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Old 05-04-2007, 03:08 AM   #1
lu ann
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Cause of neuropathy

I've had neuropathy in the left arm and hand for several months now. I had a pet scan which showed a small spot where an enlarged lymph node is. I will be having an MRI of the neck and shoulder to find out if there is another source for these symptoms. Has anyone else had any numbness and tingling to their hands? Thanks, Lu Ann.
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Old 05-04-2007, 06:56 AM   #2
RobinP
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HI, i just wanted to say that if the tingling is in your arm that had lymph nodes removed, it is probably due to lympedema rather than cancer mets or some other problem. Good luck with the MRI, I hope eveything is fine and they find the reason for the one enlarged node.
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Old 05-04-2007, 08:19 AM   #3
R.B.
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This seems to be an informative link.

http://www.her2support.org/vbulletin...ote=1&p=121744

rb
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Old 05-04-2007, 09:16 AM   #4
Alice
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Hi,

I have had neuropothy in both arms, hands, legs and feet since I started chemo almost 1 1/2 years ago. The chemo affected my nerves more than usual so my case is probably not the best senario to compare to. I think you should look into whether or not it could be lymphodema like the last post suggested. If I am correct it would be unusual to have it confined to just 1 arm. This leads me to think it may be something else. Good luck with the MRI, maybe it will give you more info.
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Old 05-04-2007, 10:21 AM   #5
hutchibk
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Luann- it can also be attributed to different chemo treatments. I don't know what treatments you have had, but I get numbness and tingling in both arms and hands, on my surgery/lymphedema side and the other side too. I was on Taxol for 9 months and it caused neuropathy in my joints, wrists, fingers, knees, ankles and toes. I think most of my chemo treatments have contributed in some way...
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Brenda

NOV 2012 - 9 yr anniversary
JULY 2012 - 7 yr anniversary stage IV (of 50...)

Nov'03~ dX stage 2B
Dec'03~
Rt side mastectomy, Her2+, ER/PR+, 10 nodes out, one node positive
Jan'04~
Taxotere/Adria/Cytoxan x 6, NED, no Rads, Tamox. 1 year, Arimadex 3 mo., NED 14 mo.
Sept'05~
micro mets lungs/chest nodes/underarm node, Switched to Aromasin, T/C/H x 7, NED 6 months - Herceptin only
Aug'06~
micro mets chest nodes, & bone spot @ C3 neck, Added Taxol to Herceptin
Feb'07~ Genetic testing, BRCA 1&2 neg

Apr'07~
MRI - two 9mm brain mets & 5 punctates, new left chest met, & small increase of bone spot C3 neck, Stopped Aromasin
May'07~
Started Tykerb/Xeloda, no WBR for now
June'07~
MRI - stable brain mets, no new mets, 9mm spots less enhanced, CA15.3 down 45.5 to 9.3 in 10 wks, Ty/Xel working magic!
Aug'07~
MRI - brain mets shrunk half, NO NEW BRAIN METS!!, TMs stable @ 9.2
Oct'07~
PET/CT & MRI show NED
Apr'08~
scans still show NED in the head, small bone spot on right iliac crest (rear pelvic bone)
Sept'08~
MRI shows activity in brain mets, completed 5 fractions/5 consecutive days of IMRT to zap the pesky buggers
Oct'08~
dropped Xeloda, switched to tri-weekly Herceptin in combo with Tykerb, extend to tri-monthly Zometa infusion
Dec'08~
Brain MRI- 4 spots reduced to punctate size, large spot shrunk by 3mm, CT of torso clear/pelvis spot stable
June'09~
new 3-4mm left cerrebellar spot zapped with IMRT targeted rads
Sept'09~
new 6mm & 1 cm spots in pituitary/optic chiasm area. Rx= 25 days of 3D conformal fractionated targeted IMRT to the tumors.
Oct'09~
25 days of low dose 3D conformal fractionated targeted IMRT to the bone mets spot on rt. iliac crest that have been watching for 2 years. Added daily Aromasin back into treatment regimen.
Apr'10~ Brain MRI clear! But, see new small spot on adrenal gland. Change from Aromasin back to Tamoxifen.
June'10~ Tumor markers (CA15.3) dropped from 37 to 23 after one month on Tamoxifen. Continue to monitor adrenal gland spot. Remain on Tykerb/Herceptin/Tamoxifen.
Nov'10~ Radiate positive mediastinal node that was pressing on recurrent laryngeal nerve, causing paralyzed larynx and a funny voice.
Jan'11~ MRI shows possible activity or perhaps just scar tissue/necrotic increase on 3 previously treated brain spots and a pituitary spot. 5 days of IMRT on 4 spots.
Feb'11~ Enrolled in T-DM1 EAP in Denver, first treatment March 25, 2011.
Mar'11~ Finally started T-DM1 EAP in Denver at Rocky Mountain Cancer Center/Rose on Mar. 25... hallelujah.

"I would rather be anecdotally alive than statistically dead."
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Old 05-04-2007, 07:45 PM   #6
lu ann
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Thanks for the replies. I had my mastectomy 16 years ago with tram flap reconstruction. Twenty two lymph nodes were removed. All were clean. I was dx. with recurrance three years ago to my spine and mediastynime (area between breasts). I also have had pleural effusion for the last three years that was not drained until this last Dec. The fluid is back and worse.

My left lung is about 80% collapsed. I going in next Wednesday to have fluid removed and lung talced (acts like glue) to the pleural lining to prevent fluid from collecting there. The Doctor isn't confident this will work as the lung has been compressed too long and scar tissue might prevent the procedure from working.

I asked him if he thought the pleural effusion was causing the neuropathy. He doubted it as it is affecting the bottom of my lung.

I feel a tightness between my arm pit and the reconstructed breast. It almost feels like my breast got bigger or like something is pushing on it from the inside. Couldn't the fluid be pushing on tissue underneath the flap and causing it to pinch a nerve?

I have been on the following chemo., and other treatments: cytoxin, methotrexate and 5fu (16 years ago), taxol, carboplatin, zometa, herceptin, gemsar, navlebine, and xeloda (2004-2006), 4 treatments of doxil (Dec. 06-March 07). It seems like the neuropathy was more noticable since being on the doxil.

I'm scheduled for the MRI on the 10th to locate the possible source of this condition.

Thanks for all of your replies.
Lu Ann
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Old 05-04-2007, 08:21 PM   #7
hutchibk
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I also get the tightness between the armpit and the recon breast. My lymphedema physical therapist tells me that it is potentially swelling from truncal lymphedema... http://www.lymphnotes.com/article.php/id/149/

Also, you have had several chemos that probably contribute to neuropathy. My nutritional doctor suggests glutamine powder (2 tsp) 2-3 x a day in a shot of juice. It is good for neuropathy. I am pretty sure that it helps me.
__________________
Brenda

NOV 2012 - 9 yr anniversary
JULY 2012 - 7 yr anniversary stage IV (of 50...)

Nov'03~ dX stage 2B
Dec'03~
Rt side mastectomy, Her2+, ER/PR+, 10 nodes out, one node positive
Jan'04~
Taxotere/Adria/Cytoxan x 6, NED, no Rads, Tamox. 1 year, Arimadex 3 mo., NED 14 mo.
Sept'05~
micro mets lungs/chest nodes/underarm node, Switched to Aromasin, T/C/H x 7, NED 6 months - Herceptin only
Aug'06~
micro mets chest nodes, & bone spot @ C3 neck, Added Taxol to Herceptin
Feb'07~ Genetic testing, BRCA 1&2 neg

Apr'07~
MRI - two 9mm brain mets & 5 punctates, new left chest met, & small increase of bone spot C3 neck, Stopped Aromasin
May'07~
Started Tykerb/Xeloda, no WBR for now
June'07~
MRI - stable brain mets, no new mets, 9mm spots less enhanced, CA15.3 down 45.5 to 9.3 in 10 wks, Ty/Xel working magic!
Aug'07~
MRI - brain mets shrunk half, NO NEW BRAIN METS!!, TMs stable @ 9.2
Oct'07~
PET/CT & MRI show NED
Apr'08~
scans still show NED in the head, small bone spot on right iliac crest (rear pelvic bone)
Sept'08~
MRI shows activity in brain mets, completed 5 fractions/5 consecutive days of IMRT to zap the pesky buggers
Oct'08~
dropped Xeloda, switched to tri-weekly Herceptin in combo with Tykerb, extend to tri-monthly Zometa infusion
Dec'08~
Brain MRI- 4 spots reduced to punctate size, large spot shrunk by 3mm, CT of torso clear/pelvis spot stable
June'09~
new 3-4mm left cerrebellar spot zapped with IMRT targeted rads
Sept'09~
new 6mm & 1 cm spots in pituitary/optic chiasm area. Rx= 25 days of 3D conformal fractionated targeted IMRT to the tumors.
Oct'09~
25 days of low dose 3D conformal fractionated targeted IMRT to the bone mets spot on rt. iliac crest that have been watching for 2 years. Added daily Aromasin back into treatment regimen.
Apr'10~ Brain MRI clear! But, see new small spot on adrenal gland. Change from Aromasin back to Tamoxifen.
June'10~ Tumor markers (CA15.3) dropped from 37 to 23 after one month on Tamoxifen. Continue to monitor adrenal gland spot. Remain on Tykerb/Herceptin/Tamoxifen.
Nov'10~ Radiate positive mediastinal node that was pressing on recurrent laryngeal nerve, causing paralyzed larynx and a funny voice.
Jan'11~ MRI shows possible activity or perhaps just scar tissue/necrotic increase on 3 previously treated brain spots and a pituitary spot. 5 days of IMRT on 4 spots.
Feb'11~ Enrolled in T-DM1 EAP in Denver, first treatment March 25, 2011.
Mar'11~ Finally started T-DM1 EAP in Denver at Rocky Mountain Cancer Center/Rose on Mar. 25... hallelujah.

"I would rather be anecdotally alive than statistically dead."
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Old 05-04-2007, 08:50 PM   #8
Bev
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Luann, I can't help with info. Only good thoughts and prayers sent your way. Why did your lung collapse? What was going on? Bev
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Old 05-04-2007, 08:54 PM   #9
Lolly
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Hi Lu Ann; I've had alot of nerve pain in my right shoulder, arm and hand from axilla node involvement and lymphedema. Now that I've started Abraxane last week, and Tykerb this week the pain is almost gone. I didn't have extra tingling or numbness, just achey nerve type pain radiating up and down my arm. So I do think it could be pressure from fluid buildup, but also could be a lymph node between your breast and axilla that is enlarged.
Hopefully the new treatment will alleviate the symptoms and you'll start feeling better soon. Best wishes on Wednesday, I'll be keeping you in my prayers.

<3 Lolly

<3 Lolly
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Sept.'99 - Dx.Stage IIIB, IDC ER/PR-, HER2+++ by IHC, confirmed '04 by FISH. Left MRM, AC x's 4, Taxol x's 4, 33 Rads, finishing Tx May 2000. Jan.'01 - local/regional recurrence, Stage IV. Herceptin/Navelbine weekly till NED August 2001, then maintenance Herceptin. Right Mast. April 2002. Local/Regional recurrence April '04, Herceptin plus/minus chemo until May '07. Gemzar added from Feb.'07-April '07; Tykerb/Abraxane until August '07, back on Herceptin plus Taxotere and Xeloda Sept. '07. Stopped T/X Nov. '07, stopped Herceptin Dec. '07, started Avastin/Taxol/Carboplatin Dec. '07. Progression in chest skin, stopped TAC March '03, started radiation.

Herceptin has served as the "Backbone" of my treatment strategy for over 6 years, giving me great quality of life. In 2005, I was privileged to participate in the University of Washington/Seattle HER2 Vaccine Trial.
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Old 05-05-2007, 06:14 AM   #10
RobinP
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Luann, I just want to say think positive that this new problem will be simple and will resolve. I just have a feeling your MRI will turn out fine- praying for you-keep the faith.
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Old 05-07-2007, 12:00 AM   #11
lu ann
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Bev.....

.....I suppose the lung collapsed because of all the fluid on the outside in the pleural lining. I had an out-patient procedure done Dec. 2006 to remove the fluid and I think the lung can collapse if too much fluid is removed. Lu Ann
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