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Old 03-02-2011, 11:11 AM   #1
Faith in Him
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abdominal mets

It's been a long time since I've posted but I check in often to see how everyone is doing. I always keep you in my thoughts & prayers.

I need a little help with my last scan which revealed abdominal mets or possibly post surgical changes from the tram flap. Onc is leaning towards mets. Isn't abdominal mets more likely in lobular or er+ bc?

I have posted on other sites but haven't received any responses. Anyone w/ this type of met or know someone that has? Since a baseline scan wasn't done, I will stay on the trial and rescan in 2 months.

It was the people on this site that showed me how to push drs and ask the right questions when I was blown over by this cancer dx. I am so grateful. In a few months I will have a teenager. Wow, I made it this far.
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DX 02/01/07
2.5 cm, Er/Pr-, Her2+++
18/20 Nodes
03/07 CT & Bone scan - Clear
AC x 4, Taxol x 4, Added Herceptin
Radiation until 09/07
Herceptin every 3 weeks until 06/08
01/10/08 local recurrence -IBC
01/28/08 CT & Brain MRI - clear
02/08 - Navelbine & Herceptin
05/08 -MRM
05/08 - Gemzar & Herceptin - didn't work
09/08 - Hyperthermia rads
03/09 - Tykerb/Xeloda
05/10 - Tram flap to fix wound
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Old 03-02-2011, 12:41 PM   #2
Ellie F
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Re: abdominal mets

Hi Tonya
So glad to hear from you, I have often wondered how you are.
Sorry to hear about this latest blip. By abdominal mets do you mean lymph glands or organs or something else??
What trial are you on?
Prayers and hugs
Ellie
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Old 03-02-2011, 02:32 PM   #3
Mary Jo
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Re: abdominal mets

Hi Tonya - I, too, was happy to see your post! Like you, I don't post much but do check up on people! I'm sorry I can be of no help with your mets question! Asking God to lead the right people to you and I know that He will!

Peace and love,

Mary Jo
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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 03-02-2011, 03:49 PM   #4
Mary L
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Re: abdominal mets

Hi Tonya, I also can not be any help in this area but I am so sorry that you have to go through this. It is very scary to be a cancer patient and you just never know what is around the corner. I try not to live in fear but it is very hard. I will be praying for you and I send you my best wishes, Mary L
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Mary L from PA Diag: Oct 2003 w/6mm mass, IDC grade III ductal carcinoma in-situ, IBC stage IIIB. tx A/C followed by Taxotere(only able to have 2 tx, allergic), mastectomy, 3 0ut of 7 positive nodes. 35 rads. Recurrence 9 months later, skin mets to mastectomy site. Tx Carboplatin/Herceptin. Stayed on Herceptin almost 5 years, had 3 more recurrences when I had to stop Herceptin due to my ejection fraction getting too low. Herceptin stopped and ned 3 years in Oct. 2010.
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Old 03-02-2011, 04:03 PM   #5
Jackie07
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Re: abdominal mets

Found an abstract about a patient who was diagnosed with abdominal mets 7 years after her initial breast cancer diagnosis.

Case Report Med. 2010;2010:615923. Epub 2010 Jun 16.
Isolated gastrointestinal metastasis of breast carcinoma: a case report.

Titi MA, Anabtawi A, Newland AD.
Department of Surgery, Crosshouse Hospital, Kilmarnock, Scotland KA2 0BE, UK.
Abstract

Purpose. Gastrointestinal tract is one of the rare locations for breast cancer metastasis. This paper shows such metastasis may occur even in the absence of breast metastasis in other more common locations. Case Report. A 64-year old female was admitted to the hospital with abdominal discomfort and diarrhea. She had breast carcinoma treated 7 years previously with normal follow-up since. Colonoscopy showed hepatic flexure thickening that was confirmed to be breast metastasis. Staging investigations showed upper and lower gastrointestinal tract metastasis with negative findings elsewhere. Conclusion. Although more common causes for gastrointestinal symptoms should be excluded, however, a high index of suspicion of metastatic breast cancer is needed when such patients develop gastrointestinal symptoms.
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Old 03-02-2011, 04:59 PM   #6
lkc Gumby
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Re: abdominal mets

Hi Faith, ABdominal mets is extremely rare especially as a first met site.
my money is on scar tissue which is extremely prevalent w/Trams.
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Dxed Stage IIIC May 05, 12 pos nodes
er/pr -neg,Her -pos
LVI
Right partial mast & partial axillary dissection-June14,2005
Right modified mast-no clear margins- June 30, 2005
DD AC x4
Taxotere X4 with Herceptin
Rads x 35( 5 fields )
Left prophylactive mast( atypia & hyperplasia found ),
put on Tamoxifen x 1 yr; D/ced due to endometrial thickening
bilateral recon (saline implants)May 06
Nipple recon July 06
metformin 2010
removal of implants due to severe encapsulation, insertion of gummies 2013
Reclast Q yr
NED!!!
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Old 03-02-2011, 05:40 PM   #7
Midwest Alice
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Re: abdominal mets

Hi Tonya, Praying for you. Glad you posted. I look for you when I'm on. Are you looking at TMD1 trial? There are several great treatments in the pipeline. We will find you the right one. ~Alice
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04/08 age 50 III IBC Her2+++ ER/PR-8cm 14/14 Double M, Body and Brain CT/PET clear, ? on spine,Muga 53
06/08, 4 A/C, Neulasta
08/08, Herceptin/tax 12 every week
10/08, CT/PET clear, ? on pelvis, hips, MUGA 43, started Enalaprial for heart, Herceptin every 3 weeks
11/08 33Rads; 12/08 MUGA 48
2/09 MRI spine and bone scan, old mets to spine, Chest x-ray, blood work, IV NED,regular CPAP use,Zometa x6, first -flue like symptoms 2 days;Herceptin x3; stage 2 lymphoedema..sleeve and glove
4/09 Brain MRI - CLEAR; MUGA 54
7/09 chest ultrasound,
10/09 PET, brain and spin MRI NED Herceptin only. MUGA 59!!!
1/11 Hip replacement 7/11 Hip 2 replacement
4/12 4 years!! Herceptin
6/12 start reconstruction finish in 12/12
2/14 Herception - 6 years!!!

1 Corinthians 10:13 "No temptation has seized you except what is common to man. And God is faithful; he will not let you be tempted beyond what you can bear. But when you are tempted, he will also provide a way out so that you
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Old 03-02-2011, 06:02 PM   #8
Mary Anne in TX
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Re: abdominal mets

Hi Tonya!
I'm believing for the best and sending up a prayer flare!
luv, ma
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Grateful for each and every day....

Diag. 12/05 at age 60
Stage II, Grade 3, 4.5 cm primary tumor
ER/PR- Her2 +3 strongly positive
Her2 by FISH 7.7 amplified
vascular invasion
Ki67 20% borderline
Jan - March '06 Taxotere/Adriamycin X 3 to try to shrink tumor - it grew
April '06 Rt Modified Radical Mas, 7 of 9 nodes positive
April - Aug. '06 Herceptin/Taxol/Carboplatin X 8 (dose dense)
Sept - Dec. '06 Navelbine/Herceptin x 8 (dose dense)
Radiation & Herceptin Jan. 22 - March 1, 2007
Finished Herceptin Dec. 10 '08! One extra year.
Port removed August, 2012.
8 1/2 years since diagnosis! 5 1/2 Years NED!
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Old 03-02-2011, 06:09 PM   #9
bejuce
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Re: abdominal mets

Sorry to hear this. Hoping that this is just scar tissue. Keep us posted and keep the faith,

Marcia
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ER+ (30%)/PR-/HER-2+, stage 3

Diagnosed on 02/18/09 at 38 with a huge 12x10 cm tumor, after a 6 month delay. Told I was too young and had no risk factors. Found swollen node during breastfeeding.
March-August 09: neo-adjuvant chemo, part of a trial at Stanford (4 DD A/C, 4 Taxotere with daily Tykerb), loading dose of Herceptin
08/12/09 - bye bye boobies (bilateral mastectomy)
08/24/09 - path report shows 100 % success in breast tissue (no cancer there, yay!), 98 % success in lymphatic invasion, and even though 11/13 nodes were still positive, > 95 % of the tumor in them was killed. Hoping for the best!
September-October 09: rads with daily Xeloda
02/25/10 - Cholecystectomy
05/27/10 - Bone scan clear
06/14/10 - CT scan clear, ovarian cyst found
07/27/10 - Done with Herceptin!
02/15/11 - MVA-BN HER-2 vaccine trial
03/15/11 - First CA 15-3: 12.7 and normal, yay!
10/01/11 - Bone scan and CT scan clear, fatty liver found
now on Tamoxifen and Aspirin


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Old 03-03-2011, 01:10 PM   #10
schoolteacher
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Re: abdominal mets

Glad to hear from you, Tonya.

Let us know how things are going.

Amelia
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