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Old 11-15-2008, 11:52 PM   #1
rinaina
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checking out my vertigo and need prayers

I do not normally worry or get nervous until I have to or have a definitive reason to, however, I will admit I am very frightened over this vertigo I have been experiencing for several weeks now. I have an appointment with my ENT doctor on Monday and will also call my oncologist on Monday to discuss this with him. I know I probably should have called him first but tried not to panic. My internist first tried treating me with bonine which didn't do too much and then referred me to my ENT. I know the nature of Her2 and it's high rate of recurrence and metastasis but I didn't want to jump to the worst conclusion right away, but the more I think about it and experience it, (subtle as it is), the more I worry that it could be a sign of the worst, brain mets. I keep telling myself not to panic because I was stage 1, no node involvement and I had my year of herceptin but I am still very worried. Please say prayers for me. I promise, I will call the onc on Monday and will report back as soon as I know anything. Thank you sisters for your support.
__________________
~Rina~
Dx:3/06 had a lumpectomy April 19, 2006
Her2+ er/pr- Stage I Grade 3 tumor size 1.4 cm, node negative
AC 4 dense doses
34 radiation treatments including booster doses
receiving herceptin every 3 weeks since late August 2006 for 12 months
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Old 11-16-2008, 01:11 AM   #2
Chelee
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Rina, I totally understand your fear...we've all been there. My upper back has been hurting and my breathing feels affected and I'm freaking out. So I totally understand. It's pretty normal for that panic to set in.

But seriously...there are so many causes for vertigo. I've had vertigo off and on for years. It happens when I lay on my left side or bend my head the wrong way, then everything spins. My ENT & primary both say it's just positional veritgo. But when we have this cancer cloud hanging over our head we natually think the worse.

I think you did the right thing by seeing an ENT first. I'm sure he will find the cause of your vertigo. Something is probably going on in your "inner ear". That has always been the case when I've had vertigo...even long before bc. I know its hard...but try not to worry...I will almost guarantee you that your ENT will get to the bottom of this. All you might need is an antibiotic. I was falling into the walls once...it was awful. I thought something was really wrong with me!!! But I just had a nasty infection and with a shot in the back side...and a "Z-Pack", I was good as gold. So take a deep breath and try to relax till Monday. (Even thought I know its easier said then done.) Hang in there.

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 11-16-2008, 01:41 AM   #3
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I know of someone who had the same symptoms. Her ENT did a procedure in which the fluids in her inner ear were manipulated. Problem solved. She was as scared as you are and is a BC survivor too.

Both my children and I suffer from various allergies. We get vertigo every now and then.

There are lots of other reasons for vertigo. You did all you could to prevent a recurrence and with your path stats it's highly unlikely to be brain mets.

Still, we worry. So I'm sending you calming, healing vibes.

Hang in there girl!

Hugs

Jacqueline
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Old 11-16-2008, 05:41 AM   #4
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Rina
I know exactly how you feel, and I know the worry. I also had the same thing a few months ago, along with severe nausea and headaches...after a brain MRI, which is what they need to do to get a definative answer, I was diagnosed with benign positional vertigo...they did tell me that this is more prominent the older we get (gee thanks). You are in my prayers that this will be nothing...but get the brain MRI first, then after mets are ruled out, they can look for the cause.
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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!!!!!!!!!!!!!
7/5/11 begin Gemzar /Herceptin for node progression
2/8/2012 Gemzar stopped, Continue Herceptin
2/20/2012 Begin Tomo Radiation to Neck Nodes
2/21/2012 I CELEBRATE 10 YEARS
5/12/2012 BeganTaxotere/ Herceptin is my next miracle for new node progression
6/28/12 Stopped Taxotere due to pregression, Started Perjeta/Herceptin
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Old 11-16-2008, 07:24 AM   #5
rinaina
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Once again, thank you all for your encouragement and support. I feel a little better after reading all of your replies and am more hopeful that perhaps it is just positional vertigo. Years ago I had many problems with ear infections and had to have tubes put in several times but once I started taking an allergy pill on a regular basis my ear infections stopped. Tomorrow can't come fast enough! Hugs to all for making me feel a bit more at ease. Thanks for your understanding as well....only another her2 bc survivor knows why we would worry about this.
__________________
~Rina~
Dx:3/06 had a lumpectomy April 19, 2006
Her2+ er/pr- Stage I Grade 3 tumor size 1.4 cm, node negative
AC 4 dense doses
34 radiation treatments including booster doses
receiving herceptin every 3 weeks since late August 2006 for 12 months
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Old 11-16-2008, 08:43 AM   #6
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Rina,

For peace of mind make sure you get that brain MRI Shelia was talking about. I was having headaches (more than usual), felling a little woozy, and walking a little lopsided at times. I played it up a bit with my onc because I was concerned. She immediately ordered an MRI and it came back just fine. I'm really glad I had it done, just to rule out anything bc related.

Good luck and let us know what you find out.
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Dx: 11/23/05, Lumpectomy 12/12/05
Tumor 2.2 cm, Stage II, Grade 3, Sentinel Node biopsy negative
ER+ (30%) /PR+ (50%), HER2+++
AC X 4 dose dense, Taxol X 4 dose dense
Herceptin started with 2nd Taxol, given weekly until chemo done
then given every 3 weeks for one year ending on March 16, 2007
Radiation 30 treatments
Tamoxifen - 2 yrs (pre-menopausal)
May 2008 - Feb 2012 Femara
Aug 2008 - Feb 2012 Zometa every 6 months
March 2012 - Stop Femara, now Evista for bone strengthening
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Old 11-16-2008, 09:05 AM   #7
caya
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Rina,

I'm sorry you have to deal with this vertigo problem - but as others have said it could be many things. Have you been taking any new medications lately? Even something that would seem relatively inocuous - my oldest DD was on a drug for mild acne a few years ago, and about 4 - 6 weeks after starting to take it developed vertigo - really dizzy. We had her at neurologists, the dermatologist etc. - Finally our GP diagnosed her - a very rare side effect of that particular drug -but she had seen it in her practice a few times over the years with teenagers/young adults. As soon as my DD stopped taking that pill, the vertigo subsided (although it took awhile).
Could also just be a virus, like labrynthitis (inner ear virus that causes vertigo - my DH had this a few times, there is basically nothing you can do for it, it just has to pass).
Obviously you have to get this checked out, but I am just trying to give you other possible reasons why you could be experiencing this, other than brain mets.
Try to be positive, as others have said, with your path stats etc. it is so unlikely to be brain mets. But of course this is always our fear as BC, especially HER2+, survivors.
I am praying for you today -
xo 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 11-17-2008, 01:54 PM   #8
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Rina,

I hope your doctor's appointment goes well.

Amelia
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Old 11-17-2008, 02:33 PM   #9
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Rina, Just wanted you to know I am thinking about you. Let us know how your appt at the ENT went today. Hope you got some answers.

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 11-18-2008, 11:38 AM   #10
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Prayers

Rina:

I just wanted to post that my thoughts and prayers are definitely with you. I will pray that this is nothing. Please keep us posted!

Lisa
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Diagnosed 5/17/06
Left breast Stage II
5 cm. Her2Neu+++, ER-, PR-
1 positive node out of six,
double mastectomy 6/9/06;
TCH started 7/12/06
last chemo 10/25/06
herceptin ended 6-11-07
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Old 11-18-2008, 11:53 AM   #11
runtolive
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my sister recently had something very similar.. it was a virus which attacked her 8th cranial nerve.. causing hearling loss, vertigo, tinnitus, bad tinnitus.. the acute phase lasted about a month.. and after 3 different ENT specialists, she got a diagnosis she believed.. she did the meclizine, voltaren , stimuli exercises to reteach her brain to recalibrate her balance.. etc etc she missed a few weeks of work, could not drive, etc..

she is better now.. but has some permanent hearing loss.

run to live
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Old 11-18-2008, 12:38 PM   #12
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Talking Hey Girl

Still saying my prayers and awaiting your update.>>Believe51
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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,
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Old 11-18-2008, 01:12 PM   #13
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Hi Rina,
I had the same thing...I wonder if it is not somehow connected to the drain of Estrogen since we are taking AI's. I had a MRI of my brain and all was clear.
I think it is good to have just for a base line anyhow.
My dr. did say the following, that certain foods will interact...MSG being a big contributor (found in salad dressings) and even on fresh salads to maintian their fresh appeal....even some chemicals found in wine.
This could set off the vertigo...while I was at the BCS last Dec. I know it was from the salad! It was all I had eaten...a large plate of fresh salad with dressing.
Try to determine when you have the attacks, is after a dinner out, a glass of wine?...keep track.


I have been vertigo free for about 9 months now. It is important if you feel it coming on to take the medication
ASAP...much like our nauesa meds, once it gets control,
it is difficult to get out of the spiral.

All good wishes...to you.
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.
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Old 11-19-2008, 07:13 AM   #14
rinaina
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Update on vertigo and Happy Thanksgiving to all....

Thank you for all your input, concern and suggestions. I saw the ENT dr on Monday and they did a hearing test and exam. In my left ear, which is the one I have a history of ear infections with many years ago, I have a very minimal loss of hearing. The doctor examined me and found some scar tissue in this ear due to the years of tubes I had placed. He believes I am most likely dealing with an inner ear problem but ordered an ENG test that will be done next week. If the findings are inconclusive after those tests, he said he would order an MRI. My onc is in agreement with this game plan for now. Last night I had my most severe bout with vertigo along with a killer headache, (almost felt like sinus headache), and some nausea as well, but this morning I feel fine.
Jean, just wanted to mention that I was er/pr negative so I am not on any aromatise inhibitors but thanks for thinking of that.
Will be out of town day after Thanksgiving for a week. Heading south for some much needed r & r and warmth, (we hope). Will check back as soon as I know anything more. Thanks again for your help and support. Wishing everyone a wonderful and warm Thanksgiving.
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~Rina~
Dx:3/06 had a lumpectomy April 19, 2006
Her2+ er/pr- Stage I Grade 3 tumor size 1.4 cm, node negative
AC 4 dense doses
34 radiation treatments including booster doses
receiving herceptin every 3 weeks since late August 2006 for 12 months
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Old 11-19-2008, 07:32 AM   #15
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I get terrible vertigo with my allergies. Try not to worry, it may just be fluid in your ears. Mine got so bad once that just turning my head quickly made the room turn upside down. A little fluid in the ears/sinus passages can do crazy things.
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Old 11-19-2008, 07:36 AM   #16
rinaina
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Unfortunately there was no fluid in my ears according to my ENT doc, but you raised good points. Thank you.
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~Rina~
Dx:3/06 had a lumpectomy April 19, 2006
Her2+ er/pr- Stage I Grade 3 tumor size 1.4 cm, node negative
AC 4 dense doses
34 radiation treatments including booster doses
receiving herceptin every 3 weeks since late August 2006 for 12 months
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Old 11-19-2008, 08:39 PM   #17
caya
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Rina,

Thanks for posting the update. I hope that further testing will give you definitive answers. Still could be a virus. A neighbour of mine had a vertigo virus for a few weeks before it finally faded and disappeared.

Please keep well, and let us know your test results.

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 11-29-2008, 05:17 PM   #18
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Rina- I wanted to share my recent experience with you. It was early July 2008 and I woke up spinning. I thought I was dreaming or something ...but nope I was fully awake. I was so dizzy and getting very sick. I thought maybe it was a sinus infection as that can sometimes affect your equal libreum, So I went to the Doctor and he wrote for some antibiotics.... took those for a few days with no relief. Doctors told me to try Bonnie, Dramamine etc. Nothing helped. I couldn't even drive or walk down my hallway without running into the walls. I have NEVER felt like that before, it was terrible. I was so sick I was throwing up all the time, couldn't eat. Then the terror set in "What if my cancer is back and in my brain or something". I ended up in urgent care and because I had a history of cancer they did all the workups....MRI, CAT etc. Everything was clear.... I was some what relieved but then thought maybe they overlooked something. But the urgent care Doctor said it might just be a bad case of vertigo.... which I had never had before. Weird!! Now this was about the third week of it... and it just started easing. It wasn't doing it all day, just here and there and as the next week came it was less and less and until it was finally gone. So I wouldn't get too freaked out yet.... From the time mine started until it was completely gone was a little over 4 weeks. But I have not had an episode before this nor after it. I took zofran for the nausea and stayed in bed most of the time...it would be hard to fall asleep but once I did I would be okay until I woke up. Oh yeah I also had my ears checked and there was no water/fluid like other people told me, it was just really bad vertigo. Hope this helps a little, as I hate to think of another sister thinking the beast is back. Sending good vibes and healthy wishes for you!!!
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Old 11-19-2008, 12:23 PM   #19
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Rina, I will add my name to the list of those who have had vertigo intermittently over the years. So let's hope that is all it turns out to be. Of course, once we have had cancer, everything seems more ominous .
Let me tell you about a recent incident I had. Was feeling some pressure in my skull and had an episode of double vision. My onc ordered a brain MRI. (Meanwhile I was seeing a doc for TMJ. He thought the "pressure" was muscular in nature and not a brain tumor.) The MRI was negative for tumor BUT the radiologist said I have "multiple small areas of infarction." So now I have been sent to a neurologist. HE said the radiologist mis-described the findings and things are normal for my age. No "little strokes" after all. I guess I am telling you this to point out that sometimes things are not at all what they seem. Even if someone is suggesting some reason for concern. Upon investigation it turns out okay. The anxiety, however, is excruciating.
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Post menopause
May 2007 Core biopsy, Rt breast
ER+, Pr-, HER2 +++, Grade 3
Ki-67: 90%
"suspicious area" left breast
Bilateral mastectomy, (NED on left) May 2007
Sentinel Node Neg
Stage 1, DCIS with microinvasion, 3 mm, mostly removed during the biopsy....
Femara (discontinued 7/07) Resumed 10/07
OncoType score 36 (July 07)
Began THC 7/26/07 (d/c taxol and carboplatin 10/07)
Began Herceptin alone 10/07
Finished Herceptin July /08
D/C Femara 4/10 (joint pain/trigger thumb!)
5/10 mistakenly dx with lung cancer. Middle rt lobe removed!
Aromasin started 5/10
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Old 11-19-2008, 01:18 PM   #20
rinaina
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Bonnie, your point is well taken. I am trying very hard to not worry and jump to any conclusions. I am keeping very busy so it is making this easier. Thanks for sharing your experience and I am glad you are okay.
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~Rina~
Dx:3/06 had a lumpectomy April 19, 2006
Her2+ er/pr- Stage I Grade 3 tumor size 1.4 cm, node negative
AC 4 dense doses
34 radiation treatments including booster doses
receiving herceptin every 3 weeks since late August 2006 for 12 months
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