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Old 02-13-2009, 12:27 AM   #1
Rahab
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Naturopath Options

My tumor markers have risen even though I have had 4 Herceptin treatments, I am disappointed because I thought the Herceptin would knock down the tumor markers. Oncologist wants me to use Gemzar or Navelbine, since it is synergistic with Herceptin. I don’t want to do chemo agents. I am looking into naturopath remedies. My cousin with advanced breast cancer has been successfully using Tetrathiomolybdate (with her naturopath) which I learned is now in a Phase II trial. Has anyone looked into this? Can anyone on Oahu suggest a good naturopath? Thank you.

DX 02/1990 – Stage II; 9 out of 13 positive lymph nodes. Mastectomy; 6 rounds CAF; 4 rounds 24/7 hospitalization with IV drip of Velban and Methotrexate.

Fall 1997 – Recurrence lymph node in neck. Surgery to remove lymph node. Radiation.
Fall 1997 through Fall 2004 on Tamoxifen (Ned).

Fall 2004 – Recurrence in lung. Biopsy indicated Her2. Femara. Lung nodule decreased in size; thoracotomy December 2005.

Spring 2008 – Recurrence in hip. Stop Femara. Start Zometa, Faslodex.
Fall 2008 – Scans show possible progression in liver and spine with rising tumor markers. Stop Faslodex. Continue Zometa. Start Aromasin, Herceptin (every 3 weeks).
2009 – Tumor markers rising. Need to find treatment.
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Old 02-13-2009, 06:38 AM   #2
Mary Anne in TX
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Hi Rahab! Sorry you need more treatment. I found the herceptin and navelbine to be the easiest of all the treatments I took. It was also during that time that my tumor markers came down the most. Best wishes for finding what you need now, ma
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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 02-13-2009, 09:31 AM   #3
freyja
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naturopath

Hi Rehab,
I send strong thoughts of healing energy to you. I haven't used Navelbine, but I've heard about a lot of good results from it. I also respect your feelings if it's just not acceptable for you. I have done chemo and also see a naturopath for more natural treatment of side effects. I haven't heard of the treatment you mentioned, but I highly recommend the book "The Complete Natural Medicine Guide to Breast Cancer: A Practical Manual for Understanding, Prevention & Care" by Sat Dharam Kaur, Naturopathic Doctor. It discusses very thoroughly traditional and alternative treatment methods.
I wonder if ElaineM has recommendations for a Naturopath in Oahu?
__________________

"Dancers Against Cancer" in the Eugene, OR Komen Race for the Cure 2010
Diagnosed 8/7/08 with stage 3 invasive ductal carcinoma, micropapillary pattern, Her2 3+, ER+,PR-, grade II, positive lymph nodes.
Received 6doses of Taxotere, Carboplatin with Herceptin continuing for a year...DONE.
1/28/09 Left Modified Radical Mastectomy, Right Simple Mastectomy.
Surgery pathology: No invasive carcinoma present and 17 lymph nodes removed all negative! Only small amount of carcinoma in situ in left breast.
March/April '09, Radiation to left chest wall.
Currently involved in Neratinib clinical trial.

"Well being I won
and wisdom too,
I grew and joyed in my growth;
from a word to a word
I was led to a word
from a deed to another deed." (Odin)

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Old 02-13-2009, 11:18 AM   #4
ElaineM
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Aloha,
I have seen a naturopath on Oahu for 10 years. Please PM me or e-mail me for details.
I think Herceptin and Navelbine is relatively easy to tolerate, but I don't know much about the other combos.
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Lucky 13 !! I hope so !!!!!!
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14 Year Survivor
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"You never know how strong you are until being strong is the only choice you have." author unknown
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Old 02-13-2009, 03:03 PM   #5
CourtneyL
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Complementary Treatments for BC Survivors in Hawaii, Santa Cruz and SF Bay Area

Hello Beautiful Hawaiian Ladies! I posted this on the YoungSurvival website and thought you may be interested in the info too if you don't already know about the U'ilani Fund:

My fabulous OBGYN, Mindy Goldman, just recently told me about an organziation she help found - The U'ilani Fund is a non-profit organization committed to providing support for complementary treatments for women with breast cancer in Santa Cruz, the San Francisco Bay Area, and Hawaii.

The U'ilani Fund has distributed over $100,000 to women undergoing breast cancer treatment since the organization was founded in 2001. If you are in treatment for breast cancer and your health insurance does not cover complementary care such as herbs, supplements, acupuncture or massage, you may qualify for U'ilani Funding.

Check out there website at www.uilanifund.org

I know I personally benefitted greatly from the massages, herbs and acupuncture treatments I receive during treatment. If you are in the SF Bay Area, Santa Cruz or Hawaii and do not have the financial means to enjoy some of these treatments, I urge you to apply for funds from the U'ilani Fund - it was formed in honor of a dear friend of Dr. Goldman's, a fellow doctor, who died of breast cancer in 2000 - Marina Lee U'ilani Bermudez.

I can think of no better way to honor Marina then to share information about this organization with you in hopes that some of you will be able to benefit.

With much love to you all,
Courtney
__________________
4/17/08: Dx Stage IV at age 30 - extensive mets to liver, lungs, and bones. Er/Pr-, Her2+++
April 08-Aug 08:Taxotere, Cytoxan, Herceptin, Zometa - complete response!
Sept 08-Dec 08: Herceptin +Zometa for maintenance.

Jan 09-April 09: Brain mets. Add Tykerb. Watch and wait.
April 09: Gamma Knife 10 brain mets, add Xeloda.
Sept 09: Gamma Knife to 1 brain met.
Nov 09- April 10: Lung progression, add Gemzar to Herceptin, Zometa.
May 10- Sept 10: HER2 Vaccine Trial

Sept 10: Add Tykerb for more brain mets.
Oct 10: Gamma Knife to 7 brain mets.
Dec 10: Switch from Zometa to Denosumab.
Jan 11: Gamma Knife to 3 brain mets.
March 11: Gemzar/Herceptin for lung/bone progression.
April 11: More brain mets - Intrathecal Herceptin
June 11: Ixempra/Herceptin for lung, soft tissue progression.
Aug 11: Gamma Knife
Sep 11: Abraxane/Herceptin
Future: NED

Send me a PM if you'd like to follow my journey on Caringbridge.
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Old 02-13-2009, 10:10 PM   #6
ElaineM
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Thanks for the info Courtney !!
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12 years and counting
http://her2support.org/vbulletin/showthread.php?t=48247
Lucky 13 !! I hope so !!!!!!
http://her2support.org/vbulletin/showthread.php?t=52807
14 Year Survivor
http://her2support.org/vbulletin/showthread.php?t=57053
"You never know how strong you are until being strong is the only choice you have." author unknown
Shared by a multiple myeloma survivor.
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Old 02-13-2009, 10:56 PM   #7
Rahab
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Thank you for your postings. It is nice to know that people care. I would lurk on this site, but was hesitant to post. Everyone is upbeat and positive, but I struggle with my emotions a lot. I don’t want to be a downer, though by nature I am a worrier.

Has anyone had their tumor markers rise with Herceptin? I am concerned about the cardio toxicity of Herceptin and was wondering since my tumor markers are rising, maybe Herceptin isn’t working. And if it isn’t working on me, then is it just adding toxicity onto my heart?
I think my oncologist mentioned a lower dose on me, could that make a difference on the tumor markers rising?

Thank you for your help and advice.
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Old 02-14-2009, 10:05 AM   #8
freyja
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Rehab,
I don't have any info on that question, but I wanted to say that this is a great site to vent those emotions to, also. We all have them, well we're all different, but there are common threads, and the best way to keep our sanity, I think, is to let our thoughts and feelings out, and share with each other. Never worry about bringing us down. We're a team and we do our best to hold each other up.
__________________

"Dancers Against Cancer" in the Eugene, OR Komen Race for the Cure 2010
Diagnosed 8/7/08 with stage 3 invasive ductal carcinoma, micropapillary pattern, Her2 3+, ER+,PR-, grade II, positive lymph nodes.
Received 6doses of Taxotere, Carboplatin with Herceptin continuing for a year...DONE.
1/28/09 Left Modified Radical Mastectomy, Right Simple Mastectomy.
Surgery pathology: No invasive carcinoma present and 17 lymph nodes removed all negative! Only small amount of carcinoma in situ in left breast.
March/April '09, Radiation to left chest wall.
Currently involved in Neratinib clinical trial.

"Well being I won
and wisdom too,
I grew and joyed in my growth;
from a word to a word
I was led to a word
from a deed to another deed." (Odin)

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Old 02-17-2009, 07:21 AM   #9
schoolteacher
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Rehab,

My ELISA test did rise while taking Herceptin, Taxotere, and Carboplatin. Then they went down to the lowest they have been since taking the test.

Amelia
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Old 02-17-2009, 11:33 AM   #10
ElaineM
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Tumor markers can rise and fall from time to time even when there is no evidence of tumors. Some tumor markers measure the amount of circulating cancer cells in the blood even when there is no firm evidence of a tumor.
You may want to discuss other non chemo options with your doctor like Tykerb that are in the same category as Herceptin if you are worried about Herceptin not doing its job well.
Please feel free to visit this site whenever you can. We are a wonderful bunch of people who care about each other.
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ElaineM
12 years and counting
http://her2support.org/vbulletin/showthread.php?t=48247
Lucky 13 !! I hope so !!!!!!
http://her2support.org/vbulletin/showthread.php?t=52807
14 Year Survivor
http://her2support.org/vbulletin/showthread.php?t=57053
"You never know how strong you are until being strong is the only choice you have." author unknown
Shared by a multiple myeloma survivor.
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Old 02-17-2009, 11:36 AM   #11
ElaineM
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I just noticed your original diagnosis was in 1990. You are a long time survivor. Congratulations.
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ElaineM
12 years and counting
http://her2support.org/vbulletin/showthread.php?t=48247
Lucky 13 !! I hope so !!!!!!
http://her2support.org/vbulletin/showthread.php?t=52807
14 Year Survivor
http://her2support.org/vbulletin/showthread.php?t=57053
"You never know how strong you are until being strong is the only choice you have." author unknown
Shared by a multiple myeloma survivor.
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Old 02-17-2009, 02:23 PM   #12
StephN
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Hi Rahab -
And congrats on fighting this good fight for so long. I do take a few supplements and made dietary changes years ago when I became stage IV.

I did take Navelbine, which in combination with Herceptin and Taxol, halted and resolved my liver mets. With the general spread you are fighting, you seem to need something new.

Remember that cancer cells are the hardest to kill and that is why a very effective way to interfere with their proliferation is necessary in getting back ahead of the game.

You may want to try Xeloda, which does have side effects, but is also synergistic with Herceptin. No one can tell you what to do, but it may be high time to get tough and put up a different fight.

There is also the Trastuzamab-DM1 trial that is doing a lot of good for many of our members here.
__________________
"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.

Last edited by StephN; 02-17-2009 at 02:26 PM..
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Old 02-17-2009, 04:13 PM   #13
Rahab
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Hi All,
Thank you all for your postings. I am not sure why I am stuck in this indecisiveness and having a difficult time moving forward. I just feel overwhelmed and a bit sad. I thought Herceptin would just work great on me. I still won't give up on Herceptin though. Back in 1990, there wasn’t even a test for HER2. I am not sure what an Elisa test is. My oncologist tests for CEA, CA 27.29, and CA 15-3.
So much has changed through the years…with other new drugs like Zometa too. I hope to find my footing soon and get back into knocking down those cancer cells. I am grateful for the support on this site. I hope I can get over my “stuck-ville” so I can support you guys too.
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Old 02-17-2009, 08:15 PM   #14
ElaineM
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It is normal to feel overwhelmed. Just keep putting one foot in front of the other and take things one step at a time. There are alot of new drugs and alot to learn since your original diagnosis. You will find the best combo for you with the help of your doc.
Personally I believe in integrative medicine. Using the best of both worlds-------conventional and naturopathic.
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12 years and counting
http://her2support.org/vbulletin/showthread.php?t=48247
Lucky 13 !! I hope so !!!!!!
http://her2support.org/vbulletin/showthread.php?t=52807
14 Year Survivor
http://her2support.org/vbulletin/showthread.php?t=57053
"You never know how strong you are until being strong is the only choice you have." author unknown
Shared by a multiple myeloma survivor.
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Old 02-18-2009, 06:04 AM   #15
Sheila
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Rahab
Just wondering why they have not tried Avastin with a Taxane for you...it seems to work well.
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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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