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Old 02-14-2009, 11:18 AM   #1
Westcoastgirl
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Thank you for the welcome!

Thank you for the welcome
I want to thank everyone that replied to me in the New Comers Group. I wept to read your welcoming messages. Thank you for sharing with me. It was suggested that I post here. Please bear with me as I learn to navigate here. Your replies helped me to feel positive and to accept my double mastectomy. I really liked my surgeon but did not understand why he was so adamant. I thought at first he saw me as someone that would not be able to handle the fear of the cancer returning if I kept the one breast, despite me being what I saw as quite contained in the meeting. I am at peace with that part of the puzzle now. Thank you. I had had two 6 month recalls for mammograms before I asked for a biopsy so going into the mastectomies we knew I was Her2 positive. At that time I did not really understand the significance. I will be going in to receive the Port this Monday and then meet with the Oncologist next Wed to discuss beginning treatment. Thus far I have had a bone scan, chest xray, internal organ ultrasound and a MUGA (no results yet).

I am wondering if I should request anything to check the brain??
Thank you for your support. Carolyn

invasive high grade ductal carcinoma 12/30/08
ER positive
PR positive
Her2 positive (3plus)
double mastectomy 1/15/09
8 nodes taken, all negative
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Old 02-14-2009, 12:47 PM   #2
ElaineM
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Wink Thank you for the welcome

Have you considered a brain MRI? I think that might be able to tell you if everything is going along okay up there at the top of your body.
Take care.
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12 years and counting
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Lucky 13 !! I hope so !!!!!!
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Old 02-14-2009, 01:04 PM   #3
Westcoastgirl
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Hi Elaine,
Do you think I should ask for a brain MRI? I have to say I am not that happy with my Oncologist. The first time and only time I have met him thus far it became evident he did not even know I had already had my double mastectomy. I am a headache type of person and figure I will have headaches from stress but as I read here there are many with brain tumors. I thought if he figured it necessary he would request it. I suppose I need to be more demanding?? I think he has done all the other diagnostic tests he deems necessary.
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Old 02-14-2009, 01:09 PM   #4
Midwest Alice
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Welcome Carolyn, My name is Alice and I am kind of new too. You will love it here surrounded by love and strength. Just ask your questions and read, read, read!! I am learning so much and growing stronger each day.
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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!!!
1/11 Hip replacement 7/11 Hip 2 replacement
4/12 4 years!! Herceptin
6/12 start reconstruction finish in 12/12
2/14 Herception - 6 years!!!

1 Corinthians 10:13 "No temptation has seized you except what is common to man. And God is faithful; he will not let you be tempted beyond what you can bear. But when you are tempted, he will also provide a way out so that you
can stand up under it."

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Old 02-14-2009, 03:37 PM   #5
Jean
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Dear Carolyn,
Welcome to our very special family. I am sorry that you have been dx. and need to be here, but it is a wonderful source of information and support.

With that said, I would advise having the MRI of the brain, first of all you want to have a base line and since you are checking the rest of your body, it is only wise and prudent to do the same for you're beautiful brain.

Unfortunately we do have many sisters who have had their bc travel to their brain, but when caught early and treated you can have positive results. You may have to demand the MRI as most onc. do not believe in scans unless you are experiencing symptoms. Many have complained of headaches in order to comply for the scan.

I wish you the best during you're treatment and know that you can ask any question anytime.

Hugs,
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.
9/06 Completed chemo
Started Femara Sept. 2006
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Old 02-14-2009, 04:02 PM   #6
Westcoastgirl
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request for further tests??

Thank you all for responding. I am a bit hesitant I think to be demanding of anyone but after coming here and listening to your well intentioned advise I am going to go on Wed to my Oncologist appt and ask for, no insist upon a brain MRI. I agree that there should be a baseline done. As I said, so far I am waiting for results on chest xray, ultrasound of abdomen, MUGA, and bone scan. Is there any other test I should ask for while there? ...blood tests, etc? Thank you, Carolyn

invasive high grade ductal carcinoma 12/30/08
ER positive
PR positive
Her2 positive (3plus)
double mastectomy 1/15/09
8 nodes taken, all negative
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Old 02-14-2009, 05:48 PM   #7
tricia keegan
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Carolyn, I missed your earlier post on the welcome thread but want to say hi and wish you luck in your upcoming treatments.
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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 02-14-2009, 06:19 PM   #8
Westcoastgirl
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Wow, you guys....I am overwhelmed with the welcome I have received. I will find out this coming week what my treatments will be but will go to that appt with much more confidence than I would otherwise have felt. I feel like I have found a home. Thank you. Carolyn
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Old 02-14-2009, 06:35 PM   #9
CLTann
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Carolyn,

Your data are a little skimpy. For the oncologest to make an informed decision, the aggressiveness of the cancer, size of cancer(s), site of cancer, and all relevant info are needed. Of course, the HER2 quantitative info is also a part of the puzzle. From all these, the onc, based on his or her experience, may suggest brain MRI. Some doctors do not support an initial baseline brain scan.

Best luck.
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Ann

Stage 1 dx Sept 05
ER/PR positive HER2 +++ Grade 3
Invasive carcinoma 1 cm, no node involvement
Mastec Sept 05
Annual scans all negative, Oct 06
Postmenopause. Arimidex only since Sept 06, bone or muscle ache after 3 month
Off Arimidex, change to Femara 1/12-07, ache stopped
Sept 07 all tests negative, pass 2 year mark
Feb 08 continue doing well.
Sep 09 four year NED still on Femara.
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Old 02-14-2009, 07:54 PM   #10
Diana1993
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Carolyn,
I didn't care for my onc. at first. I thought he was too blunt, and rehearsed. After 16 years with this wonderful Dr. I have a healthy respect for him. For example, I jokingly said to a replacement nurse, last year " I guess I will have to sell my house to get required drug in the U.S." My doctor called that evening with advice not to sell my house, because the drug in question might add four more months when added to current treatment. I do take printouts of various treatments and he has openly accepted them and reviewed them. He has also taught me that I'm the first test result, meaning, what I tell him during the first part of the visit is the most important follow-up test. I no longer always say "fine" or "you tell me" when asked "How are you feeling"
I guess what I'm trying to say, is, build a relationship with your Dr. I do think the doctors sometime forget each one of us is a unique case, but they have only so many options available. By the way, I have never had a brain MRI. I think I'm too afraid they won't find one (brain), but I'm sure if I insisted I would get one. (MRI)
You have found a wonderful, informative site> I'm a lurker; here everyday, but most of the time too shy, or uninformed to comment.
Love your quote,
Hugs,
Diana

Last edited by Diana1993; 02-14-2009 at 07:58 PM.. Reason: incorrect spelling
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Old 02-15-2009, 01:05 AM   #11
SoCalGal
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Welcome...

If you are feeling demanding of your doctor that is a positive sign. Good job! If there was ever a time in life to be demanding this would be it. It's good you are here on this site. We will help you thru things and you can read the many different point of views that we bring to our her2 family.

I've been on this site for the past almost 2 years and learned more from this community than from 10 years of fighting cancer. IMO - it's unlikely that you have brain involvement but if you can get an MRI of your brain you can put your mind at ease and it will serve as a baseline.

Flori
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1996 cancer WTF?! 1.3 cm lumpectomy Er/Pr neg. Her2+ (20nodes NEGATIVE) did CMF + rads. NED.
2002 recurrence. Bilateral mastectomy w/TFL autologous recon. Then ACx2. Skin lymphatic rash. Taxotere w/Herceptin x4. Herceptin/Xeloda. Finally stops spreading.
2003 - Back to surgery, remove skin mets, and will have surgery one week later when pathology can confirm margins.
‘03 latisimus dorsi flap to remove skin mets. CLEAN MARGINS. Continue single agent Herceptin thru 4/04. NED.
‘04 '05 & 06 tiny recurrences - scar line. surgery to cut out. NED each time.
1/2006 Rads again, to scar line. NED.

3/07 Heartbreaking news - mets! lungs.sternum. Try Tykerb/Xeloda. Tykerb/Carbo/Gemzar. Switch Oncs.
12/07 Herceptin.Tykerb. Markers go stable.
2/8/08 gamma knife 13mm stupid brain met.
3/08 Herceptin/tykerb/avastin/zometa.
3/09 brain NED. Lungs STABLE.
4/09 attack sternum (10 daysPHOTONS.5 days ELECTRONS)
9/09 MARKERS normal!
3/10 PET/CT=manubrium intensely metabolically active but stable. NEDhead.
Wash out 5/10 for tdm1 but 6/10 CT STABLE, PET improving. Markers normal. Brain NED. Resume just Herceptin plus ZOMETA
Dec 2010 Brain NED, lungs/sternum stable. markers normal.
MAR 2011 stop Herceptin/allergy! Go back on Tykerb and switch to Xgeva.
May-Aug 2011 Tykerb Herceptin Xgeva.
Sept 2011 Tykerb, Herceptin, Zometa, Avastin.
April 2012 sketchy drug trial in NYC. 6 weeks later I’m NED!
OCT 2012 PET/CT shows a bunch of freakin’ progression. Back to LA and Herceptin.avastin.zometa.
12/20/12 add in PERJETA!
March 2013 – 5 YEARS POST continue HAPZ
APRIL 2013 - 6 yrs stage 4. "FAILED" PETscan on 4/2/13
May 2013: rePetted - improvement in lungs, left adrenal stable, right 6th rib inactive, (must be PERJETA avastin) sternum and L1 fruckin'worsen. Drop zometa. ADD Xgeva. Doc says get rads consultant for L1 and possible biopsy of L1. I say, no thanks, doc. Lets see what xgeva brings to the table first. It's summer.
June-August 2013HAPX Herceptin Avastin Perjeta xgeva.
Sept - now - on chemo hold for calming tummy we hope. Markers stable for 2 months.
Nov 2013 - Herceptin-Perjeta-Avastin-Xgeva (collageneous colitis, which explains tummy probs, added Entocort)
December '13 BRAIN MRI ned in da head.
Jan 2014: CONTINUING on HAPX…
FEB 2014 PetCT clinical “impression”: 1. newbie nodule - SUV 1.5 right apical nodule, mildly hypermetabolic “suggestive” of worsening neoplastic lesion. 2. moderate worsening of the sternum – SUV 5.6 from 3.8
3. increasing sclerosis & decreasing activity of L1 met “suggests” mild healing. (SUV 9.4 v 12.1 in May ‘13)
4. scattered lung nodules, up to 5mm in size = stable, no increased activity
5. other small scattered sclerotic lesions, one in right iliac and one in thoracic vertebral body similar in appearance to L1 without PET activity and not clearly pathologic
APRIL 2014 - 6 YRS POST GAMMA ZAP, 7 YRS MBC & 18 YEARS FROM ORIGINAL DX!
October 2014: hold avastin, continue HPX
Feb 2015 Cancer you lost. NEDHEAD 7 years post gamma zap miracle, 8 years ST4, +19 yrs original diagnosis.
Continue HPX. Adding back Avastin
Nov 2015 pet/ct is mixed result. L1 SUV is worse. Continue Herceptin/avastin/xgeva. Might revisit Perjeta for L1. Meantime going for rads consult for L1
December 2015 - brain stable. Continue Herceptin, Perjeta, Avastin and xgeva.
Jan 2016: 5 days, 20 grays, Rads to L1 and continue on HAPX. I’m trying to "save" TDM1 for next line. Hope the rads work to quiet L1. Sciatic pain extraordinaire :((
Markers drop post rads.
2/24/16 HAP plus X - markers are down
SCIATIC PAIN DEAL BREAKER.
3/23/16 Laminectomy w/coflex implant L4/5. NO MORE SCIATIC PAIN!!! Healing.
APRIL 2016 - 9 YRS MBC
July 2016 - continue HAP plus Xgeva.
DEC 2016 - PETCT: mets to sternum, lungs, L1 still about the same in size and PET activity. Markers not bad. Not making changes if I don't need to. Herceptin/Perjeta/Avastin/Xgeva
APRIL 2017 10 YEARS MBC
December 2017 - Progression - gonna switch it up
FEB 2018 - Kadcyla 3 cycles ---->progression :(
MAY30th - bronchoscopy, w/foundation1 - her2 enriched
Aug 27, 2018 - start clinical trial ZW25
JAN 2019 - ZW25 seems to be keeping me stable
APRIL 2019 - ONE DOZEN YEARS LIVING METASTATIC
MAY 2019 - progression back on herceptin add xeloda
JUNE 2019 - "6 mos average survival" LMD & CNS new single brain met - one zap during 5 days true beam SBRT to cord met
10/30/19 - stable brain and cord. progression lungs and bones. washing out. applying for ds8201a w nivolumab. hope they take me.
12/27/19 - begin ds8401a w nivolumab. after 2nd cycle nodes melt away. after 3rd cycle chest scan shows Improvement, brain MRI shows improvement, resolved areas & nothing new. switch to plain ENHERTU. after 4th cycle, PETscan shows mostly resolved or improved results. Markers near normal. I'm stunned but grateful.
10/26/20 - June 2021 Tucatinib/xeloda/herceptin - stable ish.
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