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				Stage 4 after 2 yrs being stage 2
			 
 I am looking for advice on treatment from any stage 4 women.  I was just diagnosed with a pituitary tumor(her2/ER+) and a spot on liver and C7 vertebrae.  I meet with my MO on Wed and would like to go in informed.  He suggested on the phone we will do Herceptin/Perjeta/and something else. I am looking for suggestions on that something else!  Anyone use Kadcyla?  Or anyone else? The pituitary tumor will be treated with gamma knife.
 
 Thank you for any suggestions or advice on how any drugs have worked for you.  Also, my MO doesn't do tumor markers, should I insist on them??
 
 Thanks,
 Kathy
 
				__________________Kathy
 38 years old!
 
 January 17th 2014-mammo, ultrasound, biopsy
 January 20th 2014- diagnosed, ER/PR+, Her2+++, Stage 2A
 January 21st 2014-MRI, right breast only plus lymph nodes
 January 23rd 2014- Pet scan-2 cm tumor, 3 lymph nodes
 February 4th 2014-port insertion
 February 12th 2014-first chemo treatment(TCHP x6 cycles)
 May 28th 2014-LAST chemo treatment!!
 July 10th 2014-double mastectomy
 July 29th 2014-start radiation(30)
 Sept. 11th 2014last radiation treatment!!!
 November 12 2014-started Tamoxifen
 January 20 2015-reconstruction begins, lat flap
 February 4 2015-last Herceptin treatment!!
 April 24, 2015- pet scan-NED!!
 June 3 2015- exchange surgery, port removed!!
 September 8 2015-hysterectomy/oophorectomy
 September 15 2015-Revision of lat flap reconstruction
 December 23 2015-nipple reconstruction
 May 9th 2016-Mets to pituitary gland, liver and C7 vertebrae
 May 10th-port put back in:(
 May 17th- biopsy of mass on back
 May 19th-started Herceptin/Perjeta
 May 20th-5 treatments Cyberknife to pituitary gland tumor
 June 9th-Started THP (will have 6 cycles)
 August 17th-MRI of brain, significant reduction in tumor
 😃, repeat MRI in 3 months.  Received first Zometa
 infusion.
 June 24th 2019- Thoracic spine Mets, leptomeningeal Mets , 10 radiation treatments
 Aug 1st- Ommaya Reservoir implanted
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