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Old 07-14-2007, 10:51 PM   #41
TheresaM
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lung mets - experience varies

ummm, i was shocked at someone's post that lung mets seem easy to get rid of? huh? i think some of us cancer patients live in different worlds than others! like those that say breast cancer is a"chronic disease" - chronic for a small handful of very unique and lucky stage IVs. of course for all who never have to deal with mets, life is an entirely diferent world anyway.

I wanted to say Kate that a respected oncologist/researcher i know who specializes in bc mets told me xeloda seems to be a good chemo for lungs. indeed tykerb/xeloda was the only thing that ever worked for me, but I'm extremely recalcitrant and it only worked for 7 weeks. but i know others who've gotten at least a year out of the combo. personally i found it very easy to tolerate, and i'd had many many chemo combos before that.

just another suggestion for you, you have many many options, hang in there, one day at a time!

Theresa
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Old 07-15-2007, 02:08 AM   #42
Kavy
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Kate,
I am deeply sorry for your news. I can imagine what you are feeling right now, because I have been there. Just hang in there, and try not to think too much of what is happenig to you right now, I know itt is hard, but try to keep busy doing whatever you like most, it helps a lot.
I was also diagnosed with Stage IIIC, and in less than a year I became Stage IV with lung and liver mets. And I felt what you are feeling right now, but I can assure you that things do get better. In fact, today I had a big party to celebrate my son's 6th birthday, everything organized by me,a nd I did not even remembered for one single moment I have Stage IV breast cancer.
I am er/pr-, hers2+, and I have been on nalvabine/herceptin for a year now, and my small liver mets are all gone, and all my small lung mets (both lungs) are almost gone, 1 just have a less than 1 cm met that they could hardly see on this scan, and a stable lymph node. So herceptin/nalvabine has been very good for me. And Nalvabine is a very easy drug, no premedications, no hair loss, no nausea, just a little bit the day of treatment, and some neuropathy. It is very doable.
I hope and pray that you find the right treatment for you very fast. When you do, things will go back to "almost" normal again. If you have any questions, PM me, I would like to help you through these terrifying moments. Hang in there.
Hugs, and prayers,
KarlaV.
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Old 07-15-2007, 07:16 AM   #43
doh2pa
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Hi Kate,

I'm am so sorry that you get to be a member of the stage IV club, but I know you know that lots of women on this sight live full lives with this, as I like to think of it, chronic disease state. Anyway, I've been stage IV for almost two years, with liver mets first and lung mets added to the mix in May. My quality of life has been very good. I work, travel and have fun with my family and friends. I hug my kids a lot (and they're teenage boys and hate that!) and love and appreciate my husband every day. I will not let this disease take my living from me!

On the battle front, after only 6 weeks on Xeloda/Tykerb my lung mets are GONE and my small liver mets are GONE and my larger liver mets are all much smaller. There is hope out there! Please keep us posted on what you and your onc decide.

You will be in my thoughts and prayers.
Donna
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Diagnosed 2/04 - Invasive ductal - no clean margins
node negative - er+pr+, her2++
Mastectomy 4/04 - 4 rounds AC
9/05 - mets to liver treated with carbo/ixabipelone/herceptin
3/06 - complete remission
9/06 - new liver mets, starting Taxotere/Herceptin
1/07 -Liver mets stable, staying on Herceptin
5/07 - Liver, lung progression - starting T/X
12/07 - Liver, lung progression - starting weekly Navilbene/Herceptin
4/08 - Liver progression - started Abraxane, Carbo, Tykerb and Herceptin
7/08 - Liver Progression - started Gemzar, Avastin and Tykerb
10/08 - Liver progression - starting Doxil
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Old 07-15-2007, 08:28 AM   #44
michka
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Hi Kate, I saw your post yesterday and wanted to write but couldn't I was so mad. Why does this happen to such a nice person who has been supporting everybody on this forum?!!??! Your onc. seems to do right so see what he recommends. Fight all the way up the hill once more! I know it is easier to say than to do, but please give us news. You will be in my mind and heart every single day.
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 07-15-2007, 10:51 AM   #45
Shell
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Kate-

I am so sorry to hear of your progression. My mets was first to lungs, and my onc chose xeloda, and I chose the clinial trial if xeloda with tykerb, and that kicked things back quite a bit for some time.

But everyone is differerent, and the navalbine and taxanes are also an option. Like Lolly mentioned, I would definitely keep the herceptin...

Please keep us posted, and you are in our thoughts and prayers...

Kind regards,
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init diag 3/17/03-stage IIIC
ER-/PR-/HER2+++
CET x4 neo-adjuvant
lump & SNB 8/03
CET x2
radiation and herceptin/navelbine 11-03-1/04
1st reoccur to lymph nodes 8/04
complete axillary dissection 12/04
herceptin/taxotere til progression (lungs) 3/05
xeloda w/out lapatinib trial 6/05
lapatinib/tykerb added 4/06
ended trial 8/06 due to progression
doxil / avastin 11/06-12/06 - wasn't working
navelbine/herceptin/avastin 12/06/3/07 - progression
gemzar/carboplatin/tykerb 4/07
mri shows extensive mets to bone in pelvic area 6/07
switched to abraxane (3 on/1 off) + tykerb 6/07
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Old 07-15-2007, 11:21 AM   #46
Ceesun
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Kate, Hello sorry to hear of this development. I was diagnosed with 1 lung met, probably a 2nd one,too,though we did not know for sure. that was about 13 months ago from a ct scan. I was on herceptin, late edition, 20 months done with chemo. Anyway, I am now in a clinical trial with herceptin and navelbine and xeloda and am in remission. Hang in there, friend, I do understand your disappointment. Ceesun
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Old 07-15-2007, 12:24 PM   #47
Adriana Mangus
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Retested???

Marcia:

Why did you get retested? I just got the results in May 2007. I'm BRCA1,2 Neg. Why the need to get retested again..???Thanks for your response..P.S. I do not want to believe there could be a mistake with this test?
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1994 - rt brst, .lump, underarm node dissection,chemo+rad 1.2 cms, Grade 3.
28 nodes neg
Er,Pr, Positive HER2 status unknown
2003- Recur to rt lung.July 16 ( B-Day!)
Her2+++ Er,Pr, Negative
2003 - Aug04--Navelbine + Herceptin
2004- 2007--
NED - Herceptin, only
2007 Feb-April Xeloda added to hereceptin
2007-May Back on Navelbine+Herceptin
2008-Feb-Mar 15 Ses Rad to Rt. Lung
2008- Oc 17 Add Tykerb to Herceptin
2009- June-- Discont Tykerb
2009 July 7--Current Taxol + Herceptin
2009 Dec--Discontinued treatment due to progression. Looking into cyberknife.
2010-Aug Accepted to TDM1, no SE, except liver count went up.
2010-2011 September got kicked out of the trial, due to a small spot found on lung.
2011- 2012 September thru early 2013 on Herceptin
2013- March Bone density shows small spot on 5th rib.
2013 - April 4th appt with onc. will post after discussing course of treatment.
2013-March-April Cyber knife to brain and radiation to rib. Chest --base line before chemo-CT-Scan stable for lung issue. CA2729 Normal.
2013 April Herceptin- TDMI
2013 Sept Herceptin + Perjeta . CA2729 within normal range. Brain and Pet scans October 31st. will post results.
2013 October Brain MRI- mixed response. Will see Onc/rad on Halloween.
2013 October/November Brain-MRI nothing new. Repeat MRI next year in May.

2013 December Continue Herceptin and Perjeta. Stable at the moment.
2014 February Brain MRI -clear!
2014 January Added Taxotere to Perjeta+Herceptin.
2014 March Stopped chemo-chest ct-scan next.

2014- March Scans shows tumor's larger, CA2729 higher. Discontinue Herceptin.
2014 April Perjeta+ Halaven
2014 April CA2729 went down 60 points after one cycle. Cough does not want to go away.
2014 June Continue on Perjeta + Halaven-- no more cough. Stable
2014 June Back on Herceptin + abraxane
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Old 07-15-2007, 12:33 PM   #48
Adriana Mangus
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Thumbs up Navelbine + Herceptin

Dear Kate:

Ever since my recurrence in 2003 -mets to rt lung - everything seems under control with the above combo..I had a ct chest scan back in Feb.07 which showed the tumor was growing back,- less than 1cm- and went back to the same combination. Amazingly is working all over again...

No side effects for me, this drug is called vasicante? though, which can cause to some people extreme burns on the skin for it tends to go outside the vein, hence the burns on the skin. Maybe a port will do it.??

Ask your onc. I heard this is an effective combo for most patients with similar dx as yours and mine. With just two treatments the marker went down from 67.4 to 36...

Sending you positive vibes and a BIG BEAR HUG. Please keep us posted.
__________________
1994 - rt brst, .lump, underarm node dissection,chemo+rad 1.2 cms, Grade 3.
28 nodes neg
Er,Pr, Positive HER2 status unknown
2003- Recur to rt lung.July 16 ( B-Day!)
Her2+++ Er,Pr, Negative
2003 - Aug04--Navelbine + Herceptin
2004- 2007--
NED - Herceptin, only
2007 Feb-April Xeloda added to hereceptin
2007-May Back on Navelbine+Herceptin
2008-Feb-Mar 15 Ses Rad to Rt. Lung
2008- Oc 17 Add Tykerb to Herceptin
2009- June-- Discont Tykerb
2009 July 7--Current Taxol + Herceptin
2009 Dec--Discontinued treatment due to progression. Looking into cyberknife.
2010-Aug Accepted to TDM1, no SE, except liver count went up.
2010-2011 September got kicked out of the trial, due to a small spot found on lung.
2011- 2012 September thru early 2013 on Herceptin
2013- March Bone density shows small spot on 5th rib.
2013 - April 4th appt with onc. will post after discussing course of treatment.
2013-March-April Cyber knife to brain and radiation to rib. Chest --base line before chemo-CT-Scan stable for lung issue. CA2729 Normal.
2013 April Herceptin- TDMI
2013 Sept Herceptin + Perjeta . CA2729 within normal range. Brain and Pet scans October 31st. will post results.
2013 October Brain MRI- mixed response. Will see Onc/rad on Halloween.
2013 October/November Brain-MRI nothing new. Repeat MRI next year in May.

2013 December Continue Herceptin and Perjeta. Stable at the moment.
2014 February Brain MRI -clear!
2014 January Added Taxotere to Perjeta+Herceptin.
2014 March Stopped chemo-chest ct-scan next.

2014- March Scans shows tumor's larger, CA2729 higher. Discontinue Herceptin.
2014 April Perjeta+ Halaven
2014 April CA2729 went down 60 points after one cycle. Cough does not want to go away.
2014 June Continue on Perjeta + Halaven-- no more cough. Stable
2014 June Back on Herceptin + abraxane
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Old 07-15-2007, 01:18 PM   #49
Sherryg683
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Hi Kate, I emailed you personally but just to reply here in case others need the info. I was on Taxotere, Xeloda and Herceptin for 4 months for two small lung mets. I have been NED for 15 months now. I remain on Herceptin weekly and will do so indefinately. You are in my prayers and if you need anything else, please email me..sherryg
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Diagnosed: December , 2005 at age 44
13+ positive lymph nodes
Stage IV , Her2+, 2 small mets to lungsChemo Started: Jan, 2006
4 months Taxotere, Xeloda, Hercepin
NED since April 2006!!
36 Rads to follow with weekly Herceptin indefinately
8 years NED now
Scans every year

Life is not about avoiding the thunderstorms, it's about learning to dance in the rain!
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Old 07-15-2007, 03:38 PM   #50
anne2
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Thumbs down

Hi Kate,
I just read your post. I am sorry to hear about your progression. I remember meeting you last year and thought you were wonderful. I am sending courage and prayers for good health. I am sure you will find a combo to get you to NED again.
Hugs,
Anne
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Old 07-15-2007, 05:13 PM   #51
chrisy
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Oh Kate, My first reaction was WTF. I hate this!

But, I'm so impressed by your take no prisoners attitude. You are amazing! Your diligence will pay off and you will knock this back, I know it.

Kim in CT responded well with lung mets on Nabelbine/Herceptin..
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Chris in Scotts Valley
June 2002 extensive hi grade DCIS (pre-cancer-stage 0, clean sentinal node) Mastectomy/implant - no chemo, rads. "cured?"
9/2004 Diag: Stage IV extensive liver mets (!) ER/PR- Her2+++
10/04-3/05 Weekly Taxol/Carboplatin/Herceptin , complete response!
04/05 - 4/07 Herception every 3 wks, Continue NED
04/07 - recurrence to liver - 2 spots, starting tykerb/avastin trial
06/07 8/07 10/07 Scans show stable, continue on Tykerb/Avastin
01/08 Progression in liver
02/08 Begin (TDM1) trial
08/08 NED! It's Working! Continue on TDM1
02/09 Continue NED
02/10 Continue NED. 5/10 9/10 Scans NED 10/10 Scans NED
12/10 Scans not clear....4/11 Scans suggest progression 6/11 progression confirmed in liver
07/11 - 11/11 Herceptin/Xeloda -not working:(
12/11 Begin MM302 Phase I trial - bust:(
03/12 3rd times the charm? AKT trial

5/12 Scan shows reduction! 7/12 More reduction!!!!
8/12 Whoops...progression...trying for Perjeta/Herceptin (plus some more nasty chemo!)
9/12 Start Perjeta/Herceptin, chemo on hold due to infection/wound in leg, added on cycle 2 &3
11/12 Poops! progression in liver, Stop Perjeta/Taxo/Herc
11/12 Navelbine/Herce[ptin - try for a 3 cycles, no go.
2/13 Gemzar/Carbo/Herceptin - no go.
3/13 TACE procedure
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Old 07-15-2007, 05:13 PM   #52
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Want to add my best wishes and hope that you will be NED within a few months. This disease s--ks. God bless and EnJOY!!!
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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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Old 07-15-2007, 07:23 PM   #53
Val Pfeiffer
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Question Herceptin to be Proactive?????

Kate--
I agree--ask for the Herceptin this week (along with whatever other chemo drugs they will be combining it with--for example, I had Carboplatin and Taxol with my Herceptin). I was one of those people who never had a port--I'm still glad I didn't.

I think that since your sreum test showed your levels to be up that there isn't much question about your lung mets being Her2+ -- and we all know that the sooner that we can get the Herceptin in there, the sooner we can get rid of those mets :-)

Good luck!!!!!!!!

Val
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http://valleygirlvnp.blogspot.com/
Dx 11/04, Age 42, ER-/PR-, HER2+++
3 months weekly Herceptin, Taxol. Carboplatin
Significant tumor shrinkage
Mastectomy 3/05; Stage 3b, 9 cm tumor, 5/8+ nodes
3 more months weekly Herceptin, Taxol. Carboplatin
7/05 30 radiation treatments, IMRT planning approach
Started 1 year of Herceptin 9/05
9/06 Began quarterly triple doses Herceptin. Brain & breast MRIs semi annually.
* * * * * * * * * * * * * * * * * * * * * * * * * * *

6/08 Right breast, intraductal carcinoma, high nuclear grade associated with comedo necrosis; extensive diffusely involved the entire biopy specimen. ER+, PR-, Her2 unknown at this point, 07/08 mastectomy.
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Old 07-15-2007, 08:27 PM   #54
Bev
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So sorry Kate. These things always nake me angry too. I'm keeping the faith you'll find something that works. Keep us posted, Bev
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Old 07-16-2007, 06:04 AM   #55
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So sorry to hear about this Kate. But you are a fighter, and will kick this to the curb. Keep us posted.

All the best,
Caya
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ER90%+/PR 50%+/HER 2+
1.7 cm and 1.0 cm.
Stage 1, grade 2, Node Negative (16 nodes tested)
MRM Dec.18/06
3 x FEC, 3 x Taxotere
Herceptin - every 3 weeks for a year, finished May 8/08

Tamoxifen - 2 1/2 years
Femara - Jan. 1, 2010 - July 18, 2012
BRCA1/BRCA2 Negative
Dignosed 10/16/06, age 48 , premenopausal
Mild lymphedema diagnosed June 2009 - breast surgeon and lymph. therapist think it's completely reversible - hope so.
Reclast infusion January 2012
Oopherectomy October 2013
15 Years NED!!
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Old 07-16-2007, 09:32 AM   #56
Believe51
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Location: RHODE ISLAND (Ed getting me a latte on 2nd Cancerversary Cruise 2008) 'BELIEVE': To accept as true or real, To have faith in, To presume ALWAYS BELIEVE
Posts: 2,999
Hello My Sweet Friend!!

I am so sorry again to hear that you have joined the stage IV club, it is a place that I never wanted to see you. I know you will continue to fight like the 'Warrior' you are!! Since I joined the board originally in March of 2007, you have given us all the kind words we needed, the prayers we had to have and insight for the journey ahead. You supplied the inspiration and fearlessness determination we yearned for to go forward with our own fights!!

As you enter down a different path on your journey, I must let you know you shall not walk alone. My husband and I will be aside you in mind...always. Please always beckon on us when you need to vent, cry, scream, or laugh. It would be our pleasure to be able to give back to the gracious Angel that you are to us!! We could never come close to helping you the way you have helped us through, but we are willing to give it a shot!!

I wish I could go down to see you because I would hold you and let you know we shall be here indebited to you for a lifetime. I would hug you and whisper that you will always be secure in our hearts. We cannot treat your illness, but we can surely treat your heart and soul. Until we talk again I send those giant hugs anyway, laced with prayers and positive thoughts for your return to NED!! Hopefully Lovey, we can meet you there!!! Lets Race>>>BRING IT!!!

We Love You A Lifetime and then some!!

I still do and always will still BELIEVE!!!!!!!!

Waiting For A Miracle...and expecting one soon (..and for you too!!!) >>Believe51

PS: I KNOW WE TALKED BUT I WANTED TO KEEP THIS POST ALIVE SO YOU COULD GET MORE FEEDBACK!!!!
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9/7/06Husband 50yrs=StageIV IBC/HER2+,BoneMets10/06TaxotereX10,'H'1X wk,Zometa,Tamoxifen4/12/07Last Tax5/18/07Pet=Rapid Cell Activity,No Organ Mets,Lytic Lesions,Degeneration,Some Bone Repair5/07ChemoFail6/01/07Pleural Thoracentisis=Effusions,NoMalignantCells6/19/07+7/2/07DFCI
6/25/07BrainMRI=BrainMets,Many<9mm7/10/07WBR/PelvisRad37.5Gx15&Nutritionist8/19/07T/X9/20/07BrainMRI=2<2mm10/6/07Pet=BoneProgression
10/24/07ChemoFail11/9/07A/Cx10,EndTam12/7/07Faslodex12/10/07Muga7512/13/07BlasticLesions1/7/08BrainMRI=Clear4/1/08Pet=BoneImprovement,
NoProgression,Stable4/7/08BrainPerfect5/16/08Last A/C8/26/08BrainMets=10(<9mm)9/10/08Gamma10/30/08Met=5mm12/19/08Gamma5mets5
12/22/08SpinalMets1/14/09SpinalRads2/17/09BrainMRI=NoNewMets4/20/09BoneScan5/14/09Ixempra6/1/09BrainMRI=NumerousMets6/24/09DFCIw/DrBurstein6/26/09Continue
Ixempra/Faslodex/Zometa~TM now lower7/17/09Stop Ixempra By Choice9/21/09HOSPICE10/16/09Earned His Deserved Wings And Halo=37 Month Fight w/Stage 4 IBC, Her2+++,My Hero!!
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Old 07-16-2007, 10:09 AM   #57
saleboat
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Kate,

I'm just so sorry. This disease can be so cruel. I'm wishing you strength and courage in this next leg of your journey. And also a quick resolution to the question 'what do I do next?'

My best,
Jen
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dx 4/05 @ 34 y.o.
Stage IIIC, ER+ (90%)/PR+ (95%)/HER2+ (IHC 3+)
lumpectomy-- 2.5 cm 15+/37 nodes
(IVF in between surgery and chemo)
tx dd A/C, followed by dd Taxol & Herceptin
30 rads (or was it 35?)
Finished Herceptin on 7/24/06
Tamox
livingcured.blogspot.com

"Keep your face to the sunshine and you cannot see the shadow." -- Helen Keller
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Old 07-16-2007, 05:17 PM   #58
Heart Sutra
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Kate,
I just got home from work and Sue told me about your post. That sucks. Of course we're thinking about you and know that if information is of any help in all of this (and it certainly is) than you are one of the best equipped.
What can be said? You were of such great help to us when we first came here, and you continue to be.
We' re thinking of you.
-Kevin
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---Kevin and Sue---

Dx'd 10/06 IDC grade III/III
Er- pr- HER2 3+
MRM right breast 12/5/06
nodes negative
same day reconstruction started
(implants)
Stage II (2.2 cm tumor)
fairly extensive DCIS
Ct and Bone scans clean
Port placement 12/26/06
AC (4 cycles DD)to begin 1/2/07
Taxol/Taxotere (4 cycles DD)
Herceptin for one year

"There is no distinction between the one who gives, the one who receives, and the gift itself."- Hahn
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Old 07-17-2007, 06:13 PM   #59
tousled1
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Thank you

I want to thank everyone for their wonderful support at this time. You have provided me with a good bit of information that I can use in my discussion with my oncologist on Friday. That is when we will come up with a treatment plan. Thank you again and I will keep you posted.
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Kate
Stage IIIC Diagnosed Oct 25, 2005 (age 58)
ER/PR-, HER2+++, grade 3, Ploidy/DNA index: Aneuploid/1.61, S-phase: 24.2%
Neoadjunct chemo: 4 A/C; 4 Taxatore
Bilateral mastectomy June 8, 2006
14 of 26 nodes positive
Herceptin June 22, 2006 - April 20, 2007
Radiation (X35) July 24-September 11, 2006
BRCA1/BRCA2 negative
Stage IV lung mets July 13, 2007 - TCH
Single brain met - August 6, 2007 -CyberKnife
Oct 2007 - clear brain MRI and lung mets shrinking.
March 2008 lung met progression, brain still clear - begin Tykerb/Xeloda/Ixempra
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Old 07-17-2007, 09:13 PM   #60
jones7676
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I was diagnosed with lung mets in Dec. 05. I was retreated with chemo and there was a small amount of residual activity until Dec. 06 when my bc became very active again. Currently being treated with Xeloda and Tykerb and it seems to be working wonders on my lung as well as my bone mets (per pet/bone scan after 4 treatments). Hang in there! I hope whatever they come up with knocks them out.
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