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Old 05-30-2013, 08:21 AM   #21
'lizbeth
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Re: Not ready

Anne,

I'm sure your liver will be just golden!

I'm with you on the pain, none, no thank you!

You are the first I've heard of to do this procedure. We will all be holding our breath to hear how your day goes and are keeping our fingers crossed that you will get rid of those pesky mets.
__________________
Diagnosed 2007
Stage IIb Invasive Ductal Carcinoma, Pagets, 3 of 15 positive nodes

Traditional Treatment: Mastectomy and Axillary Node Dissection followed by Taxotere, 6 treatments and 1 year of Herceptin, no radiation
Former Chemo Ninja "Takizi Zukuchiri"

Additional treatments:
GP2 vaccine, San Antonio Med Ctr
Prescriptive Exercise for Cancer Patients
ENERGY Study, UCSD La Jolla

Reconstruction: TRAM flap, partial loss, Revision

The content of my posts are meant for informational purposes only. The medical information is intended for general information only and should not be used in any way to diagnose, treat, cure, or prevent disease
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Old 05-30-2013, 08:48 AM   #22
ammebarb
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Re: Not ready

Sending my prayers and best wishes for a painless procedure and great success! I'll be thinking of you.

Barb A.
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Old 05-30-2013, 02:52 PM   #23
KsGal
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Re: Not ready

Ann! My liver biopsy about made me jump out off the table. I don't know what it is that they use to "numb the area" with, but it sucks! My liver sure as heck wasnt numb. lol Tell them they better give you a twilight sleep or load you up on something good! Put a post-it note on your forehead that says..." need lots of pain meds" so they ALL know.
I've never known anyone who has had this procedure either, but as a liver mets sister, Im waiting right along with everyone else for you to update us after its over. Its brave people like you who open doorways for the rest of us! Lots of prayers and positive energy headed your way....its going to be a grand success.
__________________
Diagnosed in October 2011 Stage IV with metastasis to liver.
January 2012 after double mastectomy, started taxotere, carboplatin and herceptin.
Clear.
December 2012 was diagnosed with five brain mets, and had whole brain radiation.
Around July 2014 two mets in brain, one a residual spot and one new one growing in size. Received Cyberknife on both areas
Clear/NED
April 2015 remain NED
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Old 05-30-2013, 05:55 PM   #24
Laurel
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Re: Not ready

Anne,

Remember, "it is the squeeky wheel that gets the oil" so make a fuss so your pain is managed. You have been through enough to complain a bit here and there without fear of reproach.

Prayers for a simple and effective treatment!
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Smile On!
Laurel


Dx'd w/multifocal DCIS/IDS 3/08
7mm invasive component
Partial mast. 5/08
Stage 1b, ER 80%, PR 90%, HER-2 6.9 on FISH
0/5 nodes
4 AC, 4 TH finished 9/08
Herceptin every 3 weeks. Finished 7/09
Tamoxifen 10/08. Switched to Femara 8/09
Bilat SPM w/reconstruction 10/08
Clinical Trial w/Clondronate 12/08
Stopped Clondronate--too hard on my gizzard!
Switched back to Tamoxifen due to tendon pain from Femara

15 Years NED
I think I just might hang around awhile....

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Old 05-30-2013, 06:20 PM   #25
sassy
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Re: Not ready

Praying for you on all fronts! Keep us posted.
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Rhonda (Sassy)
dx age 45
DX 2/15/05 Stage IIb (at surgery)restaged IIIa
Left mast .9cm tumor 5 of 14 nodes
Triple Positive
4 DD A/C
12 Taxol/Herceptin
33Rads
Strange infect mast site one year aft surg, hosp 1 wk
Herceptin for total of 18 months
Lupron Monthly 4 yrs
Neurontin for aches, pains and hot flashes(It works!)
Ovaries removed 11/09 stop Lupron and Neurontin
Arimidex 6 yrs (tried Femara, no SE improvement)
Tried Exemestane-hips got so bad could hardly walk
Back to Arimidex for year seven
Zometa 2X Annual for 7years, Lasix
Stop Arimidex 5/13
Stop Zometa 7/13-Bi-lateral Stress Fractures in Femurs from Zometa
5/14 Start Tamoxifen
3/15 Stem cell transplant to stimulate femur bone growth/healing
5/15 Complete fracture of right femur/Titanium rods both femurs
9/16 Start Evista stopTamoxifen
3/17 Stop Evista--unwelcome side effects!
NED and no meds.......
14YEARS NED!
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Old 05-30-2013, 08:58 PM   #26
IrvineFriend
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Re: Not ready

Ann,

You're in my prayers. You really have helped me through my journey and I want to thank you. I really admire you and the input and help that you give others.

-Julie
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Julie
Live in Orange County, CA

Diagnosed with DCIS Oct. 2012

Bilateral Dec. 19, 2012
IDC, ER/PR-, Her2+++, Grade 3
Stage IIIa
15.6 cm
4/14 nodes + macrometastases
First thing each morning, I try on my bathing suit. Then, nothing worse can happen the rest of the day.
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Old 05-30-2013, 09:10 PM   #27
3twins
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Re: Not ready

Prayers for no-pain and maximum results.
__________________
DX 5/17/10 IDC & DCIS
BMX 6/3/10-Stage 1, 0/2 nodes
ER+/PR-, Her2+
Chemo 7/8/10-10/21/10
FEC X 3, T X 3, Herceptin weekly for 9wks
Start Arimidex for 5 yrs-11/22/10
12/16/10 NED!!!!!
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Old 05-31-2013, 02:49 AM   #28
Adriana Mangus
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Re: Not ready

Hi CoolBreeze,

I'm interested in hearing about everything you are going through.

Please keep us posted. This is it, it will work!!!

Love,

Adriana
__________________
1994 - rt brst, .lump, underarm node dissection,chemo+rad 1.2 cms, Grade 3.
28 nodes neg
Er,Pr, Positive HER2 status unknown
2003- Recur to rt lung.July 16 ( B-Day!)
Her2+++ Er,Pr, Negative
2003 - Aug04--Navelbine + Herceptin
2004- 2007--
NED - Herceptin, only
2007 Feb-April Xeloda added to hereceptin
2007-May Back on Navelbine+Herceptin
2008-Feb-Mar 15 Ses Rad to Rt. Lung
2008- Oc 17 Add Tykerb to Herceptin
2009- June-- Discont Tykerb
2009 July 7--Current Taxol + Herceptin
2009 Dec--Discontinued treatment due to progression. Looking into cyberknife.
2010-Aug Accepted to TDM1, no SE, except liver count went up.
2010-2011 September got kicked out of the trial, due to a small spot found on lung.
2011- 2012 September thru early 2013 on Herceptin
2013- March Bone density shows small spot on 5th rib.
2013 - April 4th appt with onc. will post after discussing course of treatment.
2013-March-April Cyber knife to brain and radiation to rib. Chest --base line before chemo-CT-Scan stable for lung issue. CA2729 Normal.
2013 April Herceptin- TDMI
2013 Sept Herceptin + Perjeta . CA2729 within normal range. Brain and Pet scans October 31st. will post results.
2013 October Brain MRI- mixed response. Will see Onc/rad on Halloween.
2013 October/November Brain-MRI nothing new. Repeat MRI next year in May.

2013 December Continue Herceptin and Perjeta. Stable at the moment.
2014 February Brain MRI -clear!
2014 January Added Taxotere to Perjeta+Herceptin.
2014 March Stopped chemo-chest ct-scan next.

2014- March Scans shows tumor's larger, CA2729 higher. Discontinue Herceptin.
2014 April Perjeta+ Halaven
2014 April CA2729 went down 60 points after one cycle. Cough does not want to go away.
2014 June Continue on Perjeta + Halaven-- no more cough. Stable
2014 June Back on Herceptin + abraxane
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Old 05-31-2013, 07:17 AM   #29
Soccermom
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Re: Not ready

Praying all goes well, Ann ! I'm always checking up in you so please keep us in mind .
XO Marcia
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Old 05-31-2013, 09:41 AM   #30
CarolineC
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Re: Not ready

Ann,

Is there anyone you can talk to who has done the procedure and may have some good tips?

I know a woman who was diagnosed stage IV from the start six years ago with multiple liver mets. She takes alot of supplements along with something called Immunocal and there are no more mets. I am looking into taking it, but I don't drink dairy and I don't know if it will agree with me, so I'm on the fence right now. I think that is the key; to make your body as strong a possible. You have abit of time before your procedure to boost it abit.

Remember to keep the big picture in front of you. Your son's graduation and beyond.

Take care.
__________________
Dx Age 47 July/09 Stage 2B/3
Left Mast. Aug 09- 1 of 3 positive nodes in axillary dissection (yes only 3)
ER+ 90%, PR+ 20%, HER2+++
4 x AC, 4 x Paclitaxol and H (Neupogen for 7 cycles), Herceptin complete Nov 10
Mar–Apr 2010 25 Rads
Apr 10-Oct 11- Tamoxifen
Oct 11 – 3 cm met to sternum
Oct 11-Letrozole for 3 mths, start Clasteon-bone remodeller
Nov-Dec 11 - Happy 50th Birthday -20 rads to sternum
Jan-April 2012 Taxotere/Herceptin-6 cycles (Neupogen for 5)
Herceptin every 3 weeks-Letrozole added Nov 2012
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Old 05-31-2013, 11:29 AM   #31
SusanN
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Re: Not ready

Will be praying for peace, strength and wisdom...for all!! HUGS!!
__________________
10/18/12 Found pea size lump right breast
11/7/12 Biopsy
12/14/12 Lumpectomy
1/4/13 Rexcision, NO CLEAR MARGINS!! :(
2/11/13 Mastectomy with Expander Placed
2/15/13 INFECTION at Mastectomy site...emergency Surgery!!! Expander removed :(
DX: DCIS, IDC, Stage 2a, 2.7cm, 1/5 nodes positive
ER/PR-, HER2+++
3/28/13 Port placed
4/1/13 Begin 6 Cycles TCH Therapy
4/1/14 Finished Herceptin!!
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Old 05-31-2013, 07:50 PM   #32
caya
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Re: Not ready

Good luck Ann - praying for an easy time for your procedure.

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 06-01-2013, 05:14 PM   #33
tricia keegan
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Re: Not ready

Keeping you in my thoughts and prayers Ann! xx
__________________
Tricia
Dx July '05 IDC 1.9cm Triple positive 3/9 nodes positive
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.
Stopped Arimidex July 2014- Restarted Arimidex 2015 for a further two years on the advice of my Onc.
2014 Normal Dexa scan
2018 Mammo all clear, still NED!
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Old 06-02-2013, 06:05 AM   #34
Paula O
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Re: Not ready

I'm rooting for ya too!

Please do keep us posted,

Paula
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Old 06-03-2013, 01:08 PM   #35
Mtngrl
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Re: Not ready

Good luck, Ann.

I hope it goes well and works beautifully.
__________________
Amy
_____________________________
4/19/11 Diagnosed invasive ductal carcinoma in left breast; 2.3 cm tumor, 1 axillary lymph node, weakly ER+, HER2+++
4/29/11 CT scan shows suspicious lesions on liver and lungs
5/17/11 liver biopsy
5/24/11 liver met confirmed--Stage IV at diagnosis
5/27/11 Begin weekly Taxol & Herceptin for 3 months (standard of care at the time of my DX)
7/18/11 Switch to weekly Abraxane & Herceptin due to Taxol allergy
8/29/11 CT scan shows no new lesions & old lesions shrinking
9/27/11 Finish Abraxane. Start Herceptin every 3 weeks. Begin taking Arimidex
10/17/11--Brain MRI--No Brain mets
12/5/11 PET scan--Almost NED
5/15/12 PET scan shows progression-breast/chest/spine (one vertebra)
5/22/12 Stop taking Arimidex; stay on Herceptin
6/11/12 Started Tykerb and Herceptin on clinical trial (w/no chemo)
9/24/12 CT scan--No new mets. Everything stable.
3/11/13 CT Scan--two small new possible mets and odd looking area in left lung getting larger.
4/2/13--Biopsy of suspicious area in lower left lung. Mets to lung confirmed.
4/30/13 Begin Kadcyla/TDM-1
8/16/13 PET scan "mixed," with some areas of increased uptake, but also some definite improvement, so I'll stay on TDM-1/Kadcyla.
11/11/13 Finally get hormone receptor results from lung biopsy of 4/2/13. My cancer is no longer ER positive.
11/13/13 PET scan mixed results again. We're calling it "stable." Problems breathing on exertion.
2/18/14 PET scan shows a new lesion and newly active lymph node in chest, other progression. Bye bye TDM-1.
2/28/14 Begin Herceptin/Perjeta every 3 weeks.
6/8/14 PET "mixed," with no new lesions, and everything but lower lungs improving. My breathing is better.
8/18/14 PET "mixed" again. Upper lungs & one spine met stable, lower lungs less FDG avid, original tumor more avid, one lymph node in mediastinum more avid.
9/1/14 Begin taking Xeloda one week on, one week off. Will also stay on Herceptin and Perjeta every three weeks.
12/11/14 PET Scan--no new lesions, and everything looks better than it did.
3/20/15 PET Scan--no new lesions, but lower lung lesions larger and a bit more avid.
4/13/15 Increasing Xeloda dose to 10 days on, one week off.
7/1/15 Scan "mixed" again, but suggests continuing progression. Stop Xeloda. Substitute Abraxane every 3 weeks starting 7/13.
10/28/15 PET scan shows dramatic improvement everywhere. All lesions except lower lungs have resolved; lower lungs noticeably improved.
12/18/15 Last Abraxane. Continue on Herceptin and Perjeta alone beginning 1/8/16.
1/27/16 PET scan shows cancer is stable.
5/11/16 PET scan shows uptake in some areas that were resolved on the last two scans.
6/3/16 Begin Kadcyla and Tykerb combination
6/5 - 6/23 Horrible diarrhea from K&T together. Got pneumonia.
7/15/16 Begin Kadcyla only every 3 weeks.
9/6/16 Begin radiation therapy on right lung lesion that caused the pneumonia.
10/3/16 Last of 12 radiation treatments to right lung.
11/4/16 Huffing and puffing, low O2, high heart rate, on tiniest bit of exertion. Diagnosed as radiation pneumonitis. Treated with Prednisone.
11/11/16 PET scan shows significant improvement to radiated part of right lung BUT a bunch of new lung lesions, and the bone met is getting worse.
11/22/16 Begin Eribulin and Herceptin. H every 3 weeks. E two weeks on, one week off.
3/6/17 Scan shows progression in lungs. Bone met a little better.
3/23/17 Lung biopsy. Tumor sampled is ER-, PR+ (5%), HER2+++. Getting Herceptin and Perjeta as a maintenance treatment.
5/31/17 Port placement
6/1/17 Start Navelbine & Tykerb
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Old 06-03-2013, 03:13 PM   #36
lkc Gumby
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Re: Not ready

although I have not had any hepatic procedure done, my mom had stents placed and reported significant pain.
PLEASE tell your surgeon , you want this to be PAIN FREE. They can medicate, but normally don't do so.
__________________
Linda

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 06-04-2013, 09:41 AM   #37
Soccermom
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Re: Not ready

Thinking of you Ann!
Gentle hugs,
Marcia
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Old 06-04-2013, 12:00 PM   #38
sarah
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Re: Not ready

Lots of luck, hope it's less painful than you expect and results are great, you've been through too much.
hugs and love
sarah
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Old 06-08-2013, 01:48 PM   #39
CoolBreeze
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Re: Not ready

So ladies, thank you for all your kind words and well-wishes. Yesterday was my fiducial placement.

When I had the liver biopsy, I was not expecting any pain so when it hurt so badly, I nearly threw up and they had to give me IV Zofran. In everything I've done, that was the first medical procedure that had hurt and it really surprised me. I was relaxed and calm and suddenly felt like I was being stabbed.

So I was very apprehensive about repeating that experience, and this lasts a lot longer. When they do a biopsy, as you know, it's similar to a breast biopsy. They use the core needle gun and shoot it in your tumor and remove it immediately.

With this, they do many needles and have to leave them in while they take CT photos and make sure they are in the right place. They put needles in, take them out, make sure it's where they want it before they finally shoot the fiducial into you.

So I called them to tell them about my problems with pain the first time. I got a return call from a nurse who was horrible. Supercilious, rude, pretty much said "it is what it is and if you don't like it you can go somewhere else." Well, I called the doctor to complain and the doctor doing the test called me back. He asked me a bunch of questions about what kind of pain meds I'd gotten before, what my tolerance was, what I take now, etc. He said after 2 years of chemo that the tissue might be different and it might not be as painfulb ut he said he would do his best to control the pain and would add dilaudid to the versed and fentynl.

So, yesterday was the day. I was nervous. I was in pre-op and talked to the doctor again. They they took me to CT scan and did a scan with contrast, with my arms over my head (I *still* have a frozen shoulder problem so that wasn't easy). They left me in the machine, where they did the procedure so they could place needles, take pictures, see if everything was placed properly. And, I wish I could say that it was painless but that isn't the case. It hurt quite a bit at times, and honestly, I don't see how they can do it entirely pain-free. They need you awake because you have to hold your breath at specific times. it felt like he'd punctured my lung after one, I couldn't breathe in except shallowly.

At one point, they put this big needle in my liver that came out about 12 inches and then left to go look at photos on the computer and I'm lying there watching this needle above my head pinning me to the bed - I was like a butterfly pinned to a cork!

Anyway, it took about an hour and then I went to recovery. He wanted me to get to my "baseline" level of pain before I left but I'm not there yet still so that was foolish. Doctors! They wanted me there at least an hour and after an hour I knew I could walk so I said I was ready to go and they let me.

I came home and slept a few hours. Ate a bit of dinner, watched TV. Felt like I'd been kicked in the side by an elephant and couldn't take a deep breathe. This was annoying because my red cell count is low and I take in oxygen by deep breaths every few minutes! But I went to bed early and slept well and woke up today feeling like I was kicked by a horse. The breathing still hurts but is also better. So I think I will recover.

I don't want to do it again, I definitely don't. But it was not quite as bad as the biopsy, probably because of that tiny amount of dilaudid he added. I don't think versed and fentynl do anything to me at all, I've never felt them, never noticed them the three or four times I've been given it. If I do have to do it again, I'll either have him give me more or just take some of my own before I leave the house.

Next step is to let the fiducials "settle" or "scar in" and then I have a PET scan on the 17th. Then they will start the planning for the radiation, which will likely be at the end of June.
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08/17/09 Dx'd.
Multifocal/multicentric IDC, largest 3.4 cm, associated ADH, LCIS, DCIS
HER2+ ER+/PR- Grade 3, Node Negative

10/20/2009: Right mastectomy, reconstruction with TE
12/02/2009: Six rounds TCH, switched to Taxol halfway through due to neuropathy
03/31/2010: Finished chemo
05/01/2010: Began tamoxifen, the worst drug ever
11/18/2010: Reconstruction completed
12/02/2010: Finished herceptin
05/21/2011: Liver Mets. Quit Tamoxifen
06/22/2011: Navelbine/Zometa/Herceptin
10/03/2011: Liver Resection, left lobe. Microwave ablation, right lobe - going for cure!
11/26/2011: C-Diff Superbug Infection, "worst case doctor had seen in 20 years"
03/28/2012: Progression in ablated section of the liver - no more cure. Started Abraxane, continue herceptin/zometa
10/10/2012: Progression continues, started Halaven, along with herceptin and zometa.
01/15/2013: Progression continues, started Gemzar and Perjeta, an unusual combo, continuing with herceptin and zometa
03/13/2013: Quit Gemzar, body just won't handle it. Staying on herceptin, zometa and perjeta.
04/03/2013: CT shows 50% regression in tumor, so am starting back on Gemzar with dose reduction, staying with perjeta/herceptin/zometa. Can't argue with success!
05/09/2013: Discussing SBRT with Radiology due to inability of bone marrow to recover from chemo.
06/07/2013: Fiducial placement for SBRT
07/03/2013: Chemo discontinued, on Perjeta, Herceptin and Zometa alone
07/25/2013: SBRT (gamma knife) begins
08/01/2013: SBRT completed
08/15/2013: STABLE! continuing with Perjeta, Herceptin, Zometa
06/18/2014: ***** NED!!!!***** continuing with Perjeta, Herceptin, Zometa
01/29/2014: Still NED. continuing with Perjeta, Herceptin. Zometa lowered to every 3 months instead of monthly.
11/08/2015: Progression throughout abdomen and lungs. Started TDM-1, aka Kadcyla. Other meds discontinued. Remission was nice while it lasted.

5/27/18: Stable. Kadcyla put me right back in the barn. I have two teeny spots on my lungs that are metabolically inactive, and liver is clean.

I’m beating this MFer. I was 51 when this started and had two kids, 22 and 12. Now I’m 60. My oldest got married and trying to start s family. My youngesg graduates from Caltech this June. My stepdaughter gave me grandkids. Life is fantastic.
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Old 06-08-2013, 04:04 PM   #40
Lien
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Re: Not ready

How did it go, Ann?

Hugs

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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