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Old 01-20-2015, 07:40 PM   #1
Lnmum
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Herceptin ends in 2 months/ recurrence???

I will finish Herceptin in March. When I had bilateral prophylactic mastectomies on 10/3/14, I had moderate ductual dysplasias bilaterally. How can that be? Is the herceptin not working? Does it have to do with having a BRCA2 mutation? Thanks for any ideas.
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Loren
11/3/13 mammogram age 50
11/27/13 follow up mammogram and right breast ultrasound. Radiologist showed me image of 3mm nodule. He said to wait 6 months for a follow up mammogram. I advocated for myself and requested a biopsy.
12/11/13 core biopsy with clip placed
1/6/14 Duke consult BC Treatment
1/30/14 partial right mastectomy, sentinel node biopsy 2 setinal nodes clear. 1.1 cm IDC, close margins.
3/13/14 met Dr Heather White in Greenville, NC. She is wonderful and my new oncologist.
3/18-19/14 Dr. White ordered pet scans, full body ct, bilateral MRIs and BRCA TEST.
3/20/14 5/15/14 chemo taxol/Herceptin 1x/week
3/25/14 port placement
4/17/14 BRCA2+
5/22/14 Herceptin only 1x every 3 was for a year. incomplete Taxol(neuropathy of hands and feet)
7/2/14 oopherctomy, salpingoopherectomy, hysterectomy at Vidante with Dr. Marie Rowe.
10/3/14 BMX/trams flap with Georgaide and Zenn at Duke.
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Old 01-22-2015, 12:26 PM   #2
Lnmum
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Re: Herceptin ends in 2 months/ recurrence???

Does anyone have any thoughts? I'm very discouraged by lack of response on this post and my last one.
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Loren
11/3/13 mammogram age 50
11/27/13 follow up mammogram and right breast ultrasound. Radiologist showed me image of 3mm nodule. He said to wait 6 months for a follow up mammogram. I advocated for myself and requested a biopsy.
12/11/13 core biopsy with clip placed
1/6/14 Duke consult BC Treatment
1/30/14 partial right mastectomy, sentinel node biopsy 2 setinal nodes clear. 1.1 cm IDC, close margins.
3/13/14 met Dr Heather White in Greenville, NC. She is wonderful and my new oncologist.
3/18-19/14 Dr. White ordered pet scans, full body ct, bilateral MRIs and BRCA TEST.
3/20/14 5/15/14 chemo taxol/Herceptin 1x/week
3/25/14 port placement
4/17/14 BRCA2+
5/22/14 Herceptin only 1x every 3 was for a year. incomplete Taxol(neuropathy of hands and feet)
7/2/14 oopherctomy, salpingoopherectomy, hysterectomy at Vidante with Dr. Marie Rowe.
10/3/14 BMX/trams flap with Georgaide and Zenn at Duke.
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Old 01-22-2015, 01:11 PM   #3
Lucy
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Re: Herceptin ends in 2 months/ recurrence???

Hi Loren, I'm sorry you feel discouraged by no responses to the posts. I had read this one but I didn't have anything to contribute so I didn't respond. I tested negative on the BRCA tests and I don't know what ductal dysplasis is so I have no idea what that means in terms of whether the herceptin is working. All I can say is that you're doing everything you can to fight the disease. Beyond that, I hope someone else will offer insight on what this could mean. Have you discussed with your oncologist? If so, what have they offered in the way of information.

Hang in there and know you're not alone in this. (sending good vibes and cyber hugs your way)
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Old 01-22-2015, 03:29 PM   #4
Lnmum
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Re: Herceptin ends in 2 months/ recurrence???

Thanks, Lucy. I am very thankful for your response. I haven't had an appointment with my oncologist since I received results from the mastectomies. I have an appointment next week with her. My PS said I made an excellent call by having the prophylactic bilateral mastectomies.
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Loren
11/3/13 mammogram age 50
11/27/13 follow up mammogram and right breast ultrasound. Radiologist showed me image of 3mm nodule. He said to wait 6 months for a follow up mammogram. I advocated for myself and requested a biopsy.
12/11/13 core biopsy with clip placed
1/6/14 Duke consult BC Treatment
1/30/14 partial right mastectomy, sentinel node biopsy 2 setinal nodes clear. 1.1 cm IDC, close margins.
3/13/14 met Dr Heather White in Greenville, NC. She is wonderful and my new oncologist.
3/18-19/14 Dr. White ordered pet scans, full body ct, bilateral MRIs and BRCA TEST.
3/20/14 5/15/14 chemo taxol/Herceptin 1x/week
3/25/14 port placement
4/17/14 BRCA2+
5/22/14 Herceptin only 1x every 3 was for a year. incomplete Taxol(neuropathy of hands and feet)
7/2/14 oopherctomy, salpingoopherectomy, hysterectomy at Vidante with Dr. Marie Rowe.
10/3/14 BMX/trams flap with Georgaide and Zenn at Duke.
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Old 01-24-2015, 11:09 AM   #5
Pat94
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Re: Herceptin ends in 2 months/ recurrence???

Sorry for the lack of replies. I haven't experienced what you are going threw. I had the tumor, Padgett's, and multiple sites of DCIS but had surgery before chemo or radiation. I live in W-S but grew up in Souhside VA. My family always went to Duke until I moved here.
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Old 01-24-2015, 01:50 PM   #6
rhondalea
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Re: Herceptin ends in 2 months/ recurrence???

Herceptin treats HER2+ cancer only. Atypical ductal hyperplasia isn't cancer; it's an abnormal cell growth pattern that may become cancer. Herceptin has no effect on ADH, so the presence of ADH is not an indication of Herceptin's efficacy or lack thereof.

Good call on the bilateral. I did the same, and indeed, they found ADH in my "healthy" breast.
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2/6/09 Core needle biopsy: negative; Mammos through 2010: no change
3/30/11 Pea-sized lump in left breast at site of prior biopsy; mammo negative, sonogram not so much
4/14/11 Core needle biopsy: negative for cancer
5/18/11 Excisional biopsy 1.2 cm tumor, LVI, positive margin; ER+60%,PR+20%,HER2/CEP17 5
6/15/11 BMX: Left DCIS & LH; Right ADH; SNB: 2/3 nodes: 1.4 cm and 1 mm; ALND L1&2: 0/10; Stage IIa, Grade 3
7/14/11 CT/Bone scans NED; MUGA 66%
7/19/11 Biweekly dd AC w/Neulasta; done 8/30/11
9/13/11 Transfusion (Hemoglobin 8.6); MUGA 64%
9/20/11 Start Taxol + Herceptin; Taxol done 12/6/2011; continue Herceptin until 9/4/2012
12/27/11 Radiation - 6 weeks; 2/27/2012 - DONE! Yayyyy!
2/29/12 Start Tamoxifen 20 mg/day; continue until 2/28/17
5/16/12 Start five-years Metformin trial
6/19/12 MUGA 61%
8/21/12 Brain MRI NED (head still hurts, brain still fogged)
9/4/12 Herceptin done!
9/6/12 Port out!
7/11/13 Aricept 5mg for cognitive impairment; increased to 10mg as of 8/23/13; back to 5mg 12/2013
5/2014 Add Namenda 7mg
9/2014 Stop Aricept and Namenda; Neuropsychological evaluation
10/24/14 Start cognitive rehabilitation therapy
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Old 01-27-2015, 03:36 PM   #7
Lnmum
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Location: Greenville, NC
Posts: 78
Re: Herceptin ends in 2 months/ recurrence???

Thanks, Pat and Rhondalea.
Rhondalea, how is the cognitive therapy? My brain is so slow and forgetful now. Thanks to taxol (and herceptin??)
__________________
Loren
11/3/13 mammogram age 50
11/27/13 follow up mammogram and right breast ultrasound. Radiologist showed me image of 3mm nodule. He said to wait 6 months for a follow up mammogram. I advocated for myself and requested a biopsy.
12/11/13 core biopsy with clip placed
1/6/14 Duke consult BC Treatment
1/30/14 partial right mastectomy, sentinel node biopsy 2 setinal nodes clear. 1.1 cm IDC, close margins.
3/13/14 met Dr Heather White in Greenville, NC. She is wonderful and my new oncologist.
3/18-19/14 Dr. White ordered pet scans, full body ct, bilateral MRIs and BRCA TEST.
3/20/14 5/15/14 chemo taxol/Herceptin 1x/week
3/25/14 port placement
4/17/14 BRCA2+
5/22/14 Herceptin only 1x every 3 was for a year. incomplete Taxol(neuropathy of hands and feet)
7/2/14 oopherctomy, salpingoopherectomy, hysterectomy at Vidante with Dr. Marie Rowe.
10/3/14 BMX/trams flap with Georgaide and Zenn at Duke.
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