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Old 07-19-2010, 02:54 PM   #1
Lauriesh
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Location: Lakeville, Minnesota
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Mass in liver

Hi everyone,

I haven't been around for a long time. I had just celebrated my five years on March 21, 2010.

I was having pain in my lower back and pain when I breathed in. I just got back from the er and they did a ct and said that I have a mass on my liver.

I go see my onc on Wed., but I am so scared. I have 3 kids at home and I just want to be here to see them grow up.

any advice of whats next, any chance it is not cancer, any long term liver met survivors?

Thanks,

Laurie
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Old 07-19-2010, 04:12 PM   #2
krisvell
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Re: Mass in liver

Laurie,
I hope you hear very good news on Wed.

I just had a PET scan and had to follow up with an MRI because they found something on my liver. It turned out to be a non-cancerous 3 cm growth. I went thru the roller coaster ride of waiting and not knowing. I tried very hard to think that it was nothing. Please hang in there. I am routing for you.
Kris...
__________________
06/08/09 - 55, IDC, IIIA, ER+/PR-/HER+++
Nottingham 6/9 - Grade 2 5.2cm, several nodes
06/23/09 - Neoadjuvant - TCH Herceptin til June
10/07/09 - Finished Chemo
10/27/09 - Mastectomy RB
Path Report: RB No residual tumor pCR,
2 of 15 pos - .5mm largest micromets
12/18/09 - Radiation started (28)
02/05/10 - Finished Radiation
01/11/10 - Started Femara
06/22/10 - Finished Herceptin.. My son's 22nd BD. Hope it's a sign! Hoping for the best.
11/15/10 - Started Walter Reed BC Vaccine trial at
1/04/11 - Sibley Mem. Had to withdraw due to met
01/23/11 - Stage IV - Brain Met 1.6cm 1.7cm
02/03/11 - Gamma Knife (2 fracts to minmize necrosis)
03/01/11 - Gamma Knife
6/11 - Necrosis
7/11 - Necrosis stopped & Tumor progression
8/11 = Now think it's really necrosis
9/11 - Avastin every two weeks -- It's working!! Necrosis is shrinking.
12/11 - Necrosis gone AVASTIN worked.
12/11 - Bone &CT found


Oct '10 - Ran Hartford 1/2 Marathon to Thank Dr. Slamon for Herceptin!
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Old 07-19-2010, 04:46 PM   #3
Chelee
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Re: Mass in liver

Hi Laurie, I'm so sorry to hear your news...I can only image how scared you are. I've been there. But it doesn't mean for sure it's cancer...although it's quite normal for your mind to go there. There are lots of long term survivors that battled liver mets...I'm sure they will be along shortly so please hang in there. Sending lots of positive thoughts your way.

Chelee
__________________
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 07-20-2010, 04:59 AM   #4
Lori R
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Re: Mass in liver

Laurie,
A 'Short Term" liver mets survivor chiming in here. Short Term because I plan on being around much, much longer. But I'll get to that later.

We ALL understand that the anxiety associated with waiting for test results. It is so normal to have all the what-ifs run through your mind. We will all hope that the mass is not BC and you won't have to beat back the disease once again.

But....if you do...I wanted to offer you words of encouragement. In October, I will be 3 years from diagnosis. While I've been on multiple rounds of treatment, I've been able to lead a very full and active life. My daughter is a junior in High School and graduates next year. There are new treatments and many of us are waiting for a miracle drug to enter the market called TDM-1. So....having a liver met is NOT a death sentence.

Focus on the now while you wait for tests and results and of course...keep us posted.

Lori
__________________
2007
Oct - Diagnosed - Stage IV
5 c.m. IDC - Left Side er/pr- Her2+++
Node + 2/14 - Single Liver Met
Double Mastectomy
Nov - Begin T+H
2008
Feb-Complete 6 cycles- T&H- NED
March - Continue - Herceptin Only
April - Rads for 6 weeks
2009
Continue Herceptin - Continue NED
April - Recurrance- 3 cm. Liver Met
May - Cryosurgery
June - November - Abraxane + Herceptin
Aug - PET/CT - CTC = 0 Back to NED
2010
January - Continue NED
July - Recurrance - 3 cm Liver Met CTC=1
August - Cryosurgery #2
August - November Navelbine
November - Back to NED - End Navelbine
2011
Feb - Recur - 4 cm Liver Met - Same Left Lobe
March Surgery it is -Couldn't get a clean margin
July - Confirmed continued liver involvement
August - Begin Herceptin + Tykerb
October - Mixed results from H+T
Add Abraxane + H + T - Nov - April
2012
January PET Scan - It's working!!
April - Back to NED
July - Recurrance
August - Begin TDM-1 Trial (Taxol + TDM-1)
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Old 07-20-2010, 07:00 AM   #5
jml
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Re: Mass in liver

Hi Laurie~
I'm so sorry you have to deal with this, but I hope when you see your doc on Wednesday they will put you on the path to a definitive diagnosis. Most likely via biopsy, but maybe another scan or MRI will do?
One step at at time. Once you have the next piece of information, you'll know what direction to take. In the meantime, just hang in there.
I've been managing liver mets on and off for 8 years, since my primary diagnosis @33yo. I've had a lot of different chemo combos, RFA, chemo embolization, liver resection, but despite it all have managed to maintain a very active lifestyle (until recently when I started on a 5 cycles of Ixempra, which has been a real challenge).Incidentally, throughout all of this, even when the mets were characterized as "innumberable, immeasureable", I've never had symptoms - no pain, no compromised liver function, etc, so keep fingers crossed for the best.
Please keep us posted and know that we are all here pulling for you.

Keep the Faith~

Jessica
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Old 07-20-2010, 01:47 PM   #6
tricia keegan
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Re: Mass in liver

Laurie,

I'm sorry you received this news and are so worried as we all would be. I just wanted to add that my twenty three year survivor friend had a liver mass found last year, it turned out be a benign fibroid after a liver bx.
The onc told her many people have these but most are never found, with our cancer history we get so many scans we're made aware of them.
Just wanted to throw some hope in that it may not be cancer and praying you have the same outcome
__________________
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 07-20-2010, 02:04 PM   #7
Jackie07
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Re: Mass in liver

Laurie,

I had a scare last year also. It turned out to be liver hemangioma, a noncancerous condition.

Let us know what you find out today. Sending good vibes your way.
__________________
Jackie07
http://www.kevinmd.com/blog/2011/06/doctors-letter-patient-newly-diagnosed-cancer.html
http://www.asco.org/ASCOv2/MultiMedi...=114&trackID=2

NICU 4.4 LB
Erythema Nodosum 85
Life-long Central Neurocytoma 4x5x6.5 cm 23 hrs 62090 semi-coma 10 d PT OT ST 30 d
3 Infertility tmts 99 > 3 u. fibroids > Pills
CN 3 GKRS 52301
IDC 1.2 cm Her2 +++ ER 5% R. Lmptmy SLNB+1 71703 6 FEC 33 R Tamoxifen
Recc IIB 2.5 cm Bi-L Mast 61407 2/9 nds PET
6 TCH Cellulitis - Lymphedema - compression sleeve & glove
H w x 4 MUGA 51 D, J 49 M
Diastasis recti
Tamoxifen B. scan
Irrtbl bowel 1'09
Colonoscopy 313
BRCA1 V1247I
hptc hemangioma
Vertigo
GI - > yogurt
hysterectomy/oophorectomy 011410
Exemestane 25 mg tab 102912 ~ 101016 stopped due to r. hip/l.thigh pain after long walk
DEXA 1/13
1-2016 lesions in liver largest 9mm & 1.3 cm onco. says not cancer.
3-11 Appendectomy - visually O.K., a lot of puss. Final path result - not cancer.
Start Vitamin D3 and Calcium supplement (600mg x2)
10-10 Stopped Exemestane due to r. hip/l.thigh pain OKed by Onco 11-08-2016
7-23-2018 9 mm groundglass nodule within the right lower lobe with indolent behavior. Due to possible adenocarcinoma, Recommend annual surveilence.
7-10-2019 CT to check lung nodule.
1-10-2020 8mm stable nodule on R Lung, two 6mm new ones on L Lung, a possible lymph node involvement in inter fissule.
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Old 07-21-2010, 02:53 AM   #8
jhandley
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Re: Mass in liver

Hi laurie
I am a long term survivor of liver mets...had a recurrence to the liver in 2005..cleared up by herceptin and taxol. On herceptin for 4 yrs..went off it for 8 months then liver mets again..back on herceptin plus abraxane ..back to NED in 8 weeks. have 2 tx of abraxane to go then will stay on herceptin.
Hang in there!
Jackie (down under)
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Old 07-21-2010, 08:49 AM   #9
Emelie B
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Re: Mass in liver

Hi Laurie,
I am a survivor of lung, liver, lymph node and bone mets since I was diagnosed in Jan. of this year. I am currently NED from Herceptin/Taxol and Zometa. Not a walk in the park, but very doable.
Stay strong and you too, will be a survivor.
Best regards,
Emelie
__________________
Nov. 2006-IDC with Her2 +++
A/C for 3 rounds
Dec. 2006- Herceptin and Taxotere
March 2007-MRM with 8 of 14 lymph node involvement
May 2007-36 Rads
Sept. 2007- Stopped Herceptin
Jan. 2010- CT scan shows enlarged lymph nodes in sternum and lung involvement
Feb. 2010-PET scan shows mets to liver, lung, lymph nodes and bone
Feb. 2010- Started Herceptin/Taxol and Zometa
April 2010-PET scan clear. Herceptin and Zometa
June 2010- Stopped Herceptin continue Zometa and still NED
August 2010-Back on Herceptin and Zometa every 3 weeks
August 13, 2010- Had another port placed
August 24, 2010- PET scan clear. Herceptin and Zometa every three weeks
Nov. 2010-PET scan clear
Feb. 2011-Brain MRI clear
March 2011- PET scan clear
May 2011- PET scan clear
Sept. 2011- PET, Mammo, Bone Scan all clear- Herceptin only
March 2012-Recurrence in lungs and tumor around pota hepatis artery. Added Navelbine to herceptin
April 2012- Entered palliative care
June 5, 2012-Entered hospice care
Planning my memorial
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Old 07-21-2010, 09:28 AM   #10
SunDiego
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Re: Mass in liver

Currently going through a similar experience with my wife who was just dx with bc. Already have had 2 MRIs for liver, with different contrasts to review under nuclear imaging. I'm not sure the extent of your bc diagnosis, or your personal background, but from my crash course in liver masses, it could be at least one of the following (or of course mets)...

1. FNH - focal node hyperplasia (BENIGN)
2. HA - hepatic adenoma (a rare BENIGN mass) except it can bleed, rupture or turn into HCC. Mostly seen in women with long history of oral contraception (this is what they are thinking for my 32 year old wife who is stage 1a, node negative, grade 3, HER2+++)
3. HCC- hepatic carcinoma... the bad stuff
4. mets - ??? (don't even want to go there)

Bottom line, it's been SCARY not knowing, but I've learned that MANY people have masses on their liver and other organs and much of the time they are benign. Imaging has just gotten so much better they are being found more and more.

Your pain obviously means it isn't likely very small, but those HA's can cause pain too... I've read.

Hoping for the best for you.
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Old 07-21-2010, 02:09 PM   #11
Jean
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Re: Mass in liver

Never easy not to worry....but just reading all the wise experience of our sisters please do try to feel better.
I know it is easier said than done since being dx. everyone is concerned with the cancer returning.

Since being dx. we have more scans (as mentioned earlier) so we know more about the odd things going on inside our bodies.

We want to hear your good news as soon as you hear it.

Hugs,
Jean
__________________
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 07-21-2010, 02:53 PM   #12
Lauriesh
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Re: Mass in liver

Thank you everyone for the words of encouragement.

I am back from my onc appointment, and the news isn't good. The mass is 11 cm and my onc said there is a very good chance it is cancer. I have my biopsy tomorrow morning, then will see my onc on Monday.

My onc said that I will probably start treatment right away, depending on the pathology.

I am freaking out because of the size. I assume it will be her2++, just like my original tumor, that seemed to grow overnight.

My kids are 12, 11 and 8 and I just got done telling them as much as I thought they could handle. That was probably one of the hardest things I ever had to do.

Thanks again for your concern and support.

Laurie
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Old 07-21-2010, 03:47 PM   #13
Jean
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Re: Mass in liver

I am very sorry that your Dr. did not have better news.
Yes, the hardest part of it all is always the children.
What a difficult day for you all around.

I am keeping you in my thoughts and prayers for tomorrow. Please keep us updated.

From what many others posted they are able to beat down the nasty....please keep your spirits high and strong.

Strong Hugs,
Jean
__________________
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 07-21-2010, 04:12 PM   #14
krisvell
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Re: Mass in liver

Laurie,
Darn... Please know that I am routing (praying) for you and hope you get back to NED real soon.
Kris...
__________________
06/08/09 - 55, IDC, IIIA, ER+/PR-/HER+++
Nottingham 6/9 - Grade 2 5.2cm, several nodes
06/23/09 - Neoadjuvant - TCH Herceptin til June
10/07/09 - Finished Chemo
10/27/09 - Mastectomy RB
Path Report: RB No residual tumor pCR,
2 of 15 pos - .5mm largest micromets
12/18/09 - Radiation started (28)
02/05/10 - Finished Radiation
01/11/10 - Started Femara
06/22/10 - Finished Herceptin.. My son's 22nd BD. Hope it's a sign! Hoping for the best.
11/15/10 - Started Walter Reed BC Vaccine trial at
1/04/11 - Sibley Mem. Had to withdraw due to met
01/23/11 - Stage IV - Brain Met 1.6cm 1.7cm
02/03/11 - Gamma Knife (2 fracts to minmize necrosis)
03/01/11 - Gamma Knife
6/11 - Necrosis
7/11 - Necrosis stopped & Tumor progression
8/11 = Now think it's really necrosis
9/11 - Avastin every two weeks -- It's working!! Necrosis is shrinking.
12/11 - Necrosis gone AVASTIN worked.
12/11 - Bone &CT found


Oct '10 - Ran Hartford 1/2 Marathon to Thank Dr. Slamon for Herceptin!
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Old 07-21-2010, 04:34 PM   #15
PatE
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Re: Mass in liver

Hi Laurie,

I am so sorry that you got bad news but please know there are treatments that can help.

I also had a liver met, my was smaller 1cm but the biospy did not show Her2. My Onc said sometimes that happens, I still stayed on Herceptin. I chose to treat my met with Cyberknife radiosurgery, it was 3 -45 minute treatments over a week. A robot delivers the radiation to the site, my liver has been clear for 2 years now. No side effects and no pain (I did get sick to my stomach once) I felt the same after treatment.

I am now battling a small lesion on my spine (L2), I had Cyberknife to that area in May. My next pet scan is August 5th so I'll let you know but I feel great. I would also ask your Onc about TDMI (super herceptin) you may be able to get in a trial. Seems like the women who talk about it on this board are very happy with it.

Please know I'm praying for you, God Bless
Pat
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Old 07-22-2010, 05:11 AM   #16
Lori R
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Re: Mass in liver

Dear Laurie,
So sorry the current belief is that the mass is BC.

You are doing all of the right things and as you well know, the worst part is over. Deciding what/when/how to inform our children is sooo difficult. Your instincts sound right on target in terms of being honest yet cautious.

I am so glad you found this site as it is an amazing resource for emotional support and hands on advice from many who have gone before you.

When you get the final test results and a possible game plan, please come back for input. While this might be overwhelming right now, it would be a good idea to ask your Dr. about the availability of a TDM-1 trial. IF...I repeat IF the biopsy returns bad news, you would be in a good position as a first time metastatic patient. There are trials available to you that aren't available to some of us that have been on a couple of different chemo treatments.

I have a trial in mind but need to jump of the site to get the specfics. Not certain where it is being offered and with 3 children, I appreciate the need to keep things stable on the home front.

I'll stop for now ....sending you continued prayers that the biopsy confirms B-9!!!
__________________
2007
Oct - Diagnosed - Stage IV
5 c.m. IDC - Left Side er/pr- Her2+++
Node + 2/14 - Single Liver Met
Double Mastectomy
Nov - Begin T+H
2008
Feb-Complete 6 cycles- T&H- NED
March - Continue - Herceptin Only
April - Rads for 6 weeks
2009
Continue Herceptin - Continue NED
April - Recurrance- 3 cm. Liver Met
May - Cryosurgery
June - November - Abraxane + Herceptin
Aug - PET/CT - CTC = 0 Back to NED
2010
January - Continue NED
July - Recurrance - 3 cm Liver Met CTC=1
August - Cryosurgery #2
August - November Navelbine
November - Back to NED - End Navelbine
2011
Feb - Recur - 4 cm Liver Met - Same Left Lobe
March Surgery it is -Couldn't get a clean margin
July - Confirmed continued liver involvement
August - Begin Herceptin + Tykerb
October - Mixed results from H+T
Add Abraxane + H + T - Nov - April
2012
January PET Scan - It's working!!
April - Back to NED
July - Recurrance
August - Begin TDM-1 Trial (Taxol + TDM-1)
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Old 07-22-2010, 07:26 AM   #17
RhondaH
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Re: Mass in liver

Prayers are with you...
__________________
Rhonda

Dx 2/1/05, Stage 1, 0 nodes, Grade 3, ER/PR-, HER2+ (3.16 Fish)
2/7/05, Partial Mastectomy
5/18/05 Finished 6 rounds of dose dense TEC (Taxotere, Epirubicin and Cytoxan)
8/1/05 Finished 33 rads
8/18/05 Started Herceptin, every 3 weeks for a year (last one 8/10/06)

2/1/13...8 year Cancerversary and I am "perfect" (at least where cancer is concerned;)


" And in the end, it's not the years in your life that count. It's the life in your years."- Abraham Lincoln
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Old 07-22-2010, 03:54 PM   #18
tricia keegan
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Re: Mass in liver

Laurie,

I'm so sorry the news was not better, I'm thinking and praying for you and still hoping for a benign condition but if not, take heart from some here who have had this and beaten it!
((((hugs))))
__________________
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 07-22-2010, 04:29 PM   #19
Patb
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Re: Mass in liver

Adding my prayers and please keep us updated.
Take a day at a time and breath, this isn't easy .
There are lots of women on this sight to help with
suggestions and support.
patb
__________________
patb

Diagnosed June, 06, Stage I, Grade3, ER+PR- Her2positive, No Nodes. A/C X 4. Radiation 33 with boost, Herceptin every two weeks until Nov.
07, Arimedex for 5 years. Mugas and Echo and chest xRay. Bone scan of whole Body, and Back of Brain and spine MRI.
CT scan of Lungs every six months
due to two small places. December
2009, bone scan due to bone pain.
Follow up test in 2010.
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Old 07-22-2010, 08:10 PM   #20
Jackie07
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Re: Mass in liver

Laurie,

Your doctor said 'a good chance' - he/she's not sure about it yet. When we found a mass in my liver by CT, my oncologist ordered an ultrasound to confirm it was not cancer but 'hepatic hemangioma'.

I'm hoping that you will get a good 'surprise' to find it to be a non-cancerous mass. But even if it does turn out to be cancer, we have several members here who are experienced liver mets fighters. I'm sure they will share some good tips with you.

Take a deep breath and know that we are thinking of/praying for you.
__________________
Jackie07
http://www.kevinmd.com/blog/2011/06/doctors-letter-patient-newly-diagnosed-cancer.html
http://www.asco.org/ASCOv2/MultiMedi...=114&trackID=2

NICU 4.4 LB
Erythema Nodosum 85
Life-long Central Neurocytoma 4x5x6.5 cm 23 hrs 62090 semi-coma 10 d PT OT ST 30 d
3 Infertility tmts 99 > 3 u. fibroids > Pills
CN 3 GKRS 52301
IDC 1.2 cm Her2 +++ ER 5% R. Lmptmy SLNB+1 71703 6 FEC 33 R Tamoxifen
Recc IIB 2.5 cm Bi-L Mast 61407 2/9 nds PET
6 TCH Cellulitis - Lymphedema - compression sleeve & glove
H w x 4 MUGA 51 D, J 49 M
Diastasis recti
Tamoxifen B. scan
Irrtbl bowel 1'09
Colonoscopy 313
BRCA1 V1247I
hptc hemangioma
Vertigo
GI - > yogurt
hysterectomy/oophorectomy 011410
Exemestane 25 mg tab 102912 ~ 101016 stopped due to r. hip/l.thigh pain after long walk
DEXA 1/13
1-2016 lesions in liver largest 9mm & 1.3 cm onco. says not cancer.
3-11 Appendectomy - visually O.K., a lot of puss. Final path result - not cancer.
Start Vitamin D3 and Calcium supplement (600mg x2)
10-10 Stopped Exemestane due to r. hip/l.thigh pain OKed by Onco 11-08-2016
7-23-2018 9 mm groundglass nodule within the right lower lobe with indolent behavior. Due to possible adenocarcinoma, Recommend annual surveilence.
7-10-2019 CT to check lung nodule.
1-10-2020 8mm stable nodule on R Lung, two 6mm new ones on L Lung, a possible lymph node involvement in inter fissule.
"I WANT TO BE AN OUTRAGEOUS OLD WOMAN WHO NEVER GETS CALLED AN OLD LADY. I WANT TO GET SHARP EDGED & EARTH COLORED, TILL I FADE AWAY FROM PURE JOY." Irene from Tampa

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