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Old 06-02-2015, 12:40 PM   #1
supportwife
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Join Date: Oct 2014
Posts: 49
Anybody have experience with Imiquimod or Photodynamic therapy

Hi All,

Do any of you have any experience with photodynamic therapy to treat skin mets or any kind of mets? Our doctor wants to try this along with Imiquimod cream for recurrent skin mets. This is her fourth recurrence of skin mets. The doctor also wants to change treatment course from Tykerb+Herceptin to TDM1.

Any input is greatly appreciated. Any precautions, dietary changes to take?

Thanks
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Old 06-03-2015, 11:25 AM   #2
tricia keegan
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Location: Ireland
Posts: 3,463
Re: Anybody have experience with Imiquimod or Photodynamic therapy

Hi,

I had two treatments of PDT a few years ago along with Imiquimod for Bowens disease on my leg. The treatments only took about twenty minutes each, when the PDT was being done another nurse would keep spraying the area on my leg with ice water which ensured no pain. The only discomfort I felt was when she stopped for a few seconds, it worked so far for me as it hasn't returned thankfully and hope your wife has a good response to it.

I can't help with the change of drugs but I'm someone else can.
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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!

Last edited by tricia keegan; 06-03-2015 at 11:28 AM..
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Old 06-03-2015, 09:04 PM   #3
yanyan
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Join Date: Apr 2011
Posts: 403
Re: Anybody have experience with Imiquimod or Photodynamic therapy

Sorry to hear about your wife's recurrence. I'm in the same boat. If the recurrence is in previously treated area, it could mean a change in the way it's treated be of benefit. If the recurrence is outside radiation port, it could mean clear margin is very hard to achieve or we don't know where the margin is. The only thing we can do is chasing our tails and deal with them once they pop up. Although very very frustrating, we just have to deal with it. Best luck to the new treatment plan!
__________________
1/11 age 36 DX
ER/PR-, Her2 +
TCH*6, Herceptin
BMX with immediate recontruction 5/2011 Lattismus Flap- Dx stage 3c 10/23 nodes
9/11 Radiation
3/12 Local recurrence to skin stage IV
Whole body scan CLEAR
4/12 Tykerb & Xeolda Skin mets slowly regressing
8/12 PET & Brain CT Clear
5/13 Skin mets progressing
6/13 PET scan chestwall recurrence in contralateral anxillary,internal mammary and ipsilateral subpectoral nodes
6/13 kadcyla
10/13 whole body scan -clear NED. previously resolved skin rash gone but 3 new lesions. Biopsy confirmed for skin recurrence
11/13 to 02/14 tykerb & herceptin
02/14 add abraxane/gemzar, 2 weeks on 1 week off at reduced dose
05/14 whole body PET clear/ brain CT clear but skin mets are getting worse, ready for new chemo
05/14 navelbine perjeta herceptin
07/14 skin mets progressing red rash worse
08/14 wide local excision with diep flap to close wound. Final path shows 2 positive margins showing inflammatory carcinoma Going back to surgery in 2 weeks
09/01/14 resection- clear margins
3 weeks after 2nd surgery, a new nodular rash found near drain incision with 2 small red spots behind the chest wall biopsy on 10/1. Positive for breast cancer
Radiation 11/2014 with xeloda then weekly cisplatin
11/14 brain MRI clean
12/14 finished 33 radiations burnt and very painful. Bedridden for 1 week
12/14 t current Herceptin and perjeta only
02/15 rash on upper back right side skin mets radiation planned
02/15 staring electron radiation *35
Stopped at 30 due to severe skin burn, resumed 10 days later
05/15 red patches appeared in between previously radiated area, skin mets. Ct and brain Mri clear. Simulation planned, radiation to start after trip to Alaska.
05/24 new spot identified in scar line on previously radiated reconstructed breast- electron on both side chest wall area and scar line
07/15 multiple skin and lung recurrence begin halaven
11/15 cough much better but very tired on halaven and starting to see some new red skin blotches-suspicious
11/15 heading to China for immune therapy
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