HER2 Support Group Forums - View Single Post - please help! is my cancer worse than anyone else's because it has never went away?

Lani · 06-07-2014, 01:10 PM

Actually your cancer is MUCH better than most

Your cancer has remained Loco-regional rather than distantly metastatic

Almost everyone who dies of breast cancer dies of distant metastasis rather than local or locoregional disease.

It appears your breast cancer likes to travel to lymph nodes which drain the breast via spread via the lymph system rather than than distant metastasis in bone, liver, lung, brain, adrenal or leptomeninges via the normal circulatory system which consists of arteries, veins and capillaries.

You may also consider yourself lucky that the areas your tumor seems to have spread to are easily accessible for biopsy so that it becomes clear quickly if treatment is working or not, so that other treatments might be substituted which may prove more effective. Tumors may change when they spread and it is possible that these nodes are her2 negative (in which case herceptin won't necessarily help) or their ER status may have changed. Again, you are lucky as your tumors seem to pop up in easily visible areas and areas easy to biopsy

From what I have learned in my reading and at conferences, these tumors utilize different strategies/pathways to spread to the lymph nodes than via the circulation.

You seem to have what they call LABC (locally advanced breast cancer) , more correctly LRABC (loco-regionally advanced breast cancer rather than distantly metastatic breast cancer. Again, stats seem usually much better for LABC than MBC.

Perhaps one of your doctors will send the tumor and representative nodal metastasis specimens for genetic/pathway testing to find the best combination of treatments. Not standard of care, but there seem to be more trials involving such testing and in light of the fact that various treatments have not yet proved sufficient perhaps more information on what drives your tumor might help pick your next therapy choice(s)

Chin up-- many reasons to consider yourself lucky!

PS I hope I posted this on the right thread--when I started the post I saw clinical information which perhaps has now been deleted, or perhaps I have posted on the wrong thread. The clinical info I saw showed no evidence of distal mets, only "spread" to the neck.

If I have misposted, please forgive me.

06-07-2014, 01:10 PM	#9
Lani Senior Member Join Date: Mar 2006 Posts: 4,778	Re: please help! is my cancer worse than anyone else's because it has never went away Actually your cancer is MUCH better than most Your cancer has remained Loco-regional rather than distantly metastatic Almost everyone who dies of breast cancer dies of distant metastasis rather than local or locoregional disease. It appears your breast cancer likes to travel to lymph nodes which drain the breast via spread via the lymph system rather than than distant metastasis in bone, liver, lung, brain, adrenal or leptomeninges via the normal circulatory system which consists of arteries, veins and capillaries. You may also consider yourself lucky that the areas your tumor seems to have spread to are easily accessible for biopsy so that it becomes clear quickly if treatment is working or not, so that other treatments might be substituted which may prove more effective. Tumors may change when they spread and it is possible that these nodes are her2 negative (in which case herceptin won't necessarily help) or their ER status may have changed. Again, you are lucky as your tumors seem to pop up in easily visible areas and areas easy to biopsy From what I have learned in my reading and at conferences, these tumors utilize different strategies/pathways to spread to the lymph nodes than via the circulation. You seem to have what they call LABC (locally advanced breast cancer) , more correctly LRABC (loco-regionally advanced breast cancer rather than distantly metastatic breast cancer. Again, stats seem usually much better for LABC than MBC. Perhaps one of your doctors will send the tumor and representative nodal metastasis specimens for genetic/pathway testing to find the best combination of treatments. Not standard of care, but there seem to be more trials involving such testing and in light of the fact that various treatments have not yet proved sufficient perhaps more information on what drives your tumor might help pick your next therapy choice(s) Chin up-- many reasons to consider yourself lucky! PS I hope I posted this on the right thread--when I started the post I saw clinical information which perhaps has now been deleted, or perhaps I have posted on the wrong thread. The clinical info I saw showed no evidence of distal mets, only "spread" to the neck. If I have misposted, please forgive me.