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Old 07-09-2010, 04:46 AM   #1
Pam P
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PET scan results

The pet scan results were good - no new areas of disease. The bone mets - which are quite extensive - some increased, some decreased - so overall 'stable'.

I was very relieved to get that report - yet discouraged that there wasn't a clear decrease from current treatment. What can I say - I'm greedy!

The tumor marker is another story. It was up 90 points from last time. The onc. wasn't concerned in light of my PET results; he said it might be a fluctuation. In my experience 20-25 pts might be a flux, but 90 pts is a warning. My highest was 2375 when I began xeloda, then it went down to 2204 last month & I was very encouraged. Now it's 2295. I am trying to not obsess on this number, but I'm worried that xeloda made an initial impact and now is losing it's effect. Nothing to do about it than wait for the next tm draw next month and see what it is.

I should be - and am - grateful to be doing this well yet as you know this constant 'game' of living from one test to the next is torture.

For today I'll take these achy bones and enjoy the day and I hope all the rest who are waiting on scan results right now get good or great news too. Pam
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6/01 IBC er+ her2+stage IIIb; mastecomy
7/01 AC, taxol; radiation
2/02 tamoxifen
9/02 stage IV bone mets femara
1/03 taxotere/herceptin/aredia
6/03 herceptin, aredia & faslodex
1/04 navelbine, herceptin, aredia
2/05 herceptin/aredia
7/05 xeloda/herceptin/aredia
3/07 xeloda/tykerb/aredia
5/08 taxol/avastin/aredia
2/09 gemzar/herceptin/zometa
7/09 Taxol/Carbo/Herceptin, zometa
10/09 navelbine/herceptin & zometa
2/10 herceptin & tykerb & zometa
4/10 add xeloda &aromasin
10/10 dx with dermatomyiositis triggered by cancer
11/10 restart herceptin, tykerb, zometa
12/10 surgery-place rod in R femur to stabilize bone
1/11 radiation to R femur - 20 tx
2/11 2nd surgery - rod in Left femur
2/11 tx eribulen -- suspended dx brain mets
3/11 brain mets wbr 20 tx
4/11 halaven; discontine 8/11 not working
8/11 radiation to left femur 20 tx'
8-9/11 rad to lower spine
9/11 abraxane/herceptin/zometa
9/12 xeloda/herceptin/zometa
12/12 ablation of liver
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Old 07-09-2010, 05:00 AM   #2
whatz
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Re: PET scan results

Great news Pam!!! :-)
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4/09 suspicious lump in left breast
5/09 biopsi lead to diagnosis ER/PR -
Her2+.Grade 3,full masectomy left breast,sentinel nodes clear,Stage 1
6/09 Adriamycin + Cytoxan 4 treatments (every 3 weeks) followed by Taxol + Herceptin, 1 treatment weekly for 12 weeks, followed by Herceptin for 40 weeks
MRI Brain 4/10 clear
CT Body 4/10 clear
PET Body 2/11 clear
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Old 07-09-2010, 05:37 AM   #3
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Re: PET scan results

Pam great news. So glad to hear. 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!!!
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Old 07-09-2010, 06:49 AM   #4
tricia keegan
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Re: PET scan results

Great news Pam, sorry I cant help with your other points but glad to hear all is stable
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A/C X 4 ..Taxol/Herceptin x 12 wks then herceptin 1 yr
Rads x 36 ..oophorectomy August '06
Currently taking Arimidex..
June 2011 osteopenia/ zometa x1 yearly- stopped Zometa 2015 as Dexa show normal bone density.
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2014 Normal Dexa scan
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Old 07-09-2010, 08:38 AM   #5
jml
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Re: PET scan results

So glad to hear the good news!
You deserve it Pam and I hope you can find a way to celebrate
today
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Old 07-09-2010, 10:53 AM   #6
StephN
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Re: PET scan results

Stable is good. Thanks for the report.

Is there any way you can have some radiation to some of the bone mets? Was wondering if this might help reduce tumor load.

I have a friend here who is now on her 8th round of targeting bone mets with radiation. This has been pretty successful for her - and has taken place over a span of 8 years. Right now it is for her femur.
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"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 07-09-2010, 01:30 PM   #7
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Re: PET scan results

Thanks for sharing the good report. Keep it coming... And we will keep praying.
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Old 07-09-2010, 01:35 PM   #8
karen z
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Re: PET scan results

So glad to hear that you are stable! You have a wonderful attitude and sense of humor- keep strong.
karen
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Old 07-09-2010, 03:53 PM   #9
Pam P
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Re: PET scan results

Sheila - I don't know if they'd do radiation on my bones - I've never asked and my onc. has never suggested it. I thought rads for my multiple bones mets would be more to reduce a specific area for pain management more than try to get rid of the mets. I don't have severe pain in any one area. I have mets in almost every vertebrae, many ribs, both scapula, both hips and femurs and pelvis so I don't know where they would start to target. I will ask the onc. on my next visit.
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6/01 IBC er+ her2+stage IIIb; mastecomy
7/01 AC, taxol; radiation
2/02 tamoxifen
9/02 stage IV bone mets femara
1/03 taxotere/herceptin/aredia
6/03 herceptin, aredia & faslodex
1/04 navelbine, herceptin, aredia
2/05 herceptin/aredia
7/05 xeloda/herceptin/aredia
3/07 xeloda/tykerb/aredia
5/08 taxol/avastin/aredia
2/09 gemzar/herceptin/zometa
7/09 Taxol/Carbo/Herceptin, zometa
10/09 navelbine/herceptin & zometa
2/10 herceptin & tykerb & zometa
4/10 add xeloda &aromasin
10/10 dx with dermatomyiositis triggered by cancer
11/10 restart herceptin, tykerb, zometa
12/10 surgery-place rod in R femur to stabilize bone
1/11 radiation to R femur - 20 tx
2/11 2nd surgery - rod in Left femur
2/11 tx eribulen -- suspended dx brain mets
3/11 brain mets wbr 20 tx
4/11 halaven; discontine 8/11 not working
8/11 radiation to left femur 20 tx'
8-9/11 rad to lower spine
9/11 abraxane/herceptin/zometa
9/12 xeloda/herceptin/zometa
12/12 ablation of liver
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Old 07-09-2010, 04:08 PM   #10
StephN
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Re: PET scan results

Hi Pam -

My friend here has never had as extensive bone mets as you do, but they go after the ones that are most threatening for pain or causing a break. Major bones such as supporting hip, femur and upper arm (forgot the name).

May be worth asking about.
__________________
"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 07-09-2010, 04:28 PM   #11
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Re: PET scan results

Blessings to you, Pam! Way to go in trying to seize the day and enjoy it. After all today --this moment- is really all any of us have anyway.
Darlene
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2-17-09 biopsy
2-20-09 BC diagnosis @ age 28- 1.1cm by ultrasound, grade II, Her2+++, ER+5%, PR-
3-18-09 lumpectomy, sentinel node biopsy
Actual tumor 4-5 cm, positive margins. Nodes negative.
4-7-09 Re-excision, more positive margins
4-21-09 Right Mastectomy
5-18-09 TCH every 3 weeks
7-24-09 Chemo finished, continue Herceptin
12-8-09 PET Scan - NED!!
Jan.2010 8 months Herceptin done
No rads
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Old 07-09-2010, 09:30 PM   #12
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Re: PET scan results

Oh Pam, such eloquence in your post. You capture the essence of a battle with cancer in your expressive words, "I should be - and am - grateful to be doing this well yet as you know this constant 'game' of living from one test to the next is torture." The wondering and pondering the many twists and turns in the path to whatever outcome is a lesson in mastery of our fears and hopes, of disappointments and acceptances.

I hate cancer for what is wrecks in your life. I weep because I admire you so, and wish I could ease your suffering. And we do suffer though we are not supposed to share, only among ourselves can we admit to fearing the future, wondering about tomorrows.

Thank you for touching my life, Pam. You are amazing in your strength and gentle resolve. I believe you have a great deal more life in you. I am praying that xeloda kicks those ca cells in their butts!

Your fan,
Laurel
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Dx'd w/multifocal DCIS/IDS 3/08
7mm invasive component
Partial mast. 5/08
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Old 07-10-2010, 07:21 AM   #13
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Re: PET scan results

Pam,

Glad to hear your news. You are truly amazing.

Amelia
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Old 07-10-2010, 08:22 AM   #14
Barbara H.
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Re: PET scan results

Hi Pam,
I was pleased to her your results, but understand that you would like to lower your tumor markers and reduce your bone mets. I hope that T-DM1 will be available to you soon. It was a miracle drug for me, and I was pain free from bone mets within two days. Unfortunately, I had to stop the trial after two years due to lung inflammation. As far as I know I am the only one who has had that effect. I still may use it in the future with caution. I have been on Tykerb and Herceptin since October, and that combination is also currently working.

Best wishes,
Barbara H.
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Old 07-10-2010, 02:21 PM   #15
Sheila
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Re: PET scan results

Pam...in our shoes, stable is good....hoping that stable turns to tumor shrinkage.....we take our good news any way we can....i am so happy for you! Now c'mon TDM-1!!!!!
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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!!!!!!!!!!!!!
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2/8/2012 Gemzar stopped, Continue Herceptin
2/20/2012 Begin Tomo Radiation to Neck Nodes
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Old 07-10-2010, 05:02 PM   #16
Carolyns
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Re: PET scan results

Hi Pam, It is good to get your report. Stable is great news.

I am like you bone mets everywhere. I have only had rads when they endanger the stability of the bone and / or for pain. Had may shoulder radiated about a month ago.

Take care, Carolyn
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Old 07-11-2010, 12:28 AM   #17
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Re: PET scan results

Hi Pam, I'm glad your scans were stable...but don't blame you a bit for wanting a decrease in all areas of concern. Is there even a small chance the tumor markers increasing were caused by tumor flare? I had that happen once. Hopefully next month your markers will go down. I'll be keeping good thoughts for you.

You have been at this battle for far too long...your such a true warrior. How I wish you didn't have to deal with any of this! As someone else mentioned...I'm hoping they will get the TDM-1 out for all of us soon...may this be your magic bullet. It's time something really powerful comes your way to kick the crap out of your cancer for good. Sending positive thoughts and energy your way.

Hugs!

Chelee
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DX: 12-20-05 - Stage IIIA, Her2/Neu, 3+++,Er & Pr weakly positive, 5 of 16 pos nodes.
Rt. MRM on 1-3-06 -- No Rads due to compromised lungs.
Chemo started 2-7-06 -- TCH - - Finished 6-12-06
Finished yr of wkly herceptin 3-19-07
3-15-07 Lt side prophylactic simple mastectomy. -- Ooph 4-05-07
9-21-09 PET/CT "Recurrence" to Rt. axllia, Rt. femur, ilium. Possible Sacrum & liver? Now stage IV.
9-28-09 Loading dose of Herceptin & started Zometa
9-29-09 Power Port Placement
10-24-09 Mass 6.4 x 4.7 cm on Rt. femur head.
11-19-09 RT. Femur surgery - Rod placed
12-7-09 Navelbine added to Herceptin/Zometa.
3-23-10 Ten days of rads to RT femur. Completed.
4-05-10 Quit Navelbine--Herceptin/Zometa alone.
5-4-10 Appt. with Dr. Slamon to see what is next? Waiting on FISH results from femur biopsy.
Results to FISH was unsuccessful--this happens less then 2% of the time.
7-7-10 Recurrence to RT axilla again. Back to UCLA for options.
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Old 07-11-2010, 02:41 AM   #18
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Re: PET scan results

How often are you getting Zometa? Research seems to be suggesting potential benefit from more frequent administration.
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Old 07-11-2010, 04:45 AM   #19
Pam P
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Re: PET scan results

Rich - Historically I've received zometa once a month, but right now I'm getting it every 6 weeks. I got it every 6 weeks when I was on zometa before too. It's more of a convenience to coincide with my every 3 week herceptin routine and not have to come in an additional week. I like not have to go near the office if I can avoid it. Do you think asking for zometa in a 3 week dose would be good?
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6/01 IBC er+ her2+stage IIIb; mastecomy
7/01 AC, taxol; radiation
2/02 tamoxifen
9/02 stage IV bone mets femara
1/03 taxotere/herceptin/aredia
6/03 herceptin, aredia & faslodex
1/04 navelbine, herceptin, aredia
2/05 herceptin/aredia
7/05 xeloda/herceptin/aredia
3/07 xeloda/tykerb/aredia
5/08 taxol/avastin/aredia
2/09 gemzar/herceptin/zometa
7/09 Taxol/Carbo/Herceptin, zometa
10/09 navelbine/herceptin & zometa
2/10 herceptin & tykerb & zometa
4/10 add xeloda &aromasin
10/10 dx with dermatomyiositis triggered by cancer
11/10 restart herceptin, tykerb, zometa
12/10 surgery-place rod in R femur to stabilize bone
1/11 radiation to R femur - 20 tx
2/11 2nd surgery - rod in Left femur
2/11 tx eribulen -- suspended dx brain mets
3/11 brain mets wbr 20 tx
4/11 halaven; discontine 8/11 not working
8/11 radiation to left femur 20 tx'
8-9/11 rad to lower spine
9/11 abraxane/herceptin/zometa
9/12 xeloda/herceptin/zometa
12/12 ablation of liver
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Old 07-11-2010, 08:33 AM   #20
Joan M
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Re: PET scan results

Pam,

Good to hear that the bone mets are considered stable.

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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