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Old 10-18-2011, 01:23 PM   #1
duga35
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Alcohol intake

I've heard mixed reviews on alcohol intake and the risk of recurrence, and just thought that I would ask here for some input and thoughts on the subject!

I consume about a fifth of vodka per week and was told by my oncologist that isn't enough to make a difference one way or another.


Thoughts??
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Diagnosis and Treatment: DX 12/07/07
Male Diagnosed with DCIS at age 39
Mastectomy on right breast
Tumor Stage pt1b NO MO
DCIS Tumor size 1.5 x 1.x .6cm
Infiltration tumor size .25X.17 cm
Bloom-Richardson Grade 3(score 8)
Nuclear Grade 3 with comedo necrosis
Estrogen+/Progestrone+/HER-2/Neu +++
FISH ratio 4.31
Lymph node removal scheduled 1/07/08
17 nodes tested and all negative 1/08/08
Started Tamoxifin 1/29/08
Oncotype DX score 52 (off the charts, according to my onc!!!)
Starting TCH 3/14/08
BRCA I Positive BRCA II Negative
Finished TC 6/27/08 continue Herceptin
8/1/08 Herceptin stopped due to low Muga score
Mastectomy on left breast 11/10/08
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Old 10-18-2011, 04:16 PM   #2
snolan
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Re: Alcohol intake

I have about 1 glass of wine a week, was told the same.
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dx: DCIS 6/8/10, HER 2+ 7/26/10; Stage I Age 41
Double mast w reconstruction
6 TCH w 1yr herceptin
Tamox.
25 radiation tx
Removal of expander on L due to infection. Tried to save it had 3 bouts of antibiotics and went to see plastic surgeon 2-3x wk to get drained. Saving it was my idea not his. But lost it anyway.
Reconstruction set for December 21st,2011
Finished chemo 12/2010
Finished Herceptin 8/26/11
Reconstruction 12/21/11
Expanders exchanged for silicon 3/19/12
Nipple reconstruction 5/18/12
Nipple tatooing- 7/9/12- All done yay!
11/22/12-Went back to get scar tissue stretched to even the outside of breast, didn't work due to it being radiated skin.
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Old 10-19-2011, 04:19 AM   #3
chekmark
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Re: Alcohol intake

I was told that there have really been no conclusive findings that diet has been linked to bc. Alcohol intake plays a role in everyones life but has not been totally linked to cancer. It only makes sense to drink moderately with our without cancer. Pretty much how it was summed up for me. I drink a glass of wine now and then and on a rare occassion a beer even while in treatment. Was told red wine is the healthiest for us. Good question.
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DX Sept 30 2010 at the age of 49. Oh crap! 1.5 cm idc, stage 1 grade 3 er/pr+, her2+ no lymph nodes, mastectomy Oct/10. Started 6 rounds of TCH Dec/10 and will continue herceptin until Nov /11 and just started femara.
Stray kitten found my lump while I was playing with it. It is now my pet and my dog is not real happy about that.
Mammo good
last herceptin 11/21/11 YAY
reconstruction 12/09/11
Chapter closed 12/10/11, hopefully, fingers crossed
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Old 10-19-2011, 09:27 AM   #4
jra40
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Re: Alcohol intake

So glad you posted this - I wonder the same thing since I love my cocktails once in awhile. I stopped drinking when I got diagnosed and now that I am done with chemo and on Herceptin alone I have started having wine or a martini here and there. I just met with a nutritionist and here is what was in the pamphlet she gave me:

The risk of breast cancer increases with just a few drinks per week. Women at high risk may consider not consuming alcohol at all.

I have drastically changed my life for this breast cancer but it is not robbing me of things I enjoy in life. Glass of wine please!
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11/17/10 - Diagnosed with 4.5cm tumor in right breast, IDC, Stage 2, Nuclear grade 2, ER+ PR+ HER2+
12/13/10 - Lymph node biopsy - negative
12/28/10 - Started neo-adjuvant treatment along with clinical trial with 4 rounds of AC chemo every 3 weeks
3/15/11 - Began weekly Taxol/Herceptin infusions along with 750mg of Tykerb taken by mouth daily
6/28/11 - Finished last cycle of Taxol
7/27/11 - Breast MRI shows tumor has dissolved, remarkable reaction to chemo
8/31/11 - Lumpectomy, Sentinel Node biopsy. Node negative, clear margins, 7mm of cancer left over from chemo.
10/05/11 - Started radiation, 5 days a week for 7 weeks.
11/8/11 - Finished radiation
3/21/12 - Last Herceptin!
3/26/12 - Port removed!
Tamoxifen for 5 years
8/4/15 - Hysterectomy & bilateral salpingo-oophorectomy. Due to large fibroids. No cancer!
8/8/15 - Started Arimidex
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Old 10-19-2011, 11:12 AM   #5
Kellennea
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Re: Alcohol intake

Great question! I also stopped drinking during treatment, but started again while just doing herceptin. I actually went to a wine tasting the night before one of my herceptin treatments (I totally forgot) and freaked out. My oncologist laughed at me and said I was fine.

I have a few glasses of red wine throughout the week, or a beer here and there, and my oco is fine with it. and I think it's a great stress reliever
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10/01/10 - Dx at age 44. Found lump after miscarrying & was told it was "probably a clogged milk duct" not so much:
stage II - invasive ductal carcinoma ER/PR+ HER2+
10/01/10 - BRCA test - Negative
11/3/10 -2.5cm tumor removed via lumpectomy, clear margins. sentinal node biopsy - nodes clear!
12/2/10 - port placement
12/2/10 to 3/17/11 - 6 rounds of taxotere, carboplatin & herceptin every 3rd week.
04/20/11 - 6/6/11 - 33 rounds of radiation
4/6/11 to 11/2/11 - 11 additional rounds of herceptin every 3rd week
7/15/11 - port removal
7/5/11 started my 5 year journey on Tamoxifen
9/4/11 -1 yr Chest MRI - CLEAN!!!!
9/5/12 -2 yr Chest MRI - CLEAN!!!!
8/29/12 - Started spotting after being in chemopause 1.5 years. Ultra sound detected 6cm ovary mass & very thick lining. YIKES! Taken off Tamoxifen
9/6/12 - Full abdominal hysterectomy. Pathology report came back clean... thank you baby Jesus!!
9/28/12 - Started Anastrozole
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Old 10-19-2011, 12:08 PM   #6
Rich66
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Re: Alcohol intake

I can't find it, but a recent study suggested noticeable cellular changes in relevant cells with what was thought to be a small amount of alcohol.
Here's a recent study suggesting concern is more warranted in higher consumption:



Tumori. 2011 Mar-Apr;97(2):142-8. doi: 10.1700/667.7774.
Do pre-diagnostic drinking habits influence breast cancer survival?

Allemani C, Berrino F, Krogh V, Sieri S, Pupa SM, Tagliabue E, Tagliabue G, Sant M.
Source

Department of Preventive and Predictive Medicine, Analytical Epidemiology Unit, Italy. claudia.allemani@istitutotumori.mi.it

Abstract

AIMS AND BACKGROUND:

Alcohol consumption increases the risk of developing breast cancer and may also be associated with late diagnosis, recurrence, distant metastases and death. Many studies have examined the role of alcohol as a risk factor for the development of breast cancer, but very few studies have addressed the role of alcohol as a prognostic factor for survival among women diagnosed with breast cancer. The aim of this study was to investigate the survival of women with breast cancer in relation to pre-diagnostic alcohol intake and other factors known to influence prognosis.
METHODS:

We analyzed data for 264 women in the EUROCARE and ORDET studies who were diagnosed with breast cancer from 1987 up to 31 December 2001 and for whom information was available on follow-up, stage at diagnosis, HER-2 and hormone receptor status, and pre-diagnostic dietary alcohol intake, categorized as zero (0 g/day, non-drinkers), moderate (up to 13 g/day, about 1 serving) and high (>13 g/day). Ten-year relative survival was estimated using the maximum-likelihood approach. The excess risk of death within 10 years of diagnosis was modeled by level of alcohol intake, adjusting separately for age, stage, body mass index and tumor subtype.
RESULTS:

Ten-year relative survival was lower in women who drank more than 13 g/day (65%; 95% CI, 47-78) than in non-drinkers (88%; 95% CI, 75-95). The excess risk of death within 10 years was significantly higher in women who drank more than 13 g/day than non-drinkers (relative excess risk, 4.13; 95% CI, 1.69-10.10) and was not altered by adjustment for other prognostic factors. The excess risk within 10 years was higher for women with a body mass index of 25 kg/m2 or higher (relative excess risk, 2.20; 95% CI, 1.01-4.70) and higher for those with more advanced disease.
CONCLUSIONS:

Women who drank more than 13 g alcohol per day had lower survival than non-drinkers. The excess risk of death within 10 years of diagnosis was unaffected by other known risk factors. High alcohol consumption may be an adverse prognostic factor for breast cancer.

PMID:21617706 [PubMed - indexed for MEDLINE]
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Old 10-20-2011, 05:56 AM   #7
NEDenise
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Re: Alcohol intake

Yikes!
That sounds pretty dire! Good enough for me! Thanks, Rich!
Denise

PS-I can still have dark chocolate though...right?...it's not like I'm addicted....I just need my chocolate...I'm ER-....it's better for everyone if I have chocolate...really...
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1/11-needle biopsy
2/11-Lumpectomy/axillary node dissection - Stage 3c, ER/PR-14/17 nodes
3/11 - Post-op staph infection,cellulitis, lymphedema,seroma,ARRRGH!
4/12/11-A/C x 4, then T/H x 4, H only,Q3 weeks
8/26/11 finished Taxol!!!
10/7/11 mastectomy/DIEP recon
11/11 radiation x28
1/12/12 1st CANCER-VERSARY!
1/12 Low EF/Herceptin "Holiday" :(
2/12 EF up - Back on Herceptin, heart meds
4/2/1212 surgery to repair separated incision from DIEP recon
6/8/12 Return to work :)
6/17/12 Fall, shatter wrist,surgery to repair/insert plate :(
7/10/12 last Herceptin
7/23/12 Brain Mets %$&#! 3cm and 1cm
8/10/12 Gamma knife surgery, LOTS of steroids;start H/Tykerb
8/23/12 Back to work
12/20/12 Injure back-3 weeks in wheel chair
1/12/13 2nd CANCER-VERSARY!
1/14/13 herniate disk in back - surgery to repair
1/27/13 Radiation necrosis - edema in brain - back on steroids - but not back to work - off balance, poor cordination in right arm
5/3/13 Start Avastin to shrink necrosis
5/10/13 begin weaning steroids
6/18/13 Brain MRI - Avastin seems to be working!
6/20/13 quarterly CT - chest, abdomen, pelvis - All Clear!
7/5/13 finally off steroids!!
7/7/13 joined the ranks of the CHEMO NINJAS I am now Tekuto Ki Ariku cancer assassin!
7/13/13 Symptoms return - back on steroids
7/26/13 Back on Avastin - try again!
8/26/13 Not ready to return to classroom yet :( But I CAN walk without holding onto things! :)
9/9/13 Brain MRI - fingers crossed
Life is a grindstone, and whether it grinds you down or polishes you up is for you, and you alone, to decide. Cavett Robert
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Old 10-20-2011, 01:10 PM   #8
Becky
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Re: Alcohol intake

I don't necessarily drink during the week because I find I am too tired after a hard day at work (I am very,very busy with my job) that I can't do anything else. I do sometimes have a glass of wine on a Monday - Thursday. But Friday, Saturday and Sunday I do have a couple of drinks - it depends but probably 2-4 drinks each of those nights. Usually wine but sometimes a cocktail and then wine. I am not a big beer drinker but love it in the summer after a hot day in the garden. Is it not good? I say we have all been through enough - too much, to not enjoy our lives to the fullest. Also, some alcohol studies do not rule out other factors that may be synergistic with alcohol drinking such as - do you smoke too? Do you just sit around or are you depressed. There is so much more going on than just those drinks. Eat well and live well I say. So, I suppose if a bottle of wine is about 6 drinks depending on how you pour, then I drink about 2 bottles a week. That's why I'm smiling in my picture!
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Becky

Found lump via BSE
Diagnosed 8/04 at age 45
1.9cm tumor, ER+PR-, Her2 3+(rt side)
2 micromets to sentinel node
Stage 2A
left 3mm DCIS - low grade ER+PR+Her2 neg
lumpectomies 9/7/04
4DD AC followed by 4 DD taxol
Used Leukine instead of Neulasta
35 rads on right side only
4/05 started Tamoxifen
Started Herceptin 4 months after last Taxol due to
trial results and 2005 ASCO meeting & recommendations
Oophorectomy 8/05
Started Arimidex 9/05
Finished Herceptin (16 months) 9/06
Arimidex Only
Prolia every 6 months for osteopenia

NED 15 years!

Said Christopher Robin to Pooh: "You must remember this: You're braver than you believe and stronger than you seem and smarter than you think"
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Old 10-20-2011, 06:08 PM   #9
caya
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Smile Re: Alcohol intake

I occasionally have a glass of red wine. With my chocolate-

all the best
caya
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ER90%+/PR 50%+/HER 2+
1.7 cm and 1.0 cm.
Stage 1, grade 2, Node Negative (16 nodes tested)
MRM Dec.18/06
3 x FEC, 3 x Taxotere
Herceptin - every 3 weeks for a year, finished May 8/08

Tamoxifen - 2 1/2 years
Femara - Jan. 1, 2010 - July 18, 2012
BRCA1/BRCA2 Negative
Dignosed 10/16/06, age 48 , premenopausal
Mild lymphedema diagnosed June 2009 - breast surgeon and lymph. therapist think it's completely reversible - hope so.
Reclast infusion January 2012
Oopherectomy October 2013
13 Years NED!!
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Old 10-21-2011, 04:59 AM   #10
TanyaRD
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Re: Alcohol intake

I recommend very minimal alcohol for my patients with a history of breast cancer. Typically, it was suggested that 1 drink per day was ok for women at risk/history of breast cancer but then a study came out about 2 years ago suggesting that even that increased the risk of breast cancer. (I can't find that study right now-sorry) However, there have been studies since then that have not found the same correlation (see one example in 2nd link provided below). We know without a doubt that heavy alcohol intake increases the risk of most solid tumor cancers. In the case of breast cancer and alcohol consumption I would suggest that less is best!

http://www.aicr.org/reduce-your-canc...s_alcohol.html

http://www.ncbi.nlm.nih.gov/pubmed/21864055
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Old 10-21-2011, 03:13 PM   #11
LoisLane
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Re: Alcohol intake

Oh rats! I was hoping a few glasses of red wine on the weekend would be okay. Mind you I spent this past weekend away with my two sisters and had a few more than that. Oh well I guess I will try to save it for special times. Did I read something in Susan Love's book that if you are going to have a drink have greens at the same time, do you think that if I munch
on spinach or brocolli along with the wine it might be helpful. Yum yum All kidding aside thanks for info Tanya you are a great help here Lois.
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August 2008
Lumpectomy left breast
1 tumour 0.9 cm
Her2 negative
lymph nodes negative
venous/lymphatic invasion absent
ER+PR-
Stage I Grade 2
Radiation and Femara

November 2008
Lumpectomy right breast
2 tumours .03 cm and .05 cm and extensive DCIS
.05 tumour Her2+
lymph node negative
venous/lymphatic invasion "indeterminate"
ER+PR low postive
Stage 1 Grade 2

January 2009
bilateral mastectomy
chemotherapy taxotere
Herceptin one year
Femara
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Old 10-21-2011, 06:26 PM   #12
TanyaRD
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Re: Alcohol intake

Hmmm. Broccoli and red wine...not sure that is a great combination! Maybe red wine and a little dark chocolate would be better =) Kidding and uncertain science aside, I also believe quality of life is important. If you enjoy a glass of wine or a drink once a week (sometimes a little more, sometimes less) it seems unlikely to increase risk significantly.
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Old 10-26-2011, 12:04 PM   #13
Rich66
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Re: Alcohol intake

I think this was the lab study that showed certain cancer mechanisms may be altered by alcohol intake:
http://www.genengnews.com/analysis-a...ncer/77899471/

In other studies, some alcohol seems to be healthy.

http://www.news-medical.net/news/201...er.aspx?page=2
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Old 10-27-2011, 05:46 PM   #14
Mtngrl
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Re: Alcohol intake

I used to drink red wine just about every day. I quit when I was diagnosed. Now I have one (5 oz) glass of red wine once in awhile. It does enhance the enjoyment of food.

I'm with Denise--I can do without the alcohol, but don't take away my dark chocolate!
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4/19/11 Diagnosed invasive ductal carcinoma in left breast; 2.3 cm tumor, 1 axillary lymph node, weakly ER+, HER2+++
4/29/11 CT scan shows suspicious lesions on liver and lungs
5/17/11 liver biopsy
5/24/11 liver met confirmed--Stage IV at diagnosis
5/27/11 Begin weekly Taxol & Herceptin for 3 months (standard of care at the time of my DX)
7/18/11 Switch to weekly Abraxane & Herceptin due to Taxol allergy
8/29/11 CT scan shows no new lesions & old lesions shrinking
9/27/11 Finish Abraxane. Start Herceptin every 3 weeks. Begin taking Arimidex
10/17/11--Brain MRI--No Brain mets
12/5/11 PET scan--Almost NED
5/15/12 PET scan shows progression-breast/chest/spine (one vertebra)
5/22/12 Stop taking Arimidex; stay on Herceptin
6/11/12 Started Tykerb and Herceptin on clinical trial (w/no chemo)
9/24/12 CT scan--No new mets. Everything stable.
3/11/13 CT Scan--two small new possible mets and odd looking area in left lung getting larger.
4/2/13--Biopsy of suspicious area in lower left lung. Mets to lung confirmed.
4/30/13 Begin Kadcyla/TDM-1
8/16/13 PET scan "mixed," with some areas of increased uptake, but also some definite improvement, so I'll stay on TDM-1/Kadcyla.
11/11/13 Finally get hormone receptor results from lung biopsy of 4/2/13. My cancer is no longer ER positive.
11/13/13 PET scan mixed results again. We're calling it "stable." Problems breathing on exertion.
2/18/14 PET scan shows a new lesion and newly active lymph node in chest, other progression. Bye bye TDM-1.
2/28/14 Begin Herceptin/Perjeta every 3 weeks.
6/8/14 PET "mixed," with no new lesions, and everything but lower lungs improving. My breathing is better.
8/18/14 PET "mixed" again. Upper lungs & one spine met stable, lower lungs less FDG avid, original tumor more avid, one lymph node in mediastinum more avid.
9/1/14 Begin taking Xeloda one week on, one week off. Will also stay on Herceptin and Perjeta every three weeks.
12/11/14 PET Scan--no new lesions, and everything looks better than it did.
3/20/15 PET Scan--no new lesions, but lower lung lesions larger and a bit more avid.
4/13/15 Increasing Xeloda dose to 10 days on, one week off.
7/1/15 Scan "mixed" again, but suggests continuing progression. Stop Xeloda. Substitute Abraxane every 3 weeks starting 7/13.
10/28/15 PET scan shows dramatic improvement everywhere. All lesions except lower lungs have resolved; lower lungs noticeably improved.
12/18/15 Last Abraxane. Continue on Herceptin and Perjeta alone beginning 1/8/16.
1/27/16 PET scan shows cancer is stable.
5/11/16 PET scan shows uptake in some areas that were resolved on the last two scans.
6/3/16 Begin Kadcyla and Tykerb combination
6/5 - 6/23 Horrible diarrhea from K&T together. Got pneumonia.
7/15/16 Begin Kadcyla only every 3 weeks.
9/6/16 Begin radiation therapy on right lung lesion that caused the pneumonia.
10/3/16 Last of 12 radiation treatments to right lung.
11/4/16 Huffing and puffing, low O2, high heart rate, on tiniest bit of exertion. Diagnosed as radiation pneumonitis. Treated with Prednisone.
11/11/16 PET scan shows significant improvement to radiated part of right lung BUT a bunch of new lung lesions, and the bone met is getting worse.
11/22/16 Begin Eribulin and Herceptin. H every 3 weeks. E two weeks on, one week off.
3/6/17 Scan shows progression in lungs. Bone met a little better.
3/23/17 Lung biopsy. Tumor sampled is ER-, PR+ (5%), HER2+++. Getting Herceptin and Perjeta as a maintenance treatment.
5/31/17 Port placement
6/1/17 Start Navelbine & Tykerb
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Old 10-28-2011, 08:25 AM   #15
NEDenise
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Re: Alcohol intake

Aaaah....Amy,
They say great minds think alike...
Perhaps that's true for great palates as well!
Ha!
Denise
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1/11-needle biopsy
2/11-Lumpectomy/axillary node dissection - Stage 3c, ER/PR-14/17 nodes
3/11 - Post-op staph infection,cellulitis, lymphedema,seroma,ARRRGH!
4/12/11-A/C x 4, then T/H x 4, H only,Q3 weeks
8/26/11 finished Taxol!!!
10/7/11 mastectomy/DIEP recon
11/11 radiation x28
1/12/12 1st CANCER-VERSARY!
1/12 Low EF/Herceptin "Holiday" :(
2/12 EF up - Back on Herceptin, heart meds
4/2/1212 surgery to repair separated incision from DIEP recon
6/8/12 Return to work :)
6/17/12 Fall, shatter wrist,surgery to repair/insert plate :(
7/10/12 last Herceptin
7/23/12 Brain Mets %$&#! 3cm and 1cm
8/10/12 Gamma knife surgery, LOTS of steroids;start H/Tykerb
8/23/12 Back to work
12/20/12 Injure back-3 weeks in wheel chair
1/12/13 2nd CANCER-VERSARY!
1/14/13 herniate disk in back - surgery to repair
1/27/13 Radiation necrosis - edema in brain - back on steroids - but not back to work - off balance, poor cordination in right arm
5/3/13 Start Avastin to shrink necrosis
5/10/13 begin weaning steroids
6/18/13 Brain MRI - Avastin seems to be working!
6/20/13 quarterly CT - chest, abdomen, pelvis - All Clear!
7/5/13 finally off steroids!!
7/7/13 joined the ranks of the CHEMO NINJAS I am now Tekuto Ki Ariku cancer assassin!
7/13/13 Symptoms return - back on steroids
7/26/13 Back on Avastin - try again!
8/26/13 Not ready to return to classroom yet :( But I CAN walk without holding onto things! :)
9/9/13 Brain MRI - fingers crossed
Life is a grindstone, and whether it grinds you down or polishes you up is for you, and you alone, to decide. Cavett Robert
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Old 11-03-2011, 07:13 AM   #16
TanyaRD
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Re: Alcohol intake

Interesting addition to our previous discussion...

Raising the Chance of Some Cancers With Two Drinks a Day http://online.wsj.com/article/SB1000...133297800.html
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Old 11-17-2011, 09:15 PM   #17
Rich66
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Re: Alcohol intake

Here's a new potential twist (mouse study):
http://www.msnbc.msn.com/id/45348447.../#.TsXazFZ31I4

Quote:
The researchers aren't sure how alcohol, which is carcinogenic, may act to suppress breast cancer's spread. The study showed alcohol did not affect the growth of tumors in the breast. So it may have affected the spread of the tumor in a different way, such as allowing the immune system to better attack the cancer at other sites in the body.
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Old 11-18-2011, 06:01 PM   #18
Laurel
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Re: Alcohol intake

Well, well, well....thanks, Rich, you've blessed me with this one!
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Smile On!
Laurel


Dx'd w/multifocal DCIS/IDS 3/08
7mm invasive component
Partial mast. 5/08
Stage 1b, ER 80%, PR 90%, HER-2 6.9 on FISH
0/5 nodes
4 AC, 4 TH finished 9/08
Herceptin every 3 weeks. Finished 7/09
Tamoxifen 10/08. Switched to Femara 8/09
Bilat SPM w/reconstruction 10/08
Clinical Trial w/Clondronate 12/08
Stopped Clondronate--too hard on my gizzard!
Switched back to Tamoxifen due to tendon pain from Femara

11 Years NED
I think I just might hang around awhile....

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