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Old 01-29-2013, 12:23 PM   #1
Mtngrl
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An Unexpected Benefit from Treatment

I am getting Herceptin (Trastuzumab) and Tykerb (Lapatanib) to treat my metastatic HER-2 positive breast cancer. It is controlling the cancer very well so far, but I happened to notice something else. I used to get eczema on the palms of my hands, especially in the winter. It would start with little blister-like bumps that would crack open and flake off, leaving sore, raw skin underneath that would sometimes bleed. A month or two ago I realized I haven't had eczema since I began cancer treatment.

There's more, though. The first symptom that caused me to seek a diagnostic mammogram was that exact same thing happening to my left nipple. It was, in fact, diagnosed by a dermatologist as eczema, and it responded brilliantly to the tiny tube of prescription ointment that he gave me.

HER-2 is a skin protein. Our type of breast cancer causes overexpression of this protein.

One of my daughters has a masters degree in biomedical science policy and advocacy. When I told her I seem to have stumbled upon an expensive cure for eczema she told me there's an eczema drug in development with either a "mab" or "nib" suffix. (She told me which one, I just can't remember what she said.)
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4/19/11 Diagnosed invasive ductal carcinoma in left breast; 2.3 cm tumor, 1 axillary lymph node, weakly ER+, HER2+++
4/29/11 CT scan shows suspicious lesions on liver and lungs
5/17/11 liver biopsy
5/24/11 liver met confirmed--Stage IV at diagnosis
5/27/11 Begin weekly Taxol & Herceptin for 3 months (standard of care at the time of my DX)
7/18/11 Switch to weekly Abraxane & Herceptin due to Taxol allergy
8/29/11 CT scan shows no new lesions & old lesions shrinking
9/27/11 Finish Abraxane. Start Herceptin every 3 weeks. Begin taking Arimidex
10/17/11--Brain MRI--No Brain mets
12/5/11 PET scan--Almost NED
5/15/12 PET scan shows progression-breast/chest/spine (one vertebra)
5/22/12 Stop taking Arimidex; stay on Herceptin
6/11/12 Started Tykerb and Herceptin on clinical trial (w/no chemo)
9/24/12 CT scan--No new mets. Everything stable.
3/11/13 CT Scan--two small new possible mets and odd looking area in left lung getting larger.
4/2/13--Biopsy of suspicious area in lower left lung. Mets to lung confirmed.
4/30/13 Begin Kadcyla/TDM-1
8/16/13 PET scan "mixed," with some areas of increased uptake, but also some definite improvement, so I'll stay on TDM-1/Kadcyla.
11/11/13 Finally get hormone receptor results from lung biopsy of 4/2/13. My cancer is no longer ER positive.
11/13/13 PET scan mixed results again. We're calling it "stable." Problems breathing on exertion.
2/18/14 PET scan shows a new lesion and newly active lymph node in chest, other progression. Bye bye TDM-1.
2/28/14 Begin Herceptin/Perjeta every 3 weeks.
6/8/14 PET "mixed," with no new lesions, and everything but lower lungs improving. My breathing is better.
8/18/14 PET "mixed" again. Upper lungs & one spine met stable, lower lungs less FDG avid, original tumor more avid, one lymph node in mediastinum more avid.
9/1/14 Begin taking Xeloda one week on, one week off. Will also stay on Herceptin and Perjeta every three weeks.
12/11/14 PET Scan--no new lesions, and everything looks better than it did.
3/20/15 PET Scan--no new lesions, but lower lung lesions larger and a bit more avid.
4/13/15 Increasing Xeloda dose to 10 days on, one week off.
7/1/15 Scan "mixed" again, but suggests continuing progression. Stop Xeloda. Substitute Abraxane every 3 weeks starting 7/13.
10/28/15 PET scan shows dramatic improvement everywhere. All lesions except lower lungs have resolved; lower lungs noticeably improved.
12/18/15 Last Abraxane. Continue on Herceptin and Perjeta alone beginning 1/8/16.
1/27/16 PET scan shows cancer is stable.
5/11/16 PET scan shows uptake in some areas that were resolved on the last two scans.
6/3/16 Begin Kadcyla and Tykerb combination
6/5 - 6/23 Horrible diarrhea from K&T together. Got pneumonia.
7/15/16 Begin Kadcyla only every 3 weeks.
9/6/16 Begin radiation therapy on right lung lesion that caused the pneumonia.
10/3/16 Last of 12 radiation treatments to right lung.
11/4/16 Huffing and puffing, low O2, high heart rate, on tiniest bit of exertion. Diagnosed as radiation pneumonitis. Treated with Prednisone.
11/11/16 PET scan shows significant improvement to radiated part of right lung BUT a bunch of new lung lesions, and the bone met is getting worse.
11/22/16 Begin Eribulin and Herceptin. H every 3 weeks. E two weeks on, one week off.
3/6/17 Scan shows progression in lungs. Bone met a little better.
3/23/17 Lung biopsy. Tumor sampled is ER-, PR+ (5%), HER2+++. Getting Herceptin and Perjeta as a maintenance treatment.
5/31/17 Port placement
6/1/17 Start Navelbine & Tykerb
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Old 01-29-2013, 01:07 PM   #2
Lani
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Re: An Unexpected Benefit from Treatment

other cancer patients have noted improvements in their allergies. It may be that cancer (her2+ breast cancer in particular) does a number on their immune systems (or that the immune abnormality allows development of the breast cancer in the first place) so it may have to do with other things besides the fact that her2 is a receptor for epidermal growth factor. (It could be both factors and others besides)

Please add this to the long thread under Herceptin/tykerb on side effects/beneficial effects of herceptin so others can benefit from having all this info in one place!

Thanks!
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Old 01-29-2013, 01:55 PM   #3
Mtngrl
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Re: An Unexpected Benefit from Treatment

Lani--

Thanks for your feedback, and the suggestion to copy the thread to this forum.

I realize I'm not qualified to say what causes eczema or cancer, or speculate about why the drugs I'm on seem to be controlling both my cancer and my eczema. It could all be coincidental. But it's interesting.

Amy
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Old 01-29-2013, 05:25 PM   #4
KaiM
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Re: An Unexpected Benefit from Treatment

Hi Amy,
It is interesting indeed! We share the same cancer subtype and I am on the same treatment as you and responding well too! I used to suffer from psoriasis, but have not had a single flair up since my cancer treatment began. But I do suffer from overly dry, flaky feet now and very brittle nails.... go figure.
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9/11 - dx 3 mnths after giving birth to my 2nd child. (not a clogged milk duct) ER/PR- HER2+++
10/11 - Initially staged at 2b after unilateral mastectomy
11/11 - CT scan 4 weeks later found spots on bones and liver (crap!) Stage 4
12/11 - starting TCH
5/12 - STABLE. stoping TCH after 6 months and continuing Herceptin with Tykerb and Xgeva
8/12 - STABLE, but I'm calling it NED because all they see is bone scaring!
11/12 - STABLE
2/13 - STABLE
6/13 - STABLE
9/13 - STABLE
12/13 - STABLE
3/14 - STABLE
6/14 - STABLE
9/14 - STABLE
12/14 - STABLE
...Continue Herceptin and daily Tykerb and scans every 4 months
1/16 - STABLE
11/18 - Five level spinal fusion from collapsing vertebrae due to spinal Mets/radiation
12/19 - STABLE
Mom to Audrey (12 yrs) and Hudson (8)

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Old 02-04-2013, 09:35 PM   #5
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Re: An Unexpected Benefit from Treatment

I have neuropathy from Herceptin and sometimes my feet feel like blocks of ice. Still, I am grateful to be in treatment and have the chance to be NED. I am currently getting daily radiation and weekly Herceptin. I REALLY FEEL the Herceptin when it is going through my veins. Have always been sensitive to chemicals anyway. Still I am grateful for the hope that Herceptin treatment gives to us. Radiation will end the last week of February and Herceptin will go on until August. I am hoping to be in a clinical trial for HER2+ vaccination next summer.
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12/1/11 found lump in right breast
12/4/11 needle biopsy
12/14/11 core biopsy
came back positive for HER2 +, grade 3
1/4/12 lumpectomy, no metric stats at hand; lump was > 2 inches, + borders. 19 nodes removed, 17 positive
staph infection 2X
second opinion, www.carolinabreast.com.

March 12th - Adriamycin & Cytoxan every three weeks 4 cycles.

July 2 through October 8th - taxol and Herceptin every week with two cycles every other week.

October 22nd - 50 mgs. Benedryl & 600 mgs. Herceptin, was going to be every three weeks, but 600 mgs kicked my butt so now I get 200 mgs every week, through August 2013.

November 16, 2012, succesful simple bilateral mastectomy

December 26, 2012, began radiation. Side effects there, too. Sheesh. :-)
February 1, 2013, radiation ended.

August 1, 2013, last day of Herceptin

September 6, 2013, CT, found 2 cysts in lower abdomen. Nuclear bone scan clear!

September 13, 2013, sonogram checking those cysts -
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Old 02-11-2013, 08:54 PM   #6
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Re: An Unexpected Benefit from Treatment

Interesting!

I used to always attribute better skin to chemo and thought it was like a 'chemical peel'. The Herceptin effect certainly makes sense.
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