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Old 01-06-2007, 02:57 PM   #1
Mandy
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Question Help - Advice Needed

I am desperately seeking info and was hoping you could help me. My best friend who is 56 and was diagnosed with her2 pos bc in late 2002. She went thru chemo but no herceptin. This past Nov she was told its reoccurred in her lungs and bones. She has taken 2 chemo treatments with herceptin. Four days ago she began having difficulty breathing and the onc told her the chemo was not working and further treatments would not help. He told her family to arrange hospice care. Here are my questions:

Should she get a second opinion?
Are there different type of chemo drugs that could be tried?
What is the best drugs to use for someone in her condition.
Should the onc have done a biopsy on the lung tumors and bone to see of they are her2 pos or can he determine this from a serum her2 test?

Thanks for your help!
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Old 01-06-2007, 03:06 PM   #2
Becky
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Your friend should get a second opinion quickly. There are numerous chemo agents to try (and clinical trials to enroll in). If this was just the first shot at chemo, there are lots more.
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Kind regards

Becky

Found lump via BSE
Diagnosed 8/04 at age 45
1.9cm tumor, ER+PR-, Her2 3+(rt side)
2 micromets to sentinel node
Stage 2A
left 3mm DCIS - low grade ER+PR+Her2 neg
lumpectomies 9/7/04
4DD AC followed by 4 DD taxol
Used Leukine instead of Neulasta
35 rads on right side only
4/05 started Tamoxifen
Started Herceptin 4 months after last Taxol due to
trial results and 2005 ASCO meeting & recommendations
Oophorectomy 8/05
Started Arimidex 9/05
Finished Herceptin (16 months) 9/06
Arimidex Only
Prolia every 6 months for osteopenia

NED 18 years!

Said Christopher Robin to Pooh: "You must remember this: You're braver than you believe and stronger than you seem and smarter than you think"
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Old 01-06-2007, 04:56 PM   #3
mamacze
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Location: Madison, Connecticut
Posts: 638
Dear Mandy,
Becky is absolutely right. Tell your friend to run to another oncologist for a second opinion...preferably at a major medical center. If you tell us where your are located there may be members here who can recommend an oncologist and save her precious time. Also a tumor tissue sample can help them give her the most optimal treatment up front. If I were in her shoes; I would run to Sloan, MD Anderson, Fred Hutch or similar major medical facility and fly if necessary. There are also multiple clinical trials for stage four ladies...Dr. Nora Disis, the head of the tumor vaccine group in Seattle (google tumor vaccine group and they will pop up), just told me about a couple of trials in DC that look promising ...a web site follows.

http://www.cancer.gov/search/ViewCli...archid=2941128
Good luck to you and your friend; please know you can email any of us privately as well; we are here to help...please keep us posted...
Kim from CT
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Old 01-06-2007, 06:02 PM   #4
chrisy
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Echo echo echo what Becky and Kim have said. You didn't say where you are, but quickly get a 2nd opinion preferably at a designated cander center. There are many chemo combinations and also clinical trials available. THe Her2 serum test can help determine if it's Her2 pos, but biopsy would give the best picture.

Do not give up hope. If your friend wants to keep fighting there are still options available to her.
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Chris in Scotts Valley
June 2002 extensive hi grade DCIS (pre-cancer-stage 0, clean sentinal node) Mastectomy/implant - no chemo, rads. "cured?"
9/2004 Diag: Stage IV extensive liver mets (!) ER/PR- Her2+++
10/04-3/05 Weekly Taxol/Carboplatin/Herceptin , complete response!
04/05 - 4/07 Herception every 3 wks, Continue NED
04/07 - recurrence to liver - 2 spots, starting tykerb/avastin trial
06/07 8/07 10/07 Scans show stable, continue on Tykerb/Avastin
01/08 Progression in liver
02/08 Begin (TDM1) trial
08/08 NED! It's Working! Continue on TDM1
02/09 Continue NED
02/10 Continue NED. 5/10 9/10 Scans NED 10/10 Scans NED
12/10 Scans not clear....4/11 Scans suggest progression 6/11 progression confirmed in liver
07/11 - 11/11 Herceptin/Xeloda -not working:(
12/11 Begin MM302 Phase I trial - bust:(
03/12 3rd times the charm? AKT trial

5/12 Scan shows reduction! 7/12 More reduction!!!!
8/12 Whoops...progression...trying for Perjeta/Herceptin (plus some more nasty chemo!)
9/12 Start Perjeta/Herceptin, chemo on hold due to infection/wound in leg, added on cycle 2 &3
11/12 Poops! progression in liver, Stop Perjeta/Taxo/Herc
11/12 Navelbine/Herce[ptin - try for a 3 cycles, no go.
2/13 Gemzar/Carbo/Herceptin - no go.
3/13 TACE procedure
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Old 01-06-2007, 06:21 PM   #5
Mandy
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My friend lives near Nashville Tennessee. If someone can recommend a good doc for a second opinion.
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