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Old 03-29-2007, 05:07 AM   #1
Sandy H
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Need some help here!

Can anyone tell me the name of the test that they do on the tissue to see what chemo will respond to our cancer? I think I am going to ask my oncologist about it tomorrow and I wouild have a nme to give him. hugs, Sandy
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Dx. 03/01, Rt. IBC
AC/Taxatere
Rt. MRM-with graft Lt. simple
5 rads-skin mets
Herceptin, taxol, carboplatin (taxol seem to be the magic drug)
Navelbine & xeloda (did not work)
topical miltex for skin mets
Tykerb/xeloda
thoracentesis x 2 left lung fluid shows cancer cells
Port removal (4 years) with power port replacement
Doxil
Updated 05-07 Scans show no bone or organ involvement we shall see!




I shall not pass this way again. Any good I can do or any kindness that I can show let me not defer or neglect it for I shall not pass this way again.
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Old 03-29-2007, 08:33 AM   #2
Esther
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Sandy are you thinking of Oncotpe DX, from Genomic Health? You can go to www.genomichealth.com and check it out to see if that's what you were thinkin of.
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Old 03-29-2007, 08:41 AM   #3
janet11
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Are you thinking of the TOPO II test? (I don't think it's "proven" however.. .just 'indicated')
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Janet in Rowlett Texas

Dx July 2006 IDC 1.8cm, ER-/PR- HER2+ (FISH 7), KI67 High (60%) grade 3, TOPO II neg
Aug2006: lumpectomy, SNB (4 nodes neg), Stage 1
Jan 2007:
Finished 6 cycles of TCH (Taxotere, Carboplatin, Her ceptin). Then Herceptin every 3 weeks.
Feb 2007: Completed Radiation
May 2007: Stopped Herceptin due to low LVEF (49%)
July 2007: LVEF now 44% -- starting Coreg
May 2008: Heart NORMAL! Yippee.
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Old 03-29-2007, 12:31 PM   #4
chrisy
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Sandy, I think I know what you're talking about. Are you talking about chemo sensitivity and resistance tests? Where they take your tissue and test it with a bunch of different agents to find which one works?

I read it in a Wall Street Journal article in Sept 2004 - ASCO had just failed to approve these tests, although the people in the article disagreed. I probably have it clipped in a pile somewhere but doubt I can find it! Also, it was 2 years ago, there may be newer news.

The first link has the text of that article (although not the names of the companies that do testing!). The second link is one of the companies mentioned in the article. The third link is a "rebuttal" article, stating why the ASCO decision may have been wrong.

Hope this helps.

http://annieappleseedproject.stores....saytesnot.html
http://www.rationaltherapeutics.com/
http://www.medicalnewstoday.com/medi...p?newsid=13910
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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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Old 03-29-2007, 12:47 PM   #5
Barbara2
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I'll share what I have in my "notes" regarding tests. This may not be what you are thinking of, but maybe...

PTEN: PTEN positive is a good thing as herceptin activates PTEN so it can stop proliferation of the Her2+ cancer cell. You can test the tumor to see if you have PTEN in the tumor.

TOPO II: predicts whether anythracyclines will help.

Oncotype DX: A test on the tumor of node negative, hormone positive cancers. It is a 21 gene analysis; gives a recurrance score of 0-100. Costs $3000. The specific goal of this test was to identify a set of reproducible prognostic factors for patients with node-negative, ER-positive breast cancer who had been treated with tamoxifen for 5 years. This reletively novel technology allows clinicians to assess risk and potential benefit from thereapy and helps avoid undertreatment or overtreatment.

Sept. 06
EGFRx(TM)
Clinical study results published at the annual meeting of the ASCO, show that a new lab test has accurately identified patients who would benefit from treatment with the molecularly-targeted anti-cancer therapies gefitinib (Iressa) and erlotinib (Tarceva).

The test can discriminate between the activity of different targeted drugs and identify situations in which it is advantageous to combine the targeted drugs with other types of cancer drugs.
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Blessings and Peace,
Barbara

DX Oct 02 @ age 52 Stage 2B Grade 3 Mastectomy
"at least" 4.5 cm IDC 1+node ER+61% /PR-
Assiciated Intraductual component with Comedo Necrosis
Her2+ FISH8.6 IHC 2+
5 1/2 CEF Arimidex
Celebrex 400mg daily for 13 months
Prophylactic mastectomy
Estradiol #: 13
PTEN positive, "late" Herceptin (26 months after chemo)
Oct 05: Actonel for osteopenia from Arimidex.
May 08: Replaced Actonel with Zometa . Taking every 6
months.

Accepting the gift of life, I give thanks for it and live it in fullness.
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Old 03-29-2007, 02:36 PM   #6
Sandy H
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Thank you all for your help. I did find what I was looking for. Thank you Chrisy those articles answered my questions. hugs, Sandy
__________________
Dx. 03/01, Rt. IBC
AC/Taxatere
Rt. MRM-with graft Lt. simple
5 rads-skin mets
Herceptin, taxol, carboplatin (taxol seem to be the magic drug)
Navelbine & xeloda (did not work)
topical miltex for skin mets
Tykerb/xeloda
thoracentesis x 2 left lung fluid shows cancer cells
Port removal (4 years) with power port replacement
Doxil
Updated 05-07 Scans show no bone or organ involvement we shall see!




I shall not pass this way again. Any good I can do or any kindness that I can show let me not defer or neglect it for I shall not pass this way again.
Sandy H is offline   Reply With Quote
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