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Old 07-03-2009, 01:25 PM   #1
Brenda S
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Cool REcurrance Fears

Friends,
I finished Herceptin in May and had my last infusion of Carboplatin/Taxotere last September. I had a full body bone scan in February that was completely clear and just a month ago had a routine follow-up physical with my onc. Again, all was clear. I have been having an ache along my shin bone for about a week. It is enough to keep me awake at night. I am fearful that it is the cancer returning in my bones. Am I being paranoid and unreasonable. Could the cancer recur this quickly? Any thoughts?
Thanks!!
Brenda
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Diagnosed 3/08 at age 57
1.1cm tumor, ER-PR-, Her2 3+(rt side)

Grade 2
Node negative
clean margins
Stage 1
lumpectomy 4/08
Mammocite Radiation 4/08
Will begin TCH Chemo 5/08
TCH 3 week cycle for 6 cycles
Herceptin alone for 18 more treatments on a 3 week cycle
Total chemo 12 months
Neulasta 24 hours after each cycle
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Old 07-03-2009, 02:08 PM   #2
Jackie07
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Brenda,

Having 'found' my recurrence 4 years after my initial treatment and being misinformed 'all's clear', I understand your concern and applaud your allertness.

But 'I think' it is not likely for you to develop bone mets judging the fact that yours is a Grade 2 (not as fast growing as a Grade 3) and your tumor was 1mm less than my first one. Plus you've had plenty of chemo and Herceptin.

However, anything that is severe enough to keep you awake at night definitely needs to get checked out. Have you checked with your doctor?

I insisted on a CT scan when I felt 'something' in my liver area even though it was not likely for me to have liver mets according to my lab report. My oncologist 'double' checked my follow-up ultrasound to make sure it was indeed unharmful hemangiomas even though he often expressed his belief that I was a hypochondriac.

Getting it checked out gave me the peace of mind and proved that I was not a hypochondriac, there is 'something' in my liver...
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Last edited by Jackie07; 07-03-2009 at 02:20 PM..
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Old 07-03-2009, 02:16 PM   #3
Becky
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What you are experiencing is normal. Every ache or pain, every headache. Its true that it could be a recurrence and we all have to stay atuned to that but chances are its just another ache or pain as usual. The shin would be a rare place for bone mets (really) as are the hands and feet.

Use the "watch and wait" criteria of 2-3 weeks and if it doesn't go away. A shin splint injury can be very painful and take a long time to go away. Baby it and do "RICE" (rest, ice, compression and elevation). Maybe you don't have to wrap it (compression) but try the others and some advil too (at least before bed). I really think this is nothing to be worried about cancer or otherwise.
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Kind regards

Becky

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
Arimidex Only
Prolia every 6 months for osteopenia

NED 18 years!

Said Christopher Robin to Pooh: "You must remember this: You're braver than you believe and stronger than you seem and smarter than you think"
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Old 07-03-2009, 02:55 PM   #4
Lien
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Ah, I remember those days well. For the first year after diagnosis I had several times when I was sure I was dealing with a recurrence... but I didn't. Everything I had checked out turned out to be benign. So gradually I started trusting my body again. This body had let me down so badly and I had a very hard time trusting it again. But in time the trust came back and I relaxed. Stick to the 2 week rule: if some weird symptom doesn't go away for 2 weeks, talk to your doc and tell him/her about your fears.

Last year I was sure I felt an obstruction in my colon. It wasn't painful, and felt like some kind of lump. Eventually my doc ordered a colonoscopy, which came back clear. But the symptoms returned... Then I found I had become allergic to rice, one of my staple foods. When I stopped eating rice, the problem disappeared. Go figure!

So what you are feeling is quite normal, and the more you focus on the symptoms, the more pronounced they seem to become. Stick to the 2 week rule, and you'll feel less anxious, I think.

Hugs

Jacqueline
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Diagnosed age 44, January 2004, 0.7 cm IDC & DCIS. Stage 1, grade 3, ER/PR pos. HER2 pos. clear margins, no nodes. SNB. 35 rads. On Zoladex and Armidex since Dec. 2004. Stopped Zoladex/Arimidex sept 2009 Still taking mistletoe shots (CAM therapy) Doing fine.
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Old 07-03-2009, 03:36 PM   #5
Cannon
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Hi - my response is, you are probably paranoid (I know I am) and definitely NOT unreasonable!

Cancer can come back quickly, but it is not likely to have, and the shin would be a low probability target (although breast cancer goes to bones, it is much more likely to go the spine - basically whatever is in close proximity to the breast).

So - follow the wait and watch advice, and check with your doctor if it doesn't go away.

I still worry a lot about every little thing, but I always have my next appt with the oncologist scheduled, so I make note of -- right now, a small pimple like thing under my left arm (cancer was on right side), so when I see him, if it is still there, I can say, it's been there at least three weeks. And if he says, don't worry about it, I don't - 1) because I trust him and 2) because I know my next scans are around the corner.

I have had so much unlikely cr#p happen to me, that my GOAL is to be a hypochondriac.

Best,
Rebecca
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Dx 8/06 Age 43 Stage IIIA multifocal throughout breast, largest tumor 5 cm, grade 3, comedo, ER+PR+HER+++
Neoadjuvant A/C 4X Dose Dense
11/06 Bilateral Mastectomy (no choice on the right, my choice on the left)
Taxol+Herceptin weekly x12, continuing with Herceptin, finished one year in 12/07
33 Rads
Femara for 5+ years, staying on (started with Arimidex, switched after about a month, much happier)
Abnormal brain MRI shows no cancer, but "extensive white matter diease" - unknown cause
BRCA negative - lots of cancer in my family
survivor of thyroid cancer
also have Crohn's disease
CT and bone scan say NED as of 5/13
dx with severe cardiomyopathy 5/12 (likely due to chemo and Herceptin), ejection fraction in low 20's, now up to 40, went to 50, latest read 12/13 is back down to 35
1/13 Acute pancreatitis - are you kidding me?
9/13 started Humira for Crohn's. starting to have some energy again
B12 and Vit D both needed supplementation
Cataracts in both eyes noted 6/12 - surgery in the next 2-4 years?
4/14 Kidney stones/blockage/infection - related to Crohn's Disease
5/14 My aunt passed away - she was diagnosed after I was with Stage I - not Her2+, then Stage 4 for about one year
6/14 Scans - still NED, thank God. However, broken rib (I didn't notice) lots of bone degeneration osteopenia/osteoporosis. I also still have cardiomyopathy secondary to chemo.
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Old 07-03-2009, 10:12 PM   #6
Jean
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Hi Brenda,
It is so normal to feel this way. First of all you have just completed herceptin. I think while on treatment we feel
safe then when the time comes for our final treatment there is a feeling of seperation anxiety. Every pain and ache is a concern. As Becky mentioned the shin would be a rare place for bone mets.

Keep up with your regular check ups, exercise, watch the diet and you are doing all you can to stay healthy.
It is not easy to adjust to the new normal allow yourself time.

Sending you all good wishes,
Jean
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Stage 1, Grade 1, 3/30/05
Lumpectomy 4/15/05 - 6MM IDC
Node Neg. (Sentinel node)
ER+ 90% / PR-, Her2+++ by FISH
Ki-67 40%
Arimidex 5/05
Radiation 32 trt, 5/30/05
Oncotype DX test 4/17/06, 31% high risk
TOPO 11 neg. 4/06
Stopped Arimidex 5/06
TCH 5/06, 6 treatments
Herceptin 5/06 - for 1 yr.
9/06 Completed chemo
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Old 07-04-2009, 05:52 AM   #7
Mary Jo
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Good Morning Brenda....

Just wanted to offer you a hug this morning and also my support and MORE importantly my understanding. I remember being a little over a year out - herceptin done - etc. Those days my friend were scary times. I thought I had a recurrence everyday.

This too shall pass....I promise. Try to do what I did when those awful fears would surface. I'd tell myself "ok self......for right now as far as you know you do not have cancer.......live in that knowledge - live your life happily. God knows your tomorrows and He already knows your tomorrows so try to rest in the now." Often times, that would get me through a day more peacefully and next thing I'd know (sometimes after a test to determine whether or not I had a recurrence) it would pass......and then we'd move onto the next ache or pain!!

Brenda it does get easier. As the others have said, it is normal and it's part of the process.

Sending up prayers for your comfort and peace today dear sister.

Mary Jo
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Dx. 6/24/05 age 45 Right Breast IDC
ER/PR. Neg., - Her2+++
RB Mast. - 7/28/05 - 4 cm. tumor
Margins clear - 1 microscopic cell 1 sent. node
No Vasucular Invasion
4 DD A/C - 4 DD Taxol & Herceptin
1 full year of Herceptin received every 3 weeks
28 rads
prophylactic Mast. 3/2/06

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Old 07-04-2009, 09:51 AM   #8
suzan w
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Hi Brenda, I have been to the ER more than once for aches and pains that I was sure were serious. My 'brain tumor' turned out to be vertigo (scary!), didn't want to go to the ER for fear of being paranoid-that was appendicitis! You get the picture. I am not trying to make light of your fears, but to let you know how normal you are for all of your fears! Cancer robs us of our innocence. By paying close attention to your body you are taking care of yourself. I do not get much peace of mind when my oncologist tells me 'don't worry, if mets occur we will deal with it then.' Well, personally, I would like to catch anything at the first smidge of a symptom. So I go to the ER...make a doc appointment...come here and ask...basically take care of me...physically, mentally, and spiritually! Hugs to you today!!!
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age 54 at diagnosis
5/05 suspicious mammogram-left breast
5/05 biopsy-invasive lobular carcinoma with LCIS,8mm tumor,stage 1 grade 2, ER+ PR+ Her2+++
6/14/05 bilateral mastectomy, node neg. all scans neg.
Oncotype DX-high risk
8/05-10/05 4 rounds A/C
10/05 -10/06 1 yr. herceptin
arimidex-5 years
2/14/08 started daily self administered injections..FORTEO for severe osteoporosis
7/28/09 BRCA 1 negative BRCA2 POSITIVE
8/17/09 prophylactic salpingo-oophorectomy
10/15/10 last FORTEOinjection
RECLAST infusion(ostoeporosis)
6/14/10 5 year cancerversary!
8/2010-18%increase in bone density!
no further treatments
Oncologist says, "Go do the Happy Dance"
I say,"What a long strange trip its been"
'One day at a time'
6-14-2015. 10 YEAR CANCERVERSARY!
7-16 to 9-16. Extensive (and expensive) dental work done to save teeth. Damage from osteoporosis and chemo and long term bisphosphonate use
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7-20-16 Prolia injection for severe osteoporosis
2 days later, massive hive outbreak. This led to an eventual dx of Chronic Ideopathic Urticaria, an auto-immune disease from HELL.
6-14-17 12 YEAR CANCERVERSARY!!
still suffering from CIU. 4 hospitilizations in the past year

as of today, 10-31-17 in remission from CIU and still, CANCER FREE!!!
6-14-18 13 YEAR CANCERVERSARY!! NED!!
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Old 07-06-2009, 05:45 AM   #9
Brenda S
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Friends,
As always, my sincere thanks and gratitude for taking the time to reply to my query. This is such a wonderful site. Your answers have reassured me and allayed my fears
Cheers,
Brenda
__________________
Diagnosed 3/08 at age 57
1.1cm tumor, ER-PR-, Her2 3+(rt side)

Grade 2
Node negative
clean margins
Stage 1
lumpectomy 4/08
Mammocite Radiation 4/08
Will begin TCH Chemo 5/08
TCH 3 week cycle for 6 cycles
Herceptin alone for 18 more treatments on a 3 week cycle
Total chemo 12 months
Neulasta 24 hours after each cycle
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Old 07-07-2009, 12:02 AM   #10
harrie
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Brenda, I seriously doubt it is a bone mets. And believe me, you are not alone in feeling abnormalities and thinking the worst. In fact you are probably in the majority.
BTW, I had the same treatment that you did.
Congrats on the completion of your treatments!
Maryanne
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*** MARYANNE *** aka HARRIECANARIE

1993: right side DCIS, lumpectomy, rads
1999: left side DCIS, lumpectomy, rads, tamoxifen

2006:
BRCA 2 positive
Stage I, invasive DCIS (6mm x 5mm)
Grade: intermediate
sentinal node biopsy: neg
HER2/neu amplified 4.7
ER+/PR+
TOPO II neg
Oncotype dx 20
Bilat mastectomy with DIEP flap reconstruction
oophorectomy

2007:
6 cycles TCH (taxotere, carboplatin, herceptin)
finished 1 yr herceptin 05/07
Arimidex, stopped after almost 1 yr
Femara
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Old 07-07-2009, 05:40 AM   #11
MJo
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I agree that your concern is perfectly normal. I belong to a BC survivors support group, and we can actually joke about our fears now. We laugh about toe cancer, thumb cancer, eyebrow cancer - because whenever we feel a pain in any body part, automatically we think of cancer. At the same time, we all know we must be vigilant about our health.
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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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