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Old 11-11-2015, 07:41 PM   #1
Lisalou
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Join Date: Feb 2014
Location: Minnesota
Posts: 184
Re: Adjuvant Perjeta/pertuzumab

I received adjuvant perjetta. There was no problem getting my insurance to pay. The Onc did a prior authorization but no difficulty at all, even though it say neoadjuvant. This is because of the clnical trials were done in the neoadjuvant setting, but does not mean it is less effective adjuvant.
So yes it is being done in the adjuvant setting.
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[SIGPIC]Lisa
Routine mammogram 12/20/2013
Call back with repeat films on12/31/2013 Ultrasound with core needle biopsy same day
Dx 1/2/2014 IDC ER/PR+
1/10/14 HER2 +
2/14/14 BRCA results negative
2/17/2014 skin & nipple sparing BMX with reconstruction Tissue expanders placed
IDC Stage 2A left breast. 9mm tumor no other CA 1/4 nodes positive
ER + PR + Her2 +(by FISH)
Right breast no cancer, sclerosing adenosis
3/13/14 Round 1 AC minimal side effects
3/27/14 Round 2 AC
4/10/14 Round 3 a little more nausea
4/24/14 round 4 hurray! Done with phase 1!
5/8/14 THP ( taxol weekly x12, Herceptin & perjeta every 3 weeks x 4)
7/24/14 done with chemo
Continue of Herceptin every 3 wks x 1 yr
5/14 start Tamoxifen x 5 years
8/18/14 removal of TEs silicone implants placed
9/14/14 Cellulitis Right Breast, suspect infected implant. Managed with Oral antibiotics, avoided surgery to remove implant. Whew!
12/17/14 nip & tuck revision of Left breast

We gain strength, courage, and confidence by each experience in which we really stop to look fear in the face. The danger lies in refusing to face the fear, not in daring to come to grips with it. We must do that which we think we cannot do. -Eleanor Roosevelt
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Old 11-12-2015, 04:34 PM   #2
mburkhart
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Join Date: Mar 2015
Posts: 10
Re: Adjuvant Perjeta/pertuzumab

I was given neoadjuvant Perjeta starting in January 2015. I was Stage 2b, Grade 3, with one lymph node known to be involved. My chemo was TCHP, six rounds. I finished in May and had a bilateral mastectomy in June with one of nine nodes positive; which an earlier biopsy had already shown. It had greatly reduced the size of the tumor in my breast and the one in my lymph node although I did not have a" complete" response. I am now completing my year of just Herceptin. There was no question from the very beginning that Perjeta would be a part of my chemo and fully covered by my insurance. I had the option for neoadjuvant or adjuvant chemo and it would be the same simply because I am Her2 positive. It was not based on the lymph node involvement.
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