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Old 10-26-2009, 04:19 AM   #1
fullofbeans
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Join Date: Jan 2007
Location: UK
Posts: 617
Cancer spreading either th' blood or lymph..but the difference?

Hi there,

I was wondering if someone knows whether there is a difference between blood spread cancer and lymph nodes one..

I had no lymph node deseased but ended up having liver mets.. I am wondering if that could mean something..is your cancer more susceptible to your immune system for example. I know that stage 4 with no lymph node is uncommun and would like to hear from those in the same position perhaps to compare notes..
__________________

35 y/o
June 06: BC stage I
Grade 3; ER/PR neg
Her-2+++; lumpectomies

Aug 06: Stage IV
liver mets: 6 tumours
July 06 to Jan 07: 2*FEC+6*Taxotere; 3*TACE; LITT
March 07- Sept 07: Vaccination trial (phase 2, peptide based) at the UW (Seattle).
Herceptin since 2006
NED til Oct 09
Recurrence Oct 2009: to internal mammary gland since October 2009 missed on Oct and March 2010 scan.. palpable nodes in May 2010 when I realised..
Nov 2011:7 mets to lungs progressing fast failed hercp/tykerb/xeloda combo..

superior vena cava blocked: stent but face remains puffy

April 2012: Teresa Trial, randomised to TDM1
Nov 2012 progressing on TDM1
Dec 2012 blockage of my airways by tumours, obliteration of these blocking tumours breathing better but hoping for more- at mo too many tumours to count in the lungs and nodes.

Dec 2012 Starting new trial S-222611 phase 1b dual egfr her2+ inhibitor.



'Under no circumstances should you lose hope..' Dalai Lama
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Old 10-26-2009, 06:16 AM   #2
margiermc
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Join Date: Aug 2009
Posts: 94
Re: Cancer spreading either th' blood or lymph..but the difference?

Hi, I posted my story last night DCIS to Stage 4

8/8/08 - I had DCIS, no invasive cancer - does not spread, according to the dr.
9/2/08 - Lumpectomy - lymph nodes clear
10/14/08 - I went to hospital - pain, liver mets. Cancer (invasive) cells left the breast, in the blood stream and went to the liver.
Dr. was not checking my body, I had no lymph node involvement. and DCIS is very early stage 0.
From 10/08-1/09 I had 6 rounds of chemo, tx, carb., her.
Now I fly every month from Tampa, Florida - to Seattle -
Vaccine - NED, I feel fine.

It is thought that the over expression of her2 in the body is from a low immune system. I'm not sure if lymph node or bloodstream has to do with this. It could have been the agressive cells that were somewhere in the DCIS that left through the vascular system.

My post said, back in the 1980's or earlier there was an oncologist,
I do not know his name, my doctor does, believed that a mastectomy was the way to remove the breast and avoid cancer cells going in the blood stream.

There are two ways cancer spreads, lymph nodes and the vascular system in the breast. Removing the whole breast - this theory was
believed to avoid the spread of cancer.

Later, dr's leaned toward a lumpectomy and saving the breast.
This is what I was told, I had these questions, because I caught mine early in the breast - and now it surprised everyone in the liver.

My scans, bloodwork, liver enzymes are very normal.
I am getting a vaccine.
Dr. Salazar said, I am doing fabulous.

The reason I post this info. is to help other women out there, the vaccination is a trip for me 9 hours of flight each way - I hope this
is what all women need, I am like the ladies on herceptin in the Living Proof movie. I feel like a pioneer. I have been NED for 9 months. This vaccination, is an option to help me and future women.

Although, I have received some response to my post that think
my recovery was too quick.

My family wants to now see me be active, like walk, enjoy life, eat well, my doctor claims - I am a miracle. I WISH THE BEST FOR ALL OF YOU. Some of the response to my post - made me rather,
upset - I must admit. I am risking my own health for this vaccination, which will be entering phase III - for all women. I hope you appreciate it in the future. Just like the ones that took Herceptin on trial, I thank you and very grateful to the Dr. Slamon.
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Old 10-26-2009, 07:27 AM   #3
fullofbeans
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Join Date: Jan 2007
Location: UK
Posts: 617
Re: Cancer spreading either th' blood or lymph..but the difference?

Thanks for reply Margiermc,

For me a very interesting fact about your response is "

It is thought that the over expression of her2 in the body is from a low immune system. "

I have never heard that and would love to know more about it where did you get that info, ref..??
__________________

35 y/o
June 06: BC stage I
Grade 3; ER/PR neg
Her-2+++; lumpectomies

Aug 06: Stage IV
liver mets: 6 tumours
July 06 to Jan 07: 2*FEC+6*Taxotere; 3*TACE; LITT
March 07- Sept 07: Vaccination trial (phase 2, peptide based) at the UW (Seattle).
Herceptin since 2006
NED til Oct 09
Recurrence Oct 2009: to internal mammary gland since October 2009 missed on Oct and March 2010 scan.. palpable nodes in May 2010 when I realised..
Nov 2011:7 mets to lungs progressing fast failed hercp/tykerb/xeloda combo..

superior vena cava blocked: stent but face remains puffy

April 2012: Teresa Trial, randomised to TDM1
Nov 2012 progressing on TDM1
Dec 2012 blockage of my airways by tumours, obliteration of these blocking tumours breathing better but hoping for more- at mo too many tumours to count in the lungs and nodes.

Dec 2012 Starting new trial S-222611 phase 1b dual egfr her2+ inhibitor.



'Under no circumstances should you lose hope..' Dalai Lama
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Old 10-26-2009, 07:39 AM   #4
margiermc
Senior Member
 
Join Date: Aug 2009
Posts: 94
Re: Cancer spreading either th' blood or lymph..but the difference?

I am in the vaccine with Dr. Salazar in Washington.
Her2 - is an overexpression, the immune system gets low and out comes the diseases. We are given at birth
2 copies of her2. All of us, men as well. When the immune system gets compensated, the expression of
her2 gene makes more copies, this is the cancer.

The vaccine is suppose to build the immune system and
supress the her2 gene, therefore, when it recognizes a cancer cell it stops it from growing into a tumor.

Much like the new vaccine for cervical cancer for young girls.

We hope it works, but this is the theory. It targets the her2 cell, just like herceptin works.

Anyone on this vaccine, questions, I'm on it - last one in november, yah
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Old 10-26-2009, 08:14 AM   #5
fullofbeans
Senior Member
 
Join Date: Jan 2007
Location: UK
Posts: 617
Re: Cancer spreading either th' blood or lymph..but the difference?

You say "When the immune system gets compensated, the expression of
her2 gene makes more copies, this is the cancer."


Where did you read that (REFERENCE)?

I am a scientist and I am quite aware of what Her-2 overexpression is. However I have never heard that Her-2 overexpression was linked to a defficiency in the immune system which is what you are implying.

What I am asking is references to this statement, as a scientist I can only rely on referenced statement (this site is pretty good at this).

I would be very interested to know if this is backed up by scientific research or simply your thoughts on it. Many thanks.



PS: the Seattle vaccine targets cells with massive overexpression of Her2 (But all cells have Her2, especially in the heart hence muga scan check). I would not think that the vaccine works at all like the HPV vaccine, since the basis is to prevent HPV, since HPV was proven to cause the cancer.
__________________

35 y/o
June 06: BC stage I
Grade 3; ER/PR neg
Her-2+++; lumpectomies

Aug 06: Stage IV
liver mets: 6 tumours
July 06 to Jan 07: 2*FEC+6*Taxotere; 3*TACE; LITT
March 07- Sept 07: Vaccination trial (phase 2, peptide based) at the UW (Seattle).
Herceptin since 2006
NED til Oct 09
Recurrence Oct 2009: to internal mammary gland since October 2009 missed on Oct and March 2010 scan.. palpable nodes in May 2010 when I realised..
Nov 2011:7 mets to lungs progressing fast failed hercp/tykerb/xeloda combo..

superior vena cava blocked: stent but face remains puffy

April 2012: Teresa Trial, randomised to TDM1
Nov 2012 progressing on TDM1
Dec 2012 blockage of my airways by tumours, obliteration of these blocking tumours breathing better but hoping for more- at mo too many tumours to count in the lungs and nodes.

Dec 2012 Starting new trial S-222611 phase 1b dual egfr her2+ inhibitor.



'Under no circumstances should you lose hope..' Dalai Lama
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Old 10-26-2009, 09:06 AM   #6
Cal-Gal
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Join Date: Jun 2009
Location: Los Angeles, CA
Posts: 309
Re: Cancer spreading either th' blood or lymph..but the difference?

Does the bloodstream reference refer to LVI?

Lymph-vascular invasion vs. Lymph node invasion??
__________________
DX: 11/08 Age: 53
Surgery: 1/09
Bilat Mastectomy, no reconstruction
ILC-4 tumors-1.7 cm,1.5 cm (2).8 cm
DCIS-11 cm
All tumors Grade 3
All tumors ER-0%/PR-0%
All tumors HER2+
IHC-all tumors Overexpression/borderline
FISH 2 tumors Her2-Negative
FISH 2 tumors Her2+ Equivocal
Stage I, 0/1 nodes
LVI-Indeterminate(treated as positive)
SPR Score 8/9
Ki-67 20%
BRCA genetic test 1/2=negative
Chemo: 6 rounds TAC Feb-June 2009 w/Neulasta
Herceptin: 6/12/09-6/4/10 52weeks
HNPCC genetic test: negative
Port Placement-9/23/09 Port Removal 6/25/10
Echo's every 3 months-All normal
2/09 Staging PET/CT showed 0.2 micronodule upper R lobe-lung-Onc does not think this is mets--
6/5/09 AND 10/09 CT scan 0.2 micronodule unchanged
1/10-PET/CT-uptake in nasopharynx-
1/10-MRI All normal
6/10-Bone Scan-clear
12/10-PET/CT-All Clear-NED
12/11-PET-All Clear-NED

12/12-PET-All Clear-NED
12/13-CT w/contrast Head, Torso-All Clear
12/14-CT w/contrast Head-All Clear
2/15-Core needle biopsy-R scar line

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Old 10-26-2009, 10:11 AM   #7
margiermc
Senior Member
 
Join Date: Aug 2009
Posts: 94
Re: Cancer spreading either th' blood or lymph..but the difference?

My reference is a 4 hr. consultation (private) with my doctor in Seattle, i am just sharing some knowledge I
learn along the way - nothing its full proof, its believed that the vaccine helps build the immune system.
This is really all I will say - if, you need more info., you can contact the Tumor Vaccine Group in Washington.
If anyone has been through this vaccine please contact me - Im interested in your side effects, etc., so far just pain in my arm.
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