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Old 11-15-2007, 04:42 PM   #1
Debra
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I'm Starting to Crumble

Hi All -

They called today to schedule an appt. for me to come in for my genetic test results. They told me they always schedule appts. for the results so that was not suprising. However, THEY TOLD ME TO BRING SOMEONE WITH ME. Is that normal. I am really freaking out over this. I don't share my feelings a whole lot with anyone as I don't want family to worry but today, I feel like I am losing it and this is unlike me. Not only the genetic testing but today is two years since diagnosis, now my genetic results coming up and of course today, I don't feel well so I feel like this nightmare is starting all over again and I don't know why----I have no other reason to think that it's back. I have been so strong but today, I feel like I am starting to lose it and this is surprising me.
I don't even know why I am posting this but I feel like you all are the only ones who ever understand these awful, overwhelming feelings of fear so I guess I am just leaning on you all tonight as if you were here with me!

I apologize if this sounds so minor as I have done pretty well throughout this whole ordeal and I know many of you are battling more serious health issues due to this beast. I guess I am just surprising myself today because I feel so weak and defenseless----that is the only way I can explain it. Shouldn't I be happy I am two years out? Why am I all of a sudden worried about the genetic results? I haven't even thought about it since I had the blood drawn.
Anyhow, thanks for letting me vent.
__________________
Debra

Diag. 11/05 at age 40 triple positive
3.8 cm tumor and 9 mm tumor
Stage IIb/SN positive(no other nodes)Grade 3
Bilat. mastect. 12/05 (Rt.prophylactic) followed with AC/taxol/Herceptin/tamoxifen then switched to arimidex after hysterectomy in 12/06. August 07 switched to Aromasin due to severe jt. pain from Arimidex. Nov. 2011 No more meds and NED!
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Old 11-15-2007, 04:55 PM   #2
Mary Anne in TX
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Debra, no issue is too little to shake us up! New information seems to rattle us even when we're doing great! I found from my experience that the peope who call to tell us that stuff are using robots in white and don't have any sense of what we interpret this to be! It happened to me when I had a mass. a few months ago. They gave me the pat call and scared me silly! It was nothing, but I still got the "one flavor for everyone call"!
Take a deep breath and trust in your good health til they tell you something different! Bet you got one of those one flavor for everyone call too! But I totally understand! Please let us know what they say! We'll be worrying and praying along with you! Best wishes for GREAT Health! mary anne





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MA in TX.
Grateful for each and every day....

Diag. 12/05 at age 60
Stage II, Grade 3, 4.5 cm primary tumor
ER/PR- Her2 +3 strongly positive
Her2 by FISH 7.7 amplified
vascular invasion
Ki67 20% borderline
Jan - March '06 Taxotere/Adriamycin X 3 to try to shrink tumor - it grew
April '06 Rt Modified Radical Mas, 7 of 9 nodes positive
April - Aug. '06 Herceptin/Taxol/Carboplatin X 8 (dose dense)
Sept - Dec. '06 Navelbine/Herceptin x 8 (dose dense)
Radiation & Herceptin Jan. 22 - March 1, 2007
Finished Herceptin Dec. 10 '08! One extra year.
Port removed August, 2012.
8 1/2 years since diagnosis! 5 1/2 Years NED!
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Old 11-15-2007, 05:23 PM   #3
janet/FL
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Debra,
I am sure someone can correct me if I am wrong, but the results of the genetic tests would not indicate whether or not you have cancer or any reoccurance. Just whether or not it might have an hereditary basis. That can be scary enough and you may want to take an audio recorder along as well as a friend or family member so that you can make sure you understand and remember what they tell you.
I sure know the scary feeling.

Hugs, and take a deep breath
Oh, and don't forget to let it out!
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Janet
Endometrial Cancer 2002
Mammogram 11/2004
Lumpectomy 12/2004
Stage 1, 9mm DCIS, grade 2, Her2+++, ER/PR negative
Refused A/C as recommened by two oncs.
35 treatments of radiation that ended March 4, 2005
Changed oncologists and began
Taxotere/Herceptin August 2005. Finished Herceptin July 2006
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Old 11-15-2007, 05:42 PM   #4
Gerri
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Debra,

I had genetic testing done in September and will be getting my results on November 26. The letter I got before hand recommended bringing someone to the initial appointment, as well as the follow up appointment to receive the results - it looks that this is standard operating procedure.

Good luck and try not to worry too much.
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Gerri
Dx: 11/23/05, Lumpectomy 12/12/05
Tumor 2.2 cm, Stage II, Grade 3, Sentinel Node biopsy negative
ER+ (30%) /PR+ (50%), HER2+++
AC X 4 dose dense, Taxol X 4 dose dense
Herceptin started with 2nd Taxol, given weekly until chemo done
then given every 3 weeks for one year ending on March 16, 2007
Radiation 30 treatments
Tamoxifen - 2 yrs (pre-menopausal)
May 2008 - Feb 2012 Femara
Aug 2008 - Feb 2012 Zometa every 6 months
March 2012 - Stop Femara, now Evista for bone strengthening
**********
Enjoy the little things, for one day you may look
back and realize they were the big things.
- Robert Brault
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Old 11-15-2007, 05:57 PM   #5
DonnaD
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Debra,
It is important to share your feelings here. We understand and lean on us! It is normal to have moments of doubt. I have them alot. Trying to get better, but I can't seem to turn off that little voice at times.

I agree with Janet/FL. I don't think this means cancer reoccurance.

Concentrate on your good health. Remember how far you have come in two years.

Donna
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Donna
Crystal Lake, IL
Diagnosed 8/4/06 at age 54
Lumpectomy 8/30/06
Stage llA, grade 3, ER/PR-, Her2++
1.7 cm tumor, 1+ lymph node out of 9
Completed 4 A/C, & 4 Taxol with Herceptin
36 rads completed 5/16/07
Mammograms, 7/07 clear
fractured ribs in radiated area 10/07
Finished Herceptin 12/27/07
Mammogram,CT,tumor markers 1/08 - small lung nodules in radiated area, repeated tests 3/08 stable
Mammogram,CT ,tumor markers 6/08 stable
NED 2 years!!
3 years !!!
4years!!!!
4 years, 10 months and 8 day NED, calling it 5 years!!!
Official 5 years 8/30/2011
8/31/ 2012 - 6 years!!!!!!
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Old 11-15-2007, 06:40 PM   #6
SoCalGal
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Debra!

I had the gene test done. They would not even give me the results without me scheduling a big follow up appointment. I had my oncologist call to get the results - I don't have a lot of extra time for crap like meetings - I really don't need more docs in my life, either.

If I were in your shoes, I'd have my onc deal with it. They are supposed to be the big kahuna's - the big case managers.

IF you are brca positive, you will have to speak with the onc anyhow, to see if there's anything special to be done. (You can remove more parts, I presume, as a preventative, but nothing life threatening if you are brca+, you'll have time to research and make decisions). If you are negative, you don't need a big meeting with the genetic counselor. Just my opinion. Don't let them mess with your mind
xo Flori
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1996 cancer WTF?! 1.3 cm lumpectomy Er/Pr neg. Her2+ (20nodes NEGATIVE) did CMF + rads. NED.
2002 recurrence. Bilateral mastectomy w/TFL autologous recon. Then ACx2. Skin lymphatic rash. Taxotere w/Herceptin x4. Herceptin/Xeloda. Finally stops spreading.
2003 - Back to surgery, remove skin mets, and will have surgery one week later when pathology can confirm margins.
‘03 latisimus dorsi flap to remove skin mets. CLEAN MARGINS. Continue single agent Herceptin thru 4/04. NED.
‘04 '05 & 06 tiny recurrences - scar line. surgery to cut out. NED each time.
1/2006 Rads again, to scar line. NED.

3/07 Heartbreaking news - mets! lungs.sternum. Try Tykerb/Xeloda. Tykerb/Carbo/Gemzar. Switch Oncs.
12/07 Herceptin.Tykerb. Markers go stable.
2/8/08 gamma knife 13mm stupid brain met.
3/08 Herceptin/tykerb/avastin/zometa.
3/09 brain NED. Lungs STABLE.
4/09 attack sternum (10 daysPHOTONS.5 days ELECTRONS)
9/09 MARKERS normal!
3/10 PET/CT=manubrium intensely metabolically active but stable. NEDhead.
Wash out 5/10 for tdm1 but 6/10 CT STABLE, PET improving. Markers normal. Brain NED. Resume just Herceptin plus ZOMETA
Dec 2010 Brain NED, lungs/sternum stable. markers normal.
MAR 2011 stop Herceptin/allergy! Go back on Tykerb and switch to Xgeva.
May-Aug 2011 Tykerb Herceptin Xgeva.
Sept 2011 Tykerb, Herceptin, Zometa, Avastin.
April 2012 sketchy drug trial in NYC. 6 weeks later I’m NED!
OCT 2012 PET/CT shows a bunch of freakin’ progression. Back to LA and Herceptin.avastin.zometa.
12/20/12 add in PERJETA!
March 2013 – 5 YEARS POST continue HAPZ
APRIL 2013 - 6 yrs stage 4. "FAILED" PETscan on 4/2/13
May 2013: rePetted - improvement in lungs, left adrenal stable, right 6th rib inactive, (must be PERJETA avastin) sternum and L1 fruckin'worsen. Drop zometa. ADD Xgeva. Doc says get rads consultant for L1 and possible biopsy of L1. I say, no thanks, doc. Lets see what xgeva brings to the table first. It's summer.
June-August 2013HAPX Herceptin Avastin Perjeta xgeva.
Sept - now - on chemo hold for calming tummy we hope. Markers stable for 2 months.
Nov 2013 - Herceptin-Perjeta-Avastin-Xgeva (collageneous colitis, which explains tummy probs, added Entocort)
December '13 BRAIN MRI ned in da head.
Jan 2014: CONTINUING on HAPX…
FEB 2014 PetCT clinical “impression”: 1. newbie nodule - SUV 1.5 right apical nodule, mildly hypermetabolic “suggestive” of worsening neoplastic lesion. 2. moderate worsening of the sternum – SUV 5.6 from 3.8
3. increasing sclerosis & decreasing activity of L1 met “suggests” mild healing. (SUV 9.4 v 12.1 in May ‘13)
4. scattered lung nodules, up to 5mm in size = stable, no increased activity
5. other small scattered sclerotic lesions, one in right iliac and one in thoracic vertebral body similar in appearance to L1 without PET activity and not clearly pathologic
APRIL 2014 - 6 YRS POST GAMMA ZAP, 7 YRS MBC & 18 YEARS FROM ORIGINAL DX!
October 2014: hold avastin, continue HPX
Feb 2015 Cancer you lost. NEDHEAD 7 years post gamma zap miracle, 8 years ST4, +19 yrs original diagnosis.
Continue HPX. Adding back Avastin
Nov 2015 pet/ct is mixed result. L1 SUV is worse. Continue Herceptin/avastin/xgeva. Might revisit Perjeta for L1. Meantime going for rads consult for L1
December 2015 - brain stable. Continue Herceptin, Perjeta, Avastin and xgeva.
Jan 2016: 5 days, 20 grays, Rads to L1 and continue on HAPX. I’m trying to "save" TDM1 for next line. Hope the rads work to quiet L1. Sciatic pain extraordinaire :((
Markers drop post rads.
2/24/16 HAP plus X - markers are down
SCIATIC PAIN DEAL BREAKER.
3/23/16 Laminectomy w/coflex implant L4/5. NO MORE SCIATIC PAIN!!! Healing.
APRIL 2016 - 9 YRS MBC
July 2016 - continue HAP plus Xgeva.
DEC 2016 - PETCT: mets to sternum, lungs, L1 still about the same in size and PET activity. Markers not bad. Not making changes if I don't need to. Herceptin/Perjeta/Avastin/Xgeva
APRIL 2017 10 YEARS MBC
December 2017 - Progression - gonna switch it up
FEB 2018 - Kadcyla 3 cycles ---->progression :(
MAY30th - bronchoscopy, w/foundation1 - her2 enriched
Aug 27, 2018 - start clinical trial ZW25
JAN 2019 - ZW25 seems to be keeping me stable
APRIL 2019 - ONE DOZEN YEARS LIVING METASTATIC
MAY 2019 - progression back on herceptin add xeloda
JUNE 2019 - "6 mos average survival" LMD & CNS new single brain met - one zap during 5 days true beam SBRT to cord met
10/30/19 - stable brain and cord. progression lungs and bones. washing out. applying for ds8201a w nivolumab. hope they take me.
12/27/19 - begin ds8401a w nivolumab. after 2nd cycle nodes melt away. after 3rd cycle chest scan shows Improvement, brain MRI shows improvement, resolved areas & nothing new. switch to plain ENHERTU. after 4th cycle, PETscan shows mostly resolved or improved results. Markers near normal. I'm stunned but grateful.
10/26/20 - June 2021 Tucatinib/xeloda/herceptin - stable ish.
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Old 11-15-2007, 07:12 PM   #7
Soccermom
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Debra,
I am heartened for you that they asked you to come in and that they told you to bring someone. This means 2 things to me...1) you are not just a # and 2) you will have everything explained to you in detail. THIS IS A GOOD THING!
The results from any testing are not always so cut and dried and its always the prudent thing to have a second set of ears for this sort of thing. A positive test has NOTHING to do with having cancer,now!
Remember that you have a 50% chance of a negative test. You still will need to stay vigilant as you have already "walked the walk", but you would be able to forgo the other prophylactic procedures that might have been recommended had you tested +.
Please let me know if you need other help...I am an outreach coordinator for FORCE.. (facingourrisk.org) for those who are high risk... facing genetic testing or who have already tested. I have been through the process also.

Warmly,Marcia

Last edited by Soccermom; 11-15-2007 at 07:15 PM.. Reason: more info
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Old 11-15-2007, 08:43 PM   #8
Becky
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Dear Debra

It was standard protocol at my cancer center for you to bring someone with you on the day the genetic counselor gives you your results. Usually your doctor is also present (or one from the practice). This is because the results are sealed and the counselor does not know your results. Therefore, if you are positive you need 2 things:

someone to be with you and a doctor to tell you medical options (ie: getting ovaries and/or breasts removed etc).

I would not worry about the request for someone to be present with you.

Big hug
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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 11-15-2007, 08:46 PM   #9
Debra
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Thank you

Thank you everyone for your replies. I have settled down some since I posted but still overwhelmed with fear regarding my genetic results. I know it doesn't change my outcome at all or does it mean my cancer may be back-----it's my kids. I am scared to death I may have to tell my kids I carry the gene. My son actually checked the answer machine with the message "we have your results and you need to call back for appt." So of course he was questioning me already when I didn't want them to know yet I was even having it done.
Today was just a combo of not feeling well (low back pain, dizzy etc) which put negative thoughts in my head and then having to schedule this appt. so that is why I am feeling this fear all over again. I think what bothers me most is I have dealt with the cancer for two years now but now I may have to deal with the fact that I may have passed this gene on to my kids.

You all have been such a support system for me. I don't post many new threads myself and often never have great info to offer others but I have learned more from everyone here then my own doctors! There is so much comfort in knowing others really know how I feel. I can't get that anywhere else.

To "soccermom", I will be checking out that site. Thank you.
__________________
Debra

Diag. 11/05 at age 40 triple positive
3.8 cm tumor and 9 mm tumor
Stage IIb/SN positive(no other nodes)Grade 3
Bilat. mastect. 12/05 (Rt.prophylactic) followed with AC/taxol/Herceptin/tamoxifen then switched to arimidex after hysterectomy in 12/06. August 07 switched to Aromasin due to severe jt. pain from Arimidex. Nov. 2011 No more meds and NED!
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Old 11-15-2007, 09:05 PM   #10
mimiflower07
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debra...thinking about you. you are not alone!
suzanne
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