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Old 08-08-2011, 10:48 AM   #1
michka
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Join Date: Feb 2007
Location: Paris, France
Posts: 858
CA15.3, must I change?

Hello to all. I know CA.15.3 markers are not very reliable. However, they allowed me to detect my metastasis. They were at 25 for years and went to 28 and then 32 end 2010. I asked for a Pet/Scan and although my onc thought it was for nothing he accepted.
Since my liver resection in March these markers were always around 36 or 38. I didn't like that because I thought that if Navelbine worked the markers should go down back to 25. My liver MRI is clear so my onc is satisfied and I continue on Navelbine although I am having a hard time.
Now the CA15.3 are 44. I know it is a small increase but in my case it may be significant.
My next Pet/Scan is on September 7th.

My question: should I try switching to Tykerb/Xeloda for example to see if it impacts the markers or stick to Navelbine and wait to see if another metastasis showed up?
Other question I already asked but...should I add an anti estrogen like Faslodex? My onc does not like the idea. He thinks it could be antagonist with the chemo.

Any opinion is welcome. 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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