006
Location: Acworth, GA
Posts: 2,104
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Chelee,
My surgeon really is great. She is very compassionate and answers any and all questions. A week after my bilateral mastectomy I was driving. Just keep positive thoughts in your mind and things will be fine. Best of luck to you.
__________________
Kate
Stage IIIC Diagnosed Oct 25, 2005 (age 58)
ER/PR-, HER2+++, grade 3, Ploidy/DNA index: Aneuploid/1.61, S-phase: 24.2%
Neoadjunct chemo: 4 A/C; 4 Taxatore
Bilateral mastectomy June 8, 2006
14 of 26 nodes positive
Herceptin June 22, 2006 - April 20, 2007
Radiation (X35) July 24-September 11, 2006
BRCA1/BRCA2 negative
Stage IV lung mets July 13, 2007 - TCH
Single brain met - August 6, 2007 -CyberKnife
Oct 2007 - clear brain MRI and lung mets shrinking.
March 2008 lung met progression, brain still clear - begin Tykerb/Xeloda/Ixempra
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02-28-2007, 12:31 AM
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#15
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Senior Member
Join Date: Feb 2006
Location: Southern, CA
Posts: 2,511
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Kate, This time it should be a breeze in comparsion from my MRM last year. From what everyone has now told me, & all the research I've now done on it...a simple mastectomy without a SNB should be a peace of cake. (Although my surgeon is going to put a drain back in the other side since that seroma will NOT go away.) So lucky me, I will have two drains. I can't wait. lol
I really hope I am up to driving like you were because I just realized yesterday that I will only have 4 days until its time for my next herceptin. I certainly can't afford to miss that. The center is close, so I should make it one way or another.
Thanks Kate!
Chelee
__________________
DX: 12-20-05 - Stage IIIA, Her2/Neu, 3+++,Er & Pr weakly positive, 5 of 16 pos nodes.
Rt. MRM on 1-3-06 -- No Rads due to compromised lungs.
Chemo started 2-7-06 -- TCH - - Finished 6-12-06
Finished yr of wkly herceptin 3-19-07
3-15-07 Lt side prophylactic simple mastectomy. -- Ooph 4-05-07
9-21-09 PET/CT "Recurrence" to Rt. axllia, Rt. femur, ilium. Possible Sacrum & liver? Now stage IV.
9-28-09 Loading dose of Herceptin & started Zometa
9-29-09 Power Port Placement
10-24-09 Mass 6.4 x 4.7 cm on Rt. femur head.
11-19-09 RT. Femur surgery - Rod placed
12-7-09 Navelbine added to Herceptin/Zometa.
3-23-10 Ten days of rads to RT femur. Completed.
4-05-10 Quit Navelbine--Herceptin/Zometa alone.
5-4-10 Appt. with Dr. Slamon to see what is next? Waiting on FISH results from femur biopsy.
Results to FISH was unsuccessful--this happens less then 2% of the time.
7-7-10 Recurrence to RT axilla again. Back to UCLA for options.
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02-28-2007, 08:36 AM
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#16
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Senior Member
Join Date: Feb 2006
Location: Acworth, GA
Posts: 2,104
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Chelee,
I had four drains in which were removed on my first visit to the surgeon which was one week after surgery. I'm sure you'll be fine. It's important to use the arm but certainly not to over do. Let us know how you make out.
__________________
Kate
Stage IIIC Diagnosed Oct 25, 2005 (age 58)
ER/PR-, HER2+++, grade 3, Ploidy/DNA index: Aneuploid/1.61, S-phase: 24.2%
Neoadjunct chemo: 4 A/C; 4 Taxatore
Bilateral mastectomy June 8, 2006
14 of 26 nodes positive
Herceptin June 22, 2006 - April 20, 2007
Radiation (X35) July 24-September 11, 2006
BRCA1/BRCA2 negative
Stage IV lung mets July 13, 2007 - TCH
Single brain met - August 6, 2007 -CyberKnife
Oct 2007 - clear brain MRI and lung mets shrinking.
March 2008 lung met progression, brain still clear - begin Tykerb/Xeloda/Ixempra
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02-28-2007, 02:17 PM
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#17
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Senior Member
Join Date: Feb 2006
Location: Southern, CA
Posts: 2,511
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Kate, You had your drains removed at your first weekly visit to the surgeon. You have got to be kidding. I wish I would have been that lucky or done that well. When I had my MRM last year...my drain was in "almost" a complete month!! I was misrable with that darn drain hanging there all the time emptying it constantly. (I was one of those juicy lucy women I suppose.) I wanted to get started on chemo and I thought I was NEVER going to get that darned drain out. When the fluid got down to 30cc's I believe it was...then I could have it pulled...but not before then. I thought mine was never going to quit. I hope my drains get pulled much faster this time! I wonder why mine took so long...you had a bilat mastectomy and 4 drains...gee...nothing with me seems to go right?
Chelee
__________________
DX: 12-20-05 - Stage IIIA, Her2/Neu, 3+++,Er & Pr weakly positive, 5 of 16 pos nodes.
Rt. MRM on 1-3-06 -- No Rads due to compromised lungs.
Chemo started 2-7-06 -- TCH - - Finished 6-12-06
Finished yr of wkly herceptin 3-19-07
3-15-07 Lt side prophylactic simple mastectomy. -- Ooph 4-05-07
9-21-09 PET/CT "Recurrence" to Rt. axllia, Rt. femur, ilium. Possible Sacrum & liver? Now stage IV.
9-28-09 Loading dose of Herceptin & started Zometa
9-29-09 Power Port Placement
10-24-09 Mass 6.4 x 4.7 cm on Rt. femur head.
11-19-09 RT. Femur surgery - Rod placed
12-7-09 Navelbine added to Herceptin/Zometa.
3-23-10 Ten days of rads to RT femur. Completed.
4-05-10 Quit Navelbine--Herceptin/Zometa alone.
5-4-10 Appt. with Dr. Slamon to see what is next? Waiting on FISH results from femur biopsy.
Results to FISH was unsuccessful--this happens less then 2% of the time.
7-7-10 Recurrence to RT axilla again. Back to UCLA for options.
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