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Old 10-15-2007, 03:28 PM   #1
MagnoliaforJenny
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My friend Jenny, Breast Cancer Warrior

Hi all!

I'm new to the boards so please excuse me if I'm in the wrong place. Also forgive me if I use wrong terminology, I'm still new to this!!

My best friend, Jenny, was first diagnosed with HER2 about 18 months ago. She had one node that was positive. She had chemo, radiation and then lumpectomy and removal of several nodes. She finished all of her treatment, including Herceptin three months ago. Her hair started growing back in, she was feeling better, things were looking up.

Until......about 4 weeks ago she noticed some discomfort around her surgical site. What was left of her breast was twisting and became disfigured. She was having pain in her arm and her chest area. The Doc kept telling her there was absolutely no way the cancer could be back so soon after treatment, it must be edema (?) etc. She kept calling until finally her oncologist saw her. Sure enough, the cancer was back. I'm starting to get teary now, so forgive me for rambling.

Not only had the cancer returned in the original area, it is in her muscles, her chest wall, her liver, and her lung. They immediately hospitalized her and did a massive chemo round. Now she's on herceptin/chemo alternating weekly I think. It's all such a blur to me right now.

I guess my biggest concern is that what does this mean for my dear friend? and her kids? Is it an ominous sign for her that it returned so quickly, even with all of the aggressive treatment she received?

I'm trying to reconcile all of this but my brain is just not processing it.

I saw her and her daughter yesterday, we have all been close for about 10 years.....anyway she has already lost all of her hair again. She's having issues with chemo skin as she calls it. I bought her some gentle skin care products in hopes it relieves her discomfort.

I really lost it after talking with her Mom, and hearing her cry just killed me.

Jenny is having a new port put in today, and her treatments will continue.

I just don't know what to think about all of this. I'm scared, confused, and my heart is breaking.

I hate to give up hope, and I know she is not....yet it cannot be good that this has returned so quickly.

She will have a PET scan after the next round of chemo/herceptin and the oncologist will have a better idea of what she's looking at.

Any advice, information, anything would be helpful at this time. I'm at a loss. I can't bear the thought of losing my best friend.
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Old 10-15-2007, 03:55 PM   #2
jones7676
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Certainly, this is not good news for your friend. But do not give up hope. If you check the posts on this website you will see the stories/treatment histories of many amazing women that are fighting this disease. Try to stay positive.
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10/03 Radical Mastectomy 3 cm tumor - 1/17 Nodes Stage II B, Her 2 +++ ER-/PR- 11/03 4 AC 4 Taxol 12/05 Stage IV - Lung met , Bone mets - Carbo, Taxotere, Herceptin 9/06 - 2 cm brain tumor 10/06 - Tumor removal surgery - Herceptin Halted 12/06 gamma knife tumor base.1/07 Navelbine/Herceptin 4/07 Rads to R femur 5/07 Stereotactic - new 2 cm brain tumor 4/07 Start Xeloda 5/07 Tykerb added 7/07 Brain MRI clean 10/07 .055 cm brain met found. 12/07 Stereotactic -1 cm brain tumor Start Tykerb 11/07 Abraxane/Herceptin 5/08 Cisplatin, Gemcitabine/Herceptin 6/08 Stereotactic to 1cm 9/08 Stereotactic repeat (growth). 11/08 Pet Scan Good but new tiny met on L lung/dead Brain surgery (no cancer cells found/scar tissue) 1/09 Chemo restarted 2/09 Pet Scan Bad - R larger very active/active L active lymph nodes both sides of chest MRI- mets slight increase 2/09 Start Doxil/Tykerb Treatment
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Old 10-15-2007, 04:21 PM   #3
MagnoliaforJenny
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Thank you for your kind words. I have read some amazing stories of strength and courage and above all, hope.

I just spoke with Jenny's daughter earlier, Jenny had to have a new port put in today. She said she is sleeping now and that all went well.

I will keep reading, and above all keep positive!
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Old 10-15-2007, 04:24 PM   #4
Mary Anne in TX
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I know that you are rattled and that you are so concerned about your good friend. Has she had a 2nd opinion? I'd do that for sure. It's hard to tell what she had as far as treatment, because I know it must surely be a blur for you. Gather as much info as possible and get back with the information. I'm praying for you all. Never give up hope. Take a deep breath and keep standing in faith and courage. ma
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Grateful for each and every day....

Diag. 12/05 at age 60
Stage II, Grade 3, 4.5 cm primary tumor
ER/PR- Her2 +3 strongly positive
Her2 by FISH 7.7 amplified
vascular invasion
Ki67 20% borderline
Jan - March '06 Taxotere/Adriamycin X 3 to try to shrink tumor - it grew
April '06 Rt Modified Radical Mas, 7 of 9 nodes positive
April - Aug. '06 Herceptin/Taxol/Carboplatin X 8 (dose dense)
Sept - Dec. '06 Navelbine/Herceptin x 8 (dose dense)
Radiation & Herceptin Jan. 22 - March 1, 2007
Finished Herceptin Dec. 10 '08! One extra year.
Port removed August, 2012.
8 1/2 years since diagnosis! 5 1/2 Years NED!
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Old 10-15-2007, 04:34 PM   #5
KellyA
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First of all, let me say how lucky Jenny is to have such a wonderful friend. Your support through this will mean more than you'll ever know and can help keep her spirits high and give her a hand with the fight. I know that it must be very scary and shocking to see the cancer return so soon, however if you look at some of the signatures on this board, you will see many whose cancer came back very quickly and who have had great responses with chemo and are doing wonderfully now- years later. There are so many so medicines now to fight with, and many many more coming down the pipeline, especially for Her2 cancer.

You have definitely come to the right place by coming to this board. It has been a godscend to me and the women (and men) here are very supportive, share a wealth of knowledge, and are just fantastic people. Everyone is very happy to answer any questions you may have, or just to listen, and share your moments.

It will take some time to adjust to the shock, but then Jenny will see the light again, and will be up for a fight. Your friendship will give her much strength.

Love, Kelly
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dx'd 05/06, 37 years old
er/pr-, Her2+, grade 3
double mastectomy, immediate reconstruction- implants
Stage 2b, 2 tumors- 2.2 cm and 0.6 cm, 3/5 + nodes
all scans clear
genetic testing- negative
06/06 began dd A/C x 4, 12 weekly Taxols w/ Herceptin
30 rads
Herceptin weekly x 1 year
Herceptin completed 08/07
Port removed 12/26/07 MERRY CHRISTMAS!!!!!!
05/17/08 Two year anniversary NED

"We gain strength, courage, and confidence by each experience in which we really stop to look fear in the face... you must do the thing that you think you cannot do."

-Eleanor Roosevelt

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Old 10-15-2007, 05:13 PM   #6
Sheila
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Jenny's Friend
First of all, Jenny is very lucky to have you looking out for her....there are many of us on this board who recurred...I did 1 1/2 years later, and here I am, still in treatment 4 years since I recurred. There are so many new treatments and meds...Jenny is lucky that these will be available to her...they weren't just a few years ago...did they say where the recurrence is...lymph nodes, chest wall, skin? Alot of where the mets are will determine treatment and type. Be there and be supportive as you are...keep her spirits up and get her in the fighting mode...she needs you to strengthen her, and continue to be her strength....you are both in my prayers that she will conquer this setback in no time....
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Sheila
Diagnosed at age 49.99999 2/21/2002 via Mammography (Calcifications)
Core Biopsy 2/22/02
L. Mastectomy 2/25/2002
Stage 1, 0.7cm IDC, Node Neg from 19 nodes Her2+++ ER PR Neg
6/2003 Reconstruction W/ Tissue Expander, Silicone Implant
9/2003 Stage IV with Mets to Supraclavicular nodes
9/2003 Began Herceptin every 3 weeks
3/2006 Xeloda 2500mg/Herceptin for recurrence to neck nodes
3/2007 Added back the Xeloda with Herceptin for continued mets to nodes
5/2007 Taken Off Xeloda, no longer working
6/14/07 Taxol/Herceptin/Avastin
3/26 - 5/28/08 Taxol Holiday Whopeeeeeeeee
5/29 2008 Back on Taxol w Herceptin q 2 weeks
4/2009 Progression on Taxol & Paralyzed L Vocal Cord from Nodes Pressing on Nerve
5/2009 Begin Rx with Navelbine/Herceptin
11/09 Progression on Navelbine
Fought for and started Tykerb/Herceptin...nodes are melting!!!!!
2/2010 Back to Avastin/Herceptin
5/2010 Switched to Metronomic Chemo with Herceptin...Cytoxan and Methotrexate
Pericardial Window Surgery to Drain Pericardial Effusion
7/2010 Back to walking a mile a day...YEAH!!!!
9/2010 Nodes are back with a vengence in neck
Qualified for TDM-1 EAP
10/6/10 Begin my miracle drug, TDM-1
Mixed response, shrinking internal nodes, progression skin mets after 3 treatments
12/6/10 Started Halaven (Eribulen) /Herceptin excellent results in 2 treatments
2/2011 I CELEBRATE my 9 YEAR MARK!!!!!!!!!!!!!
7/5/11 begin Gemzar /Herceptin for node progression
2/8/2012 Gemzar stopped, Continue Herceptin
2/20/2012 Begin Tomo Radiation to Neck Nodes
2/21/2012 I CELEBRATE 10 YEARS
5/12/2012 BeganTaxotere/ Herceptin is my next miracle for new node progression
6/28/12 Stopped Taxotere due to pregression, Started Perjeta/Herceptin
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Old 10-15-2007, 05:22 PM   #7
MagnoliaforJenny
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You ladies are all amazing. I was scared a bit to start posting here as I am not the one with cancer, Jenny is. Thank you for allowing me into this particularly private area of your lives and for sharing your experiences.

First of all, I'd like to say that my best friend has NOT gone for second opinions. That in and of itself frightens me. She was told she was seeing the "best doc in town" and just went with it. I understand why she did this but now with the recurrence so soon, I really would like for her to go to the teaching hospital in Charleston. (MUSC)....I don't think she will though.

She also does not have internet access at home so I guess I want to fill in that gap for her and hopefully learn some things that I can pass along that will be helpful for her in this battle.

I don't think I've had anything rattle my insides quite as much as this. The only exception is when I lost my Mom suddenly in '97. Jenny is my touchstone, my rock, my strength....I'm tearing up now thinking about her. Her daughter and mine have been best friends for the past ten years and that just makes it doubly hard. We of course ask the question "why?" how could this happen etc.

I know she's had taxol/herceptin and some radiation treatment. Now with the recurrence a few weeks ago, she's doing chemo and herceptin right now (had to get the port today due to vein issues) and a PET scan is being done in a few weeks to see if the mets have spread, shrunk, etc.

I feel so much better and more hopeful now that I have read so many of you have gone on to lead healthy, happy lives.

I know I'm operating on a totally different plane somehow than one who is actually going through this. I think something just takes over and enables one to rise above the fear, the pain and the unknown to be able to fight. I see this in Jenny each time I see her or talk to her. It's amazing to see the strength and faith.

Thank you again for allowing me to be here. I feel like I've learned so much already.

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Old 10-15-2007, 05:35 PM   #8
MagnoliaforJenny
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Her recurrence or "mets" I think you say? are on her liver, her lung, her chest wall and surrounding muscle tissues near the original site.


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Old 10-15-2007, 05:51 PM   #9
tricia keegan
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Hi Jennys friend

I just wanted to tellyou as scared as you all must be, there are ladies here overcoming the odds so please hang in there,you're a great friend to Jenny and I hope she gets NED and see's this through...
My best wishes to you both..
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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 10-15-2007, 05:52 PM   #10
BonnieR
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Jenny is so lucky to have such a caring friend. It will mean the world to her to know you are there.
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Post menopause
May 2007 Core biopsy, Rt breast
ER+, Pr-, HER2 +++, Grade 3
Ki-67: 90%
"suspicious area" left breast
Bilateral mastectomy, (NED on left) May 2007
Sentinel Node Neg
Stage 1, DCIS with microinvasion, 3 mm, mostly removed during the biopsy....
Femara (discontinued 7/07) Resumed 10/07
OncoType score 36 (July 07)
Began THC 7/26/07 (d/c taxol and carboplatin 10/07)
Began Herceptin alone 10/07
Finished Herceptin July /08
D/C Femara 4/10 (joint pain/trigger thumb!)
5/10 mistakenly dx with lung cancer. Middle rt lobe removed!
Aromasin started 5/10
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Old 10-15-2007, 06:09 PM   #11
gin-tx
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The most you can do for your friend and her family is to be there for her. Family and support from friends is what keeps all of us managing with new diagnoses, etc. I know it's soon after her first episode and hopefully they will be able to get her into remission again. My thoughts and prayers are with you and your friend. Let me know how things continue with her progress. By the way, I had BC in 1995 and it came back in 2006, much more aggressive this time, it's been 18 mo and I'm hanging in there, still doing treatment and taking one day at a time.

ginkott1@aol.com
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Old 10-15-2007, 07:01 PM   #12
BonnieR
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Something else. Are you ever able to accompany Jenny to appointments? As a patient it is difficult to remember everything you are being told. Or to think of the right things to ask. And to write down the information
At any rate, you might get her to give you questions that she might have for us, since you are the one with internet access. But we are no substitute for her health care team which needs to get into full swing.
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Post menopause
May 2007 Core biopsy, Rt breast
ER+, Pr-, HER2 +++, Grade 3
Ki-67: 90%
"suspicious area" left breast
Bilateral mastectomy, (NED on left) May 2007
Sentinel Node Neg
Stage 1, DCIS with microinvasion, 3 mm, mostly removed during the biopsy....
Femara (discontinued 7/07) Resumed 10/07
OncoType score 36 (July 07)
Began THC 7/26/07 (d/c taxol and carboplatin 10/07)
Began Herceptin alone 10/07
Finished Herceptin July /08
D/C Femara 4/10 (joint pain/trigger thumb!)
5/10 mistakenly dx with lung cancer. Middle rt lobe removed!
Aromasin started 5/10
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Old 10-15-2007, 07:49 PM   #13
MagnoliaforJenny
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I have not had the chance to go to any appointments, she has preferred to go alone. She has not even wanted her Mother with her. She's one strong willed woman! I will make sure that I offer that though next time we speak. This is all so taxing for her and I'm sure her Mom, I think it would be great to have someone else along just for a second ear.

She's a divorced Mom of two teens and very independent. I admire her strength and courage yet I know the first thing I would want is someone to be with me so I didn't miss something. They have labeled her "inoperable" and "chronic cancer"....I forgot to add that earlier I think. I'm not sure what all of that means, or if she really does either. It sounds ominous enough that I am sure she needs all the help she can get.

I promise to be cautious about offering any kind of medical anything, but I will pass on anything new I may learn so that she can ask her docs about it.

I am feeling more hopeful than I have in weeks. I am so inspired by your stories. This is a whole new realm for me. This is not my Grandmother's breast cancer. Things have changed so much since then, though she did beat it and lived until the age of 77!

I am diligent about getting my mammograms, especially since I've had two scares myself. Once with calcifications another with a fluid filled cyst. The calcifications have remained the same for 3 years and I hope it stays that way.



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Old 10-15-2007, 07:54 PM   #14
tousled1
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Magnolia,

One thing to be sure to mention to Jenny -- make sure that she asks her oncologist for either a MUGA scan or echocardiogram. This test should be repeated every three months for as long as she is on Herceptin. Herceptin can cause a person's LVEF (left ventricular ejection factor) to go down. If it drops to 50% or less then Herceptin is stopped until the LVEF comes back up. Jenny is very fortunate to have such a caring friend.
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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 10-15-2007, 10:53 PM   #15
Sherryg683
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I think I read that the most likely time to reoccur, if you're going to, is within 17 to 22 months after treatment. Someone please correct me if I am wrong. If this is correct than your friends reoccurance wasn't that far from the average. I don't know how her oncologist could be so surprised. It will be 2 years from my original diagnosis and lung mets, in december and I have been in remission or NED since April of 05, so it's been 18 months and counting for me. There are many treatments that could help your friend, with more on their way. It's scarry and very hard, let your friend know you love her and give her a shoulder to cry, complain or cuss on when needed. That was what I found I needed and still need the most. Most of the people around me didn't know what to say and really don't feel comfortable talking about the cancer, other than saying "how are you". That's why I come here, I have people to vent to who know what I'm going through. You are a good friend to care enough to come here..sherryg
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Diagnosed: December , 2005 at age 44
13+ positive lymph nodes
Stage IV , Her2+, 2 small mets to lungsChemo Started: Jan, 2006
4 months Taxotere, Xeloda, Hercepin
NED since April 2006!!
36 Rads to follow with weekly Herceptin indefinately
8 years NED now
Scans every year

Life is not about avoiding the thunderstorms, it's about learning to dance in the rain!
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Old 10-16-2007, 05:15 AM   #16
gin-tx
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Dear Bonnie,

What a good thought of taking someone with her to appts. I never go to my appts to see onc without having someone with me as everyone thinks of various things to ask. I don't know what the term 'chronic cancer' means but hope they can get her on the right course of treatment and make progress very quickly. People ask me all the time if I'm in remission, at this point I would say no as I'm still getting treatment. Continue to offer good suggestions and info. I'll keep you in my thoughts and prayers.

ginkott1@aol.com
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Old 10-16-2007, 06:48 AM   #17
Verna
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I'm sorry to hear about your friend, and what she is going through. I was diag. with stage IV 2 years ago November. She needs to fight as hard as she can. She will get through this. She is lucky to have a good friend like you, she will need you. Stay positive and strong!
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Old 10-16-2007, 06:50 AM   #18
MagnoliaforJenny
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I will be sure to ask if she is having her heart monitored. I didn't know that about herceptin, so thanks for the tip.

I think there is probably lots I don't know at this point. I appreciate all of your sharing.

I told Jenny in no uncertain terms, I'm the one in the trenches when she needs me. I'm not the shrinking violet type. I can handle the ugliness, in all of its forms, and I hope she will lean on me more. This has to be heart breaking for her Mother and I've told both of them, and the kids, please use me when needed. It's not good for them to have to take all of this on alone.

I'll probably give her a call tonight. She is meeting with HR at work today I think. She is wanting to retire with full benefits. She would cut her salary in half and would have to relocate....but I do think it would be good for her and her kids to do this.

Thanks again everyone.
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Old 10-16-2007, 06:53 AM   #19
MagnoliaforJenny
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Thank you Verna It's stories like yours I love to hear!! You ladies are amazing.
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Old 10-16-2007, 08:44 AM   #20
Margerie
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I am not impressed with the "best doc" in town. Your friend was complaining of symptoms 2 months after treatment and it took a month and some begging to be seen? I also find it hard to believe all of these mets popped up just recently. Don't get me wrong, I love my health professionals- but they are not immune to screwing up. IMO a second opinion is mandatory! Tell her I said so-LOL!

Anyway, I am a stubborn woman too and part of this disease is learning how to ask and accept help. I still give my hubby the evil eye if he shows up at my infusions! And it is a must to stick up for yourself (or your friend) when it comes to treatment!

I wish you both the best of luck and am so sorry your friend got this news. ((HUGS))
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Dx 10/05 IDC, multi-focal, triple +, 5 nodes+
MRM, 4 DD A/C, 12 weekly taxol + herceptin
rads concurrent with taxol/herceptin
finished herceptin 01/08
ooph, Arimidex, bilateral DIEP reconstruction
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