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Old 05-30-2008, 03:29 PM   #21
pattyz
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Carla,

I was two yrs, 6 mos. out from Stage IIIb, Invasive with two tumors and Inflammatory when I was dx'd with mets.

First, mediastinal nodes, spot on lung and pelvis. Then two months later, brain mets, 1.5cm and 6mm.

Have remained NED in body since end of '02. Brain mets recurrance twice. First time: 14 in number. Second (and currently): 6-8 in number. Three of these current lesions are at 1cm in size, including one on my pons/brainstem.

These current brain mets have been responding, off and on, to Xeloda/Temodar for just short of three years. We added Tykerb last Oct. but had a bit of progression early spring anyway.

I have not been on Herceptin since tx with Navelbine worked so well back in '02.

I am er+ pr- but have refused the hormonals since bad experience with Tamoxifen early on.

so...... things might have been different if I had done something 'preventative'. But, for many it has made NO difference. To me, it is a personal choice and 'comfort level'.

My goal is quality of life, period. This is easy for me being an old fart.

Very best wishes to you,
pattyz
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Old 05-30-2008, 04:21 PM   #22
Sherryg683
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It will be 2-1/2 years in July for me. I have been NED for a little over 2 of those years, I had 2 small lung mets. Feeling like my old self but have to go back for scans in July. I'm getting nervous again...Good luck to you and congrats...sherryg683
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Sherry

Diagnosed: December , 2005 at age 44
13+ positive lymph nodes
Stage IV , Her2+, 2 small mets to lungsChemo Started: Jan, 2006
4 months Taxotere, Xeloda, Hercepin
NED since April 2006!!
36 Rads to follow with weekly Herceptin indefinately
8 years NED now
Scans every year

Life is not about avoiding the thunderstorms, it's about learning to dance in the rain!
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Old 05-30-2008, 04:23 PM   #23
Sherryg683
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To address the second part of your post, I was on weekly Herceptin for the first 2 years, dropping back to every 3 weeks after that. I take tons of turmeric (curcumin), grape sead, and green tea daily..sherryg683
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Sherry

Diagnosed: December , 2005 at age 44
13+ positive lymph nodes
Stage IV , Her2+, 2 small mets to lungsChemo Started: Jan, 2006
4 months Taxotere, Xeloda, Hercepin
NED since April 2006!!
36 Rads to follow with weekly Herceptin indefinately
8 years NED now
Scans every year

Life is not about avoiding the thunderstorms, it's about learning to dance in the rain!
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Old 05-30-2008, 04:26 PM   #24
Sheila
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Carla
You give us hope...and I love your spunk...but your onc. sounds like they need an attitude adjustment....I say use the attitude that makes you feel good...and you have found yours!!!!!
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"Be kinder than necessary, for everyone you meet
is fighting some kind of battle."



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 05-31-2008, 10:37 AM   #25
abitjaded
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Oh PattyZ, thank you, thank you. I figure it will be back, but I hope. You are hope.

Yes, Maryanne. Got up this morning wondering how stupid am I to put up with this. She is by far the most knowledgeable one where I get treated. Did not like her the first time and asked for a consult. The one I wanted to see delivered her first baby the day after we consulted. She said she would just be constantly deferring to her anyway, as she had much less experience with BC. So stuck with the crab for a while. Then one of the four other docs retired without notice and it was impossible to see anyone else. Just an all around lousy situation. They have not yet hired a replacement.

But Monday, come h--- or high water I'm going to change. During my appointment the other doctor I wanted tapped softly on the door and said she needed some input on another matter ASAP. She winged into her as she does to me. Figure she's got to be sympathetic and will work me in.

Carla
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Old 06-01-2008, 10:11 AM   #26
Kim in CA
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Carla,

Congratulations on your clear scans! As you can see from my signature I am 3 years post brain met and still NED. I take lots of supplements, exercise regularly, eat lots of chocolate and drink wine, margaritas, and beer!

I don't know what is working for me, but I'm afraid to change anything.

One thing that I will mention is that I was originally diagnosed as ER-. When I went to UCSF to consult about my liver mets in 2002, the specialist there said that looking at my original path reports, I was actually less than 10% + for ER , but she thought it would be worth putting me on Femara anyway. I have been on Femara and Herceptin ever since.

So just something else for you to consider, cause you just never know. Kim
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Diag. Feb 1997 4.5cm IDC <10%ER+, PR-. 5 out of 36 nodes +. Mastectomy followed by 3 rounds Adriamycin/Cytoxin.


5/1997 Hi Dose Chemo w/ Stem cell rescue. Spent 4 weeks in isolation ward. Then 6 weeks radiation.

9/2001 widespread mets to liver. 8 mos Taxotere/Herceptin brought me almost to NED. Stop Taxotere & add Femara .

11/2002 liver resection to remove spot that turned out to be necrosis. Officially NED!

7/2003 Tumor markers rising add Xeloda Disastrous reaction, 8 days hospital, but tumor markers came back to normal!

June -Dec 2004 UW Vaccine Trial.

7/2005 MRI single 11mm brain met
8/2005 Gamma Knife.

Brain MRI @3 months NED!

2006-2011 brain/body still NED

8/04/11 Taking Herceptin break, will monitor with tumor markers.

6/20/12 Tumor markers begin to rise. CA15-3 is 31.3 and Her2 Serum is at 17.1 Decide to repeat in one month.

7/23/12 CA15-3 now 49.3
Her2 Serum 26.8

8/6/12 Back on Herceptin
CA15-3 now 76
Her2 Serum now 49

11/7/12 Add weekly Taxotere for 4 cycles

2/2013 Stopped Taxotere added Perjeta. MRI shows approx. 50% reduction liver mets. CA15-3 still elevated @ 55. Will continue on just Herceptin & Perjeta.

November 2014 Continuing on Herceptin, Perjeta, and
Femara indefinitely. Guess I'm NED again, but watching those tumor markers carefully!

Dec. 2015 PET scan reveals mass in perirectal area of abdomen.biopsy confirms. Still Her2+, but no longer ER+. Bye bye Femara

Jan 2016 Begin Kadcyla

March 2016 PET scan shows tumor now barely visible, still NED everywhere else.
2016/2017 continue Kadcyla

November 2017 brain MRI reveals small focus of T2 hyperintensity with possible 4mm enhancing nodule. Short term follow up MRI suggested. Stay tuned...
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Old 06-01-2008, 11:30 AM   #27
NanaKaren
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Posts: 69
Carla, Oh how can we not respond to that type of treatment from your oncologist. I am with Harrie, time to look for a new one. It is SO important to have a really good rapport with our physicians.
As far as never hearing about this web site, my oncologist will sometimes say to me,"what does your web site think". She also recommends it to other Her2 patients.
I for one would certainly love to hear that you have found a new oncologist that you trust and respect. Karen
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Dx 7-21-05
1.7 cm invasive ductal carcinoma
Her2 +3 strongly positive
micromet in sentinel node
Sept.05 Lt.lumpectomy/bilat.reduction
Oct.05 4 rounds of AC/12 rounds of Taxol with Herceptin
Radiation 5 weeks
Herceptin only until Jan.07
Started Femara-stopped
Started Aromisin-stopped
Currently on Arimidex with a great deal of pain
Stopped Arimidex
Taking Tamoxifen
Karen
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Old 06-02-2008, 10:21 AM   #28
abitjaded
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Thanks all.

Her nurse is supposed to call me today. Time to move on.

Carla
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Old 02-19-2009, 08:16 AM   #29
abitjaded
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I'm back with baggage

Hey all,

I have a single brain met that refuses to clean up after two craniotomies.

I am now on my second week of lapatinib monotherapy. I seem to be a rarity in the journals and am looking for anyone who is in a similar boat.

Carla
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Old 02-19-2009, 11:59 AM   #30
Rich66
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She kept my favorite chemo nurse in the room the whole time as "witness"

Did the onc actually refer to why the nurse was there? Does the nurse agree with the onc? Sure seems like the onc is forgetting why she was hired and who she works for.
Is the upcoming consult at another facility and something she hasn't recommended?
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Old 02-19-2009, 02:09 PM   #31
Believe51
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Location: RHODE ISLAND (Ed getting me a latte on 2nd Cancerversary Cruise 2008) 'BELIEVE': To accept as true or real, To have faith in, To presume ALWAYS BELIEVE
Posts: 2,999
Carla, I moved your post regarding your brain met question for all to see. Took it upon myself so that you could get the response you are looking for. Hope it helps. Sending prayers and love to you, today and always!! Keep the faith.>>Believe51
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9/7/06Husband 50yrs=StageIV IBC/HER2+,BoneMets10/06TaxotereX10,'H'1X wk,Zometa,Tamoxifen4/12/07Last Tax5/18/07Pet=Rapid Cell Activity,No Organ Mets,Lytic Lesions,Degeneration,Some Bone Repair5/07ChemoFail6/01/07Pleural Thoracentisis=Effusions,NoMalignantCells6/19/07+7/2/07DFCI
6/25/07BrainMRI=BrainMets,Many<9mm7/10/07WBR/PelvisRad37.5Gx15&Nutritionist8/19/07T/X9/20/07BrainMRI=2<2mm10/6/07Pet=BoneProgression
10/24/07ChemoFail11/9/07A/Cx10,EndTam12/7/07Faslodex12/10/07Muga7512/13/07BlasticLesions1/7/08BrainMRI=Clear4/1/08Pet=BoneImprovement,
NoProgression,Stable4/7/08BrainPerfect5/16/08Last A/C8/26/08BrainMets=10(<9mm)9/10/08Gamma10/30/08Met=5mm12/19/08Gamma5mets5
12/22/08SpinalMets1/14/09SpinalRads2/17/09BrainMRI=NoNewMets4/20/09BoneScan5/14/09Ixempra6/1/09BrainMRI=NumerousMets6/24/09DFCIw/DrBurstein6/26/09Continue
Ixempra/Faslodex/Zometa~TM now lower7/17/09Stop Ixempra By Choice9/21/09HOSPICE10/16/09Earned His Deserved Wings And Halo=37 Month Fight w/Stage 4 IBC, Her2+++,My Hero!!
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Old 03-09-2009, 08:04 PM   #32
Emmay
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Check out my sister's history...

Hi Carla,
Do read through my sister's history to see the therapies that have worked for her for varying lengths of time. She has been getting infusions of CPT-11(aka Irinotecan) plus Avastin plus Herceptin every 3 weeks since May'08, and the experimental combo has been working remarkably well, so well that she will be dropping the CPT-11 chemo to see how she does without it, since she has been stable for a good while.

I hope you are doing well, and don't need to journey through many therapies, but wanted you to know there are many options to try if you need them.

Emmay
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Emmay - My sister's history:
6/03 Her2+,ER-PR-Breast Cancer, IIb, 7/03 lumpec. rt.brst
9/03 Begin chemo-AC+T
2/04 Mastectomy for local recurrence
3/04 Begin Herceptin, 5/04 Rad to mastec.site
9/04 Recurring Headaches=brain mets
10/04 Craniotomy #1 - rem. 3 br. mets, 11/04 WBR
2/05 Begin Lapatinib(Tykerb) Clinical Trial
5/05 Craniotomy #2 - remove largest brain mets
7/05 Stereotactic Radiation to 2-3 brain mets
10/05 - 3/07 CyberKnife Radiation Treatments for sm brain mets as they arose. Cont. Herceptin
5/07 Begin Temodar+Sorafenib for brain mets
2/08 Begin Tykerb(Lapatinib)+Xeloda for br. mets
5/08 MRI&Biopsy shows ext.new disease, some necrosis
5/08 Begin CPT-11(Irinotecan)+Avastin for br.mets
6/08-4/09 MRIs look great! cont. Herceptin
3/09 Stop CPT-11, brain CTclear-some nausea,backpain
4/09 Scans=pleura,liver,bone mets.
New Rx Herceptin+Avastin+Xeloda
6/09 new Rx Carboplatin+Herceptin
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Old 03-09-2009, 08:14 PM   #33
WomanofSteel
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Posts: 889
Glad your scan was clear. Hope it stays that way forevermore!
__________________
dx aug 03
invasive dcis 1 cm
er/pr/her2+
bcs 8/4/03
bcs 8/21/03 0/16 nodes
tx 4x ca 36 rad tam
postmenopausal 06 aromasin
sept 07 biopsy node in neck
muga/pet/cat/bone mets to lungs nodes and liver stage iv
tx hki-272
tx not working switched to taxol herceptin
Taxol not working switched to navelbine
navelbine is causing bad neuropathy
starting gemzar
gemzar quit on me now on Ixempra due to increasing number and size of liver mets
another progression starting tykerb/xeloda
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Old 03-09-2009, 08:23 PM   #34
Emmay
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Posts: 66
What about Cyberknife focalized radiation?

Carla,
If you just have one stubborn met left, and it's not too big, I'd urge you to look for Cyberknife or Gamma Knife focalized radiation therapy. It's easy, virtually painless, and the mets that my sister had cyberknifed have not recurred.
Emmay
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Emmay - My sister's history:
6/03 Her2+,ER-PR-Breast Cancer, IIb, 7/03 lumpec. rt.brst
9/03 Begin chemo-AC+T
2/04 Mastectomy for local recurrence
3/04 Begin Herceptin, 5/04 Rad to mastec.site
9/04 Recurring Headaches=brain mets
10/04 Craniotomy #1 - rem. 3 br. mets, 11/04 WBR
2/05 Begin Lapatinib(Tykerb) Clinical Trial
5/05 Craniotomy #2 - remove largest brain mets
7/05 Stereotactic Radiation to 2-3 brain mets
10/05 - 3/07 CyberKnife Radiation Treatments for sm brain mets as they arose. Cont. Herceptin
5/07 Begin Temodar+Sorafenib for brain mets
2/08 Begin Tykerb(Lapatinib)+Xeloda for br. mets
5/08 MRI&Biopsy shows ext.new disease, some necrosis
5/08 Begin CPT-11(Irinotecan)+Avastin for br.mets
6/08-4/09 MRIs look great! cont. Herceptin
3/09 Stop CPT-11, brain CTclear-some nausea,backpain
4/09 Scans=pleura,liver,bone mets.
New Rx Herceptin+Avastin+Xeloda
6/09 new Rx Carboplatin+Herceptin
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