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Old 03-11-2008, 11:26 AM   #1
Jean
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Nice positive news on cardiac effects....associated wtih herceptin.

http://www.medicalnewstoday.com/articles/99959.php

Hugs,
Jean
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Stage 1, Grade 1, 3/30/05
Lumpectomy 4/15/05 - 6MM IDC
Node Neg. (Sentinel node)
ER+ 90% / PR-, Her2+++ by FISH
Ki-67 40%
Arimidex 5/05
Radiation 32 trt, 5/30/05
Oncotype DX test 4/17/06, 31% high risk
TOPO 11 neg. 4/06
Stopped Arimidex 5/06
TCH 5/06, 6 treatments
Herceptin 5/06 - for 1 yr.
9/06 Completed chemo
Started Femara Sept. 2006
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Old 03-11-2008, 01:20 PM   #2
TSund
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Tch

Hi Jean!

Does this study do a comparison between the dose dense and the TCH protocol? Assuming TCH still easier on the heart and if the data holds up it is just as effective?

Nice to see you, my friend!

TRS
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Terri, spouse of Ruth, Dallas/Ft. Worth area
Ruth dx 05/01/07 (age 50) Filipino
multifocal, several tumors .5 -2.5 cm, large area
Breast MRI showed 2 enlarged nodes, not palpable
100%ER+, 95%PR+, HER2+++
6x pre-surgery TCH chemo finished 9/15/7 Dramatic tumor shrinkage
1 year Herceptin till 6/08
MRM 10/11/07, SNB: 0/4 nodes + Path: tumors reduced to only a few "scattered cells"
now 50% ER+, PR- ???
Rads finished 1/16/08
Added Tamoxifen,
Finished Herceptin 05/08
NOW is the time to appreciate life to the fullest.
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Old 03-11-2008, 01:28 PM   #3
Mary Jo
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Hi Jean,

Thanks for the positive information.

It's nice to have you and your information back with us.

Hugs to you sweetie........

Mary Jo
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"Be still and know that I am God." Psalm 46:10

Dx. 6/24/05 age 45 Right Breast IDC
ER/PR. Neg., - Her2+++
RB Mast. - 7/28/05 - 4 cm. tumor
Margins clear - 1 microscopic cell 1 sent. node
No Vasucular Invasion
4 DD A/C - 4 DD Taxol & Herceptin
1 full year of Herceptin received every 3 weeks
28 rads
prophylactic Mast. 3/2/06

17 Years NED

<>< Romans 8:28
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Old 03-11-2008, 04:37 PM   #4
Andrea Barnett Budin
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Wink

Hey there Jean! It is pure joy to see you on the board. As full of positivity and support as always. Sending you the biggest hug ever... AND Love...
Andi
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'95 post-meno dx Invasive LOBULAR w/9cm tumor! YIKES + 2/21 nodes. Clear mammo 10 mnths earlier. Mastec/tram flap reconst/PORT/8 mnths chemo (4Adria/8CMF). Borderline ER/PR. Tamoxifen 2 yrs. Felt BLESSED. I could walk and talk, feed and bathe myself! I KNEW I would survive...

'98 -- multiple mets to liver. HER2+ 80%. ER/PR- Raging, highly aggressive tumors spreading fast. New PORT. 9 mnths Taxotere Fought fire w/fire! Pronounced in cautious remission 5/99. Taxotere weekly for 6 wks, 2 wks off -- for 9 mnths. TALK ABOUT GRUELING! (I believe they've altered that protocol since those days -- sure hope so!!)
+ good old Vit H wkly for 1st 3 yrs, then triple dosage ev 3 wks for 7 yrs more... The "easy" chemo, right?! Not a walk in the park, but not a freight train coming at 'ya either...

Added Herceptin Nov '98 (6 wks after FDA fast-tracked it for met bc). Stayed w/Vit H till July '08! Now I AM FREE! Humbly and eternally grateful for this life-saving drug! NED since '99 and planning on keeping it that way. To hell w/poor prognosis and nasty stats! STOPPED VIT H JULY '08...! REMAIN STABLE... Eternally grateful...Yes is a world & in this world of yes live (skillfully curled) all worlds ... (e e cummings) EVERY DAY I BEAT MY PREVIOUS RECORD FOR # OF CONSECUTIVE DAYS I'VE STAYED ALIVE. Smile KNOWING you too can be a miracle. Up to me and God now...
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Old 03-11-2008, 05:23 PM   #5
sassy
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Thanks for the post Jean---good news for me.

Good to "see" you back.
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dx age 45
DX 2/15/05 Stage IIb (at surgery)restaged IIIa
Left mast .9cm tumor 5 of 14 nodes
Triple Positive
4 DD A/C
12 Taxol/Herceptin
33Rads
Strange infect mast site one year aft surg, hosp 1 wk
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Arimidex 6 yrs (tried Femara, no SE improvement)
Tried Exemestane-hips got so bad could hardly walk
Back to Arimidex for year seven
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Old 03-11-2008, 05:38 PM   #6
Bill
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Smile

Hi Jean, thanks for the post. I've been thinking about you alot and hope you're doing well. Love, Bill
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Old 03-11-2008, 06:48 PM   #7
Jean
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Hi TRS,
No, this study did not compare the TCH...but if it helps at all, Dr. Slamon
was confident in the TCH trials when they went head to head with A/C.
very small margin of difference.

Thank you, it is great to be back among my friends...missed all of you!

Warmly,
jean
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Stage 1, Grade 1, 3/30/05
Lumpectomy 4/15/05 - 6MM IDC
Node Neg. (Sentinel node)
ER+ 90% / PR-, Her2+++ by FISH
Ki-67 40%
Arimidex 5/05
Radiation 32 trt, 5/30/05
Oncotype DX test 4/17/06, 31% high risk
TOPO 11 neg. 4/06
Stopped Arimidex 5/06
TCH 5/06, 6 treatments
Herceptin 5/06 - for 1 yr.
9/06 Completed chemo
Started Femara Sept. 2006
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Old 03-12-2008, 06:48 AM   #8
Paris
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Great, but.....

Thank you, Jean for posting the article. However, as one who is dealing with chemo/herceptin cardiotoxicity I am not ready to jump up and down cheering over this. If any of you subscribe to HEAL magazine, the latest issue has a very good article regarding chemo toxicity and basically ALL chemo has the potential to have a negative effect on our heart. Granted it is uncommon but the chance is still there. In addition, my cardiologist gave me over 30 pages of studies that have been done on the cardiotoxic effects of the various chemo drugs and not just the anthra-cyclines.

Right now I'm not trusting any studies backed by Genentech (herceptin) and Amgen (aranesp).

Please note, I seem to be the one person that seems to get the side effects that only 1% of people experience!

Jamie
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Diagnosed 11/06 IDC left breast Stage 1, High Grade w/extensive High Grade DCIS. Right breast extensive hyperplasia w/calcifications.
ER-/PR- HER2+++
Bi-lateral masectomy 12/15/06 w/expanders
SNB Node Negative
Chemo Taxotere, Cytoxan 2/07-4/07
Herceptin Started 5/07
Exchange surgery 6/15/07
Herceptin stopped after 12 rounds due to herceptin induced cardiomyopathy
On heart meds 'til?
Age 40 at diagnosis
Cancer may have been a defining moment but it does not define me!
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Old 03-12-2008, 07:37 AM   #9
Jackie07
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Cheers to the good news

I, too, had to stop Herceptin because of the side effect of the heart. I am having another MUGA scan Monday and I doubt if the number will climb back. But newer study also says that Herceptin does not necessarily need to be administered more than 9-12 rounds. I don't know, perhaps I am just trying to comfort myself. But we just have to face it and hope for another miracle options.

Woke up with a terrible feeling (pretty much did not sleep, I guess), so I called in sick for the morning.

Still, cheers to the good news!
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Old 03-12-2008, 07:58 AM   #10
Jean
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Jamie,

I am sorry that you have fit into the 1% group. As with any medication there are always side affects to consider and some are very serious. Chemo does /and/could have serious side affects.

I remember back in 2005 when I was dx. I read many articles that stated herceptin increased the risk of heart disease and it was very discouraging when considering treatment. It did not state that heart disease associated with treatment is relatively rare and typically occurs only with certain types of chemotherarpy and never mentioned the toll also of radiation therapy. It was rather a dooms day report.
So much so, that friends and family were upset that I was considering herceptin treatment, thinking (based on what they read) that I would have a heart attack soon after treatment.

If the area of your body receiving radiation includes your heart, you have an increased risk of cardiomyopathy, coronary artery disease and heart attack. The combinaton of radiation and chemotherapy can further increase your risk of heart damage.

I believe this report is showing it is not as severe as first reported.
But - we should also keep in mind that chemo/and/herceptin is only one culprit. Other factors play a role, too, chest radiation, weight gain (ugh) that plagues many of us survivors, physical inactivity during
during treatment, stress (we all know stress is another killer).

My grandmother used to say "The mind will heal the body" and as a young child I did not fully understand what this meant.

Therefore, it is a combination of events that can create another health issue. Of course the future will tell us more as we age along with our treatments. I for one, will be happy to deal with my heart 20 or 30 yrs. from now....I pray to the good Lord that should be my issue.

Remember we didn't EARN the label survivor easily!

Kind Regards,
Jean
__________________
Stage 1, Grade 1, 3/30/05
Lumpectomy 4/15/05 - 6MM IDC
Node Neg. (Sentinel node)
ER+ 90% / PR-, Her2+++ by FISH
Ki-67 40%
Arimidex 5/05
Radiation 32 trt, 5/30/05
Oncotype DX test 4/17/06, 31% high risk
TOPO 11 neg. 4/06
Stopped Arimidex 5/06
TCH 5/06, 6 treatments
Herceptin 5/06 - for 1 yr.
9/06 Completed chemo
Started Femara Sept. 2006

Last edited by Jean; 03-12-2008 at 08:03 AM..
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Old 03-12-2008, 08:42 AM   #11
TSund
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Paris and Jackie,

Just curious; have you tried the CoQ10 supplement or the L-Carnitine that has been recommended by some on the board here?

TRS
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Terri, spouse of Ruth, Dallas/Ft. Worth area
Ruth dx 05/01/07 (age 50) Filipino
multifocal, several tumors .5 -2.5 cm, large area
Breast MRI showed 2 enlarged nodes, not palpable
100%ER+, 95%PR+, HER2+++
6x pre-surgery TCH chemo finished 9/15/7 Dramatic tumor shrinkage
1 year Herceptin till 6/08
MRM 10/11/07, SNB: 0/4 nodes + Path: tumors reduced to only a few "scattered cells"
now 50% ER+, PR- ???
Rads finished 1/16/08
Added Tamoxifen,
Finished Herceptin 05/08
NOW is the time to appreciate life to the fullest.
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Old 03-12-2008, 06:20 PM   #12
Paris
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Hi TRS, Yes I take 200mg of CoQ10 thanks to advice given by some of our wonderful ladies! I also take Fish Oil and Multivitamin. I thought of stopping after the heart issues thinking it didn't do anything. But a friend said imagine what it might have been likeif I hadn't taken anything.

Yes, Jean you are right. The mind heals the body. I think being positive has helped me get through everything. And you know what? Despite all the "issues" I've had with side effects I would not change anything and at the end of the day I thank God I was diagnosed early and for herceptin. I am also thankful I pressed the doctors to find out what was wrong with me which enabled them to find the heart damage early when it is considered mild as opposed to not finding out until the damage was permanent.

Unfortunately we never really know how things are going to turn out. That's true for life in general. Cancer has taught me to be okay with living a life of uncertainty. But I certainly have more fun now than I did pre-cancer!

Hugs to you all-

Jamie
__________________
Diagnosed 11/06 IDC left breast Stage 1, High Grade w/extensive High Grade DCIS. Right breast extensive hyperplasia w/calcifications.
ER-/PR- HER2+++
Bi-lateral masectomy 12/15/06 w/expanders
SNB Node Negative
Chemo Taxotere, Cytoxan 2/07-4/07
Herceptin Started 5/07
Exchange surgery 6/15/07
Herceptin stopped after 12 rounds due to herceptin induced cardiomyopathy
On heart meds 'til?
Age 40 at diagnosis
Cancer may have been a defining moment but it does not define me!
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Old 03-12-2008, 06:56 PM   #13
Jean
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True True Paris,
Cancer certainly teaches us much and opens new doors. Who would have thunk it?
It was so wise of you to take the COQ 10.

Sending you healing wishes,
Jean
__________________
Stage 1, Grade 1, 3/30/05
Lumpectomy 4/15/05 - 6MM IDC
Node Neg. (Sentinel node)
ER+ 90% / PR-, Her2+++ by FISH
Ki-67 40%
Arimidex 5/05
Radiation 32 trt, 5/30/05
Oncotype DX test 4/17/06, 31% high risk
TOPO 11 neg. 4/06
Stopped Arimidex 5/06
TCH 5/06, 6 treatments
Herceptin 5/06 - for 1 yr.
9/06 Completed chemo
Started Femara Sept. 2006

Last edited by Jean; 03-12-2008 at 06:59 PM..
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