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Old 07-14-2010, 09:34 AM   #1
tdonnelly
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Cancer has Returned..........

My stereoscopic biopsy showed the cancer has returned in the same breast. I am meeting with the Surgeon to discuss upcoming masectomy. Considering a double masectomy and have to repeat Chemo & Herceptin.

I have been residing at Midway Neurological & Rehabilitation /Bridgeview IL since 6/22/2010 and will continue living there after my surgery. I have made wonderful supportive friends in this group home. \

I dont want any reconstructive surgeries.........

Take Care,
Tami
__________________
Tamara Donnelly
Invasive Ductal Carcinoma 10/2006 HER2+
Lumpectomy
Adriamycin x 4/Cytoxin x 4/Taxol x 4
Herceptin x 17
Radiation: 5 1/2 weeks
Second Reoccurrance: August 2010
Right Breast Masectomy
12 doses of Taxol
1 yr of Herceptin
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Old 07-14-2010, 10:54 AM   #2
AlaskaAngel
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Re: Cancer has Returned..........

Tamara, I'm sorry that the treatment didn't work and that you have to work on alternatives again. Having a supportive living arrangement is so precious, and I'm glad you feel good about yours. One step at a time....

AlaskaAngel
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Dx 2002 age 51
bc for granny, aunt, cousin, sister, mother.
ER+/PR+/HER2+++, grade 3
IDC 1.9 cm, some DCIS, Stage 1, Grade 3
Lumpectomy, CAFx6 (no blood boosters), IMRT rads, 1 3/4 yr tamoxifen
Rads necrosis
BRCA 1 & 2 negative
Trials: Early detection OVCA; 2004 low-dose testosterone for bc survivors
Diet: Primarily vegetarian organic; metformin (no diabetes), vitamin D3
Exercise: 7 days a week, 1 hr/day
No trastuzumab, no taxane, no AI
NED
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Old 07-14-2010, 01:06 PM   #3
michka
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Post Re: Cancer has Returned..........

Tamara, this is sad news. I just hate this sickness. I am sending you strength to get back into the ring and fight. Michka
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08.2006 3 cm IDC Stage 2-3, HER2 3+ ER+90% PR 20%
FEC, Taxol+ Herceptin, Mastectomy, Radiation, Herceptin 1 year followed by Tykerb 1 year,Aromasin /Faslodex

12.2010 Mets to liver,Herceptin+Tykerb
03.2011 Liver resection ER+70% PR-
04.2011 Herceptin+Navelbine+750mg Tykerb
06.2011 Liver ned, Met to sternum. Added Zometa 09.2011 Cyberknife for sternum
11.2011 Pet clear. Stop Navelbine, continuing on Hercpetin+Tykerb+Aromasin
02.2012 Mets to lungs, nodes, liver
04.2012 TDM1, Ned in 07.2012
04.2015 Stop TDM1/Kadcyla, still Ned, liver problems
04.2016 Liver mets. Back on Kadcyla
08.2016 Kadcyla stopped working. mets to liver lungs bones
09.2016 Biopsy to liver. no more HER2, still ER+
09.2016 CMF Afinitor/Aromasin/ Xgeva.Met to eye muscle Cyberknife
01.2017 Gemzar/Carboplatin/ Ibrance/Faslodex then Taxotere
02.2017 30 micro mets to brain breathing getting worse and worse
04.2017 Liquid biopsy/CTC indicates HER2 again. Start Herceptin with Halaven
06.2017 all tumors shrunk 60% . more micro mets to brain (1mm mets) no symptoms
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Old 07-14-2010, 01:32 PM   #4
Jackie07
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Re: Cancer has Returned..........

Tammy,

It has to be very upsetting. I didn't find my recurrence until 4 years after my lumpectomy. They had misread my mammogram 4 years straight. I was feeling very sick and contacted the surgeon to have a check-up. She was very upset (more than I did when the biopsy came back to be cancer and not 'scar tissue' as they previously thought.

Take a deep breath, it's really not that hard the 2nd time around. I was very scared at first because I thought a recurrence is automatically a stage IV. My husband got me another oncologist (my oncologist was out-of-town attending a conference) who explained it to me it's called a 'local-regional' recurrence. It would be treated as if I had it the first time.

I then wiped my tears and wrote a different letter to my family overseas - right there in the waiting room.

I did not have reconstruction either. I'd been so flat-chested my whole life, the mastectomy did not change much of anything.
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http://www.kevinmd.com/blog/2011/06/doctors-letter-patient-newly-diagnosed-cancer.html
http://www.asco.org/ASCOv2/MultiMedi...=114&trackID=2

NICU 4.4 LB
Erythema Nodosum 85
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3 Infertility tmts 99 > 3 u. fibroids > Pills
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IDC 1.2 cm Her2 +++ ER 5% R. Lmptmy SLNB+1 71703 6 FEC 33 R Tamoxifen
Recc IIB 2.5 cm Bi-L Mast 61407 2/9 nds PET
6 TCH Cellulitis - Lymphedema - compression sleeve & glove
H w x 4 MUGA 51 D, J 49 M
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3-11 Appendectomy - visually O.K., a lot of puss. Final path result - not cancer.
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10-10 Stopped Exemestane due to r. hip/l.thigh pain OKed by Onco 11-08-2016
7-23-2018 9 mm groundglass nodule within the right lower lobe with indolent behavior. Due to possible adenocarcinoma, Recommend annual surveilence.
7-10-2019 CT to check lung nodule.
1-10-2020 8mm stable nodule on R Lung, two 6mm new ones on L Lung, a possible lymph node involvement in inter fissule.
"I WANT TO BE AN OUTRAGEOUS OLD WOMAN WHO NEVER GETS CALLED AN OLD LADY. I WANT TO GET SHARP EDGED & EARTH COLORED, TILL I FADE AWAY FROM PURE JOY." Irene from Tampa

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Last edited by Jackie07; 07-21-2010 at 07:37 PM..
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Old 07-14-2010, 01:50 PM   #5
MJo
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Re: Cancer has Returned..........

God bless and wishing all the best for you. I'm sorry you have to go through the treatment again, but trust that you will beat it completely this time.
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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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Old 07-14-2010, 03:53 PM   #6
Mary Anne in TX
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Re: Cancer has Returned..........

Tami, I'm surely glad that you have support and love close at hand as you begin this next adventure. I think it's just as important as that awful, but wonderful chemo they pack into us.
Best to you, 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 07-14-2010, 04:48 PM   #7
Chelee
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Re: Cancer has Returned..........

Tami, I'm so sorry you have to deal with this again. I know it's not easy...and that is an understatement. I'm so happy to hear you have such great support where your at...that plays such an important part in this battle. But you will beat this again. Sending lots of positive thouhts your way.

Hugs,

Chelee
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DX: 12-20-05 - Stage IIIA, Her2/Neu, 3+++,Er & Pr weakly positive, 5 of 16 pos nodes.
Rt. MRM on 1-3-06 -- No Rads due to compromised lungs.
Chemo started 2-7-06 -- TCH - - Finished 6-12-06
Finished yr of wkly herceptin 3-19-07
3-15-07 Lt side prophylactic simple mastectomy. -- Ooph 4-05-07
9-21-09 PET/CT "Recurrence" to Rt. axllia, Rt. femur, ilium. Possible Sacrum & liver? Now stage IV.
9-28-09 Loading dose of Herceptin & started Zometa
9-29-09 Power Port Placement
10-24-09 Mass 6.4 x 4.7 cm on Rt. femur head.
11-19-09 RT. Femur surgery - Rod placed
12-7-09 Navelbine added to Herceptin/Zometa.
3-23-10 Ten days of rads to RT femur. Completed.
4-05-10 Quit Navelbine--Herceptin/Zometa alone.
5-4-10 Appt. with Dr. Slamon to see what is next? Waiting on FISH results from femur biopsy.
Results to FISH was unsuccessful--this happens less then 2% of the time.
7-7-10 Recurrence to RT axilla again. Back to UCLA for options.
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Old 07-14-2010, 07:00 PM   #8
flynny
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Re: Cancer has Returned..........

sending you big hugs and prayers.
__________________
-Sarah-

Jan '07 felt lump (PCP "thought" it was a cyst)
Nov '07 "bloody nipple discharge" (OB-GYN "thought" I had fibrocystic breasts and told me to take 400 IU's of Vitamin E)
Note: Mother was dx w/BC in 2004 (ER/PR+ & HER2+) & mets to brain April 2007 (she passed away June 17, 2008)
2/1/08: Biopsy Dx: DCIS (age 34)
2/22/08: Surgery R-side Mast
2/28/08: 1st Path Rpt Dx: IDC 1.8cm tumor & DCIS 2.1cm
2nd Path Rep DFCI - IDC (0.9cm) & DCIS (2.1cm)
Stage 1b/Gr 3; ER+(5%), PR+(2%), HER-2+++
5/5 nodes NEG; Clear Margins
Chemo: AC 4 rnds (1st one 3/31/08) finished 6/2/08
TH (Taxol/Hercepin) 12 weeks (1st one 6/25/08) finished 9/8/08
Herceptin 9 mos (every 3 weeks) finished 6/8/09
BRCA 1/2 NEG
Bio: Age 39, married to James 1999, 2 boys 12 & 10 yo
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Old 07-15-2010, 05:38 AM   #9
tricia keegan
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Re: Cancer has Returned..........

Tamara I'm sorry to read this news, but I know you'll find the strength to get through all this once again and hopefully kick this for good! x
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Tricia
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 07-15-2010, 05:53 AM   #10
Pam P
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Re: Cancer has Returned..........

Tami - I'm sending you good thoughts and support as you tackle this next surgery and treatment. I didn't have reconstruction either and am happy with my decision. Keep strong and let us know how you are doing. Pam
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6/01 IBC er+ her2+stage IIIb; mastecomy
7/01 AC, taxol; radiation
2/02 tamoxifen
9/02 stage IV bone mets femara
1/03 taxotere/herceptin/aredia
6/03 herceptin, aredia & faslodex
1/04 navelbine, herceptin, aredia
2/05 herceptin/aredia
7/05 xeloda/herceptin/aredia
3/07 xeloda/tykerb/aredia
5/08 taxol/avastin/aredia
2/09 gemzar/herceptin/zometa
7/09 Taxol/Carbo/Herceptin, zometa
10/09 navelbine/herceptin & zometa
2/10 herceptin & tykerb & zometa
4/10 add xeloda &aromasin
10/10 dx with dermatomyiositis triggered by cancer
11/10 restart herceptin, tykerb, zometa
12/10 surgery-place rod in R femur to stabilize bone
1/11 radiation to R femur - 20 tx
2/11 2nd surgery - rod in Left femur
2/11 tx eribulen -- suspended dx brain mets
3/11 brain mets wbr 20 tx
4/11 halaven; discontine 8/11 not working
8/11 radiation to left femur 20 tx'
8-9/11 rad to lower spine
9/11 abraxane/herceptin/zometa
9/12 xeloda/herceptin/zometa
12/12 ablation of liver
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Old 07-15-2010, 09:56 AM   #11
schoolteacher
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Re: Cancer has Returned..........

Tami,

Thinking of you. Glad you have a support group where you are living.

Amelia
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Old 07-15-2010, 04:20 PM   #12
ElaineM
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Wink Re: Cancer has Returned..........

I am sorry to hear the cancer is back. Supportive friends are wonderful. Take good care of yourself. Keep putting one foot in front of the other.
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Peace,
ElaineM
12 years and counting
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Old 07-16-2010, 12:17 PM   #13
lexigirl
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Re: Cancer has Returned..........

I am sorry to read your news. You will beat this cancer back. Get rid of it for good!

Hugs,
Lexi
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Old 07-16-2010, 12:36 PM   #14
jml
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Re: Cancer has Returned..........

Tami~
So sorry you have to climb back in the ring and start swinging again. But you're strong and you can do this. And you can beat this again. As many times as you have to.
We're here to support and encourage you through it.

Keep the Faith~

Jml
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Old 07-16-2010, 09:46 PM   #15
Jean
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Re: Cancer has Returned..........

Tami,
I think the wise words of Jackie explaining that it is a

'local-regional' recurrence. It would be treated as if I had it the first time. - helps to ease the stress of this news.

I am sorry that you have to go through surgery and treatment again. Sending you warm healing wishes for a speedy recovery.

Jean
__________________
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 07-19-2010, 10:32 AM   #16
tdonnelly
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Re: Cancer has Returned..........

Good New, only a right masectomy after I get the all clear on bone scan and CT-Chest,pelvis,abd. scheduled for Wednesday. I am Positive Estrogen and Progestrone-Multiple Microcalcifications.....HER2 pending Surgical findings. Will keep in Touch,Tami
__________________
Tamara Donnelly
Invasive Ductal Carcinoma 10/2006 HER2+
Lumpectomy
Adriamycin x 4/Cytoxin x 4/Taxol x 4
Herceptin x 17
Radiation: 5 1/2 weeks
Second Reoccurrance: August 2010
Right Breast Masectomy
12 doses of Taxol
1 yr of Herceptin
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Old 07-19-2010, 11:06 AM   #17
tricia keegan
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Re: Cancer has Returned..........

Good luck for a successful surgery and quick recovery Tami!
__________________
Tricia
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 07-21-2010, 11:01 AM   #18
tdonnelly
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Re: Cancer has Returned..........

Can someone provide insight for upcoming Mastectomy so I don't get an overload of info from books/internet site.

Went through the initial shock, anger etc. working on Acceptance.........and just need more insight on what to expect. Thanks All.

Tami
__________________
Tamara Donnelly
Invasive Ductal Carcinoma 10/2006 HER2+
Lumpectomy
Adriamycin x 4/Cytoxin x 4/Taxol x 4
Herceptin x 17
Radiation: 5 1/2 weeks
Second Reoccurrance: August 2010
Right Breast Masectomy
12 doses of Taxol
1 yr of Herceptin
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Old 07-24-2010, 06:25 AM   #19
Jackie07
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Re: Cancer has Returned..........

Tami,

There's really not much difference except that when you wake up you'll see a thin tape under the dressing covering the scar on your chest. I had a 'drain' bottle under each arm because I 'd chosen to have double mastectomy.

One inexperienced staff had attempted to put the blood pressure cuff on my 'bad' arm where many lymph nodes had been taken (2+9 = 11) It was late at night and I just yelled at her. Several hours later I mentioned it to another staff who seemed to know what she's doing when taking my blood pressure. She explained to me that from the dressing across my chest she could tell that I'd had double mastectomy.

I remember feeling like a 6-legged spider when I was discharged from the hospital - 2 (arms) + 2(legs) + 2(long tubes with a drain bottle on each side of my underarm

We were given clear written instruction on how to care for the drain tube. The bottle had to be emptied and the volume recorded (?) I think after several days (one week? two week?) after the fluid in the bottle reduced to a certain point, the bottle was removed during a return visit with the surgeon.

Because I had experienced lymphedema (swollen breast - quite painful) after my lympectomy, the recovery of mastectomy seemed to be more pleasant... (though much longer.)

Let's see - my 2nd Sister came from overseas to take care of me and ended up having a big fight with hubby. Hubby ended up staying most of the time at my In-law's place (Mother-in-law had had a 'scare' in the nursing home at the exact time when I was having surgery - so everyone's stressed out.)

I think the main thing is to make sure you have good nutrition during recovery and follow the instruction given by the discharge nurse. Keep yourself in good mood and stay active. Protect your arm from heat and injury...

Hard to believe it's been three years. My most recent memory about surgery is my hysterectomy in January...

Take care now and 'take it easy'. I'm sending good vibes...
__________________
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http://www.kevinmd.com/blog/2011/06/doctors-letter-patient-newly-diagnosed-cancer.html
http://www.asco.org/ASCOv2/MultiMedi...=114&trackID=2

NICU 4.4 LB
Erythema Nodosum 85
Life-long Central Neurocytoma 4x5x6.5 cm 23 hrs 62090 semi-coma 10 d PT OT ST 30 d
3 Infertility tmts 99 > 3 u. fibroids > Pills
CN 3 GKRS 52301
IDC 1.2 cm Her2 +++ ER 5% R. Lmptmy SLNB+1 71703 6 FEC 33 R Tamoxifen
Recc IIB 2.5 cm Bi-L Mast 61407 2/9 nds PET
6 TCH Cellulitis - Lymphedema - compression sleeve & glove
H w x 4 MUGA 51 D, J 49 M
Diastasis recti
Tamoxifen B. scan
Irrtbl bowel 1'09
Colonoscopy 313
BRCA1 V1247I
hptc hemangioma
Vertigo
GI - > yogurt
hysterectomy/oophorectomy 011410
Exemestane 25 mg tab 102912 ~ 101016 stopped due to r. hip/l.thigh pain after long walk
DEXA 1/13
1-2016 lesions in liver largest 9mm & 1.3 cm onco. says not cancer.
3-11 Appendectomy - visually O.K., a lot of puss. Final path result - not cancer.
Start Vitamin D3 and Calcium supplement (600mg x2)
10-10 Stopped Exemestane due to r. hip/l.thigh pain OKed by Onco 11-08-2016
7-23-2018 9 mm groundglass nodule within the right lower lobe with indolent behavior. Due to possible adenocarcinoma, Recommend annual surveilence.
7-10-2019 CT to check lung nodule.
1-10-2020 8mm stable nodule on R Lung, two 6mm new ones on L Lung, a possible lymph node involvement in inter fissule.
"I WANT TO BE AN OUTRAGEOUS OLD WOMAN WHO NEVER GETS CALLED AN OLD LADY. I WANT TO GET SHARP EDGED & EARTH COLORED, TILL I FADE AWAY FROM PURE JOY." Irene from Tampa

Advocacy is a passion .. not a pastime - Joe
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Old 07-28-2010, 10:18 PM   #20
DancerDonna
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Re: Cancer has Returned..........

Tami,
I'm sorry to read that you have cancer again in the same breast too. But glad to hear you have such support.

I think most of our cancer's characteristics are the same: I was diagnosed in May 2005, had a lumpectomy, the same chemo, same radiation, but I took herceptin for one year. Have been on arimadex since finishing radiation. That cancer was strongly positive for HER2, estrogen, and progesterone. Also, 2 or 3 lymph nodes positive, the first 1.5 cm and broken out of the encapsulation.

On 6/24/10, a month ago, I had a biopsy and got a diagnosis of a new cancer in the same breast. Positive for HER2 again, but only 5% + for estrogen and negative for progesterone. Of course, I'll also be having a mastectomy but plan to have reconstruction the same day. I plan to have a SIEA or DIEP procedure for reconstruction if the hospital gets considered in-network by insurance. I'll have to travel from Nashville to Memphis for surgery.

In your first posting, were you just assuming you'd do chemo and herceptin again? Or do you have a size estimate from the biopsy that would mean planning on chemo and herceptin?

My oncologist's recommendation is a three-month round of taxetere and more herceptin if it's 5 mm or I have a + lymph node again. I would like to take more herceptin no matter what size or node status.

I am worrying now about lymph nodes. I saw the Memphis breast surgeon who the DIEP specialist usually works with. She plans to try redoing sentinel node biopsy, but if she can't find the sentinel node, remove all of the rest of the level 1 lymph nodes. She said the number could vary between 5 and 15 for individuals. I lost 3 with the surgery five years ago.

I need to read up again on lymph nodes. I think I remember reading that most of them are in the first level. My fear is because I already have severe lymphedema. I wear a compression sleeve on both my arm and my hand.

Please keep us posted on how you are doing.
__________________
DancerDonna
stage IIA, L. breast 1.6 cm ductal carcinoma, E+, Pr+, HER2+, 5/12/05; lumpectomy, chemo: adriamycin & cytoxin 4 x 3 wk., taxol 12 x 1 wk., herceptin 1 yr., rads, arimadex started 2/06 & still taking; sentinel node biopsy: 1st node had 1.5 cm tumor broken out of encapsulation & 2nd had microscopic cells, 3rd was clear. Lymphedema in L. arm & hand 6/06 caused by breast infection caused by breast leaking seroma thru nipple.
New ductal carcinoma tumor 6/21/10 in l. breast again with insitu. Size of tumor estimated at 1 mm from biopsy on 6/21 & breast MRI on 6/25. HER2+ again but only 5% E+ & Pr-. Mastectomy & SIEA or DIEP flap procedure with another sentinel node biopsy planned for early Sept.
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