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Old 09-12-2010, 08:17 PM   #21
vlcarr
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Re: brain mets have arrived

Well crap! That's the first thing that came to mind. Sending positive healing energy your way. You are a tough cookie and I have faith you can beat this.
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Age 47, TN, Diagnosed 05/09
Her2+, ER/PR-, Stage III, 2 tumors = 1 8cm tumor
Grade 3
Sentinel Node Biopsy-speck present in 1 node
Completed 3 month clinical trial of weekly Herceptin and 1000mg Tykerb daily
Tumor no longer present
Right mastectomy and lymph node removal 09/25/09
No cancer present at time of surgery, none in lymph nodes
Start TCH 10/15, every 3 weeks for 4 months followed by radiation
Finished chemo 01/28/10-YEAH!
Herceptin every 3 wks until end of June
Radiation begins 03/01, 6 1/2 weeks
Radiation complete--Yeah!!
Developed lymphedema after radiation
In hospital for 4 days with pneumonia:(
Herceptin done! 06/24/10
Port Removed 07/08/10
Still in PT for lymphedema and mobility issues
DIEP Reconstruction 05/11
I can be changed by what happens to me, but I refuse to be reduced by it~~Maya Angelou
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Old 09-12-2010, 09:25 PM   #22
ElaineM
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Wink Re: brain mets have arrived

Oh. Shucks. This is not good news. I don't have any experience with brain mets, but I heard that Tykerb passes the blood brain barrier. You might want to ask your doctor about it along with the other things suggested by the other people who responded to your message.
Please take good care of yourself and try to stay positive.
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12 years and counting
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Old 09-13-2010, 05:49 AM   #23
Sheila
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Re: brain mets have arrived

Jackie
So sorry to hear about the new brain mets, but you have received lots of good vibes and advice from the troup leaders in dealing with brain mets here....the outlook today is brighter than ever by catching them early.....stay strong, just another bump in our bumpy road!
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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 09-13-2010, 08:53 PM   #24
jhandley
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Re: brain mets have arrived

HI everyone
having an mri tomorrow and a ct to see if rest of body clear.
Will update soon. Thankyou for all your support.
jackie(down under)
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Old 09-14-2010, 12:13 PM   #25
CourtneyL
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Re: brain mets have arrived

Sending prayers and healing energy your way, Jackie. I pray that you are able to zap the buggers with some targeted radiation. This is a VERY effective treatment and can allow you to beat this. You are not out of the game, my dear. It is possible, it is possible. We are all standing in your corner, cheering you on as you face this latest struggle. Sending you heaps of support and love.
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4/17/08: Dx Stage IV at age 30 - extensive mets to liver, lungs, and bones. Er/Pr-, Her2+++
April 08-Aug 08:Taxotere, Cytoxan, Herceptin, Zometa - complete response!
Sept 08-Dec 08: Herceptin +Zometa for maintenance.

Jan 09-April 09: Brain mets. Add Tykerb. Watch and wait.
April 09: Gamma Knife 10 brain mets, add Xeloda.
Sept 09: Gamma Knife to 1 brain met.
Nov 09- April 10: Lung progression, add Gemzar to Herceptin, Zometa.
May 10- Sept 10: HER2 Vaccine Trial

Sept 10: Add Tykerb for more brain mets.
Oct 10: Gamma Knife to 7 brain mets.
Dec 10: Switch from Zometa to Denosumab.
Jan 11: Gamma Knife to 3 brain mets.
March 11: Gemzar/Herceptin for lung/bone progression.
April 11: More brain mets - Intrathecal Herceptin
June 11: Ixempra/Herceptin for lung, soft tissue progression.
Aug 11: Gamma Knife
Sep 11: Abraxane/Herceptin
Future: NED

Send me a PM if you'd like to follow my journey on Caringbridge.
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Old 09-14-2010, 01:47 PM   #26
chrisy
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Re: brain mets have arrived

Jackie,

I see that many of the brain mets warriors have weighed in, and that you've got some good strategies. Hoping that the scans show no other progression - since herceptin is protective elsewhere but not in the brain, that's a real possibility.

Sending much love and prayers.
Chris
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June 2002 extensive hi grade DCIS (pre-cancer-stage 0, clean sentinal node) Mastectomy/implant - no chemo, rads. "cured?"
9/2004 Diag: Stage IV extensive liver mets (!) ER/PR- Her2+++
10/04-3/05 Weekly Taxol/Carboplatin/Herceptin , complete response!
04/05 - 4/07 Herception every 3 wks, Continue NED
04/07 - recurrence to liver - 2 spots, starting tykerb/avastin trial
06/07 8/07 10/07 Scans show stable, continue on Tykerb/Avastin
01/08 Progression in liver
02/08 Begin (TDM1) trial
08/08 NED! It's Working! Continue on TDM1
02/09 Continue NED
02/10 Continue NED. 5/10 9/10 Scans NED 10/10 Scans NED
12/10 Scans not clear....4/11 Scans suggest progression 6/11 progression confirmed in liver
07/11 - 11/11 Herceptin/Xeloda -not working:(
12/11 Begin MM302 Phase I trial - bust:(
03/12 3rd times the charm? AKT trial

5/12 Scan shows reduction! 7/12 More reduction!!!!
8/12 Whoops...progression...trying for Perjeta/Herceptin (plus some more nasty chemo!)
9/12 Start Perjeta/Herceptin, chemo on hold due to infection/wound in leg, added on cycle 2 &3
11/12 Poops! progression in liver, Stop Perjeta/Taxo/Herc
11/12 Navelbine/Herce[ptin - try for a 3 cycles, no go.
2/13 Gemzar/Carbo/Herceptin - no go.
3/13 TACE procedure
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Old 09-14-2010, 04:38 PM   #27
joyce lutz
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Re: brain mets have arrived

Are any of you that responded who have brain mets being treated with Avastin? My daughter is on that drug for her brain mets. We'll know if it's working end of next month when they do another mri of the brain. Keep the faith Jackie, we are all pulling for you.
Joyce
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Old 09-15-2010, 08:32 AM   #28
Joan M
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Re: brain mets have arrived

Jackie,

I had one brain tumor in my left frontal lobe which was about 2.6 cm and was too large for stereotatic radiosurgery (SRS) alone. That is, one shot to the tumor. The radiation oncologist and brain surgeon recommended surgery followed by stereotatic radiotherapy (SRT) to the tumor bed (five shots of targeted radiation), for roughly a 90% control rate. The radiation method used was IMRT. Surgery alone would have been only a 50% control rate.

The surgery was in mid October 2008 and regular follow-ups with brain MRIs every three to four months have shown no tumor regrowth or additional spots since then.

Since my breast cancer first became metastatic in early 2007 with spread to my lung, I've been on only Herceptin, no Tykerb or chemotherapy. However, I've had only local treatments to combat the spread. That is, a lung wedge resection to remove the original metastatic bc there, and radiofrequency ablation (RFA) to zap a recurrence there a year later in 2008, and then the craniotomy and targeted radiation to the one brain nodule.

I'm a happy camper.

Joan
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Diagnosed stage 2b in July 2003 (2.3 cm, HER2+, ER-/PR-, 7+ nodes). Treated with mastectomy (with immediate DIEP flap reconstruction), AC + T/Herceptin (off label). Cancer advanced to lung in Jan. 2007 (1 cm nodule). Started Herceptin every 3 weeks. Lung wedge resection April 2007. Cancer recurred in lung April 2008. RFA of lung in August 2008. 2nd annual brain MRI in Oct. 2008 discovered 2.6 cm cystic tumor in left frontal lobe. Craniotomy Oct. 2008 (ER-/PR-/HER2-) followed by targeted radiation (IMRT). Coughing up blood Feb. 2009. Thoractomy July 2009 to cut out fungal ball of common soil fungus (aspergillus) that grew in the RFA cavity (most likely inhaled while gardening). No cancer, only fungus. Removal of tiny melanoma from upper left arm, plus sentinel lymph node biopsy in Feb. 2016. Guardant Health liquid biopsy in Feb. 2016 showed mutations in 4 subtypes of TP53. Repeat of Guardant Health biopsy in Jana. 2021 showed 3 TP53 mutations, BRCA1 mutation and CHEK2 mutation. Invitae genetic testing showed negative for all of these. Living with MBC since 2007. Stopped Herceptin Hylecta (injection) treatment in March 2020. Recent 2021 annual CT of chest, abdomen and pelvis and annual brain MRI showed NED. Praying for NED forever!!
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Old 09-29-2010, 09:56 AM   #29
frankie
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Re: brain mets have arrived

Hi Jackie,
I am new to this site. I do recognize some ladies from another site. Just wanted to say hello and let you know that I too was recently dx with brain mets. I had a baseline brain mri in Dec/09 and it was clean. I was dx with a single 2 cm tumor on my right parietal lobe after a brain mri (following some sensory motor sensations in my left arm)-August 4/10. I opted to have cyberknife treatments (3 treatments 8gys each)-August 30, 31 & Sept. 1st). The procedure itself was simple, painless and non-invasive.
I did experience "hairloss" on day 14. I must say I was not prepared for this and the area of hairloss is about 4.5 inches (the affected area-where treatment took place). Despite the hairloss I still would have chose this treatment-based on my situation. I was told that hairloss usually does not occur. It depends if the treated area is close to the scalp, etc. In most cases, I am told that hair will regrow after several months. Hoping this is the case. Other than that I have not experienced any other negative side effects. I will have my follow-up 4 week brain mri on October 1st. Thereafter, I will have a brain mri every 3 months to monitor.
None of us want to learn that we have developed a brain met but there seems to be a variety of options out there. Take the time to investigate all your options! I wish you ALL the best. Please keep us posted.
Love each day...
Frankie
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Last edited by frankie; 09-29-2010 at 10:02 AM.. Reason: forgot the spell check!
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Old 09-29-2010, 10:46 AM   #30
MaryAn
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Re: brain mets have arrived

No advice here. Just wanted to show support to my sister down under. Hugs and well wishes and prayers. Lots of love.
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Old 09-29-2010, 10:13 PM   #31
Catherine
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Re: brain mets have arrived

Jackie,

Please add me to the list of friends standing behind you. How wonderful that the smart warriors have shared their wisdom with their posts. May all of this experience help you and your doctor pick a good path.

Hugs to you,
Catherine
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Found my own lump in the shower
April 2006 at the age of 58
Stage IIB, ER- PR- HER2+++ multi focal tumors, largest 2.3cm
Chemo first: AC/Taxol over 16 weeks
Bilateral mastectomy Sep 06
33 rads after the surgery
1 year of Herceptin completed Dec 07
15 years and no recurrence as of April 2021
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Old 09-30-2010, 04:34 AM   #32
jhandley
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Re: brain mets have arrived

Hi all
finished a 5 day course of wbr..but boy am I fatigued!
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Old 09-30-2010, 04:59 AM   #33
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Re: brain mets have arrived

Jackie,
Nice to hear from you. Does this mean your done with your WBR treatments? Just think those pesty cancer cells are being "zapped". When will you have your next brain mri to follow-up? Remember take time to rest and don't over do it. Radiation is cumutive. Were you prescribed Decadron? I was and have been on it since August. It has been nasty with it's awful side effects. i have been graudually weaned off it. Thankfully, this is my last week at a very low dose.
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Old 09-30-2010, 05:02 AM   #34
frankie
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Re: brain mets have arrived

Jackie,
I posted up above #33 (Not sure why it flagged me as a unregistered guest?). New to this site and still trying to naviagate my way.
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