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Old 11-04-2007, 10:41 AM   #1
~Bellydancer~
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Location: Stony Mountain, Manitoba, Canada
Posts: 47
I am freaking out!!!!!!

I guess I was happier being ignorant about this adventure called cancer. I just assumed that I would have my surgery and take some heavy duty chemo and be done with it. Now I am reading that since I am HER2 pos that the journey has just begun. Metastasis in other area???? No one talked about this. OMG, OMG, OMG!!!! I don't know what to think now. the wait for the oncologist is too long and I want to know now what is going to happen.
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Michelle Dick
" Adversity Reveals your strength"

Dx August 15th/07
Invasive Ductal Carcinoma
ER/PR- negative, HER2- positive
Stage 11 with tumor size 3.5cm, .7cm satelite node
Sx Oct 2nd/07
Skin sparing mastectomy of left breast
immediate reconstruction DIEP flap
Nodes 0/3 Sentinal Node Biopsy
Chemo started Nov, 3 rounds FEC and 3 rounds Taxotere and Herceptin every three weeks
Radiation 28 Tx ended on June 13/08
Herceptin was stopped due to falling MUGA score (went from 62 down to 42)
Cardiologist Appt June 24th
Ramipril 2x/d to protect heart and hopefully increase LVEF
Officially NED

Last edited by ~Bellydancer~; 11-04-2007 at 10:41 AM.. Reason: spelling
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Old 11-04-2007, 11:19 AM   #2
Joe
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Michelle,

Take a deep breath and relax. The side effects of the drugs given for HER2 positive patients are less severe. In all likelyhood initially you will be treated with a taxane and Herceptin.

Herceptin has few side effects and is very tolerable. Taxanes on the other hand do have side effects but generally are only administered for the first few months.

Side effects from Taxanes:

The taxanes Taxol and Abraxane can cause more discomfort in the hands and feet from nerve damage than Taxotere. This can be temporary or permanent. Your doctor may refer to this as neuropathy. Lowering the dosage of Abraxane improves the neuropathy in most women.
Taxotere has also been found to irritate tear ducts and cause excess tearing. If it persists and bothers you, it can usually be treated by inserting tiny silicone tubes into the "pipes" that drain the tears.


Please feel free to post any questions or concerns that you have here.

Regards
Joe
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Old 11-04-2007, 12:25 PM   #3
Sheila
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Michelle
Things have changed dramatically in the last couple of years, and I feel it is almost beneficial to be Her2 Positive now...more and more research and trials are being done....as with any cancer, there is always a chance of recurrence, with chemo, without, with radiation, without, with mastectomy, with lumpectomy...no one knows why some recurr and others don't...you will get hHerceptin, which will drastically reduce the chances...you cannot live your life in fear, just be aware of your body and changes, there are many of us on this board living with recurrences, and I for plan plan to continue doing just that. Ask questions, knowledge will help to calm your fears...you must enjoy life!
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is fighting some kind of battle."



Hugs & Blessings
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 11-04-2007, 06:17 PM   #4
cafe1084
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I did the same exact thing you are doing now....I panicked, especially when I researched her2. I truly believed I'd been handed a death sentence, but most patients with cancer do. Sheila is right, though. Things have changed, although many sites haven't updated since the addition of herceptin for her2 BC treatment. It's a daily battle throughout surgery and therapy to keep your head on straight, but you have to focus more now than ever to get through this. It is definitely not a picnic in the park, so muster all the strength you have and fight this from Day 1 with courage and knowledge. That doesn't mean to imply you're not allowed to have moments when you feel you can't go on. Those are the moments when your, family or your friends, or sometimes a stranger, will get you through. So surround yourself with love and support and positive ideas. There IS light at the end of the tunnel

All the best be with you!
Steph C.
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Old 11-04-2007, 07:46 PM   #5
madubois63
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Michelle - Yes, ignorance is bliss!!! We all wish for the days when we didn't know what an oncologist did and what a port-a-cath was for. Believe me, I know too much about cancer. First off, get through your treatments before you move on to a relapse. Not everyone has a relapse, but if you do, it is more than likely treatable. New treatments are coming out all the time. Next, please know that most statistics you are reading on the internet are 5 years old and very misleading. The treatments that we are getting today are the statistics of tomorrow. Check the dates and the reputation of the source of information you are reading. No one can tell you what to expect in this life or the cancer journey - not even your oncologist, but it is a good thing to be aware of what could happen. Try not to get too overwhelmed by it all. The trick to this whole cancer thing is LIVING the best life you can!!!
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Maryann
Stage IV Inflammatory BC 1/00
Mod Rad Mastectomy 24nod/5+
Adriomycin Cytoxin Taxol
Tamoxifen 4 1/2 yrs
Radiation - 32 x
Metastatic BC lung/liver 10/04
thorocentesis 2x - pleurodesis
Herceptin Taxatiere Carbo
Femera/Lupron
BC NED 4/05
chemo induced Acute Myeloid Leukemia 5/06
Induction/consolidation chemo
bone marrow transplant - 11/3/06
Severe Host vs Graft Disease of liver
BC mets to lung 11/07
Fasoladex Herceptin Zometa Xeloda
GVHD/Iron overload to liver
Avascular Necrosis/morphine pump 10/10
metastatic brain tumor
steriotactic radiosurgery
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Old 11-04-2007, 07:54 PM   #6
hutchibk
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Maryann is wise and her advice is sage... please take it to heart.
__________________
Brenda

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.

"I would rather be anecdotally alive than statistically dead."
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Old 11-04-2007, 08:51 PM   #7
jones7676
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Think positive....at this point you have no reason to believe the worst. I have a friend who was diagnosed 1 year after me and she has not had any signs or symptoms since her initial surgery and treatment. Herceptin has worked it's magic for her and it can for you as well. BELIEVE!
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Barb

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 11-05-2007, 08:03 AM   #8
nitewind
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Posts: 473
I can understand exactly where you're coming from, I reacted the same way. But when my surgeon told me "the bad news is that you are Her2+++ and the great news is that you're Her2+++ and have Herceptin, that made me look at things a whole lot differently. He was so excited about this treatment, enough to call it a "magic bullet" in his words.
Just keep thinking positively and like the girls said, don't do to much research online without looking at the dates! Herceptin is a Godsend
Hugs
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Susan
Age: 61
dx: 5/25/06
2 cm/ 0 nodes
Lumpectomy rt breast on 7/26/06
ER/PR- / Her2+++
A/C x 4
finished taxotere 2/07
finished 33 rads
Herceptin finished 12/07/07 Yippee!
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Old 11-05-2007, 09:00 AM   #9
~Bellydancer~
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Join Date: Nov 2007
Location: Stony Mountain, Manitoba, Canada
Posts: 47
Talking

Thank you to everyone for their insight and words of wisdom. I guess the overwhelming info and lack of knowledge on my part were too much for me. I know that I am a survivor and I will come thru this journey with a new outlook on life.
__________________
Michelle Dick
" Adversity Reveals your strength"

Dx August 15th/07
Invasive Ductal Carcinoma
ER/PR- negative, HER2- positive
Stage 11 with tumor size 3.5cm, .7cm satelite node
Sx Oct 2nd/07
Skin sparing mastectomy of left breast
immediate reconstruction DIEP flap
Nodes 0/3 Sentinal Node Biopsy
Chemo started Nov, 3 rounds FEC and 3 rounds Taxotere and Herceptin every three weeks
Radiation 28 Tx ended on June 13/08
Herceptin was stopped due to falling MUGA score (went from 62 down to 42)
Cardiologist Appt June 24th
Ramipril 2x/d to protect heart and hopefully increase LVEF
Officially NED
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Old 11-05-2007, 10:20 AM   #10
Sheila
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Location: Morris, IL
Posts: 3,507
Michelle
Believe it or not, although none of us on this site chose this dreadful disease, the majority feel it made them a better person...sort of put life in perspective....I now am so much more apprecxiative of things that I didn't care about before. You WILL be a survivor, you've already taken the first step in looking for answers, and coming here to this board. You are in my prayers that the journey will be calm and easy and that you may accept and embrace this new chance at life.
__________________
"Be kinder than necessary, for everyone you meet
is fighting some kind of battle."



Hugs & Blessings
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 11-05-2007, 02:38 PM   #11
MJo
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I'm no doctor, but I heard an oncologist say that he treats State I, II and III BC aggressively because that's when there is a chance for a cure. So hit it with everything you've got. You'll get through it ok. We all got through it. Come here and share.

Are you really a bellydancer? I took lessons once and threw my back out. It's a beautiful art form.
__________________
MJO

IDC, Stage I, Grade 2
Oncotype DX Score 32
Her2++ E+P+, Node Neg.
Lumpectomy 11/04/05 Clear Margins
3 Dose dense AC (Couldn't tolerate 4)
4 Dose dense Taxol & Herc. (Tolerated well)
36 weeks Herceptin (Could not complete one year due to decrease in MUGA score)
2 years of Arimidex, then three years of Femara
Finished Femara May 2011
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