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Old 05-12-2007, 05:42 AM   #1
lu ann
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negative outcome of procedure

I had surgery Wednesday to remove fluid from the pleural cavity of my left lung. They were then to talc the outside of the lung to aid as glue so the lung would re-expand. There was so much evidence of metastasis and scar tissue that the procedure failed. Am I near the end of the road? Has anyone else had mets to the outside of their lung? Thanks for all replies? Lu Ann
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Old 05-12-2007, 06:16 AM   #2
kimber
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Lu Ann - I was hoping and praying the surgery would be a success. I am so very sorry. The doctors are going to have to find another option for you. You are NOT at the end of the road. You are still ON the road. It is time to regroup and find another way to kick the cancer in the butt!

love - kim
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Old 05-12-2007, 06:17 AM   #3
RhondaH
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Lu Ann...

I'm sorry you are going through this. Unfortunately, I have NO experience, but I DO have BIGGGG huggs and prayers. Take care and God bless.

Rhonda
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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 05-12-2007, 07:42 AM   #4
dede10
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You are still on the road, so keep going!!!!!
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3/2003-Dx'd Stage 4 Her 2+++

"Life is not measured by the number of breaths we take, but by the moments that take our breath away."

Dum spiro spero
(Latin: while I breathe I hope)
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Old 05-12-2007, 08:02 AM   #5
tousled1
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Lu Ann,

I'm so sorry to hear that your procedure did not go well. You are NOT at the end of the road. There are so many treatments still available that I'm sure your oncologist will come up with something to get you NED. I will keep you in my prayers.
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Kate
Stage IIIC Diagnosed Oct 25, 2005 (age 58)
ER/PR-, HER2+++, grade 3, Ploidy/DNA index: Aneuploid/1.61, S-phase: 24.2%
Neoadjunct chemo: 4 A/C; 4 Taxatore
Bilateral mastectomy June 8, 2006
14 of 26 nodes positive
Herceptin June 22, 2006 - April 20, 2007
Radiation (X35) July 24-September 11, 2006
BRCA1/BRCA2 negative
Stage IV lung mets July 13, 2007 - TCH
Single brain met - August 6, 2007 -CyberKnife
Oct 2007 - clear brain MRI and lung mets shrinking.
March 2008 lung met progression, brain still clear - begin Tykerb/Xeloda/Ixempra
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Old 05-12-2007, 08:39 AM   #6
Lolly
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Lu Ann, I'm very sorry you had to go through this, and then to have it be unsuccessful is just a bummer...I don't know about mets on the outside of the lungs, but I do know others have beat extensive lung mets back with the right combo, so please don't lose hope. Your docs are going to take a cue from you as to whether you want to keep going, so if YOU aren't ready to give up they will help you keep fighting.

Have you had Tykerb yet? I'm on Tykerb/Abraxane(easier version of Taxol) for my lymph and skin mets and finding it very easy to tolerate and am seeing a positive response after just one week.

If that's not an option for you, there are most likely other options your onc and you can discuss. You are in the drivers seat, so hang on and keep driving!

<3 Lolly
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Sept.'99 - Dx.Stage IIIB, IDC ER/PR-, HER2+++ by IHC, confirmed '04 by FISH. Left MRM, AC x's 4, Taxol x's 4, 33 Rads, finishing Tx May 2000. Jan.'01 - local/regional recurrence, Stage IV. Herceptin/Navelbine weekly till NED August 2001, then maintenance Herceptin. Right Mast. April 2002. Local/Regional recurrence April '04, Herceptin plus/minus chemo until May '07. Gemzar added from Feb.'07-April '07; Tykerb/Abraxane until August '07, back on Herceptin plus Taxotere and Xeloda Sept. '07. Stopped T/X Nov. '07, stopped Herceptin Dec. '07, started Avastin/Taxol/Carboplatin Dec. '07. Progression in chest skin, stopped TAC March '03, started radiation.

Herceptin has served as the "Backbone" of my treatment strategy for over 6 years, giving me great quality of life. In 2005, I was privileged to participate in the University of Washington/Seattle HER2 Vaccine Trial.
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Old 05-12-2007, 09:22 AM   #7
Andi
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Lu Ann - I am sorry to hear that your talc procedure didn't work. I had this done in December. When they pulled the first tube after my procedure, my lung collapsed, so they put a pigtail catheter in and drained me somemore. After that my lungs cleared up. You are not at the end of the road, just still trying to find the right drugs to fight your cancer. I am currently on Tykerb/Xeloda but have just started so I don't know if this will be the one for me, but I sure hope so. My prayers are with you that you and your onc will come up with something very successful. Don't give up the fight.
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Andi
-- ------------------------
Stage IIIC, 17 of 20 Nodes +, E+, Her2+++
Diagnosed 6/30/05
Lumpectomy 7/13/05
Dose Dense A/C x 4
Weekly Taxol + Herceptin x 12
Remainder of year Herceptin Every 3 weeks (completes 9/13/06)
Radiation completed 2/28/06
Currently on Tamoxifen
Dec 06 - Pleural effusion treated with pleurodesis
Now er/pr-, her2++
1/07 started weekly Navelbine plus Herceptin
Discontinued Tamoxifen
4/27/07 CTshowed progression
5/01/07 Began Tykerb/Xeloda + Zometa
5/22/07 Stopped treatment due to great progression
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Old 05-12-2007, 09:55 AM   #8
R.B.
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I was very sorry to read your news.

I post this with the same trepidation as I did the first time, simply as a potential area for consideration as an adjunct to what ever treatment is considered appropriate by you and your advisor.

http://www.her2support.org/vbulletin...ught+provoking

There is sound logic behind why balancing omega three and six (in combination with sound diet) and ensuring adequate long chain omega threes DHA and EPA (found in fish oil) could help reduce inflammation, impact on on cancers etc, but huge amounts are unknown and there is huge debate.

This is strictly a one off "trial", and of limited evidential use.

I have seen another lady making similar claims on Appleseed Annie following a complete dietary change. I am afraid I do not have the link but you can search the site.

http://www.annieappleseedproject.org/

If you find this thought provoking please discuss any dietary change with your doctor.


RB
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Old 05-12-2007, 10:53 AM   #9
Sandy H
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Lu ann, I am sorry the procedure did not work for you. I have been watching for your post as I am probably right behind you in getting this done myself. I had another draining done on the right lung Wednesday where they drew off a quart of fluid. My left one has some but they say thye don't want to do both because if the lung does col. than they both will. Its better to have only one at a time. Did they put in a Denver catheter for continuous draining? I was told they can do it but than, there is the risk of infection. Did you have anything showing in the lungs of your scans or was this a surprise for you to find this out? I honestly, don't know where we stand here-only God knows. We are still on the road here and until we fall off we will not give up or I will not. I am frustrated because I am not use to being this quiet and I am not sick just real tired from shortness of breath. Will continue tol keep you in my prayers and hang in there my dear sister. Its not over until its over! Keep us posted Sending you a big hug, Sandy
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Dx. 03/01, Rt. IBC
AC/Taxatere
Rt. MRM-with graft Lt. simple
5 rads-skin mets
Herceptin, taxol, carboplatin (taxol seem to be the magic drug)
Navelbine & xeloda (did not work)
topical miltex for skin mets
Tykerb/xeloda
thoracentesis x 2 left lung fluid shows cancer cells
Port removal (4 years) with power port replacement
Doxil
Updated 05-07 Scans show no bone or organ involvement we shall see!




I shall not pass this way again. Any good I can do or any kindness that I can show let me not defer or neglect it for I shall not pass this way again.
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Old 05-12-2007, 10:56 AM   #10
Sandy H
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Andi: I am glad this procedure worked for you. How painful was it? How long were you in the hospital? Did you have both lungs done? Sorry, to have so many questions but some times this is the only way we get them answered is by those that have had it done! Sending you a big hug, Sandy
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Dx. 03/01, Rt. IBC
AC/Taxatere
Rt. MRM-with graft Lt. simple
5 rads-skin mets
Herceptin, taxol, carboplatin (taxol seem to be the magic drug)
Navelbine & xeloda (did not work)
topical miltex for skin mets
Tykerb/xeloda
thoracentesis x 2 left lung fluid shows cancer cells
Port removal (4 years) with power port replacement
Doxil
Updated 05-07 Scans show no bone or organ involvement we shall see!




I shall not pass this way again. Any good I can do or any kindness that I can show let me not defer or neglect it for I shall not pass this way again.
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Old 05-12-2007, 02:25 PM   #11
CLTann
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The plurel space generated liquid due to the presence of cancers or other foreign matter. Prodesis procedure is an attempt to glue the two surfaces together by irritating the surface with talc. I would imagine that your lung is partially glued together and partially left with plurel space. Therefore, although the procedure is not ideally successful, this is certainly not the end of the road. Your onc will figure out another way to help the situation.

A new chemo agent might be the best answer to your current situation. Have courage and talk to your medical team for best alternatives. 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 05-12-2007, 02:46 PM   #12
StephN
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Unhappy

Hello Lu Ann -

Know you are not feeling too good about this at the moment, but I am sure there are other treatment avenues to try. Just get past THIS STOP SIGN.

Maybe you can widen your search on the internet and Google certain key words for your case. Time consuming, but often when we can glean a bit of hope from "someplace" we can feel a little more sustained for the next step of this fight.

You do not have a Signature with all your treatments to date so hard to offer any specific advice of what might be available.
Didn't you go to a branch of Cancer Treatment Center of America??

Peace and best wishes prayers coming your way.
__________________
"When I hear music, I fear no danger. I am invulnerable. I see no foe. I am related to the earliest times, and to the latest." H.D. Thoreau
Live in the moment.

MY STORY SO FAR ~~~~
Found suspicious lump 9/2000
Lumpectomy, then node dissection and port placement
Stage IIB, 8 pos nodes of 18, Grade 3, ER & PR -
Adriamycin 12 weekly, taxotere 4 rounds
36 rads - very little burning
3 mos after rads liver full of tumors, Stage IV Jan 2002, one spot on sternum
Weekly Taxol, Navelbine, Herceptin for 27 rounds to NED!
2003 & 2004 no active disease - 3 weekly Herceptin + Zometa
Jan 2005 two mets to brain - Gamma Knife on Jan 18
All clear until treated cerebellum spot showing activity on Jan 2006 brain MRI & brain PET
Brain surgery on Feb 9, 2006 - no cancer, 100% radiation necrosis - tumor was still dying
Continue as NED while on Herceptin & quarterly Zometa
Fall-2006 - off Zometa - watching one small brain spot (scar?)
2007 - spot/scar in brain stable - finished anticoagulation therapy for clot along my port-a-catheter - 3 angioplasties to unblock vena cava
2008 - Brain and body still NED! Port removed and scans in Dec.
Dec 2008 - stop Herceptin - Vaccine Trial at U of W begun in Oct. of 2011
STILL NED everywhere in Feb 2014 - on wing & prayer
7/14 - Started twice yearly Zometa for my bones
Jan. 2015 checkup still shows NED
2015 Neuropathy in feet - otherwise all OK - still NED.
Same news for 2016 and all of 2017.
Nov of 2017 - had small skin cancer removed from my face. Will have Zometa end of Jan. 2018.
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Old 05-12-2007, 02:50 PM   #13
hutchibk
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Is this different from extraplueral pneumonectomy? I am guessing that you have consulted with the best thoracic cancer surgeons in the Cleveland area...

...the road goes on forever and the party never ends!

Best wishes and keep us posted! I know they will find an answer.
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Brenda

NOV 2012 - 9 yr anniversary
JULY 2012 - 7 yr anniversary stage IV (of 50...)

Nov'03~ dX stage 2B
Dec'03~
Rt side mastectomy, Her2+, ER/PR+, 10 nodes out, one node positive
Jan'04~
Taxotere/Adria/Cytoxan x 6, NED, no Rads, Tamox. 1 year, Arimadex 3 mo., NED 14 mo.
Sept'05~
micro mets lungs/chest nodes/underarm node, Switched to Aromasin, T/C/H x 7, NED 6 months - Herceptin only
Aug'06~
micro mets chest nodes, & bone spot @ C3 neck, Added Taxol to Herceptin
Feb'07~ Genetic testing, BRCA 1&2 neg

Apr'07~
MRI - two 9mm brain mets & 5 punctates, new left chest met, & small increase of bone spot C3 neck, Stopped Aromasin
May'07~
Started Tykerb/Xeloda, no WBR for now
June'07~
MRI - stable brain mets, no new mets, 9mm spots less enhanced, CA15.3 down 45.5 to 9.3 in 10 wks, Ty/Xel working magic!
Aug'07~
MRI - brain mets shrunk half, NO NEW BRAIN METS!!, TMs stable @ 9.2
Oct'07~
PET/CT & MRI show NED
Apr'08~
scans still show NED in the head, small bone spot on right iliac crest (rear pelvic bone)
Sept'08~
MRI shows activity in brain mets, completed 5 fractions/5 consecutive days of IMRT to zap the pesky buggers
Oct'08~
dropped Xeloda, switched to tri-weekly Herceptin in combo with Tykerb, extend to tri-monthly Zometa infusion
Dec'08~
Brain MRI- 4 spots reduced to punctate size, large spot shrunk by 3mm, CT of torso clear/pelvis spot stable
June'09~
new 3-4mm left cerrebellar spot zapped with IMRT targeted rads
Sept'09~
new 6mm & 1 cm spots in pituitary/optic chiasm area. Rx= 25 days of 3D conformal fractionated targeted IMRT to the tumors.
Oct'09~
25 days of low dose 3D conformal fractionated targeted IMRT to the bone mets spot on rt. iliac crest that have been watching for 2 years. Added daily Aromasin back into treatment regimen.
Apr'10~ Brain MRI clear! But, see new small spot on adrenal gland. Change from Aromasin back to Tamoxifen.
June'10~ Tumor markers (CA15.3) dropped from 37 to 23 after one month on Tamoxifen. Continue to monitor adrenal gland spot. Remain on Tykerb/Herceptin/Tamoxifen.
Nov'10~ Radiate positive mediastinal node that was pressing on recurrent laryngeal nerve, causing paralyzed larynx and a funny voice.
Jan'11~ MRI shows possible activity or perhaps just scar tissue/necrotic increase on 3 previously treated brain spots and a pituitary spot. 5 days of IMRT on 4 spots.
Feb'11~ Enrolled in T-DM1 EAP in Denver, first treatment March 25, 2011.
Mar'11~ Finally started T-DM1 EAP in Denver at Rocky Mountain Cancer Center/Rose on Mar. 25... hallelujah.

"I would rather be anecdotally alive than statistically dead."
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Old 05-12-2007, 08:23 PM   #14
Adriana Mangus
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Thumbs up Praying for you

Dear Lu Ann: Do not even think about it!! You are a warrior!! and as such do not give up, NEVER....I'm sure the doctors have another alternative to take care of your problem. All of us, your sisters are praying for you...Hang in there.
__________________
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 05-13-2007, 08:05 AM   #15
Joy
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LuAnn

I don't have a lot of knowledge in this area, but these other ladies have said some great things. I'd definitely search out the best specialists in pulmonary metastasis and get this taken care of. I believe strongly that you can get this taken care of. This is not the end of the road, just a big pothole.
But with some determination you can just drive on through it.
__________________
with love and gratitude,
joy

dx stage I 2/2000*er/pr+; her- per IHC*lumpectomy*4 rounds A/C*30 rads*tamoxifen*dx stage 4 5/2002*huge mets to liver*tiny mets to lungs*stopped tamoxifen*5/02 taxotere/xeloda*her 2 checked with FiSH-her2+++herceptin *2/03 stopped chemo femara w/herceptin*zolodex*04 switched to aromasin w/herceptin*05 high estrogen tx*11/05taxol/carbo*7/06 stopped chemo; megace/herceptin*9/06navelbine/herceptin*5/07tykerb/xeloda great response*4/08 progression in liver; ooph/ faslodex /herceptin
6/08 began Herceptin DM-1
9/08 progression
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Old 05-13-2007, 08:55 PM   #16
lu ann
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Thanks for all of your replies....

....I'm feeling much better today. I went to church. out for lunch, and a drive to the country side.

The home procedure I'm having done is brand new. The home drainage kit is from Denver Biomedical and the kit is called Pleur x. You can go on line if you are interested in watching the video. I don't know the web-site or link.

I appreciate the votes of confidence. I thought I was near the end of the road 3 years ago, but I am still here.

The drainage is done 2 times a week or as needed. It's quite a detailed procedure. Everything is packed in a sterile bag for single use. It is uncomfortable but should ease up over time.

A visiting nurse will do the procedure until my husband is at ease doing it himself.

R.B., what is the best omega three I can purchase?

Stephanie, I was on cytoxin, 5fu, and methotrexate for 6 months when I was dx. 16 years ago with stage 1. Since the reoccurrance I have been on taxol, carboplatin, herceptin, zometa, navlebine, gemsar, xeloda, and doxil. I had rad. tx. to spine, and mediastynime at Cancer Treatment Centers in Zion. Ill. I also had rad. tx. to my hip, femur, and knee last November at University Hospital in Cleve. Ohio.

I have a neuropathy condition which they think is seperate from the lung issue that I am also to have tests for. We will meet with the med. onc. Friday to discuss her game plan. I'm not sure how active the cancer is growing in the pleural cavity, but my tests showed improvement with the doxil.

Loli, Tykerb and xeloda or herceptin was what we discussed prior to surgery. Once we find out if I need rad. tx. to the neck area for an enlarged lymph node, I can finish 2 more rounds of doxil then the tykerb combo.

I appreciate all of your posts and I am not giving up.

Happy Mothers Day
Dear Friends.
Love, Lu Ann
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Old 05-14-2007, 06:59 AM   #17
Jean
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Dearest Lu Ann,

I am thinking of you and will be saying a special healing prayer
for you. You sound strong once again - glad your back on the
road to fighting back. Never Give UP!

Sending you lots of 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 05-14-2007, 08:17 AM   #18
BEA
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Wink Lilies of the Field

I found the following posted on a web site by a lady named Penny Rice. Thought this was something we all should consider in our journey:

Jesus said in Matthew 6:28, “Consider the Lilies of the field, how they grow.” The lilies of Palestine persist, grow & thrive even though they are trodden down by those who pass through the fields. God Himself is their Gardener who causes them to persevere and become exquisitely beautiful with their heads held high. It is to Him that we who are trodden down by cancer can look for the strength to persevere & flourish as beautiful lilies for all to see.

My prayers are with you to gain the strength to be a real warrior.
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Old 05-14-2007, 09:16 AM   #19
Shell
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LuAnn-

I was saddened by your first post and uplifted by your second - I haven't had the procedure, but like Sandy, am probably headed in that direction. I have mets to the lung and outside the lung, and have had many of the treatments you've had. I am so glad you are responding to the doxil - can they add avastin to it?

Kind regards,
__________________
Shell

init diag 3/17/03-stage IIIC
ER-/PR-/HER2+++
CET x4 neo-adjuvant
lump & SNB 8/03
CET x2
radiation and herceptin/navelbine 11-03-1/04
1st reoccur to lymph nodes 8/04
complete axillary dissection 12/04
herceptin/taxotere til progression (lungs) 3/05
xeloda w/out lapatinib trial 6/05
lapatinib/tykerb added 4/06
ended trial 8/06 due to progression
doxil / avastin 11/06-12/06 - wasn't working
navelbine/herceptin/avastin 12/06/3/07 - progression
gemzar/carboplatin/tykerb 4/07
mri shows extensive mets to bone in pelvic area 6/07
switched to abraxane (3 on/1 off) + tykerb 6/07
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Old 05-14-2007, 07:23 PM   #20
TriciaK
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It is good to read your second post, Lu Ann, and see the fighting spirit return! Our prayers and good thoughts are all with you. Hugs, Tricia
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