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Old 02-13-2011, 06:54 AM   #1
Kim in DC
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Join Date: Nov 2004
Posts: 190
Forum for localized mets treatments

It seems a lot of sisters are being treated for mets successfully with local treatments. On the other hand, it seems a lot of sisters have questions about these treatments as well.
Cryo, cyberknife, gammaknife, RFA, a lot of oncs are not supportive of these treatments and we need to support ourselves. Is it feasible for us to have a forum devoted to these procedures or should it go under my healthcare team? Just a thought.

Kim
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8/98 dx right breast
5/2003 tram flap right breast
8/2004 dx new primary left breast with inflammatory bc
er/pr-, her2neu+++
8/19 taxotere and herceptin
1/15/2005 Navelbine/Herceptin
4/2005 radiation and Herceptin
5/15/2005 Herceptin alone
2/12/2008 skin biopsy positive
2/14/2008 met to sternum, possibly right breast
2/27/08 Start omitarg, herceptin, taxotere trial
3/17/08 Kicked off trial because I started too close to my last herceptin
3/19 start tykerb xeloda
Right breast confirmed met
5/15/08 skin mets gone, no hypermetabolic activity in breast, sternum healing
8/24/08 scans still look good. sternum still active with scarring. No evidence of progression
10/08 Progression in sternum
12/08 Start TDM1 trial
1/09 Scans show stable
12/09 1 year on TDM1 still stable
10/10 progression in chest and liver
11/10 false positive of liver mets; tykerb and herceptin
4/11 Tykerb/Herceptin/Xgeva
4/11 Rads to Sternum
5/12/12 NED Herceptin/Zometa
3/16/19 still NED Herceptin/Zometa very 6months
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Old 02-13-2011, 07:46 PM   #2
Joan M
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Posts: 1,851
Re: Forum for localized mets treatments

Kim,

I chose a local treatment for my lung met. My brain met was standard of care for the size of my tumor and the position: surgery, followed by targeted radiation. But even that varies, with women having only targeted radiation under the same circumstances.

It seems that many of us want as many options as possible to treat our metastatic tumors. I often wonder whether local treatments in combination with chemo would have a better results, but it takes a lot of trials to find out.

Joan
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Diagnosed stage 2b in July 2003 (2.3 cm, HER2+, ER-/PR-, 7+ nodes). Treated with mastectomy (with immediate DIEP flap reconstruction), AC + T/Herceptin (off label). Cancer advanced to lung in Jan. 2007 (1 cm nodule). Started Herceptin every 3 weeks. Lung wedge resection April 2007. Cancer recurred in lung April 2008. RFA of lung in August 2008. 2nd annual brain MRI in Oct. 2008 discovered 2.6 cm cystic tumor in left frontal lobe. Craniotomy Oct. 2008 (ER-/PR-/HER2-) followed by targeted radiation (IMRT). Coughing up blood Feb. 2009. Thoractomy July 2009 to cut out fungal ball of common soil fungus (aspergillus) that grew in the RFA cavity (most likely inhaled while gardening). No cancer, only fungus. Removal of tiny melanoma from upper left arm, plus sentinel lymph node biopsy in Feb. 2016. Guardant Health liquid biopsy in Feb. 2016 showed mutations in 4 subtypes of TP53. Repeat of Guardant Health biopsy in Jana. 2021 showed 3 TP53 mutations, BRCA1 mutation and CHEK2 mutation. Invitae genetic testing showed negative for all of these. Living with MBC since 2007. Stopped Herceptin Hylecta (injection) treatment in March 2020. Recent 2021 annual CT of chest, abdomen and pelvis and annual brain MRI showed NED. Praying for NED forever!!
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Old 02-14-2011, 08:04 AM   #3
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Re: Forum for localized mets treatments

Do not forget high-frequency focused ultrasound (still in trials but it works) http://her2support.org/vbulletin/showthread.php?t=48695
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