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				Re: Intrathecal (IT) Herceptin (Trastuzumab) for brain mets (Leptomeningeal Metastase
			 
 Carol is still with mets7 months ago she was locally irradiated for 3 mets measuring 12,12, and 7 mm.  She continued doing IT herceptin at 250mg every 10 or 11 days till today.
 
 In the first 3 months the mets shrunk to 6,7, and 3 mm.  But an MRI last week showed that these have grown up to 13,13 and 8mm.
 
 So today is the last IT herceptin that she is doing.  We will start 1250mg/day tykerb and 130mg taxol per week as from today.  She can still walk with some help, steroids are at 1mg/day, and still taking IV herceptin at 6mg/kilo.
 
 We will do 6 weeks like this and then do another MRI.
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