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Old 09-19-2007, 10:27 AM   #1
Alice
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Question question about mets to lungs and congestive heart failure?

Hi,
I haven't posted for a while but have just been reading.
Last year I had to stop Herceptin due to drop in echo. i had symptoms such as shortness of breath, a feeling of having a heavy chest.
Since stopping Herceptin these symptoms have subsided. I also have a history of palpatations going way back. I was diagnosed last year also with lung nodules although I had no symptoms from them and my onc said it could probably be scar tissue.
Just recently I have been having similar shortness of breath and heavy feeling in the chest along with kind of an aching similar to heartburn. I was wondering what the symptoms of lung mets was and could the nodules be mets and not scar tissue?
I know most of you are going to recommend a scan and I know that at some point I will have to go in for one. The dye they use is so hard on my kidney that I avoid them when I can. Any info will be of great help.
Thanks, Alice
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Old 09-19-2007, 10:35 AM   #2
Mary Anne in TX
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Alice, I've spent my life with kidney problems. When I have scans, I just "drown" myself with water for the three days after the scan. Tons of water all day long! Can't leave home for long, but it works! It takes care of the dye causing problems! ma
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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 09-19-2007, 10:38 AM   #3
hutchibk
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Good to know! I just saw an ad on TV today for a law firm that is gathering kidney patients who have had bad side effects from the contrast used in MRIs... weird. I didn't know that they were hard on the kidneys. The ad talked about stiff joints, etc. after a scan, blah, blah, blah... what kind of symptoms do you all get after a scan with contrast?
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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.

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Old 09-19-2007, 11:32 AM   #4
Sherryg683
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How large are the nodules? I had absolutely no symptoms with my 2 lung mets, they were very small. Nodules are pretty common and most are not cancerous. How long have you been off chemo? I had tightness in chest and short of breath for about a year after chemo and radiation. Occaisionally still have it. I have had so many dang symptoms and aches that once I focused in on them, they seemed to get worse and worse. Chemo takes a tole on our bodies and we are more aware now of every ache and pain. I had this AWFUL pain in my liver, gallbladder area that comes and goes. I have had 2 sonograms, not to mention the PET's that I get and they can find nothing there. Of course I am going to recommend a PET to check out those lung nodules and put your mind at ease. ..sherry
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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

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Old 09-19-2007, 01:01 PM   #5
tousled1
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Alice,

The only way to know for sure if the nodules are scar tissues or mets is with either a CT scan or PET/CT scan. I had no symptoms other than some shortness of breath (which I attributed to Herceptin) when I was diagnosed with lung mets and had only had the scan due to my HER2 serum going up. With you having shortness of breath you should definitely have it checked it.
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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 09-19-2007, 03:43 PM   #6
Lani
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upper GI symptoms which seem to be able to occur from Herceptin and cause

symptoms it seems some describe as being short of breath, air hungry or difficulty taking a deep breath. Have you had any stomach aches with this --what you describe could also be esophageal symptoms (heaviness in chest and heartburn like feelings) Have over the counter heartburn medications helped(if you have taken them?)

Her2neu seems to be necessary to repair GI injury (just as it appears necessary to replace upper respiratory and airway cells). If you look at the thread I started regarding herceptin side effects real or imagined you might find others with similar symptoms.

Hope this helped!
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Old 09-19-2007, 06:56 PM   #7
Becky
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Lani has hit on it dead on. As many of you know, I am a runner. Couldn't even do it when only on Herceptin alone (which I took for 16 months). I started getting into the changeover from walking to running 6 months after Herceptin was over. Now at a year over, I am going 6 miles at a clip with no problems but during and right after, it was walking only. I couldn't take a deep enough breath to even think about it. I attributed it to low red count but I still have that or just the whole chemo thing but, it must have been the Herceptin. None the less, I wouldn't have traded the Herceptin for anything and was grateful for every drop.
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Found lump via BSE
Diagnosed 8/04 at age 45
1.9cm tumor, ER+PR-, Her2 3+(rt side)
2 micromets to sentinel node
Stage 2A
left 3mm DCIS - low grade ER+PR+Her2 neg
lumpectomies 9/7/04
4DD AC followed by 4 DD taxol
Used Leukine instead of Neulasta
35 rads on right side only
4/05 started Tamoxifen
Started Herceptin 4 months after last Taxol due to
trial results and 2005 ASCO meeting & recommendations
Oophorectomy 8/05
Started Arimidex 9/05
Finished Herceptin (16 months) 9/06
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