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Old 08-29-2006, 09:04 PM   #1
Lolly
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Wink New Treatment Plan

My onc surprised me at my last visit 2 weeks ago by asking/confirming that I'd ever had radiation to the right axilla area, which we've been treating systemically with chemo/Herceptin for over a year now, with moderate success as the darn things keep "flaring" up. Since I've only had radiation to the left axilla, site of the primary bc, he thinks we should see if we can't clear the right nodes up with a course of rads. "Thinking outside the box" is how he phrased it, and I must say I'm excited after meeting with my rads onc last week. He's confident we can get this problem area cleaned up which will translate into a chemo break for me, hopefully a LOOOOONG one!

Had simulation yesterday, and will start a 5 week course in a couple of weeks. One small hitch, my port is on the right side, and if they don't think they can work around it I'll have to have one placed elsewhere, probably in my right arm. I'll ask my nurses this week about a pediatric port as I know they're smaller.

Will keep you posted.

<3 Lolly

Last edited by Lolly; 08-30-2006 at 11:29 AM..
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Old 08-29-2006, 09:17 PM   #2
sherri
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Dear Lolly,

I think this is a great idea, with Herceptin and rad you can become NED. I send all positive thoughts your way and wish for the best for you.

Love and hug,
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Old 08-30-2006, 12:23 AM   #3
tricia keegan
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Hi Lolly

I had radiation to this area too on my right side which was also the side of my port but it caused no problems at all and the rad onc was quite happy to give me the treatment with the port there.Good luck with the treatments and I hope it works for you.
Tricia
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Old 08-30-2006, 05:24 AM   #4
Cathya
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Lolly;

How very exciting. Please do keep us informed of the results. I thought that you had mets to the clavicular area not the nodes on your other side in the armpit (sorry to sound simple but it's the only way I can be sure I'm correct as I keep mixing up "axilla" ....lol).

Best regards,

Cathy
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Diagnosed Oct. 2004 3 cm ductal, lumpectomy Nov. 2004
Diagnosed Jan. 2005 tumor in supraclavicular node
Stage 3c, Grade 3, ER/PR+, Her2++
4 AC, 4 Taxol, Radiation, Arimidex, Actonel
Herceptin for 9 months until Muga dropped and heart enlarged
Restarting herceptin weekly after 4 months off
Stopped herceptin after four weekly treatments....score dropped to 41
Finished 6 years Arimidex
May 2015 diagnosed with ovarian cancer
Stage 1C
started 6 treatments of carboplatin/taxol
Genetic testing show BRCA1 VUS
Nice! My hair came back really curly. Hope it lasts lol. Well it didn't but I liked it so I'm now a perm lady
29 March 2018 Lung biopsy following chest CT showing tumours in pleura of left lung, waiting for results to the question bc or ovarian
April 20, 2018 BC mets confirmed, ER/PR+ now Her2-
Questions about the possibility of ovarian spread and mets to bones so will be tested and monitored for these.
To begin new drug Palbociclib (Ibrance) along with Letrozole May, 2018.
Genetic testing of ovarian tumour and this new lung met will take months.
To see geneticist to be retested for BRCA this week....still BRCA VUS
CA125 has declined from 359 to 12 as of Aug.23/18


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Old 08-30-2006, 06:54 AM   #5
Sandy H
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Lolly, does this mean you will have to be careful about lymphedema in both arms? Hope this works for you. If they suggested radiation for me I would be paranoid!! For some reason I am scared to death with radiation. I had 5 treatments and they stopped them because it made my skin mets take off like wild fire. I was so happy as I never wanted to go in that radiation room. I kept thinking of it as lightening striking me with those beams coming at me. Wishing you well, and keep us updated. hugs, Sandy
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Old 08-30-2006, 07:00 AM   #6
tousled1
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Lolly,

Here's hoping that the radiation will take care of your node problem.
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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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Old 08-30-2006, 08:30 AM   #7
heblaj01
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Lolly,
I don't know if the following could apply to your case as the circumstances are different.
Based on mice experimental results showing lymph nodes successfully treated with omega-3 fish oil an elderly lady in in my family took 6 to 8g a day of fish oil pills(a daily total of 2400-3200mg EPA, 1600-1600mg DHA) for about 6 to 8 weeks while in an off period from anti estrogen treatment.
The three axillary nodes in one armpit (whose largest was 1.5 to 2cm) were reduced to less than 0,5cm as measured by ultrasound imaging. A PET/CT scan several months later did not detect any malignancy.
Since there was no PET/CT scan done before taking the oil pills there is still the possibility that the nodes were never malignant, just swollen. However her onc originally considered them metastatic based on palpation checks.
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Old 08-30-2006, 08:35 AM   #8
lexigirl
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Lolly,

I am excited for you! This may just be what will get rid of those mets for good.

Hugs,
Lexi
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Old 08-30-2006, 08:59 AM   #9
Sheila
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Lolly
Keep me posted as you know I am following in your footsteps with these @#$% nodes! I have often wondered about radiation to the area....hoe it is successful!
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Hugs & Blessings
Sheila
Diagnosed at age 49.99999 2/21/2002 via Mammography (Calcifications)
Core Biopsy 2/22/02
L. Mastectomy 2/25/2002
Stage 1, 0.7cm IDC, Node Neg from 19 nodes Her2+++ ER PR Neg
6/2003 Reconstruction W/ Tissue Expander, Silicone Implant
9/2003 Stage IV with Mets to Supraclavicular nodes
9/2003 Began Herceptin every 3 weeks
3/2006 Xeloda 2500mg/Herceptin for recurrence to neck nodes
3/2007 Added back the Xeloda with Herceptin for continued mets to nodes
5/2007 Taken Off Xeloda, no longer working
6/14/07 Taxol/Herceptin/Avastin
3/26 - 5/28/08 Taxol Holiday Whopeeeeeeeee
5/29 2008 Back on Taxol w Herceptin q 2 weeks
4/2009 Progression on Taxol & Paralyzed L Vocal Cord from Nodes Pressing on Nerve
5/2009 Begin Rx with Navelbine/Herceptin
11/09 Progression on Navelbine
Fought for and started Tykerb/Herceptin...nodes are melting!!!!!
2/2010 Back to Avastin/Herceptin
5/2010 Switched to Metronomic Chemo with Herceptin...Cytoxan and Methotrexate
Pericardial Window Surgery to Drain Pericardial Effusion
7/2010 Back to walking a mile a day...YEAH!!!!
9/2010 Nodes are back with a vengence in neck
Qualified for TDM-1 EAP
10/6/10 Begin my miracle drug, TDM-1
Mixed response, shrinking internal nodes, progression skin mets after 3 treatments
12/6/10 Started Halaven (Eribulen) /Herceptin excellent results in 2 treatments
2/2011 I CELEBRATE my 9 YEAR MARK!!!!!!!!!!!!!
7/5/11 begin Gemzar /Herceptin for node progression
2/8/2012 Gemzar stopped, Continue Herceptin
2/20/2012 Begin Tomo Radiation to Neck Nodes
2/21/2012 I CELEBRATE 10 YEARS
5/12/2012 BeganTaxotere/ Herceptin is my next miracle for new node progression
6/28/12 Stopped Taxotere due to pregression, Started Perjeta/Herceptin
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Old 08-30-2006, 10:28 AM   #10
Joy
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excited for you

I'm so excited you have a new plan. It is time to just nail those cells. let us know!

Sending you thoughts of success,
Joy
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joy

dx stage I 2/2000*er/pr+; her- per IHC*lumpectomy*4 rounds A/C*30 rads*tamoxifen*dx stage 4 5/2002*huge mets to liver*tiny mets to lungs*stopped tamoxifen*5/02 taxotere/xeloda*her 2 checked with FiSH-her2+++herceptin *2/03 stopped chemo femara w/herceptin*zolodex*04 switched to aromasin w/herceptin*05 high estrogen tx*11/05taxol/carbo*7/06 stopped chemo; megace/herceptin*9/06navelbine/herceptin*5/07tykerb/xeloda great response*4/08 progression in liver; ooph/ faslodex /herceptin
6/08 began Herceptin DM-1
9/08 progression
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Old 08-30-2006, 11:16 AM   #11
StephN
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Thumbs up Don't forget LYN

Dear Lolly -
So glad someone is trying to be thoughtful and creative as you have been muddling around with those same nodes for SO long!

I could not help but think of Lyn and her node radiation. Hers was to the side of her neck if I recall, but she had some difficulty afterwards in that area.

As Sandy points out, radiation can be tricky, but the main thing there is that we have confidence in our team and their ability to get the dose and beam angles right. I was lucky and did not burn, which puzzled some people as I am fair skinned. If your skin is healthy and you use a lot of good moisturizing and aloe vera, all should be well.
You might want to drink detox-type teas during the radiation. I did and perhaps this helped.
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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 08-30-2006, 11:43 AM   #12
Lolly
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Thanks for the positive thoughts gals, I appreciate the advice. I'm in a rush to get to Herceptin treatment this morning, so will have to answer your questions this eve.

<3 Lolly
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Old 08-30-2006, 12:43 PM   #13
Esther
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Sandy, if you have access to a sauna or jacuzzi, it helps to use it during that time as well. Make sure you ask for meds for nausea, just in case you experience any, it's good to catch it right away.
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