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Old 11-28-2007, 07:08 PM   #1
Carol H
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Join Date: Mar 2006
Location: County Cavan, Republic of Ireland
Posts: 19
I am bak and still alive(just)

its been an amazing year - the last time I posted a thread on this site I was moving myself and my family to Ireland where my husband is originally from to save my life and get surgery that was denied in Scotland. With the tremendous help and support from members of this website I was able to do the impossible and sell our house in Scotland and move to Ireland, buy a house, get the kids settled in school and receive treatment here in Ireland.

Tricia is someone I met on this site and she has been an absolute Angel - without her help none of this would gave happended and without access to this support site I would not still be alive.

I moved on 6th Dec 2007 on a very rocky ferry journey with my pet pussycat in a cage in the lower deck, my husband, son and daughter - no ;#looking back - house sold inScotland, and moving in with my sister in law for a few months until House sale in Ireland processed and Derek (my husban) had to return to Ireland to sort out his work redundancy - I start to deteriorate rapidly each day with the brain mets - admitted to hospital in Dublin for observation then major brain surgery - they were only able to remove some of the tumour - receovery os a nightmare - didn't see my children for 2 whole weeks - spent xmas day eating scrambled eggs with no visitors as the ward was closed due to winter flu bug in hospital = then followed a weeks treatment of whole head radiotherapy and since then usual 3weekly Herceptin and 6 weekly Zometa.

Everything was going fine until recent scans have showed Brain Tumour growing again anf symptoms I have been having dizziness, headaches hearing problems in left side(where tumour) is - main reason for moving to Ireland was to get access to Tykerb/Xeloda trilas and surgery wasn't an option in Scotland so would have been dead if I had stayed there and the family support here is much much better and I will have peace of mind that my son and daughter will be ok when I am gone.

I have my dream house no in the countryside in Ireland with all my relatives within walking distance or only an hours drive or so to Dublin - Children have settled into school amazingly and my husband has a job now and everyone is very very happy and settled.

However was told yesterday that the brain tumour is very aggressive and growing quickly - do not meet all requirements to get on Tykerb trial as bone and brain mets too difficult to measure apparently but my consultant - an amzing man - Professor John Crown = has promised me that in Jan 2008 Tykerb will be licenced and he will get me access to Tykerb and Xeloda = but very worried that being left untreated until is risky and may be too late by January.

My consultant Radiotherapist said he was willing to arrange additional Radiotherapy in my brain(specifically where the tumour is) so meeting with Prof Crown next Monday to discuss my current options - they have stopped giving me Herceptin as its obviously not working - but maybe it is as my liver and lungs are still clear of cancer so will ask him maybe I should ask to stay on Herceptin on it until I start Tykerb and why not start me on the chemo Xeloa(capcitebine) as I know I am eligible to receive this along with some zaps of radiotherapy to the brain might keep the cancer at bay until Tykerb available - also bone mets quite bad in left legand received 4 daily dozes of Radiotherapy 3 wks ago but to be hinest the pain has returned and getting worse again this week so will have to make Prof Crown aware of this - maybe Radio didn;t work in leg or it takes a few weeks to kick in - have increased my steroid intake for now to alleviate and control my brain mets symptoms and take morphine regularly for bone pain, bone mets in rib cage quite painful.

Well thats where I am at present - sorry it was a bit long winded but I just wanted to thank you all so much - had problems getting access to Internet then forgot then remembered my passwords etc for this site and have read all of your marvelous replies to Tricias emails - you are all so wonderful and any advice/tips for Mondays meeting with Prof Crown much appreviate - thank you all again for being there for me.
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Old 11-29-2007, 01:27 AM   #2
Belinda
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Carol - all the best to you.It's must be frightening to have to deal with this, and it just isn't fair that Tykerb is not available. I wish you well.. Belindax
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Belinda
  • Diagnosed 3 Jan 2007, Stage IIb, Mastectomy and axillary clearance 10 Jan 07, 6 of 19 nodes affected, multi-focal cancer, HER2 positive. Second mastectomy (prophylactic). Chemo - AC 3 months, Taxol 3 months - then radiation 5 weeks.
  • Aug 2011 - Diagnosed with Stage IV mets to lung, sternum and 12 or so thoracic nodes - Rads to Sternum, then weekly abraxane and herceptin for 12 weeks.
  • May 2012- good scans - all nodes still about normal size, hole in sternum repairing, lung tumour 'obliterated'.
    Ongoing herceptin every 3 weeks. Bloods still all good! Life good!
  • March 2013 - recurrence - tumours in lungs and mediastinum (coughing up blood) - immediate radiation treatment to right lung and mediastinum, still on Herceptin, and 3 months of Vinoralbine - stable for a little while!
  • Coughing and breathlessness started again September 2013, treated as radiation-induced fibrosis (which can be seen on scans - albeit stable). ie puffers, steroids
  • January 2014 - cough becomes bloody again, scans show big mediastinal tumour wrapped around and choking the life out of my right main bronchus, radiation deemed off limits as my lungs are hypersensitive to radiation (measured by existing damage from 2013) .....................- ie I am in the 5% of people likely to suffer severe radiation damage to the lungs that they warn you about before starting treatment! (so special! :) )
  • Started chemo Feb 2014 - continuing Herceptin (continuous since Aug 2011), with Carboplatin and Gemcitabine. Discontinued Gemcitabine because of se's. Starting cycle 5 Herc/Carbo 5 May 2014.
  • Meantime.....coughing and breathlessness increased to SCARY levels with racing heartbeat that won't slow down, breath that won't come back, even just walking to the bathroom or up 3 or 4 steps.
  • ICU from May 5 2014, collapsed right lung due to tumour, small pulmonary embolism (left), tumours growing in mediastinum left and right, dvt lower right leg
  • Plan seems to be bronchoscope next week to see if tumour can be lasered and stent inserted in right bronchus to reopen air access to lower parts of right lung. If that is successful might be able to have brachytherapy to worst tumour, otherwise no more options for external radiotherapy.
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Old 11-29-2007, 05:58 AM   #3
tousled1
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Carol,

Glad to hear that everyone is settled in Ireland. I can understand your anxiety about waiting until January when Tykerb will be available. Was wondering if you might be able to get it on a compassionate use?
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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 11-29-2007, 07:04 AM   #4
mts
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Carol,

Your ability to keep a step ahead is amazing. You have been through quite a bit and seems like everyone getting "settled" was your priority and lets face it- a positive, huge peace of mind issue for many of us.

I will hope that Christmas comes early for you so you can get the Tykerb.

My best thoughts are with and your very supportive family. In many ways you are lucky to have such willing participants in this journey.

My warmest wishes for a cozy Christmas !

Maria
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Old 11-29-2007, 04:21 PM   #5
Becca
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Carol,

Glad to hear you are settled in your new home, close to relatives. I have thought of you during this past year, hoping you were doing well. So far Tykerb/Xeloda has helped me. Starting the Xeloda soon, then the Tykerb in January may be a good option for you.

I had radiation to my hips over 4 mos ago. The pain and my hobble got worse during the treatments and continued for several weeks. I thought the treatments did not work. However, gradually I have had improvement. Now I walk almost normal and have infrequent pain. Hopefully, you will have improvement as the weeks pass. Sorry the pain is so bad for you. Thinking and praying for you.

Becca
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Old 11-29-2007, 06:25 PM   #6
BonnieR
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I identified with your comments about feeling "settled" in your home. I was diagnosed while our house was being remodeled and we lived in a rental. It was only on the next block, not another country, but I felt so displaced and miserable to not be "home" while I was having surgery, beginning chemo, etc. So I am really happy for you (and me too!) that we are settled and can concentrate on getting well.
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Post menopause
May 2007 Core biopsy, Rt breast
ER+, Pr-, HER2 +++, Grade 3
Ki-67: 90%
"suspicious area" left breast
Bilateral mastectomy, (NED on left) May 2007
Sentinel Node Neg
Stage 1, DCIS with microinvasion, 3 mm, mostly removed during the biopsy....
Femara (discontinued 7/07) Resumed 10/07
OncoType score 36 (July 07)
Began THC 7/26/07 (d/c taxol and carboplatin 10/07)
Began Herceptin alone 10/07
Finished Herceptin July /08
D/C Femara 4/10 (joint pain/trigger thumb!)
5/10 mistakenly dx with lung cancer. Middle rt lobe removed!
Aromasin started 5/10
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Old 11-30-2007, 06:36 PM   #7
dhealey
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Location: moved to Lancaster, Pa in June, 2010
Posts: 576
Carol, You have a had a bumpy year! Glad you are settled near family and in a home. Praying for a miracle for you as an early Christmas present. Will pray you get into the Tykerb trial before January. I know it's hard, but keep a positive attitude. You sound like a very strong woman. May God Bless you and your family.
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Debbie in North Carolina
Diag 10/2006-high grade invasive ductal carcinoma- mastectomy L breast
2.5 cm tumor ER/PR pos-Her2+++
4 rounds A/C, 4 rounds Taxol
Herceptin every 3 weeks until Jan. 2008
6/18/07 prophylatic mastectomy R breast
8/2007 started aromasin/stopped arimidex (side effects)
12/07 stopped aromasin due to side effects (now what?)
Finished herceptin 1/8/08
started tamoxifen for 2 years then will switch to femera
allergic to tamoxifen started femera 4/2008
June 20, 2008 portacath removed
Learnig to live life to the fullest!
Stopped Femera due to side effects
July 28, 2008 start trial for breast cancer vaccine
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Old 11-30-2007, 06:48 PM   #8
hutchibk
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Wow - that's some fortitude, girl! I started my Xeloda first for 3 weeks while I waited for the Tykerb to be approved, and I think it was a good way to ease into it, I have had very little side effect from the combo... and since they both cross the blood brain barrier, you can hopefully get some help from the Xeloda alone while waiting for the Tykerb. Best of luck and God's speed in your wait to get the Tykerb! In my case, T/X has erased my small brain mets without any radiation. I know everyone is different, but I am so very lucky and blessed that this combo has worked so well for me!
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Brenda

NOV 2012 - 9 yr anniversary
JULY 2012 - 7 yr anniversary stage IV (of 50...)

Nov'03~ dX stage 2B
Dec'03~
Rt side mastectomy, Her2+, ER/PR+, 10 nodes out, one node positive
Jan'04~
Taxotere/Adria/Cytoxan x 6, NED, no Rads, Tamox. 1 year, Arimadex 3 mo., NED 14 mo.
Sept'05~
micro mets lungs/chest nodes/underarm node, Switched to Aromasin, T/C/H x 7, NED 6 months - Herceptin only
Aug'06~
micro mets chest nodes, & bone spot @ C3 neck, Added Taxol to Herceptin
Feb'07~ Genetic testing, BRCA 1&2 neg

Apr'07~
MRI - two 9mm brain mets & 5 punctates, new left chest met, & small increase of bone spot C3 neck, Stopped Aromasin
May'07~
Started Tykerb/Xeloda, no WBR for now
June'07~
MRI - stable brain mets, no new mets, 9mm spots less enhanced, CA15.3 down 45.5 to 9.3 in 10 wks, Ty/Xel working magic!
Aug'07~
MRI - brain mets shrunk half, NO NEW BRAIN METS!!, TMs stable @ 9.2
Oct'07~
PET/CT & MRI show NED
Apr'08~
scans still show NED in the head, small bone spot on right iliac crest (rear pelvic bone)
Sept'08~
MRI shows activity in brain mets, completed 5 fractions/5 consecutive days of IMRT to zap the pesky buggers
Oct'08~
dropped Xeloda, switched to tri-weekly Herceptin in combo with Tykerb, extend to tri-monthly Zometa infusion
Dec'08~
Brain MRI- 4 spots reduced to punctate size, large spot shrunk by 3mm, CT of torso clear/pelvis spot stable
June'09~
new 3-4mm left cerrebellar spot zapped with IMRT targeted rads
Sept'09~
new 6mm & 1 cm spots in pituitary/optic chiasm area. Rx= 25 days of 3D conformal fractionated targeted IMRT to the tumors.
Oct'09~
25 days of low dose 3D conformal fractionated targeted IMRT to the bone mets spot on rt. iliac crest that have been watching for 2 years. Added daily Aromasin back into treatment regimen.
Apr'10~ Brain MRI clear! But, see new small spot on adrenal gland. Change from Aromasin back to Tamoxifen.
June'10~ Tumor markers (CA15.3) dropped from 37 to 23 after one month on Tamoxifen. Continue to monitor adrenal gland spot. Remain on Tykerb/Herceptin/Tamoxifen.
Nov'10~ Radiate positive mediastinal node that was pressing on recurrent laryngeal nerve, causing paralyzed larynx and a funny voice.
Jan'11~ MRI shows possible activity or perhaps just scar tissue/necrotic increase on 3 previously treated brain spots and a pituitary spot. 5 days of IMRT on 4 spots.
Feb'11~ Enrolled in T-DM1 EAP in Denver, first treatment March 25, 2011.
Mar'11~ Finally started T-DM1 EAP in Denver at Rocky Mountain Cancer Center/Rose on Mar. 25... hallelujah.

"I would rather be anecdotally alive than statistically dead."
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Old 12-01-2007, 02:47 PM   #9
Vanessa
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Posts: 624
You are very courageous and strong. I am hoping that you receive the Tykerb early and can be on your way to recovery. I agree with tousled, maybe you can get it on a compassionate basis. So glad that you are all moved and settled in. I could not do all that moving while I am doing tx. Best wishes and warm hugs.
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Old 12-03-2007, 07:41 AM   #10
MJo
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Posts: 1,126
RE: still alive (Just)

We are all above ground today, thankfully. Thank you for reminding me how precious each day is. I will pray that you get that Tykerb ASAP! Merry Christmas and a happy, healthy New Year.
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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 12-03-2007, 10:48 AM   #11
Caroline UK
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Location: London, England
Posts: 96
Hang in there Carol

Hi, Carol, I was stunned to read your story. What a lot you've been through, and I'm really glad that you found support here. This truly is a great place with the best kind of help, from others who can identify with your troubles AND give you important, even maybe life-saving information.
I live in London and I'm sending you best wishes and a hug or three across the Irish Sea.
Wishing you the very best of luck with it all
Caroline
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Caroline
Diag. March 10th 2006, aged 46.
Invasive ductal carcinoma, 2cm + multifocal. Stage 2, Grade 3
HER2+++, ER+/PR+
Right mast. May 2006. 6 of 20 nodes positive
FEC x 4, taxotere x 4; port implanted after 6 cycles
Rads x 25
1 year of Herceptin ended Nov 07.
Arimidex 5 years

Considering reconstruction, maybe soon...
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