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06-08-2011, 05:56 AM
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#1
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Senior Member
Join Date: Oct 2010
Posts: 229
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Re: After Herceptin
My story is similar to yours. Asymptomatic until I felt the lump, in sentinel lymphs. I asked the same questions and was told no scans unless warranted. I have finished all treatments except continuing on Tamoxifen. The onc said 2weeks of persistent pain should cause you to get a specific check up, otherwise blood work only every 4 months for now! Yes, I agree it seems scary not to confirm NED. I will wait and pray myself through this like everyone else!
__________________
Diagnosed: Feb 2010 @ 46 yrs old
Invasive Ductual Carcinoma, left
2/28/10 Bilateral Mastectomy (tissue saving for future reconstruction)
3.2 cm 2/18 +lymph nodes
Stage 2b; E+/P+/Her2 +++
Nottingham score grade 2
Ki67 30%
3/2010 A/C 4 DD/2wks
5/2010 Herceptin/Taxotere 4D/3wks
8/2010 Herceptin until May 2011
Tamoxifin 20mg
9/2010 RAD 34 treatments
Pet scan Aug 2010 clear
Port removed July 2011
Bone scan, chest MRI 12/11 clear
Vaccine trial began Oct 2011
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06-08-2011, 02:08 PM
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#2
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Senior Member
Join Date: Feb 2010
Location: TN
Posts: 175
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Re: After Herceptin
Helen--It sounds like your oncologist and mine are singing from the same song book. Even though mine has done tumor markers and other blood work on me twice since I finished Herceptin last summer, he told me that my body will tell me if I metastasize or otherwise recur. Any lumps that I notice or persistent pain I experience will be the clues, according to the good doctor. My doctor also told me that the statistical evidence points to no correlation between the time a recurrence is first detected and overall survival.
So I guess we watch and pray as the days roll by. Each one is a precious gift and we can look forward to the time in the future others on this boards have said will come when our anxiety diminishes. --bird
__________________
Male Breast Cancer, DX 5/15/09, IDC, STAGE 1, 1.7 cm, HER2+++, ER+(95%)/PR+(75%), Ki67 40%, grade 3, 0/5 nodes, TX: mastectomy, TCH finished 7/19/10, radiation 6 wks., Tamoxifen on going, bisphosphonate 24 mos.
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06-12-2011, 07:00 PM
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#3
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Junior Member
Join Date: Jun 2011
Posts: 3
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Re: After Herceptin
It is so shocking but at least I am not alone. Thanks for posting. Stay strong...
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05-01-2012, 08:01 PM
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#4
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Senior Member
Join Date: Apr 2012
Location: Ontario, Canada
Posts: 62
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Same Story Here in Canada
My oncologist says the same thing, that the research shows no benefit for regular testing for mets and that survival is not improved by starting treatment before symptoms occur. She says if I am feeling good, why would I want to start chemo sooner, if there is no proven benefit to starting earlier. She says also that psychologically, we need to get away from constant reminders of illness, and that we should concentrate on each new day and the joy of life, not the prospect of "the end". I admit to having a hard time doing this, but I am trying....
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Dx Nov 2010 at age 65 - 3.5 cm invasive ductal, 8 of 15 nodes. ER-,PR-, HER+++. Lumpectomy, chemo, 6 weeks rads, 52 weeks herceptin finished April 2012.
CAT,PET, bone scan, ultrasound and mammogram in Spring 2012 - NED.
Cherishing every day, but realistically "watching my back" (or should I say "front"?
Eating foods thought to fight cancer, exercising every other day,using my garden as my mecca of peace, and loving my supportive husband more than ever.
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06-08-2011, 02:14 PM
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#5
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Senior Member
Join Date: Feb 2010
Location: TN
Posts: 175
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Re: After Herceptin
Helen--It sounds like your oncologist and mine are singing from the same song book. Even though mine has done tumor markers and other blood work on me twice since I finished Herceptin last summer, he told me that my body will tell me if I metastasize or otherwise recur. Any lumps that I notice or persistent pain I experience will be the clues, according to the good doctor. My doctor also told me that the statistical evidence points to no correlation between the time a recurrence is first detected and overall survival.
(I will note that my surgeon at my one year anniversary did order a PET for me since he wanted to compare it to the one done at my diagnosis. It showed no changes but did confirm I still had a serious thyroid problem that eventually led to another surgery.)
So I guess we watch and pray as the days roll by. Each one is a precious gift and we can look forward to the time in the future others on this board have said will come when our anxiety diminishes. --bird
__________________
Male Breast Cancer, DX 5/15/09, IDC, STAGE 1, 1.7 cm, HER2+++, ER+(95%)/PR+(75%), Ki67 40%, grade 3, 0/5 nodes, TX: mastectomy, TCH finished 7/19/10, radiation 6 wks., Tamoxifen on going, bisphosphonate 24 mos.
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06-08-2011, 08:40 PM
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#6
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Senior Member
Join Date: Jan 2008
Location: "Love never fails."
Posts: 5,808
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Re: After Herceptin
Hi Helen,
Congratulations on completing your Herceptin treatment today! Perhaps both oncologists (Rarebird's and yours) are familiar with the study cited below:
Curr Oncol Rep. 2008 Jan;10(1):38-46.
Breast cancer follow-up in the adjuvant setting.
Khatcheressian J, Swainey C.
Source
Division of Hematology/Oncology and Palliative Care, Massey Cancer Center of Virginia Commonwealth University, PO Box 980230, 1101 East Marshall Street, Richmond, VA 23298, USA. jkhatche@vcu.edu
Abstract
Breast cancer may recur through 15 years and beyond after diagnosis; thus, breast cancer patients require long-term follow-up after adjuvant treatment to detect recurrent disease.
History taking, physical examination, and regular mammography are still the foundation of appropriate breast cancer follow-up in the adjuvant setting. Clearly, breast MRI has a role in certain high-risk patients, but in moderate-risk patients, the decision to use MRI must be based on the complexity of the clinical scenario.
Other routine imaging studies (CT, positron emission tomography, and bone scans) and laboratory testing--including tumor marker assessments--in asymptomatic patients have not demonstrated an improvement in survival, quality of life, toxicity, or cost-effectiveness.
Survivorship issues are also an inherent part of breast cancer follow-up; physicians should make every effort to address supportive care issues unique to breast cancer survivors including hot flashes, bone health, neuropathy, and risk-reduction strategies.
__________________
Jackie07
http://www.kevinmd.com/blog/2011/06/doctors-letter-patient-newly-diagnosed-cancer.html
http://www.asco.org/ASCOv2/MultiMedi...=114&trackID=2
NICU 4.4 LB
Erythema Nodosum 85
Life-long Central Neurocytoma 4x5x6.5 cm 23 hrs 62090 semi-coma 10 d PT OT ST 30 d
3 Infertility tmts 99 > 3 u. fibroids > Pills
CN 3 GKRS 52301
IDC 1.2 cm Her2 +++ ER 5% R. Lmptmy SLNB+1 71703 6 FEC 33 R Tamoxifen
Recc IIB 2.5 cm Bi-L Mast 61407 2/9 nds PET
6 TCH Cellulitis - Lymphedema - compression sleeve & glove
H w x 4 MUGA 51 D, J 49 M
Diastasis recti
Tamoxifen B. scan
Irrtbl bowel 1'09
Colonoscopy 313
BRCA1 V1247I
hptc hemangioma
Vertigo
GI - > yogurt
hysterectomy/oophorectomy 011410
Exemestane 25 mg tab 102912 ~ 101016 stopped due to r. hip/l.thigh pain after long walk
DEXA 1/13
1-2016 lesions in liver largest 9mm & 1.3 cm onco. says not cancer.
3-11 Appendectomy - visually O.K., a lot of puss. Final path result - not cancer.
Start Vitamin D3 and Calcium supplement (600mg x2)
10-10 Stopped Exemestane due to r. hip/l.thigh pain OKed by Onco 11-08-2016
7-23-2018 9 mm groundglass nodule within the right lower lobe with indolent behavior. Due to possible adenocarcinoma, Recommend annual surveilence.
7-10-2019 CT to check lung nodule.
1-10-2020 8mm stable nodule on R Lung, two 6mm new ones on L Lung, a possible lymph node involvement in inter fissule.
"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." Irene from Tampa
Advocacy is a passion .. not a pastime - Joe
Last edited by Jackie07; 06-08-2011 at 08:48 PM..
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06-12-2011, 06:57 PM
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#7
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Junior Member
Join Date: Jun 2011
Posts: 3
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Re: After Herceptin
The one thing my doctor did say was that now having three or less lymph node involvement has the same prognosis as having no lymph node involvement. This however does not make me feel secure. As I had felt one lump, and I actually had three tumors.
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