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Old 09-17-2006, 07:46 AM   #1
margo
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Join Date: Sep 2005
Location: Maryland
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My imaging doctor told me that I had a small cancer, but that my cell type could be problem. (She had looked at two of the core biopsies in her lab, before giving me the big news.)

During the following 4 days, my imaging doctor had me fully staged with full-body PET, CT, MRI - abdomen & brain. My Oncologist and team thought I would be a Stage I or II. He stated that Metaplastic BC was rare, and even more rarely HER2. I sensed he thought that she was going a bit overboard.

Well, I am glad she went overboard. With staging complete, I was diagnosed in Stage IV, and treated as such from day 1.

I have a really good team working on my cancer. However, I think the world of Dr. J.

Best Wishes,
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Margo

Diagnosed 08/2004 @ 45; Metaplastic Breast Cancer (MpBC)
Stage IV, HER2 3+, ER-/PR-, Met to Liver

08/2004 - Neo-adjuvant Taxotere/Carboplatin/Herceptin (TCH) - 4 rounds.
09/2004 -
Herceptin - Weekly.
11/2004 - Liver RFA, followed w/TCH - 2 rounds.
12/2004 - Lumpectomy, axillary node dissection, followed w/TCH - 2 rounds.
05/2005 - Radiation - Breast, shoulder, neck (left side) - 35X
09/2005 - Developed severe osteoporosis - Boniva - monthly
04/2008 - Herceptin - Every 3 weeks (changed from weekly).
05/2012 - Mets: 3 new liver and 2 lymph nodes.
06/2012 - Start 16 rounds Navelbine and Herceptin weekly.
11/2012 - Liver resection, RFAs (8), lymphadenectomy (2), cholecystectomy.
12/2012 - Herceptin and Letrozole.
05/2014 - Mets: 5 aortocaval nodes & 1 mesenteric.
06/2014 - Herceptin/Perjeta/Taxotere - 6 rounds.
10/2014 - Herceptin / Perjeta - Open ended
04/2015 - Progression: Porta hepatic node, 2 aortocaval nodes.
05/2015 - Exploratory surgery treating progression, 12 nodes removed.
07/2015 - Restart Herceptin / Perjeta
01/2016 - Progression 8 nodes.
02/2016 - Starting T-DM1 (Kadcyla) - Open ended.
07/2017 - Progression.
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Old 09-17-2006, 07:55 AM   #2
Cathya
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Location: Ontario, Canada
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Hi;

I think it's standard here in Canada to have scan's initially once diagnosed. Following my surgery but while waiting to see oncologist for the first time I had a bone scan, abdominal ultrasound, and chest x-ray. By chance the mri was schedulated after seeing the onc (which took 6 weeks following surgery which again, is the standard length of time) and the onc found a second tumor during my first visit. Following my chemo, radiation etc. my oncologist had me re-staged and all the tests redone. So far so good. I have also had a brain ct since then too.

Cathy
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Cathy

Diagnosed Oct. 2004 3 cm ductal, lumpectomy Nov. 2004
Diagnosed Jan. 2005 tumor in supraclavicular node
Stage 3c, Grade 3, ER/PR+, Her2++
4 AC, 4 Taxol, Radiation, Arimidex, Actonel
Herceptin for 9 months until Muga dropped and heart enlarged
Restarting herceptin weekly after 4 months off
Stopped herceptin after four weekly treatments....score dropped to 41
Finished 6 years Arimidex
May 2015 diagnosed with ovarian cancer
Stage 1C
started 6 treatments of carboplatin/taxol
Genetic testing show BRCA1 VUS
Nice! My hair came back really curly. Hope it lasts lol. Well it didn't but I liked it so I'm now a perm lady
29 March 2018 Lung biopsy following chest CT showing tumours in pleura of left lung, waiting for results to the question bc or ovarian
April 20, 2018 BC mets confirmed, ER/PR+ now Her2-
Questions about the possibility of ovarian spread and mets to bones so will be tested and monitored for these.
To begin new drug Palbociclib (Ibrance) along with Letrozole May, 2018.
Genetic testing of ovarian tumour and this new lung met will take months.
To see geneticist to be retested for BRCA this week....still BRCA VUS
CA125 has declined from 359 to 12 as of Aug.23/18


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Old 09-17-2006, 08:42 AM   #3
Colleen007
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Posts: 131
I had a bone scan, MRI's and CT scans when I was diagnosed, but never a PET scan. It was determined not to be necessary since the other scans clearly showed the mets to the bones and liver.

My CT scans can no longer differentiate between scar tissue and remaining cancer in the liver, so I will be having my first PET scan tomorrow...apparently, the glucose stuff that they give you for a PET scan "sticks" to fast growing cells (ie cancer cells), but doesn't stick to scar tissue. Needless to say, I'm in a slight panic that other spots will come to light...but so far, all news I've received in 2006 has been positive and has shown that everything is shrinking, so I am hoping that the positive news streak will continue!

Colleen
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Diagnosed 10-03-2005 (34 wks pregnant, 38 yrs old)
Lumpectomy Nov-2005. 10/18 Lymph Nodes impacted
Mets to liver, spine & femurs (thus being stage IV right from the get-go)
ER-, PR-, HER2+
Taxol/Herceptin/Zometa started Dec-2005. 11 cycles of Taxol.
Sept-2006: PET/CT scan of mets to liver, spine and femurs - Stable. Activity in R breast & mediastinum (not seen in prior scans).
Navelbine (3 wks on/1 wk off) as of Oct--2006 & continued Herceptin (every 3 wks) & Zometa (every 6 wks)
Jan-2007: PET/CT Scan - Stable. Continued Nav. through March-2007, then Herc./Zom. only after that.
June-2007: PET/CT Scan - activity in mediastinum. Back on Navelbine as of July-2007.
Scanned Quarterly since Oct-2007 - a few small scares, but otherwise stable due to continuing weekly Navelbine, Herceptin and Quarterly Zometa.
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Old 09-17-2006, 08:56 AM   #4
Becky
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Location: Stockton, NJ
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I was diagnosed Stage IIA. I did not have any scans done even with a positive node and being Her2+. I changed doctors after the first 10 months and my new doctor wanted a bone scan and CTs of the chest, abdomen and pelvis as a baseline. A few months later (due to this board), he also let me get a brain MRI. He says its up to me if I want these repeated and how often (he does not recommend more than once a year if there are no symptoms but said he would do them every 6 months for the first 5 yrs if I want). I have not made any decisions in regard to the body scans but told him I do want a brain MRI at least once a year.


Morale of the story - I think if you are Stage 2A or less, a doctor may not advocate scans which can be a mistake in Her2 disease.

Kind regards

Becky
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Old 09-17-2006, 01:33 PM   #5
sally
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scans

After my surgeries and before chemo, I had a bone scan, MRI and CT scan. At the last minute I had a PET scan just to be on the safe side and it showed liver mets. The PET scan was the only scan that picked it up. I have had PET scans every 3-4 months since. It has been about 2 1/2 years. Sally
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Old 09-17-2006, 02:09 PM   #6
Barbara
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Location: Payson, Arizona
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Scans at Diagnosis

Hi:

On my first visit and before Chemo my oncoligist order MRI's of the chest, abdomen and pelvis, a bone scan and a muga scan. The muga scan was to see if I would tolerate A/C as I was almost 59 at the time of my diagnosis. I had repeat scans to follow up on what was thought were two liver cysts and spots in my lung which were determnined to be mucus plugs which I get from Herceptin. I also had a PET scan at the time my liver enzymes and CA 27-29 went up. It was later determined that the Nuelasta caused the spike in these lab results.

Barb
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