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Old 06-12-2009, 09:29 PM   #41
caya
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Marie, I am so sorry to hear this news... I know you and Ed will fight this with the help of your good drs.. and the grace of G-d.

Sending many prayers from Canada, and big hugs to you both.

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
15 Years NED!!
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Old 06-12-2009, 10:09 PM   #42
Margerie
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I am so sorry Marie

(((Hugs))) to you both
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Are we there yet?


Dx 10/05 IDC, multi-focal, triple +, 5 nodes+
MRM, 4 DD A/C, 12 weekly taxol + herceptin
rads concurrent with taxol/herceptin
finished herceptin 01/08
ooph, Arimidex, bilateral DIEP reconstruction
NED
Univ. of WA, Seattle vaccine trial '07
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Old 06-12-2009, 11:38 PM   #43
Lani
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As you may have noticed...

I rarely make recommendations, preferring to provide information and let it go from there...but

Believe, you write well and from the heart

Although I have only heard Patricia Steeg speak at conferences and don't know the lady from atom, I think a well written email from you and or Mighty Oak
might get a humane response from her (otherwise ask your Onco Man or Gamma Man to write one directly to her)

She has gone out of her way at conferences to publicize brainmets.org website
and to acknowledge the human side of breast cancer brain mets.

And as a taxpayer, she is actually YOUR EMPLOYEE

From one of her papers I got:
Steeg PS,
Women's Cancers Section, Laboratory of Molecular Pharmacology, Center for Cancer Research, National Cancer Institute, 37 Convent Drive, Bethesda, MD 20892, USA. steegp@mail.nih.gov

The worst that could happen is that she doesn't answer back, and if that is the case you will probably be too busy to notice!

All the best!

PS If you want to pass the proposed email by me first, just post it here onllne(as a new thread so I notice it) and the Lani EDITING SERVICE with be at your service.
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Old 06-12-2009, 11:47 PM   #44
Lani
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As you may have noticed...

I rarely make recommendations, preferring to provide information and let it go from there...but

Believe, you write well and from the heart

Although I have only heard Patricia Steeg speak at conferences and don't know the lady from atom, I think a well written email from you and or Mighty Oak
might get a humane response from her (otherwise ask your Onco Man or Gamma Man to write one directly to her)

She has gone out of her way at conferences to publicize brainmets.org website
and to acknowledge the human side of breast cancer brain mets.

And as a taxpayer, she is actually YOUR EMPLOYEE

From one of her papers I got:
Steeg PS,
Women's Cancers Section, Laboratory of Molecular Pharmacology, Center for Cancer Research, National Cancer Institute, 37 Convent Drive, Bethesda, MD 20892, USA. steegp@mail.nih.gov

The worst that could happen is that she doesn't answer back, and if that is the case you will probably be too busy to notice!

All the beest!

PS If you want to pass the proposed email by me first, just post it here onllne(as a new thread so I notice it) and the Lani EDITING SERVICE with be at your service.

hints: it should only be long enough to touch her heartstrings and should be very business like and concrete in asking questions eg. Could you answer the following questions: 1) 2) 3) 4). That way she doesn't have to answer you with a long composition, but can copy and paste the questions and add yes, no or short answers. The main question you have is what treatment options are available to MO at this time, what clinical trials are likely to be available to him, who would she see for treatment if it was her or a member of her own family, if nothing specifically available, would she try Fulvestrant since it seems it crosses the blood brain barrier, does she have more information on intrathecal herceptin or boswellia. Also ask her about that NIH trial I listed as being the topic of the most promising talk I heard in the last five years and how you could get in contact with him at the NIH.

This should keep you busy!
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Old 06-12-2009, 11:53 PM   #45
karenann
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Marie and Ed,

Please know that you are being surrounded with love, strength and healing prayers.

Karen
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Old 06-13-2009, 01:31 AM   #46
harrie
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Marie, I wish I could offer valuable advice or information, but I can't. So want you to know that you and Ed have all my love and prayers. I wish you strength, peace and courage. One step at a time. We are all there with you...
Much love, Maryanne
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*** MARYANNE *** aka HARRIECANARIE

1993: right side DCIS, lumpectomy, rads
1999: left side DCIS, lumpectomy, rads, tamoxifen

2006:
BRCA 2 positive
Stage I, invasive DCIS (6mm x 5mm)
Grade: intermediate
sentinal node biopsy: neg
HER2/neu amplified 4.7
ER+/PR+
TOPO II neg
Oncotype dx 20
Bilat mastectomy with DIEP flap reconstruction
oophorectomy

2007:
6 cycles TCH (taxotere, carboplatin, herceptin)
finished 1 yr herceptin 05/07
Arimidex, stopped after almost 1 yr
Femara

Last edited by harrie; 06-13-2009 at 01:34 AM..
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Old 06-13-2009, 06:13 AM   #47
hermiracles
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Biggest hugs and prayers for you and Mighty Oak, Marie.
Blessings
Hermiracles
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2003 L/DCIS –> LWE: High G./Comedo - 6 nodes clear 6 wks Rx
04/07 2 miracles born ~ very grateful
06/07 Susp areas L/b
09/07 Stage 2 bilat. mastectomy R/ b. clear extens DCIS/IDC Paget’s 8 nodes clear ER(<5%) HER2+++ CT clear
11/07 Portacath - FEC
15/11/07 Stage 4 Emerg op - hip replacemt #NOF bone mets H/Taxotere
12/07 Rx to 'spots' on spine/R/hip/femur 3wkly H
2008 H+T mets to rib/sternum? Aredia CT clear! Cont. H + Aredia 07/08 1 wk Palliative Care - mets to lungs + ?1 to brain
09/08 Stop H complete Epirubicin 1wk PC new brain mets
10/08 2wks WBR 1wk PC 22/10/08 Tykerb/Xeloda 12/08 6 CEREBRAL METS COMPLETELY GONE! Rib mets down to <1cm.
01/09 Tumour markers normal! Rx to L/arm
03/09 LUNGS CLEAR (ALL NODULES GONE!), brain clear, liver clear. Bones stable! ~ THANK YOU GOD
07/09 Repeat CT Scan ~ ALL organs clear apart from bones which remain stable. I walk in gratitude.
***************
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Old 06-13-2009, 07:46 AM   #48
Yorkiegirl
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Marie & Ed many, many prayers going out. I wish I could do more, but I can pray alot.
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Vicki
Texas
Biopsy Dx'd 3-23-05 Age 48
MRM 4-5-05 w/ 2 tumor's 5cm, and 6 cm (right side)
IDC (poorly differentiated infiltrating ductual carcinoma)
5+/16 nodes
Stage III A
Grade 3
ER/PR-, Her2/neu ++
Ki67 78%
Begin Chemo 5-2-05 4XAC Dose Dense , 4X Abraxane Dose Dense (ended August 05)
28 Rad's ended October 13 2005
Started Herceptin Weekly August 2005 for one year
Had a Simple mastectomy left side after Mamo showed incresed micro-calcifications. Jan. 17 2006.
Brain MRI Feb.2006--All Clear
August 28, 2006 Last Weekly Herceptin.
October 2006--Colonoscopy, 6 Polyp's removed--all B9
PET Scan July 2007
Abdominal MRI Oct. 2007---2 Right Kidney Cysts
Core Biopsy-- Lump on Scar Line 1-10-08---B9
Brain MRI 6-2008--All Clear
PET/CT Scan 6-2008
Sept. 8 2008, 4CM area removed from mastectomy scar line. Proved to be B9.
PET/CT Scan-- July 2009 --All clear
August 17,2009 ---Had Port Removed
6 Years NED -- April 5,2011
DX'd with Melanoma left arm 10-10-2011
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Old 06-13-2009, 09:11 AM   #49
michka
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Post

Marie, just offering hugs and love to you both. Keep hope. You and Ed have been such a great team with your Oncoman. So you must once more team up and sort through the options. Fight. You are both in my heart. Michka.

For Lani: you are terrific. Thanks for jumping in the fight. We love these two.
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08.2006 3 cm IDC Stage 2-3, HER2 3+ ER+90% PR 20%
FEC, Taxol+ Herceptin, Mastectomy, Radiation, Herceptin 1 year followed by Tykerb 1 year,Aromasin /Faslodex

12.2010 Mets to liver,Herceptin+Tykerb
03.2011 Liver resection ER+70% PR-
04.2011 Herceptin+Navelbine+750mg Tykerb
06.2011 Liver ned, Met to sternum. Added Zometa 09.2011 Cyberknife for sternum
11.2011 Pet clear. Stop Navelbine, continuing on Hercpetin+Tykerb+Aromasin
02.2012 Mets to lungs, nodes, liver
04.2012 TDM1, Ned in 07.2012
04.2015 Stop TDM1/Kadcyla, still Ned, liver problems
04.2016 Liver mets. Back on Kadcyla
08.2016 Kadcyla stopped working. mets to liver lungs bones
09.2016 Biopsy to liver. no more HER2, still ER+
09.2016 CMF Afinitor/Aromasin/ Xgeva.Met to eye muscle Cyberknife
01.2017 Gemzar/Carboplatin/ Ibrance/Faslodex then Taxotere
02.2017 30 micro mets to brain breathing getting worse and worse
04.2017 Liquid biopsy/CTC indicates HER2 again. Start Herceptin with Halaven
06.2017 all tumors shrunk 60% . more micro mets to brain (1mm mets) no symptoms
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Old 06-13-2009, 10:12 AM   #50
Jean
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Strong prayers are being said.

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 06-13-2009, 11:21 AM   #51
Believe51
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These posts and your loving support is the strongest force pulling me through this right now. I am so depressed and cannot stop crying, the tears literally fall from my eyes with no effort.

But I refuse to give up and so does Ed. He has told me that it is time to stop pushing him and although the hardest feat I have ever had to accomplish, I have stopped. I am here to exhibit his options and help him to live the rest of his days with honor and grace.

It is important to him for me to keep coming here long after he leaves, as long as it does not depress me. I need you all to know that I could never leave you and would never pass judgement for anyone that had to. It would be my honor to continue to celebrate your victories and to wipe your knees when you fall. You have enriched our lives beyond words and all hold a different part of my heart. I truely have meant it when I say Ed and I are truely indebited to your friendships.

Monday will hold alot of our future and at this moment I am just trying to keep hopeful until then. A couple of special friends who are Angels now always told me to follow my heart and his body and you will know when it is time. Sadly, as much as I try to ignore these feelings, deep within I do know. That is not to say that we have given up; fighting for every last breath!

On a lighter note, Ed went fishing with a friend so close to the family that he is family. Mighty Oak is a big animal lover and gave up fishing years ago. Just something he wanted to do again while he can. I went to breakfast with this gentleman's Mom, she lived with my Mother-in-Law. We stopped at some yardsales and I bought a few pieces of old glass that I knew she would have picked up and gave a home to. Funny how Ed and I spent our life getting new things, new furniture, always trying to improve the way we modestly lived. Now I have a room full of her antique furniture, glass and nick nacks.

Thank you again for walking me through this. These replies remind me to keep breathing and keep the faith until we know more. His brain is loaded with more mets than you could ever imagine, too many to count, they gave up after counting to 50. We need a miracle one last time and I will never ask God for another miracle for Ed and I. I love you friends with all my heart....you will never know.>>Believe51
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9/7/06Husband 50yrs=StageIV IBC/HER2+,BoneMets10/06TaxotereX10,'H'1X wk,Zometa,Tamoxifen4/12/07Last Tax5/18/07Pet=Rapid Cell Activity,No Organ Mets,Lytic Lesions,Degeneration,Some Bone Repair5/07ChemoFail6/01/07Pleural Thoracentisis=Effusions,NoMalignantCells6/19/07+7/2/07DFCI
6/25/07BrainMRI=BrainMets,Many<9mm7/10/07WBR/PelvisRad37.5Gx15&Nutritionist8/19/07T/X9/20/07BrainMRI=2<2mm10/6/07Pet=BoneProgression
10/24/07ChemoFail11/9/07A/Cx10,EndTam12/7/07Faslodex12/10/07Muga7512/13/07BlasticLesions1/7/08BrainMRI=Clear4/1/08Pet=BoneImprovement,
NoProgression,Stable4/7/08BrainPerfect5/16/08Last A/C8/26/08BrainMets=10(<9mm)9/10/08Gamma10/30/08Met=5mm12/19/08Gamma5mets5
12/22/08SpinalMets1/14/09SpinalRads2/17/09BrainMRI=NoNewMets4/20/09BoneScan5/14/09Ixempra6/1/09BrainMRI=NumerousMets6/24/09DFCIw/DrBurstein6/26/09Continue
Ixempra/Faslodex/Zometa~TM now lower7/17/09Stop Ixempra By Choice9/21/09HOSPICE10/16/09Earned His Deserved Wings And Halo=37 Month Fight w/Stage 4 IBC, Her2+++,My Hero!!
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Old 06-13-2009, 12:02 PM   #52
Lien
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Marie & Ed,

I wish for many, many more miracles for you. Big ones, like a tx that eliminates those mets, like a cure, like ... you know what I mean. And little ones, like the moment when you could see the sun behind the clouds and the water being still. Like the way you look at each other. A gazillion miracles for the two of you, so the hours become days become weeks become months become years become decades of love

Jacqueline
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Diagnosed age 44, January 2004, 0.7 cm IDC & DCIS. Stage 1, grade 3, ER/PR pos. HER2 pos. clear margins, no nodes. SNB. 35 rads. On Zoladex and Armidex since Dec. 2004. Stopped Zoladex/Arimidex sept 2009 Still taking mistletoe shots (CAM therapy) Doing fine.
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Old 06-13-2009, 01:54 PM   #53
StephN
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Lightbulb

Marie -
I am posting a separate thread with some thoughts that surfaced this morning. You may not know the answers now, but some things to go over with your docs.
__________________
"When I hear music, I fear no danger. I am invulnerable. I see no foe. I am related to the earliest times, and to the latest." H.D. Thoreau
Live in the moment.

MY STORY SO FAR ~~~~
Found suspicious lump 9/2000
Lumpectomy, then node dissection and port placement
Stage IIB, 8 pos nodes of 18, Grade 3, ER & PR -
Adriamycin 12 weekly, taxotere 4 rounds
36 rads - very little burning
3 mos after rads liver full of tumors, Stage IV Jan 2002, one spot on sternum
Weekly Taxol, Navelbine, Herceptin for 27 rounds to NED!
2003 & 2004 no active disease - 3 weekly Herceptin + Zometa
Jan 2005 two mets to brain - Gamma Knife on Jan 18
All clear until treated cerebellum spot showing activity on Jan 2006 brain MRI & brain PET
Brain surgery on Feb 9, 2006 - no cancer, 100% radiation necrosis - tumor was still dying
Continue as NED while on Herceptin & quarterly Zometa
Fall-2006 - off Zometa - watching one small brain spot (scar?)
2007 - spot/scar in brain stable - finished anticoagulation therapy for clot along my port-a-catheter - 3 angioplasties to unblock vena cava
2008 - Brain and body still NED! Port removed and scans in Dec.
Dec 2008 - stop Herceptin - Vaccine Trial at U of W begun in Oct. of 2011
STILL NED everywhere in Feb 2014 - on wing & prayer
7/14 - Started twice yearly Zometa for my bones
Jan. 2015 checkup still shows NED
2015 Neuropathy in feet - otherwise all OK - still NED.
Same news for 2016 and all of 2017.
Nov of 2017 - had small skin cancer removed from my face. Will have Zometa end of Jan. 2018.
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Old 06-13-2009, 01:56 PM   #54
karenann
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Marie,

I believe there is hope.
Karen
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Old 06-13-2009, 03:18 PM   #55
Audrey
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dear Marie,
I'm keeping you and Ed in my prayers and holding you both tight in my heart--I do believe in miracles, big and small, and am wishing for a miracle for you now. Don't give up!
__________________
Audrey

diagnosed July 2001, at age 36
large tumor, 11+ nodes
Stage IIIb, er/pr-, Her2+
treated with A/C, weekly Taxol
radiation, + year of Herceptin
on clinical trial. double mastectomy
followed by reconstruction
NED!!
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Old 06-13-2009, 03:38 PM   #56
Rich66
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1: Mol Cancer Ther. 2009 Jun;8(6):1589-95. Epub 2009 Jun 9. Links
Vorinostat enhances the radiosensitivity of a breast cancer brain metastatic cell line grown in vitro and as intracranial xenografts.

Baschnagel A, Russo A, Burgan WE, Carter D, Beam K, Palmieri D, Steeg PS, Tofilon P, Camphausen K.
Radiation Oncology Branch, National Cancer Institute, 10 Center Drive, Building 10, CRC, Room B2-3561, Bethesda, MD 20892. camphauk@mail.nih.gov.
Vorinostat (suberoylanilide hydroxamic acid), a histone deacetylase inhibitor, is currently undergoing clinical evaluation as therapy for cancer. We investigated the effects of vorinostat on tumor cell radiosensitivity in a breast cancer brain metastasis model using MDA-MB-231-BR cells. In vitro radiosensitivity was evaluated using clonogenic assay. Cell cycle distribution and apoptosis was measured using flow cytometry. DNA damage and repair was evaluated using gammaH2AX. Mitotic catastrophe was measured by immunostaining. Growth delay and intracranial xenograft models were used to evaluate the in vivo tumor radiosensitivity. Cells exposed to vorinostat for 16 hours before and maintained in the medium after irradiation had an increase in radiosensitivity with a dose enhancement factor of 1.57. gammaH2AX, as an indicator of double-strand breaks, had significantly more foci per cell in the vorinostat plus irradiation group. Mitotic catastrophe, measured at 72 hours, was significantly increased in cells receiving vorinostat plus irradiation. Irradiation of s.c. MDA-MB-231-BR tumors in mice treated with vorinostat resulted in an increase in radiation-induced tumor growth delay. Most importantly, animals with intracranial tumor implants lived the longest after combination treatment. These results indicate that vorinostat enhances tumor cell radiosensitivity in vitro and in vivo. There was a greater than additive improvement in survival in our intracranial model. Combining vorinostat with radiation may be a potential treatment option for patients with breast cancer who develop brain metastases. [Mol Cancer Ther 2009;8(6):1589-95].
PMID: 19509253 [PubMed - in process]
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Old 06-13-2009, 03:49 PM   #57
ElaineM
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Wink ~Too Many Brain Mets To Count~Mighty Oak's Saga Continues...

Hugs, prayers and miracles !!!!!!!!!
Please see my other post on the thread Steph started.
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Peace,
ElaineM
12 years and counting
http://her2support.org/vbulletin/showthread.php?t=48247
Lucky 13 !! I hope so !!!!!!
http://her2support.org/vbulletin/showthread.php?t=52807
14 Year Survivor
http://her2support.org/vbulletin/showthread.php?t=57053
"You never know how strong you are until being strong is the only choice you have." author unknown
Shared by a multiple myeloma survivor.
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Old 06-13-2009, 04:20 PM   #58
Believe51
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You guys rock!! You know, in the beginning I had to accept this disease because he was diagnosed at stage IV.

But I will not accept this. No. Not right now.

And Ed, well he said to me this morning as I held him and thanked him as I always do, "Marie, I will not let the cancer get the best of me, I am going out fighting for each breath." Knowing him I can tell you that his attitude shows that although I need to kick back and just provide options and smiles, he 'is' gearing up to kick cancer's butt. In the meantime, please keep kicking mine.

Dana Farber and MD Anderson please come through.>>Believe51
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9/7/06Husband 50yrs=StageIV IBC/HER2+,BoneMets10/06TaxotereX10,'H'1X wk,Zometa,Tamoxifen4/12/07Last Tax5/18/07Pet=Rapid Cell Activity,No Organ Mets,Lytic Lesions,Degeneration,Some Bone Repair5/07ChemoFail6/01/07Pleural Thoracentisis=Effusions,NoMalignantCells6/19/07+7/2/07DFCI
6/25/07BrainMRI=BrainMets,Many<9mm7/10/07WBR/PelvisRad37.5Gx15&Nutritionist8/19/07T/X9/20/07BrainMRI=2<2mm10/6/07Pet=BoneProgression
10/24/07ChemoFail11/9/07A/Cx10,EndTam12/7/07Faslodex12/10/07Muga7512/13/07BlasticLesions1/7/08BrainMRI=Clear4/1/08Pet=BoneImprovement,
NoProgression,Stable4/7/08BrainPerfect5/16/08Last A/C8/26/08BrainMets=10(<9mm)9/10/08Gamma10/30/08Met=5mm12/19/08Gamma5mets5
12/22/08SpinalMets1/14/09SpinalRads2/17/09BrainMRI=NoNewMets4/20/09BoneScan5/14/09Ixempra6/1/09BrainMRI=NumerousMets6/24/09DFCIw/DrBurstein6/26/09Continue
Ixempra/Faslodex/Zometa~TM now lower7/17/09Stop Ixempra By Choice9/21/09HOSPICE10/16/09Earned His Deserved Wings And Halo=37 Month Fight w/Stage 4 IBC, Her2+++,My Hero!!
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Old 06-13-2009, 04:23 PM   #59
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KRX-0401(Perifosine) has also been evaluated in ten Phase 2 clinical studies conducted by Keryx evaluating the single agent activity in various tumor types where patients have progressed on standard treatments. Clinical trials where responses have been reported have been conducted in patients with renal cell carcinoma, advanced brain tumors, soft-tissue sarcomas, hepatocellular carcinoma, as well as in hematologic malignancies including multiple myeloma and Waldenstrom's macroglobulinemia. As illustrated in the previous NCI trials, the lower daily doses (50 mg or 100 mg) have been better tolerated than the intermittent higher doses.

For information on KRX-0401 (Perifosine) clinical trials which are open and recruiting patients, please click here

http://www.keryx.com/page.cfm?hmid=20&smid=30&pg=19
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Old 06-13-2009, 04:27 PM   #60
Believe51
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Thanks Rich, I cannot click on it but I can surely research these trials. Cannot wait to go to the OncoMan with a entirely new list of 'last options' and clinical trials. I appreciate your help for me and other members when we are in need, your plate is so full too.>>Believe51
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9/7/06Husband 50yrs=StageIV IBC/HER2+,BoneMets10/06TaxotereX10,'H'1X wk,Zometa,Tamoxifen4/12/07Last Tax5/18/07Pet=Rapid Cell Activity,No Organ Mets,Lytic Lesions,Degeneration,Some Bone Repair5/07ChemoFail6/01/07Pleural Thoracentisis=Effusions,NoMalignantCells6/19/07+7/2/07DFCI
6/25/07BrainMRI=BrainMets,Many<9mm7/10/07WBR/PelvisRad37.5Gx15&Nutritionist8/19/07T/X9/20/07BrainMRI=2<2mm10/6/07Pet=BoneProgression
10/24/07ChemoFail11/9/07A/Cx10,EndTam12/7/07Faslodex12/10/07Muga7512/13/07BlasticLesions1/7/08BrainMRI=Clear4/1/08Pet=BoneImprovement,
NoProgression,Stable4/7/08BrainPerfect5/16/08Last A/C8/26/08BrainMets=10(<9mm)9/10/08Gamma10/30/08Met=5mm12/19/08Gamma5mets5
12/22/08SpinalMets1/14/09SpinalRads2/17/09BrainMRI=NoNewMets4/20/09BoneScan5/14/09Ixempra6/1/09BrainMRI=NumerousMets6/24/09DFCIw/DrBurstein6/26/09Continue
Ixempra/Faslodex/Zometa~TM now lower7/17/09Stop Ixempra By Choice9/21/09HOSPICE10/16/09Earned His Deserved Wings And Halo=37 Month Fight w/Stage 4 IBC, Her2+++,My Hero!!
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