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Old 02-05-2011, 06:59 AM   #21
Joan S.
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Re: herceptin + tykerb (no xeloda)

I have been on Tykerb since December 2010. No xeloda. I have also been on herceptin since July 2007. So far so good with Tykerb. I take 5 pills a day. It has reduced the tumor on my chest wall significantly. I go to the bathroom more frequently now but it sure beats the opposite conddition. I can always take immodium but haven't had the need to do that SO FAR. I have however, noticed that my mouth can get very dry. I don't know if this is related but I think I have yet another UTI. Has anyone else had a recurrent problem with uti's and found a solution besides antibiotics to control them?
Be well!
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Old 02-22-2011, 10:58 AM   #22
msleslie
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Re: herceptin + tykerb (no xeloda)

I've been on herceptin & tykerb since Aug. 2010. While on chemo (TCH), I had severe diarrhea & stomach cramps which resulted in my doctor suspending the tykerb until chemo was complete. I resumed tykerb 1000mg daily in January and have been doing well. This time around I do not have the diarrhea or stomach aches that occurred while on chemo. I'm scheduled to be on these drugs through end of July 2011.
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6/14/2010 - Self discovered Lump; Age 39
6/24/2010 - Biopsy results confirm breast cancer
Right breast, invasive ductal adenocarcinoma
HER2neu positive, BRAC I & II negative
7/8/2010 - Lumpectomy right breast, sentinel lymph node biopsy, & port-a-cath installed on left
Stage II, Size 3.2cm, Clear Nodes, Clear Margins
8/19/2010 - Chemo begins - Taxotere, Carboplatin, Herceptin & Tykerb all simulanteously; ALTTO trial arm 4
9/9/2010 - Chemo dose #2
9/30/2010 - Chemo dose#3
10/21/2010 - Chemo dose#4
11/11/2010 - Chemo dose#5
12/02/1010 - Chemo dose #6 - WooHoo, it is complete!
12/14/2010 - Simulation & Planning session for radiation
02/18/2011 - Completed radiation treatment (33 rounds)
08/04/2011 - Completed Herceptin & Tykerb
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Old 05-25-2011, 05:55 PM   #23
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Re: herceptin + tykerb (no xeloda)

Wow there's alot to know about taking Tykerb! I just started it a week ago and have had many trips to the bathroom! I go tomorrow for my Herceptin and it seems to be worse when I take them together.I have been on and off Herceptin four years now and occasionally have had bathroom issues with it.
My question is does anyone have a burning sensation in your nose? Also, a bunch of zits appeared overnight along my nose, is it a rash or a zit? They are actually sore too.I never have had acne other thatn the occasional zit, there a probably 5!And they are knid of white.
Thanks for all your posts,It's good to hear I'm not the only one!
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Old 05-28-2011, 10:46 PM   #24
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Re: herceptin + tykerb (no xeloda)

There is a soap that might help you with the rash, Cephalon, I found it at the local grocery store, the chemo nurses recommended it. It helped me.

I started Herceptin while still doing chemo in 2008, Tykerb was added a year later. Minimal problems, diahrea on rare occasions and the lovely rash. Started with 1000 mg. once a day, split the dosage into twice a day, 500 mg. each, to help with the rash.

Recently had to stay with family out of town for 4 months, going back and forth between 2 houses. Did not have the cephalon soap and ended up with the rash coming back strong. Back home now and using the soap again and rash is improving again.

Martha
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Old 05-30-2011, 03:05 AM   #25
Trish
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Re: herceptin + tykerb (no xeloda)

I am on Tykerb (and Herceptin and Abraxane) and and I get a sore nose with dry, broken skin. It has developed into an infection on at least 3 occasions and I have needed antibiotics for it. I also have a break for a few dys from the Tykerb which seems to work.
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5/2004 (R) 30mm bre gr3 infiltrating ductal ca 16/18nodes er (2+) pr (3+) HER2 (3+)
6/2004
6 cycles(FEC), Oct 40 rads, Tamoxifen
5/2006
oopherectomy, Arimedex
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liver mets largest 9cm
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Herceptin,
3/2007
Taxol + Herc
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Herc alone
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Multiple bone mets,Zometa
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Herc + Gemcitabine
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Tyk+Herc+Femara
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Liver and bone mets prog.Abraxane continue Herceptin,Tykerb,Femara and Zometa
8/2011
Probable liver progression and increased neuropathy. Xeloda with Tyk+Herc. Zometa 6 weekly.
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Liver progression,TM +++. Cyclophosphamide and Methotrexate metro Herc Zometa
10/2011 liver mets prog.Herc, 3 Tykerb +2mg decodron daily,Zometa
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Old 07-07-2011, 10:35 PM   #26
mz.quail
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Re: herceptin + tykerb (no xeloda)

I just joined today. Was looking for something else, but can give you my experience with Tykerb. Started chemo with Docetaxel and Carboplatin in combinations with Trastuzumab and Lapatinib (Tykerb) last Aug of 2009. I was taking 4 pills a day and at around the end of the first week, I was very sick to stomach/diarrhea. I was asked to take 3. Didn't have any more nausea, but continued to have diarrhea to the point of getting a really sore butt, found that using the donut hole cushion I had really helped. I got through it..one whole years worth of horse pills. In time like everything else your body makes adjustments. It was something that I could quit at any time, but if it will help me and anyone else with this problem... I'm glad I did it.
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Old 07-15-2011, 07:56 AM   #27
schoolteacher
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Re: herceptin + tykerb (no xeloda)

mz.quail,

Welcome to our group. I am currently only taking Tykerb. I would really like to take Herceptin with it.

Amelia
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Old 08-07-2011, 05:30 AM   #28
Raquel
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Smile Re: herceptin + tykerb (no xeloda)

I've made it three months now on the Tykerb/Herceptin and I'm doing great! I had a hard time getting used to it but now the stomach issues have subsided for the most part.I started taking a probiotic and that really seemed to help me.I have learned alot from reading other womans posts and hope this can help somone else too!Let's pray the lung met is shrinking and I can continue on this regimin after my scan mext month!I use a tea tree oil cleanser for my beakouts now and that seems to work great too!
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Old 10-20-2011, 09:12 AM   #29
qpdawlsmom
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Re: herceptin + tykerb (no xeloda)

I know this may be unimportant, but have to ask. Will hair grow back while on the herceptin/tykerb combo? If there is already an answer out there, sorry for duplicating. Thank you for any input you have.
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April 2010 - found lump
4/20/10 - breast biopsy- dx 4/21/10
IDC HER2+ Stage IIa, grade 3
SLN biopsy + lumpectomy 5/4/10
2X Lymph Nodes pos + for microscopic metastasis
ct/pet scan 5/27/10 - 1 lymph node "hot"
TCH 6 cycles - completed 5 cycles, x 3 wks, T&C complete-10/8/10
Radiation, daily x 6.5 wks-complete 12/22/2010
Herceptin completed on 5/22/11
PET/CT 6/15/11 2 nodes + her2
axillary LN dissection 7/18/11 3 removed, 2 were + for IDC
IDC stage 2a grade 3 HER2, ER/PR-
4 rounds Adriamycin/Cytoxin every 2 weeks, complete Oct 2011, 750 mg tykerb daily + herceptin dose every 3 weeks, last PET scan NED
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Old 10-20-2011, 06:11 PM   #30
KDR
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Re: herceptin + tykerb (no xeloda)

I am on Xel/Tyk/Herc. I have very thick hair now. No hair loss, even with the chemo.
Karen
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Old 04-15-2012, 02:51 PM   #31
Basilic
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Re: herceptin + tykerb (no xeloda)

I am on Tykerb/Herceptin combo for neoadjuvent therapy. I'm currently taking 1000 mg of Tykerb and getting Herceptin every 3 weeks. I just completed 12 weeks and have 12 more to go before surgery. I've had occasional diarrhea, but nothing debilitating. I did have some other symptoms, such as fatigue, weight gain, and breaking hair, but recently learned that my thyroid meds were being supressed by the Tykerb. Since ajusting the levoxyl, I noticed that my fatigue is not as sever and for a change, I even lost 2 lbs on my last weigh in. All in all, my symptoms have been minimal.
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Old 06-12-2012, 08:10 PM   #32
Mtngrl
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Re: herceptin + tykerb (no xeloda)

I'm glad I found this thread. I just did day 2 of Tykerb/Herceptin (no Xeloda). So far it doesn't seem too bad. But I want to take the Tykerb (1,000 mg) at night so that if there's diarrhea I can just deal with it in the morning. The nurse said not to switch too abruptly--like only advance the time by about 90 minutes a day. The first dose was in the clinic at 10 am, so it will take awhile at that rate to move to 10 at night, but I think I'll like that better.
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Amy
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4/19/11 Diagnosed invasive ductal carcinoma; 2.3 cm tumor, 1 axillary lymph node
HER-2+, weakly ER+ (10%)
4/29 CT scan shows suspicious lesions on liver and lungs
5/17 liver biopsy
5/24 liver MET confirmed--
Stage IV at diagnosis
5/27/11 Begin weekly Taxol & Herceptin
7/18/11 Switch to Abraxane & Herceptin due to Taxol allergy
8/29/11 CT scan shows no new lesions & old lesions shrinking
9/27/11 Begin taking Arimidex
10/17/11--Brain MRI--No Brain mets
12/5/11 PET scan--Almost NED
5/15/12 PET scan shows progression-breast/chest/spine
5/22/12 Stopped taking Arimidex
6/5/12 CT scan
shows everything stable
6/11/12 Started Tykerb and Herceptin
8/1/12 CT scan--stable. "Osteolytic" lesion seen 5/15 now "sclerotic'" i.e., healed.
8/13 Bone density scan clearly shows sclerotic areas on L-3 and L-4, but no holes.
9/24 CT scan--No new mets. Everything stable. The way I read it I'm now NED.
11/19-Stable CT scan
12/13/12 CT Scan--NED
3/11/13 CT Scan--no new confirmed mets but odd looking area in left lung getting larger.
4/2/13--Biopsy of suspicious area in lower left lung. Mets to lung confirmed.
4/30/13 Began Kadcyla/TDM-1
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Old 06-12-2012, 08:24 PM   #33
Mandamoo
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Re: herceptin + tykerb (no xeloda)

Amy - I switched my Tykerb to night one day after taking in in the morning without any trouble. I took it in the morning then the following morning didn't take it then took it before bed that night. I am taking 4 tablets (100mg) now and don't get any diarrhoea but I have a looser motion first thing in the morning (I am also on Xeloda 7 tabs).
I hope this is a great treatment for you.
Amanda x
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40 year old Mum to three gorgeous kids - son 5 and daughters 8 and 11
Wife to my wonderfully supportive husband of 17 years!
22 February 2011 - Diagnosed Early Breast Cancer IDBC Stage2b (ER/PR -ve, Her2+ve +++) - 38 years old
(L) skin sparing mastectomy with tissue expander, axilla clearance (2/14 affected) clear margins.
Fec*3, Taxotere and herceptin*2 - stopped due to secondary diagnosis

June 24 2011 Stage IV - Skin met, axilla node, multiple lung lesions

Bolero3 trial - Navelbine, Hereptin weekly, daily Everolimus/Placebo
February 2012 - July 2012 Tykerb and Xeloda - skin mets resolved, Lungs initially dramatically reduced but growing again
August 2012 (turn 40!) tykerb and herceptin (denied compassionate use of TDM1) while holidaying in Italy!
September 2012 - January 2013 TDM1 as part of the Th3resa trial - lymph nodes resolved, lungs slowly progressing.
January 2013 - herceptin, carboplatin and Perjeta (compassionate access) let's see some shrinkage!
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Old 06-12-2012, 08:30 PM   #34
Mtngrl
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Re: herceptin + tykerb (no xeloda)

Thanks, Amanda.

Since it's part of a study and I have to log the date, time, and # of pills I think I'll be obedient (though that's never my first inclination. I constantly question authority.) I just have to watch for that "one hour before eating and/or two hours after" rule. I'm not usually vigilant about mealtimes.
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Amy
_____________________________
4/19/11 Diagnosed invasive ductal carcinoma; 2.3 cm tumor, 1 axillary lymph node
HER-2+, weakly ER+ (10%)
4/29 CT scan shows suspicious lesions on liver and lungs
5/17 liver biopsy
5/24 liver MET confirmed--
Stage IV at diagnosis
5/27/11 Begin weekly Taxol & Herceptin
7/18/11 Switch to Abraxane & Herceptin due to Taxol allergy
8/29/11 CT scan shows no new lesions & old lesions shrinking
9/27/11 Begin taking Arimidex
10/17/11--Brain MRI--No Brain mets
12/5/11 PET scan--Almost NED
5/15/12 PET scan shows progression-breast/chest/spine
5/22/12 Stopped taking Arimidex
6/5/12 CT scan
shows everything stable
6/11/12 Started Tykerb and Herceptin
8/1/12 CT scan--stable. "Osteolytic" lesion seen 5/15 now "sclerotic'" i.e., healed.
8/13 Bone density scan clearly shows sclerotic areas on L-3 and L-4, but no holes.
9/24 CT scan--No new mets. Everything stable. The way I read it I'm now NED.
11/19-Stable CT scan
12/13/12 CT Scan--NED
3/11/13 CT Scan--no new confirmed mets but odd looking area in left lung getting larger.
4/2/13--Biopsy of suspicious area in lower left lung. Mets to lung confirmed.
4/30/13 Began Kadcyla/TDM-1
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Old 06-15-2012, 03:11 PM   #35
Carrielynn
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Re: herceptin + tykerb (no xeloda)

Hi. Well I will tell you that I do have permanent heart damage due to, especially, herceptin. Not so bad but a big change in the the muscle itself. So no more Herceptin for this girl. MUGA scans are done every 3 months, did you have that?
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Old 06-17-2012, 08:53 AM   #36
Basilic
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Re: herceptin + tykerb (no xeloda)

I have been on a drug trial for neoadjuvant therapy. I get Herceptin infusion every 3 weeks and take 4 tablets of Tykerb in the morning on an empty stomach. I've had very little problems with it. I started off with a tumor that measured >7cm by mammogram and ultrasound (>9 by MRI) and IBC. By the end of the first three weeks of treatment, my tumor had shrunk to half. When I had my 12 week mammogram/ultrasound, my tumor was 0.8 cm and too small for them to biopsy for the study. I'm now nearing the 24 wk trial and will be having surgery on July 3rd. I'll then find out if anything remains. I don't know how other patients are doing on this particular study, but so far my results have made my oncologist very happy (and me, of course).
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Old 06-17-2012, 02:00 PM   #37
Mtngrl
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Re: herceptin + tykerb (no xeloda)

Basilic,

There's at least one other member of this forum on that same study.

I just started it Monday. I don't like taking it in the morning. They told me to change gradually to night, and I have been doing that. I think I'll like it better at bed time.

I learned it makes me dizzy and gives me a belly ache if I take Tykerb on a very empty stomach. It's better if I eat a little about 2 hours before.

I'd be very happy if it got me to NED, or even if it just kept me stable. That's my hope.
__________________
Amy
_____________________________
4/19/11 Diagnosed invasive ductal carcinoma; 2.3 cm tumor, 1 axillary lymph node
HER-2+, weakly ER+ (10%)
4/29 CT scan shows suspicious lesions on liver and lungs
5/17 liver biopsy
5/24 liver MET confirmed--
Stage IV at diagnosis
5/27/11 Begin weekly Taxol & Herceptin
7/18/11 Switch to Abraxane & Herceptin due to Taxol allergy
8/29/11 CT scan shows no new lesions & old lesions shrinking
9/27/11 Begin taking Arimidex
10/17/11--Brain MRI--No Brain mets
12/5/11 PET scan--Almost NED
5/15/12 PET scan shows progression-breast/chest/spine
5/22/12 Stopped taking Arimidex
6/5/12 CT scan
shows everything stable
6/11/12 Started Tykerb and Herceptin
8/1/12 CT scan--stable. "Osteolytic" lesion seen 5/15 now "sclerotic'" i.e., healed.
8/13 Bone density scan clearly shows sclerotic areas on L-3 and L-4, but no holes.
9/24 CT scan--No new mets. Everything stable. The way I read it I'm now NED.
11/19-Stable CT scan
12/13/12 CT Scan--NED
3/11/13 CT Scan--no new confirmed mets but odd looking area in left lung getting larger.
4/2/13--Biopsy of suspicious area in lower left lung. Mets to lung confirmed.
4/30/13 Began Kadcyla/TDM-1
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Old 06-17-2012, 02:40 PM   #38
Basilic
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Re: herceptin + tykerb (no xeloda)

The biggest issue I had with Tykerb was when I realized it was partially blocking the levoxyl I was taking at the same time. I tried moving the levoxyl to bedtime, but found that I wasn't disciplined enough to remember no to eat after a certain time, so my endocrinologist raised my levoxyl a bit to compensate. As far as GI issues go, I probably had looser stools in the beginning but now it rarely happens. As a result, I have lots of Imodium left over from that big bottle I thought I would need.
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Old 06-17-2012, 03:39 PM   #39
Kmswilson
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Re: herceptin + tykerb (no xeloda)

Anyone with blurry vision issues and/or severe weakness in legs on Tykerb and Herceptin? I was on Herceptin for about a year, went to Tykerb and Xeloda about four months ago, now on Tykerb and Herceptin and no Xeloda for about the last month. I'm having a spine MRI Tuesday to see if it's the cancer in my spine or compression fracture I already have placing stress on my spinal chord. I wondered if anyone else might have experienced the weakness or blurry vision issues?
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12/27/10 - IDC, rt breast (approx. 15 cm), lymph nodes, age 36. 1/7/11 - stage 4 IDC, extensive liver mets, Bone mets (spine, sacrum, rib, sternum, upper arm), ER-/PR-, HER2+++; 1/12/11 - port, 1/17/11- startweekly Taxol/Herceptin, monthly Zometa
3/8/11- decrease in all tumors, bones healing. 3/11- 3 wks on/1 off Taxol/Herceptin, +Zometa
6/6/11 - decrease in all tumors, healing bones, 2-4 new liver lesions. 3 wks on/1 wk off Taxol/Carbo/Herceptin, +Zometa
7/29/11 - liver progression, others stable; 8/11-drop taxol/carbo, start Navelbine
12/11 - liver progression; begin AC, drop Herceptin;
1/12 - liver enzymes normal, 2/6 results show regression in liver, stable others, but 9 tiny brain mets (largest 7 mm). Begin 13 WBRs 2/6; 2/29-start Tykerb, 3/7, start Xeloda
5/2012- liver progression and regression, liver biopsy confirms HER2+++. drop Xeloda, start Herceptin, Tykerb, Zometa.
5/2012- brain MRI shows all lesions gone except 1, 2mm shrinking!
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Old 06-24-2012, 08:44 AM   #40
Sandra in GA
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Re: herceptin + tykerb (no xeloda)

Krissi,
I did have blurry vision and that ended up being cateracts that had formed as a result of all the steroids given during my chemo. When I mentioned having problems with my vision, my onc. referred me to an opthomologist. They would not do the surgery until I completed the Tykerb because they don't know how it affects the healing process. They said they would have gone ahead if I had only been on Herceptin. Now I see better than ever.

I also had leg weakness that I attributed to low potassium. I had to take supplements during the time I took the tykerb because of the diarrhea. You may ask you dr to check that level. It could be simple to manage.

Good luck. I hope you are feeling better soon.
Sandra
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Diagnosed: 7/25/08 ~ age 63, no family history
Surgery: 8/14/08 Bilateral mastectomy; tumor left breast, node dissection; right prophylactic with expanders: 1/12/10 latisimuss dorsi flap on left side: 9/22/10 implants in
Pathology Report: ER/PR-; HER2+ (3+); Grade 3, StageIII; 3cm tumor plus 21/21 lymph nodes positive; 5cm DCIS
Chemo: A/C; Taxol/Herceptin/Tykerb; phase II study at Mayo adding Tykerb for early stage
Radiation: 25 rads
Vaccine: Walter Reed GP2/AE37 vaccine study ~ last booster 9/17/2012
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