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Old 01-10-2011, 09:03 PM   #1
candlegranny
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Test Results and visit to Doc today

Saw my oncologist today and got my test results. From PET/CT - NED!!! I do have scar tissue but that is normal with the masectomy he said. My MUGGA was 51. I am a little concerned. it was 62 last time. The doc said we need to watch the mugga, he said I have to have herceptin and he may have to send me to a cardiologist for meds so that i can continue herceptin until June. He said with the nodes i had involved, it is very important I continue herceptin. My husband is concerned about cardiac arrest! So I had herceptin today and will have another treatment in 3 weeks then have another MUGGA before i see doc again. he also said if i can get the herceptin in for one full year, then i will be the same as a person that was not Her 2. kind of confused me on that but i was concerned about the drop on the mugga i didnt ask questions on that note. Anyone else had anything like this?
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Mammogram Sep 21, 2009 everything good and clear
DX jan 19,2010 Invasive Ductal Carcinoma, Grade 2 Age 56
modified radical masectomy on LEFT side 29 Jan 2010
2.7 cm 18/31 nodes
mets to just above collar bone ( 2 nodes showed in PET)
ER- PR - / Her2 +++ (IHC) Stage 111 C
ki-67 60% nottingham score 7
A/C chemo mar 22,2010 DD
herceptin & taxotere DD june 1,2010
finished taxotere july 12, 2010
finished herceptin 16 May 2011
PET Scan 9 Aug 10, cancer in neck is gone! NED
33 Rads completed 1 Oct 2010
PET/CT Scan 6 Jan 2011 NED
PET/CT Scan 3 Aug 2011
MUGA 59% 3/22/10 -63% 9/23/10 - 51% 1/4/11 - 55% 2/17/11 - 50% 8/3/11
26 Aug 2011 NED
20 Feb 2012 NED
5 Mar 2012 PORT OUT
12 July 2012 DIEP breast reconstruction
23 Aug 2012 NED
15 Nov 2012 new breast tweeked and natural breast uplifted and implant added
17 Feb 2013 NED
27 mar 2013 lipo suction to add fat cells to new breast in hopes for needed adjustment.


"Don't spend your time worrying about when or how you are going to die, spend your time figuring out how you are going to live today". ~Elizabeth Edwards.
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Old 01-10-2011, 09:26 PM   #2
Mel3
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Re: Test Results and visit to Doc today

Hi Candlegranny,

You've been on my mind today and I'm glad to hear your news. I personally would not worry about the mugga yet. Mine was 55 a month ago and they told me it was within normal range. I'm still exercising several times a week, my heart feels very strong and I recover quickly with my heart rate. So happy you're doing well.
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Old 01-10-2011, 09:39 PM   #3
candlegranny
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Re: Test Results and visit to Doc today

Thanks Mel !! what kind of exercising do you do? i am not sure what i can do or should do. my arm has lymphedema and still pretty swollen. we do have the lower part of my arm to where it is getting normal size more times than not, but the upper part of my arm is still pretty big. My arm movement is getting tighter. I stretch my arm out and try to do things to stretch my breast muscle. i think it is getting tighter cause it is healing maybe? i have a spot about 1/2 inch wide and 3/4 inch long from radiaton that has to heal yet. almost there!! I go to a therapist 2 times a week for my arm. But have never discussed physical exercise with her.
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Mammogram Sep 21, 2009 everything good and clear
DX jan 19,2010 Invasive Ductal Carcinoma, Grade 2 Age 56
modified radical masectomy on LEFT side 29 Jan 2010
2.7 cm 18/31 nodes
mets to just above collar bone ( 2 nodes showed in PET)
ER- PR - / Her2 +++ (IHC) Stage 111 C
ki-67 60% nottingham score 7
A/C chemo mar 22,2010 DD
herceptin & taxotere DD june 1,2010
finished taxotere july 12, 2010
finished herceptin 16 May 2011
PET Scan 9 Aug 10, cancer in neck is gone! NED
33 Rads completed 1 Oct 2010
PET/CT Scan 6 Jan 2011 NED
PET/CT Scan 3 Aug 2011
MUGA 59% 3/22/10 -63% 9/23/10 - 51% 1/4/11 - 55% 2/17/11 - 50% 8/3/11
26 Aug 2011 NED
20 Feb 2012 NED
5 Mar 2012 PORT OUT
12 July 2012 DIEP breast reconstruction
23 Aug 2012 NED
15 Nov 2012 new breast tweeked and natural breast uplifted and implant added
17 Feb 2013 NED
27 mar 2013 lipo suction to add fat cells to new breast in hopes for needed adjustment.


"Don't spend your time worrying about when or how you are going to die, spend your time figuring out how you are going to live today". ~Elizabeth Edwards.
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Old 01-10-2011, 10:00 PM   #4
Mel3
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Re: Test Results and visit to Doc today

I have some lymphedema but mostly in my back. I'm in the middle of radiation treatments right now so I'm noticing some swelling in my arm. I am wearing my sleeve more than I did before and I'm seeing a physical therapist once a week. My exercise is mostly cardio machines and walking. I also do pilates and I just started a yoga class last week. I believe the exercise has kept me strong throughout treatment. With all the cardio I have been doing I expected the mugga to be higher. I don't know how much difference 4 points means.
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Old 01-10-2011, 10:02 PM   #5
Jackie07
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Re: Test Results and visit to Doc today

There were a couple of thread discussing about how to improve the MUGA score (related to the heart ability to pump blood) Below is one of them:

http://her2support.org/vbulletin/sho...&highlight=LVF
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http://www.kevinmd.com/blog/2011/06/doctors-letter-patient-newly-diagnosed-cancer.html
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Old 01-11-2011, 05:23 AM   #6
Pam P
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Re: Test Results and visit to Doc today

Great news on the scan. You are doing well in managing the lymphedema - for me it was harder in the beginning to get it under control and now I can usually manage it fairly well. I hope the muga numbers continue to allow you to get uninterrupted herceptin. Pam
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6/01 IBC er+ her2+stage IIIb; mastecomy
7/01 AC, taxol; radiation
2/02 tamoxifen
9/02 stage IV bone mets femara
1/03 taxotere/herceptin/aredia
6/03 herceptin, aredia & faslodex
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2/05 herceptin/aredia
7/05 xeloda/herceptin/aredia
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Old 01-11-2011, 05:50 AM   #7
Sheila
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Re: Test Results and visit to Doc today

The cardiologist put me on Coreg 2x a day and lisinopril 1x a day to strengthen my heart so i can continue Herceptin...so far so good, I have been on it 8 years!
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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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