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Old 08-21-2006, 11:33 AM   #1
Tom
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Wink Mom's follow-up

Hi guys. I apologize for not keeping up to date with Mom's status. Basically, we went to the onc, and he ordered some bloodwork. Of course, I was a pain in the butt and requested several more tumor markers, and he acquiesced. We ended up getting CEA, HER2 Serum, and CA-27.29. I should have results tomorrow. Can't say I am looking forward to reading them right now.

Anyway, if her numbers have gone up, we are gonna redo the MUGA right away, and get back on Herceptin if the numbers are OK. Oddly, he said to me, "There is a new drug out there." I said, "You mean Tykerb?" He replied yes, but it's not available. I reminded him that Tykerb was the drug that I was telling him and his staff about for the last 9 months. I think he was a little embarrassed. But at least he mentioned it. So, if Mom's numbers are up, I might pursue the Tykerb while we start her back on Herceptin. I don't yet know whether she would qualify for compassionate use. That's another project entirely.

I am excited that it is getting near the end of the year, and that Tykerb might soon be generally available. I'm even more excited to hear that researchers haven't put down their microscopes with the development of Tykerb abd Herceptin when it comes to HER2/neu BC, and keep looking for more and better targetted therapies. I feel optimistic that we are closer to the answer. I'll report back with Mom's numbers soon. Take care all.

Tom

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Old 08-21-2006, 12:20 PM   #2
RhondaH
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Smile Good to hear from you Tom...

and look forward to your getting good news on the tumor markers. Take care and God bless.

Rhonda
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Rhonda

Dx 2/1/05, Stage 1, 0 nodes, Grade 3, ER/PR-, HER2+ (3.16 Fish)
2/7/05, Partial Mastectomy
5/18/05 Finished 6 rounds of dose dense TEC (Taxotere, Epirubicin and Cytoxan)
8/1/05 Finished 33 rads
8/18/05 Started Herceptin, every 3 weeks for a year (last one 8/10/06)

2/1/13...8 year Cancerversary and I am "perfect" (at least where cancer is concerned;)


" And in the end, it's not the years in your life that count. It's the life in your years."- Abraham Lincoln
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Old 08-21-2006, 12:50 PM   #3
StephN
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Wink Name game

Tom -
Glad to read your post with the SMILE face attached.
You may have been referring to the "new drug" as Lapatinib, or the doc may just have forgotten. Anyway - you know the story about the "Squeaking Wheel" very well by now, so I am sure the doc has a connection with your Mom and Tykerb/Lapatinib imbedded into his subconscious with you standing over him with a big stick ...

Will ask for special good news blessing on your Mom's markers and other tests. At least you got the HER2 serum test out of them. This seems to be going a little easier for many of us now. This test takes a little longer to come back as an outside lab does the analysis.
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"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.
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Old 08-21-2006, 01:17 PM   #4
mts
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Tom,

Just a comment- I hope your determination in seeking the best medical treatment for your mom never ends. It is obvious that her onc has learned from both of you. Although some oncs are better informed than others, your mom's case is an excellent example of how doc's and patients need to make decisions together and meet at least halfway in order to find answers.
My best to you and your dear mom.

Warmly,
Maria (MTS)
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Old 08-21-2006, 05:55 PM   #5
RobinP
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Hi Tom,

It is good to see your smiley post.I too am excited that Tykerb will soon be released for so many that need it. I hope the markers turn out fine. Your mom is certainly lucky to have your care and interest.
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2002- dx her2 positive DCIS/bc TX Mast, herceptin chemo
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Old 08-21-2006, 08:16 PM   #6
chrisy
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Tom,

Fingers, toes, eyes all crossed that you will get good news on all your Mom's tests. I wish I had somebody like you to help me give 'em a good push! I was able to get tumor markers done, you've inspired me to maybe take another run a the Her2 serum test...
Prayers too...

Let us know how it goes.
Chris
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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 08-21-2006, 09:05 PM   #7
mamacze
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Hello Tom;
Thank you for taking a minute to keep us posted; we all appreciate hearing an update; especiallly when it is good news.
Love Kim from CT
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Old 08-21-2006, 09:28 PM   #8
Lolly
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Tom, that's good you got some feedback from the onc on the Tykerb issue, even though a little disapointing he didn't that you've only been on about it for the last 9 months! But, as long as it's now on the radar screen, it's good. Thanks for the update.

<3 Lolly
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Old 08-21-2006, 09:55 PM   #9
Jean
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Talking

Tom,

What a nice update to read. You are just wonderful the way you continue to hang in! I will pray that your test come back 100% ....

You are such an inspiration to all and your Mother is one LUCKY MOMMA!

Best Wishes,
Jean
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Old 08-22-2006, 04:48 AM   #10
IRENE FROM TAMPA
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Thumbs up We will all be thinking

GOOD TUMOR MARKERS, GOOD TUMOR MARKERS for your mom

Positive thoughts coming her way and you are, as always, doing a great job as an advocate for your mom, as well as a wonderful son.

Take care
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Irene from Tampa
1996 - INFILT DUCTAL CAR.W/ LYMPH NODE INVOLVEMENT. ADRIA/CYTOXIN/5FU
1999 - RECURR. TO AUXILA AND 2 TUMORS IN LIVER
TREAT: STEM CELL REPLACEMENT/HERCEPTIN.
2002 - RECUR TO LIVER
TREAT: NAVELBINE, THEN GEMZAR, THEN XELODA.
2004 - TUMORS STILL IN LIVER
TREAT: RFA TO LIVER
STABLE UNTIL
2004 - TUMOR PROGRESSION IN LIVER.
TREAT: RESECT HALF OF LIVER.
2005 - RECURR TO LYMPH NODE OUTSIDE OF LIVER.
TREAT: TAXOL/CARPO/HERCEPTIN. FAILED ON
THIS TRIO. STARTED ON ABRAXANE.
2006 - PROGRESS WITH 2ND TUMOR GROWTH.
TREAT: AUG. BEGAN ON TYKERB/XELODA
TRIAL. CONSIDERED STABLE TO DATE.
2007 - TAKEN OFF OF TYKERB/XELODA TRIAL DUE TO
PROGRESS STARTING TYKERB/AVASTIN.
NOV 2007 - SCANS SHOW PROGRESS TUMOR GROWTH
IN ABDOM. AND TWO NEW TUMORS IN NECK AREA.
BEGAN HERCEPTIN/AVASTIN/TAXOTERE
Feb 08 - Ixempra/Xeloda
June 08 - Her/DM1 trial

"I WANT TO BE AN OUTRAGEOUS OLD WOMAN WHO NEVER GETS CALLED AN OLD LADY. I WANT TO GET SHARP EDGED & EARTH COLORED, TILL I FADE AWAY FROM PURE JOY."
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