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Old 05-16-2007, 09:21 AM   #1
doh2pa
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Xeloda for Liver Mets??

Hi All,

I'm bummed! My 4 month vacation from chemo is about to end. It was sooooo goood while it lasted. My CAT scan showed 2 large liver spots (7 cm and 1.5 cm - yowza) and 2 smaller ones (4mm). Lymph nodes are, of course, joining in the show. So my onc and I had discussed Xeloda and Tykerb as my next step. With that one met being so large, I'm concerned if Xeloda is the knockout punch I need. Have any of you had good luck with Xeloda for large, stubborn liver mets?

Have I mentioned that I'm BUMMED!

Donna
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Donna
Diagnosed 2/04 - Invasive ductal - no clean margins
node negative - er+pr+, her2++
Mastectomy 4/04 - 4 rounds AC
9/05 - mets to liver treated with carbo/ixabipelone/herceptin
3/06 - complete remission
9/06 - new liver mets, starting Taxotere/Herceptin
1/07 -Liver mets stable, staying on Herceptin
5/07 - Liver, lung progression - starting T/X
12/07 - Liver, lung progression - starting weekly Navilbene/Herceptin
4/08 - Liver progression - started Abraxane, Carbo, Tykerb and Herceptin
7/08 - Liver Progression - started Gemzar, Avastin and Tykerb
10/08 - Liver progression - starting Doxil
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Old 05-18-2007, 02:22 PM   #2
Lala
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Donna
I can understand you're worried. I have been dealing with bone and liver mets for a while. I too questioned the power of Xeloda prior to my taking it.
I am currently on Xeloda Tykerb Zometa. It has been a challenge at times; I had my dose reduced due to side effects. But I can share with you this Good News. I just completed my scans and only after 6 weeks of treatment I have seen amazing results. My biggest liver tumor shrunk by 1/3 and my tumor markers have plummeted. This combination of drugs has given me the best results thus far. Usually it would take months to see results like this in the past. I am so very Thankful for the opportunity to be able to receive these drugs.

I can say to you Smile there is Hope. I wish you the best!
Hugs
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DX Fall05 Stage 4 er+ pr+ her2+ liver and bone mets
DX Fall06 Brain mets, Brain mets gone Spring 2007
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Old 05-18-2007, 09:28 PM   #3
Lolly
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Hi Donna; I was on very low dose Xeloda for over a year (500mg 2x's daily), combined with my usual Herceptin, for my stubborn lymph nodes. I had a good, partial response and then remained stable for months with no side effects. We decided on the low dose as an initial "test" to see how I tolerated it, and then I loved not having side effects and was happy with stable, so we decided not to rock the boat by increasing the dose. As it was, it bought me valuable time until Tykerb was approved.
I would imagine since you're also fighting those "!#@!#%* liver spots, your onc will want to start you on a higher dose, but just wanted you to know it was very active against my problem lymph nodes.
Welcome to the group!

<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 05-21-2007, 09:25 AM   #4
Joy
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hi donna

5 years ago I had many mets to the liver one of which was 7x9cms. I did taxotere and xeloda for a number of months and it all but annihilated the mets. I think xeloda is excellent for liver mets. I am back on it this weekend with tykerb as my mets are wigging out again.

Sorry for the disappointment, it's real, but I think this will be a great combination for you. Check in with the forum for us tykerb gals.
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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 06-02-2007, 08:02 AM   #5
doh2pa
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Hi All,

Thanks so much for your responses, I honestly don't know what I would do without this sight and all of the amazing men and women that provide me with hope and support. Joy, it was so good to hear that your large mets responded to well, it gives me great hope! Scans in the beginning of July will hopefully tell a similar story.

So far I'm on day 10 of the xeloda and tykerb and zero side effects! I know a lot can happen as the blood levels rise, but I am so amazed and thankful to be feeling so well right now.

Thanks again,
Donna
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Donna
Diagnosed 2/04 - Invasive ductal - no clean margins
node negative - er+pr+, her2++
Mastectomy 4/04 - 4 rounds AC
9/05 - mets to liver treated with carbo/ixabipelone/herceptin
3/06 - complete remission
9/06 - new liver mets, starting Taxotere/Herceptin
1/07 -Liver mets stable, staying on Herceptin
5/07 - Liver, lung progression - starting T/X
12/07 - Liver, lung progression - starting weekly Navilbene/Herceptin
4/08 - Liver progression - started Abraxane, Carbo, Tykerb and Herceptin
7/08 - Liver Progression - started Gemzar, Avastin and Tykerb
10/08 - Liver progression - starting Doxil
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