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Chelee · 07-10-2011, 03:34 AM

Lastest update. If anyone has some thoughts on this I welcome them! I finally saw my Ortho oncologist. The MRI I had of hips and pelvis (iliac crest) show a mass on left hip which has increased in size since last MRI. Iliac crest shows progression also. The mass on left hip is on the femoral head which concerns me, but Ortho onc said he doesn't think it will fracture? Now that he's seen the MRI he strongly suggest radiation to left hip and iliac crest.

This Monday I see my onc and haven't decided which chemo combo/targeted therapy to start on? Lungs just now feeling almost normal again so I hate the thought of this. I'm thinking I'll try the Xeloda/Herceptin first--and maybe add in Tykerb if all goes well?

Or now that I have to do radiation I could temporarly do Herceptin/Faslodex/Zometa till I get thru rads? (And switch Zometa to Denosumab?) Maybe it works better on bone mets? But I'm not sure if adding just the Faslodex will be enough for the bone mets? I was trying to make this easier on me while getting rads done first. I hate making decisions like this.

Chelee

07-10-2011, 03:34 AM	#21
Chelee Senior Member Join Date: Feb 2006 Location: Southern, CA Posts: 2,511	Re: Need some help... Lastest update. If anyone has some thoughts on this I welcome them! I finally saw my Ortho oncologist. The MRI I had of hips and pelvis (iliac crest) show a mass on left hip which has increased in size since last MRI. Iliac crest shows progression also. The mass on left hip is on the femoral head which concerns me, but Ortho onc said he doesn't think it will fracture? Now that he's seen the MRI he strongly suggest radiation to left hip and iliac crest. This Monday I see my onc and haven't decided which chemo combo/targeted therapy to start on? Lungs just now feeling almost normal again so I hate the thought of this. I'm thinking I'll try the Xeloda/Herceptin first--and maybe add in Tykerb if all goes well? Or now that I have to do radiation I could temporarly do Herceptin/Faslodex/Zometa till I get thru rads? (And switch Zometa to Denosumab?) Maybe it works better on bone mets? But I'm not sure if adding just the Faslodex will be enough for the bone mets? I was trying to make this easier on me while getting rads done first. I hate making decisions like this. Chelee __________________ DX: 12-20-05 - Stage IIIA, Her2/Neu, 3+++,Er & Pr weakly positive, 5 of 16 pos nodes. Rt. MRM on 1-3-06 -- No Rads due to compromised lungs. Chemo started 2-7-06 -- TCH - - Finished 6-12-06 Finished yr of wkly herceptin 3-19-07 3-15-07 Lt side prophylactic simple mastectomy. -- Ooph 4-05-07 9-21-09 PET/CT "Recurrence" to Rt. axllia, Rt. femur, ilium. Possible Sacrum & liver? Now stage IV. 9-28-09 Loading dose of Herceptin & started Zometa 9-29-09 Power Port Placement 10-24-09 Mass 6.4 x 4.7 cm on Rt. femur head. 11-19-09 RT. Femur surgery - Rod placed 12-7-09 Navelbine added to Herceptin/Zometa. 3-23-10 Ten days of rads to RT femur. Completed. 4-05-10 Quit Navelbine--Herceptin/Zometa alone. 5-4-10 Appt. with Dr. Slamon to see what is next? Waiting on FISH results from femur biopsy. Results to FISH was unsuccessful--this happens less then 2% of the time. 7-7-10 Recurrence to RT axilla again. Back to UCLA for options.