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Old 10-31-2007, 05:01 AM   #21
Mary Anne in TX
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StephN, this mystery is better than Mystery Theatre on Sunday nights. Far more important also, of course! Please keep letting us know what you find. I'm sending good investigative prayers your way. ma
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MA in TX.
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 11-07-2007, 07:25 PM   #22
Christine
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LEVENOROX injection???

Steph
Wish I knew if this causing this puffy side effects; or can it be causing a form of lynphodema, that could possibly come fom the red spots that indicate a form of vein or node inflamation. Have you had any sterodal therapy in recent months? I'm just trying to help you brainstorm... It maybe reasonable to check for inflamation, unless your onc has already thought of that. Are you still going to Dr. Graylow?
There could be a other side effect that can come from takinking other chemo with this injection . Next time you see your Onc. Try helping him/her with more ????'s

One thing I know about vein infamation, swelling happens at nearby sites. YYou may need an ultrasound to confirm.
Steph, call if you need any more info or opinions. I will ask my onc next week.
I hope you find the answer to this unusual problem. Don't think it us serious . My sincere loving wishes to you . Hugs, Christine
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1990, July DX 1.1cm er-, pr-
Lumpectomy, 5U4, radiation
1999, June mets to chest and brain
HER2 3+++, er- pr-
AC, Taxol, Herceptin, Gamma Knife (3 treatments) WBR
NED July 2001
December 2001 - Founded HER2 Support Group
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Old 11-07-2007, 08:40 PM   #23
Vanessa
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I hope your problem is solved soon and without any problems. You are in my thoughts and prayers.
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Old 12-13-2007, 02:56 PM   #24
StephN
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Wink New scan - new answer

Well, everyone -
My PET/CT of this Tuesday has revealed yet another of the ways that our bodies do amazing things. By the way - nothing was found to indicate any canser activity. Whew!

My last PET/CT in April showed only a very small occlusion in my sub-clavian vein where the catheter threads through. In May the venogram showed a little more clotting. Then I went on the anticoagulation therapy for 6 months.

The new scan shows that that area of my sub-clavian is COMPLETELY clotted up now (in spite of the anticoagulation therapy!!!). BUT - this is the amazing part - my body has created a new network of blood channels AROUND the clotted area and in my general chest region. This explains so much. Like the "venous pattern" that seems more like varicose veins. Well, that is what it IS!

It seems that once these new channels got connected up and moving the blood well enough my swelling has gone down and I am looking much more normal these days.

This also explains why I had the shortness of breath and other symptoms in my chest. So I now feel like I can once again go back to exercising in small increments.

At this point the team thinks I should just keep the port I have since it is working well, and my body has found a way to take care of the blockage created by the clotting along the catheter line.

So that's it - once again I prove to be a "learning experience" for my canser care team. Hope my body will now stop volunteering me as a guinea pig!
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"When I hear music, I fear no danger. I am invulnerable. I see no foe. I am related to the earliest times, and to the latest." H.D. Thoreau
Live in the moment.

MY STORY SO FAR ~~~~
Found suspicious lump 9/2000
Lumpectomy, then node dissection and port placement
Stage IIB, 8 pos nodes of 18, Grade 3, ER & PR -
Adriamycin 12 weekly, taxotere 4 rounds
36 rads - very little burning
3 mos after rads liver full of tumors, Stage IV Jan 2002, one spot on sternum
Weekly Taxol, Navelbine, Herceptin for 27 rounds to NED!
2003 & 2004 no active disease - 3 weekly Herceptin + Zometa
Jan 2005 two mets to brain - Gamma Knife on Jan 18
All clear until treated cerebellum spot showing activity on Jan 2006 brain MRI & brain PET
Brain surgery on Feb 9, 2006 - no cancer, 100% radiation necrosis - tumor was still dying
Continue as NED while on Herceptin & quarterly Zometa
Fall-2006 - off Zometa - watching one small brain spot (scar?)
2007 - spot/scar in brain stable - finished anticoagulation therapy for clot along my port-a-catheter - 3 angioplasties to unblock vena cava
2008 - Brain and body still NED! Port removed and scans in Dec.
Dec 2008 - stop Herceptin - Vaccine Trial at U of W begun in Oct. of 2011
STILL NED everywhere in Feb 2014 - on wing & prayer
7/14 - Started twice yearly Zometa for my bones
Jan. 2015 checkup still shows NED
2015 Neuropathy in feet - otherwise all OK - still NED.
Same news for 2016 and all of 2017.
Nov of 2017 - had small skin cancer removed from my face. Will have Zometa end of Jan. 2018.
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Old 12-13-2007, 07:30 PM   #25
TriciaK
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Steph, you are an absolutely amazing warrior! Every time I read one of your posts I learn something new! It is so incredible how your body created new pathways---it makes me appreciate the miracles that so often help us when things look so bleak. Thank you for sharing! I have had my port for 3 and a half years with no problem---don't even know what kind it is, but it is on the left side just below the collar bone. It has been a tremendous blessing because I have fragile veins that are impossible to find. I used to feel like a pin cushion. I haven't had herceptin or anything intervenous for over 2 years but don't intend to have my port out if I can help it because we use it for all my blood tests. I even insisted it be used when I had my triple bypass and threatened to go home when the nurse said at first it couldn't be. Your posts and all the information you have shared with us are wonderful! Thank you and may God continue to bless you in your remarkable battle against our common enemy! Hugs, Tricia
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Old 12-13-2007, 08:29 PM   #26
Joan M
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I had veins too, and facial swelling

Steph,

I had my port in for three years and during the course of that time I developed a mass of tiny veins all across my chest with "pooling" in some spots, which all went away when my port was removed.

My onc even mentioned it when examining me before I got a chance to point it out. She noticed it immediately.

Every oncologist I consulted could never explain the veins. They all said they'd never seen anything like it.

I would also have periods when my face would be swollen and puffy, and my face would get really bright red and puffy if I bent over. I would also become very light-headed if I bent over. And this was quite a while after I ended my chemo and Herceptin when I had early stage bc.

It all went away after the port was removed.

Joan
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Diagnosed stage 2b in July 2003 (2.3 cm, HER2+, ER-/PR-, 7+ nodes). Treated with mastectomy (with immediate DIEP flap reconstruction), AC + T/Herceptin (off label). Cancer advanced to lung in Jan. 2007 (1 cm nodule). Started Herceptin every 3 weeks. Lung wedge resection April 2007. Cancer recurred in lung April 2008. RFA of lung in August 2008. 2nd annual brain MRI in Oct. 2008 discovered 2.6 cm cystic tumor in left frontal lobe. Craniotomy Oct. 2008 (ER-/PR-/HER2-) followed by targeted radiation (IMRT). Coughing up blood Feb. 2009. Thoractomy July 2009 to cut out fungal ball of common soil fungus (aspergillus) that grew in the RFA cavity (most likely inhaled while gardening). No cancer, only fungus. Removal of tiny melanoma from upper left arm, plus sentinel lymph node biopsy in Feb. 2016. Guardant Health liquid biopsy in Feb. 2016 showed mutations in 4 subtypes of TP53. Repeat of Guardant Health biopsy in Jana. 2021 showed 3 TP53 mutations, BRCA1 mutation and CHEK2 mutation. Invitae genetic testing showed negative for all of these. Living with MBC since 2007. Stopped Herceptin Hylecta (injection) treatment in March 2020. Recent 2021 annual CT of chest, abdomen and pelvis and annual brain MRI showed NED. Praying for NED forever!!
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Old 12-13-2007, 09:09 PM   #27
Lolly
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Wow, that's amazing! I hope it's ok if I print out your post, Steph, to show my infusion nurses. They would be VERY interested in this. Let me know if it's ok, I don't want to overstep.

<3 Lolly
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Sept.'99 - Dx.Stage IIIB, IDC ER/PR-, HER2+++ by IHC, confirmed '04 by FISH. Left MRM, AC x's 4, Taxol x's 4, 33 Rads, finishing Tx May 2000. Jan.'01 - local/regional recurrence, Stage IV. Herceptin/Navelbine weekly till NED August 2001, then maintenance Herceptin. Right Mast. April 2002. Local/Regional recurrence April '04, Herceptin plus/minus chemo until May '07. Gemzar added from Feb.'07-April '07; Tykerb/Abraxane until August '07, back on Herceptin plus Taxotere and Xeloda Sept. '07. Stopped T/X Nov. '07, stopped Herceptin Dec. '07, started Avastin/Taxol/Carboplatin Dec. '07. Progression in chest skin, stopped TAC March '03, started radiation.

Herceptin has served as the "Backbone" of my treatment strategy for over 6 years, giving me great quality of life. In 2005, I was privileged to participate in the University of Washington/Seattle HER2 Vaccine Trial.
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Old 12-14-2007, 01:43 AM   #28
StephN
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Wink Public info

Dear Lolly -
Anything I post here can be shared with anyone you feel would like to see it. Especially, I know that this is a NETWORK and we are networking with each other for a common good. So print away.

Joan - Thanks for posting. I am so glad to see that someone else had these symptoms and also was a "rare bird." Sorry it had to be you, but glad to know that it went away when you got the port and catheter removed. I also got light headed if I put my head down.
In my case I am on long term Herceptin being stage IV. So, I don't see the thing coming out any time soon. I am trying to save my viens in left arm for later, as I intend to live to need to use it. Can't use the right side as that was the node dissection area. Guess I am learning to live with this second port. The first one was in for about 6 years and the catheter was put into a different vein that was much happier!
__________________
"When I hear music, I fear no danger. I am invulnerable. I see no foe. I am related to the earliest times, and to the latest." H.D. Thoreau
Live in the moment.

MY STORY SO FAR ~~~~
Found suspicious lump 9/2000
Lumpectomy, then node dissection and port placement
Stage IIB, 8 pos nodes of 18, Grade 3, ER & PR -
Adriamycin 12 weekly, taxotere 4 rounds
36 rads - very little burning
3 mos after rads liver full of tumors, Stage IV Jan 2002, one spot on sternum
Weekly Taxol, Navelbine, Herceptin for 27 rounds to NED!
2003 & 2004 no active disease - 3 weekly Herceptin + Zometa
Jan 2005 two mets to brain - Gamma Knife on Jan 18
All clear until treated cerebellum spot showing activity on Jan 2006 brain MRI & brain PET
Brain surgery on Feb 9, 2006 - no cancer, 100% radiation necrosis - tumor was still dying
Continue as NED while on Herceptin & quarterly Zometa
Fall-2006 - off Zometa - watching one small brain spot (scar?)
2007 - spot/scar in brain stable - finished anticoagulation therapy for clot along my port-a-catheter - 3 angioplasties to unblock vena cava
2008 - Brain and body still NED! Port removed and scans in Dec.
Dec 2008 - stop Herceptin - Vaccine Trial at U of W begun in Oct. of 2011
STILL NED everywhere in Feb 2014 - on wing & prayer
7/14 - Started twice yearly Zometa for my bones
Jan. 2015 checkup still shows NED
2015 Neuropathy in feet - otherwise all OK - still NED.
Same news for 2016 and all of 2017.
Nov of 2017 - had small skin cancer removed from my face. Will have Zometa end of Jan. 2018.
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Old 12-14-2007, 11:06 AM   #29
Kim in CA
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Wow Steph,

That is truly amazing. Thanks for posting this info as I always tune in to any port related topics.

My port is over 6 years old and is getting quite finnicky. Only the more experienced nurses at my infusion center can get a blood return anymore. The skin over the port is also quite thin and fragile, making the port very prominent. I always request a 22 gauge needle when they access my port so as not to damage my skin any more than necessary. Don't know how much longer my port will hang in there, but this certainly is valuable information to me!

Thanks so much and so glad you got to the bottom of this mystery!

Kim
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Diag. Feb 1997 4.5cm IDC <10%ER+, PR-. 5 out of 36 nodes +. Mastectomy followed by 3 rounds Adriamycin/Cytoxin.


5/1997 Hi Dose Chemo w/ Stem cell rescue. Spent 4 weeks in isolation ward. Then 6 weeks radiation.

9/2001 widespread mets to liver. 8 mos Taxotere/Herceptin brought me almost to NED. Stop Taxotere & add Femara .

11/2002 liver resection to remove spot that turned out to be necrosis. Officially NED!

7/2003 Tumor markers rising add Xeloda Disastrous reaction, 8 days hospital, but tumor markers came back to normal!

June -Dec 2004 UW Vaccine Trial.

7/2005 MRI single 11mm brain met
8/2005 Gamma Knife.

Brain MRI @3 months NED!

2006-2011 brain/body still NED

8/04/11 Taking Herceptin break, will monitor with tumor markers.

6/20/12 Tumor markers begin to rise. CA15-3 is 31.3 and Her2 Serum is at 17.1 Decide to repeat in one month.

7/23/12 CA15-3 now 49.3
Her2 Serum 26.8

8/6/12 Back on Herceptin
CA15-3 now 76
Her2 Serum now 49

11/7/12 Add weekly Taxotere for 4 cycles

2/2013 Stopped Taxotere added Perjeta. MRI shows approx. 50% reduction liver mets. CA15-3 still elevated @ 55. Will continue on just Herceptin & Perjeta.

November 2014 Continuing on Herceptin, Perjeta, and
Femara indefinitely. Guess I'm NED again, but watching those tumor markers carefully!

Dec. 2015 PET scan reveals mass in perirectal area of abdomen.biopsy confirms. Still Her2+, but no longer ER+. Bye bye Femara

Jan 2016 Begin Kadcyla

March 2016 PET scan shows tumor now barely visible, still NED everywhere else.
2016/2017 continue Kadcyla

November 2017 brain MRI reveals small focus of T2 hyperintensity with possible 4mm enhancing nodule. Short term follow up MRI suggested. Stay tuned...
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Old 12-14-2007, 09:19 PM   #30
Andrea Barnett Budin
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Wink I Just Love The Ending, Step!

Well, well, Steph. The end of the story. And it's a good one. It all makes sense now. Your body is brilliant. Good job, bod! And I love that you are still remembering to diss canser but misspelling it!

I admire your conviction to get the bottom of mystery and cooly maintain a reasonable head midst all the NOW WHAT?! that no one could seem to figure out.
Thanks so much for sharing this valuable lesson, which we will pass on.

BTW, ALL YOU LADIES WITH PORTS, y'all know how we love 'em and must care well for them. Freezing sprays and the like deteriorate surrounding skin, so I stopped using that a while ago, at various chemo nurses urging. The Imaging Center has new, faster, high powered Ct scans and has decided not to access ports for this dye, as they had in the past 9 yrs. So I am now down to my one good vein, in my wrist, in my one good arm. All other veins prove to roll over, collapse and blow out, much to the amazement of the nurses. But they look so juicy... They are an optical illusion.
Be good to your port, ladies, it has direct access to your heart. Still doing Amocillin 4 500mg pills one hr before any and all dental work, for anyone with a port.

Regulations for heart patients have changed but not for chemo patients w/a port.
Andi

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Andi BB
'95 post-meno dx Invasive LOBULAR w/9cm tumor! YIKES + 2/21 nodes. Clear mammo 10 mnths earlier. Mastec/tram flap reconst/PORT/8 mnths chemo (4Adria/8CMF). Borderline ER/PR. Tamoxifen 2 yrs. Felt BLESSED. I could walk and talk, feed and bathe myself! I KNEW I would survive...

'98 -- multiple mets to liver. HER2+ 80%. ER/PR- Raging, highly aggressive tumors spreading fast. New PORT. 9 mnths Taxotere Fought fire w/fire! Pronounced in cautious remission 5/99. Taxotere weekly for 6 wks, 2 wks off -- for 9 mnths. TALK ABOUT GRUELING! (I believe they've altered that protocol since those days -- sure hope so!!)
+ good old Vit H wkly for 1st 3 yrs, then triple dosage ev 3 wks for 7 yrs more... The "easy" chemo, right?! Not a walk in the park, but not a freight train coming at 'ya either...

Added Herceptin Nov '98 (6 wks after FDA fast-tracked it for met bc). Stayed w/Vit H till July '08! Now I AM FREE! Humbly and eternally grateful for this life-saving drug! NED since '99 and planning on keeping it that way. To hell w/poor prognosis and nasty stats! STOPPED VIT H JULY '08...! REMAIN STABLE... Eternally grateful...Yes is a world & in this world of yes live (skillfully curled) all worlds ... (e e cummings) EVERY DAY I BEAT MY PREVIOUS RECORD FOR # OF CONSECUTIVE DAYS I'VE STAYED ALIVE. Smile KNOWING you too can be a miracle. Up to me and God now...
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Old 12-15-2007, 06:15 AM   #31
jones7676
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So glad to hear your mystery is solved! And although it was a very "trying" experience for you, you may be able to help someone else in the future when they have the mystery occurence. I really hope you get a break now and have little or no worries for a while!
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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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