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Old 02-02-2008, 12:43 PM   #1
Mary Jo
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A question....

Hi everyone,

I have a question for you all. When I last met with my radiation oncologist for a check up we talked about cancer recurrence and where it most likely occured first. I told him my greatest fear was cancer spreading to my brain and knew that her2 positive breast cancers like to go to the brain. He told me that for me to have a recurrence in my brain first was very unlikely. He preceded to tell me how breast cancer typically recurs and stated that it almost always goes somewhere else BEFORE it goes to the brain.

I don't really know for those of you who have brain mets if it went their first or not. I'm just curious if any of you who were diagnosed with brain mets as a recurrence had the recurrence their first and not someplace else in your body.

Thank you and so glad you are all here to ask these questions too.

Love & Peace,

Mary Jo

"Don't count your days but make each day count"
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"Be still and know that I am God." Psalm 46:10

Dx. 6/24/05 age 45 Right Breast IDC
ER/PR. Neg., - Her2+++
RB Mast. - 7/28/05 - 4 cm. tumor
Margins clear - 1 microscopic cell 1 sent. node
No Vasucular Invasion
4 DD A/C - 4 DD Taxol & Herceptin
1 full year of Herceptin received every 3 weeks
28 rads
prophylactic Mast. 3/2/06

17 Years NED

<>< Romans 8:28
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Old 02-02-2008, 12:56 PM   #2
Faith in Him
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Hi Mary Jo,

My Onc. has told me the same thing. That the cancer would appear somewhere else in the body before going to the brain. I sure you will get the correct answer shortly.

Hugs
Tonya
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DX 02/01/07
2.5 cm, Er/Pr-, Her2+++
18/20 Nodes
03/07 CT & Bone scan - Clear
AC x 4, Taxol x 4, Added Herceptin
Radiation until 09/07
Herceptin every 3 weeks until 06/08
01/10/08 local recurrence -IBC
01/28/08 CT & Brain MRI - clear
02/08 - Navelbine & Herceptin
05/08 -MRM
05/08 - Gemzar & Herceptin - didn't work
09/08 - Hyperthermia rads
03/09 - Tykerb/Xeloda
05/10 - Tram flap to fix wound
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Old 02-02-2008, 01:34 PM   #3
Mary Anne in TX
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But didn't Christine's go to the brain first?
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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 02-02-2008, 01:46 PM   #4
Mary Jo
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Hi Mary Anne,

Her mets were to the chest and brain in 1999, at least according to what her signature says. So, therefore it was in one other place. I'm curious if anyone has ever had a recurrence to the brain but not to any other organ or area.

Thanks Mary Anne......................

Mary Jo
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"Be still and know that I am God." Psalm 46:10

Dx. 6/24/05 age 45 Right Breast IDC
ER/PR. Neg., - Her2+++
RB Mast. - 7/28/05 - 4 cm. tumor
Margins clear - 1 microscopic cell 1 sent. node
No Vasucular Invasion
4 DD A/C - 4 DD Taxol & Herceptin
1 full year of Herceptin received every 3 weeks
28 rads
prophylactic Mast. 3/2/06

17 Years NED

<>< Romans 8:28
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Old 02-02-2008, 02:02 PM   #5
Karen W
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I think you are right Marejo... Christine had mets in her lungs and brain.
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Old 02-02-2008, 02:10 PM   #6
caya
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My oncologist also said that while it is possible to go to the brain first (anything is possible), it is not common. He told me that if I recurred, the order would most likely be 1- lungs, 2-bones, 3-organs, 4-brain. But he's given me an over 90% chance of the beast NOT recurring, - and I'm with him.

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 02-02-2008, 02:36 PM   #7
Alice
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Hi,

The way my onc described it to me was that the spread was not that it went to the brain more or first, than other breast cancers, that we are now more likely to have erradicated the systemic disease even before it is detected and that Herceptin as it does not cross the blood brain barrier, leaves our brain the least protected. Simply the reason there are more incidences of brain mets is due to the cancer not killing us via lungs, liver, bones first. It is still a heck of a lot better than the chances before Herceptin and now with some of the new drugs that cross over there is much to be excited about.
Alice
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Old 02-02-2008, 04:54 PM   #8
micheleu
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Mary Jo,
you've already made it past the most critial time frame.. the first 2 years!! I was always afraid of that also..esp when i had 35 pos nodes to deal with in my thoughts.
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Old 02-02-2008, 05:03 PM   #9
tricia keegan
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Mary Jo, a dear her2 sister of our's Carol from Dundee whoi I'm in touch with had mets to bone first and then brain so this may be right. I'll be interested to see the replies myself to your thread.
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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!
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Old 02-02-2008, 08:39 PM   #10
Bill
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Hey Marejo! My wife Nicola, had liver mets first, then the brain mets. Before she got the brain mets, she did alot of research here and elsewhere on brain mets, and wasn't really afraid of them, because usually a round of whole brain radiation eradicates them most of the time, and if not, the gammaknife or cyberknife rads. usually take care of the one or two defiant tumours. From what I've seen and heard over the last few years, mets typically occur elsewhere before the brain. Like my friend says, "Don't borrow trouble". Warm wishes, Bill
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