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Old 05-03-2012, 07:17 PM   #38
chrisy
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Join Date: Sep 2005
Location: Central Coast, CA
Posts: 3,207
Re: Treatment Question

Greg,

Phil said a lot. All true.

There are lots of options, and this should be a very exciting year for her2 agent approvals.

One word about trial stats....they represent data points over everyone in the trial. It is also the MEDIAN, half the people had pfs of less tha 4 months , half had longer pfs. The lower "half" includes people who did not respond at all, while the upper half usually includes responders who have much, much longer..

My point is, statistics do not reflect how any individual will respond. So don't get hung up on "this will only buy us 4 months". Picture yourself on the far right tail of the curve. If you have not read it, I highly recommend "the median is not the message". You can googl it easily

It's hard not to second guess and play "what if?". You just have to do the best you can to do the research, align yourself with a top cancer center (most local oncologists are happy to work and play with these top researchers) , fight for what you think is best, and make the best choices you can. Easy, huh?

But I really second Phil's recommendation of having a relationship with a top onc, at a top research hospital, with expertise in your situation. Phil's righ on in his comments there - they have access to all the research going on, even unreported stuff, and can offer many options that are not available except at a large research facility.

Hang in there.
__________________
Chris in Scotts Valley
June 2002 extensive hi grade DCIS (pre-cancer-stage 0, clean sentinal node) Mastectomy/implant - no chemo, rads. "cured?"
9/2004 Diag: Stage IV extensive liver mets (!) ER/PR- Her2+++
10/04-3/05 Weekly Taxol/Carboplatin/Herceptin , complete response!
04/05 - 4/07 Herception every 3 wks, Continue NED
04/07 - recurrence to liver - 2 spots, starting tykerb/avastin trial
06/07 8/07 10/07 Scans show stable, continue on Tykerb/Avastin
01/08 Progression in liver
02/08 Begin (TDM1) trial
08/08 NED! It's Working! Continue on TDM1
02/09 Continue NED
02/10 Continue NED. 5/10 9/10 Scans NED 10/10 Scans NED
12/10 Scans not clear....4/11 Scans suggest progression 6/11 progression confirmed in liver
07/11 - 11/11 Herceptin/Xeloda -not working:(
12/11 Begin MM302 Phase I trial - bust:(
03/12 3rd times the charm? AKT trial

5/12 Scan shows reduction! 7/12 More reduction!!!!
8/12 Whoops...progression...trying for Perjeta/Herceptin (plus some more nasty chemo!)
9/12 Start Perjeta/Herceptin, chemo on hold due to infection/wound in leg, added on cycle 2 &3
11/12 Poops! progression in liver, Stop Perjeta/Taxo/Herc
11/12 Navelbine/Herce[ptin - try for a 3 cycles, no go.
2/13 Gemzar/Carbo/Herceptin - no go.
3/13 TACE procedure
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