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Old 01-07-2008, 08:15 PM   #1
Mary Jo
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For Those Who May Be Interested....

For those of you who may be interested in the type of reconstruction I am considering - or possibly would want to consider for yourselves I am sharing the link for you to go too....

http://healthlink.mcw.edu/article/1031002690.html

I am very anxious to meet with these 2 doctors and am very encouraged by what I read.

Hugs to you,

Mary Jo
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"Be still and know that I am God." Psalm 46:10

Dx. 6/24/05 age 45 Right Breast IDC
ER/PR. Neg., - Her2+++
RB Mast. - 7/28/05 - 4 cm. tumor
Margins clear - 1 microscopic cell 1 sent. node
No Vasucular Invasion
4 DD A/C - 4 DD Taxol & Herceptin
1 full year of Herceptin received every 3 weeks
28 rads
prophylactic Mast. 3/2/06

17 Years NED

<>< Romans 8:28
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Old 01-07-2008, 09:11 PM   #2
Margerie
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marejo,

I am so glad you have a microsurgeon near you that performs DIEP. As you know, I am happy with my DIEP reconstruction. As a side note, I have a bc friend here that had her saline implants fail repeatedly (leaks)- so she started over and had DIEP and is very happy also. I don't know how far your surgeon is away from you, mine was a 4 hour drive. It was some coordinating- but can be done!!

Liked your doc's website. Here is my surgeon's:

http://www.microsurgery.net/index.html

If you click on "more information" you will see an excerpt from the informational book he is writing about microsurgical breast reconstruction.
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Are we there yet?


Dx 10/05 IDC, multi-focal, triple +, 5 nodes+
MRM, 4 DD A/C, 12 weekly taxol + herceptin
rads concurrent with taxol/herceptin
finished herceptin 01/08
ooph, Arimidex, bilateral DIEP reconstruction
NED
Univ. of WA, Seattle vaccine trial '07
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Old 01-07-2008, 09:43 PM   #3
madubois63
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I had the tram flap reconstruction immediately following the mastectomy. It was a very painful recuperation (thank God for morphine), but the doc did an amazing job. I am thrilled with the the breast and the tummy tuck, but I did experience the hernia not once but twice. The hernia was repaired once, and within a years time, it herniated again. I was scheduled for repair surgery when a relapse was discovered, so I never got it fixed. I am so jealous you have the opportunity to have experts in the field perform your surgery!!! Good luck!!!!
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Maryann
Stage IV Inflammatory BC 1/00
Mod Rad Mastectomy 24nod/5+
Adriomycin Cytoxin Taxol
Tamoxifen 4 1/2 yrs
Radiation - 32 x
Metastatic BC lung/liver 10/04
thorocentesis 2x - pleurodesis
Herceptin Taxatiere Carbo
Femera/Lupron
BC NED 4/05
chemo induced Acute Myeloid Leukemia 5/06
Induction/consolidation chemo
bone marrow transplant - 11/3/06
Severe Host vs Graft Disease of liver
BC mets to lung 11/07
Fasoladex Herceptin Zometa Xeloda
GVHD/Iron overload to liver
Avascular Necrosis/morphine pump 10/10
metastatic brain tumor
steriotactic radiosurgery
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Old 01-08-2008, 05:03 AM   #4
Mary Jo
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Hi Margerie,

The surgery will take place (if I have it done) 1 hour and 10 minutes from our house. In Milwaukee at Froedtert and The Medical College of Wisconsin. The good news is that this is the place I had both mastectomy's and also is where my oncologist is located and all other treatment was done. So, I must say, I feel quite at home their - kind of sad huh? No, seriously, I do and that is a plus in itself.

Mary Jo
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"Be still and know that I am God." Psalm 46:10

Dx. 6/24/05 age 45 Right Breast IDC
ER/PR. Neg., - Her2+++
RB Mast. - 7/28/05 - 4 cm. tumor
Margins clear - 1 microscopic cell 1 sent. node
No Vasucular Invasion
4 DD A/C - 4 DD Taxol & Herceptin
1 full year of Herceptin received every 3 weeks
28 rads
prophylactic Mast. 3/2/06

17 Years NED

<>< Romans 8:28
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Old 01-08-2008, 06:48 AM   #5
sarah
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I had a mastectomy/reconstruction all in one - 8 hour operation. They took the fat from the abdomen (the dr said afterwards he thought I had more fat there than I did) It looked and felt great but I have to say when I woke up, I was in such pain I said "oh my God, what have I done!" the morphine drip which is right there by your bed side to push on barely helps the pain. I was very grateful for my friends who brought me books on tape, a scented pillow and stuffed animal. I had access to a DVD and TV but couldn't watch anything. I can't say I would recommend it but all the women I spoke to before having it were happy and didn't seem to suffer the pain I did or had forgotten it.
It's probably advanced a lot since 1999 and hopefully they'll give you more pain relief.
The result was very good. Unfortunately I've had recurrence in that same breast so I've had a lot of surgery there since and it doesn't look as even with the other breast as it did after the initial op.
At the time, I wanted to have both breasts off but the oncologist and surgeons went crazy about that idea. I just wanted to be even on both sides and thought that would be the best and safest solution.
Whatever you choose, remember the pain will go away and go into hospital with books on tape and soothing music and a nice scented pillow and stuffed animal.
Also I needed 6 days in the hospital - insurance can push you out after 4 so you might want to check on that also in case you need the extra days.
all the best
hugs and love
sarah
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Old 01-08-2008, 09:34 AM   #6
Mary Jo
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Thank you Sarah for your input on this. Yes, I've heard that the pain from reconstruction is not pretty. (just a nice way of say damn, it hurts) but as you said, yes, much has changed since 1999. I included the link to the DIEP surgery I am considering and actually much has changed. One of the major changes is that they use to take muscle from your abdomin and now they do not use the muscle only the fat. Which, as the article states, does cut down on the pain and recovery from this type of procedure. The surgery is done by microsurgeons and it just so happens that Dr. Hijjawi and his partner are 2 of fewer than 40 surgeons who specilize in this type of surgery right at the hospital I have had all my cancer care at. I've been praying for a sense of leading from God as to what I should do in this matter - is it right for me - am I in good hands etc. I'm trusting Him to lead me to the right answers. So far, I'm feeling that things are looking good - falling into place as it were - just as things have for the past 2 1/2 years. Of course, time will tell what will be, and for now I will research my options - consult with the doctors and take it from their.

Again, thanks for your input all of you - margerie, madubois and sarah

Mary Jo
__________________
"Be still and know that I am God." Psalm 46:10

Dx. 6/24/05 age 45 Right Breast IDC
ER/PR. Neg., - Her2+++
RB Mast. - 7/28/05 - 4 cm. tumor
Margins clear - 1 microscopic cell 1 sent. node
No Vasucular Invasion
4 DD A/C - 4 DD Taxol & Herceptin
1 full year of Herceptin received every 3 weeks
28 rads
prophylactic Mast. 3/2/06

17 Years NED

<>< Romans 8:28
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Old 01-08-2008, 10:07 AM   #7
SoCalGal
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I've had bilateral mastect. w/recon using TFL (free flap) and also using dorsi. W/father of neurosurgery at UCLA in '02.
Have lots of input if you'd like to contact me. (can't really type much - am having neck situation.)
-Flori
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1996 cancer WTF?! 1.3 cm lumpectomy Er/Pr neg. Her2+ (20nodes NEGATIVE) did CMF + rads. NED.
2002 recurrence. Bilateral mastectomy w/TFL autologous recon. Then ACx2. Skin lymphatic rash. Taxotere w/Herceptin x4. Herceptin/Xeloda. Finally stops spreading.
2003 - Back to surgery, remove skin mets, and will have surgery one week later when pathology can confirm margins.
‘03 latisimus dorsi flap to remove skin mets. CLEAN MARGINS. Continue single agent Herceptin thru 4/04. NED.
‘04 '05 & 06 tiny recurrences - scar line. surgery to cut out. NED each time.
1/2006 Rads again, to scar line. NED.

3/07 Heartbreaking news - mets! lungs.sternum. Try Tykerb/Xeloda. Tykerb/Carbo/Gemzar. Switch Oncs.
12/07 Herceptin.Tykerb. Markers go stable.
2/8/08 gamma knife 13mm stupid brain met.
3/08 Herceptin/tykerb/avastin/zometa.
3/09 brain NED. Lungs STABLE.
4/09 attack sternum (10 daysPHOTONS.5 days ELECTRONS)
9/09 MARKERS normal!
3/10 PET/CT=manubrium intensely metabolically active but stable. NEDhead.
Wash out 5/10 for tdm1 but 6/10 CT STABLE, PET improving. Markers normal. Brain NED. Resume just Herceptin plus ZOMETA
Dec 2010 Brain NED, lungs/sternum stable. markers normal.
MAR 2011 stop Herceptin/allergy! Go back on Tykerb and switch to Xgeva.
May-Aug 2011 Tykerb Herceptin Xgeva.
Sept 2011 Tykerb, Herceptin, Zometa, Avastin.
April 2012 sketchy drug trial in NYC. 6 weeks later I’m NED!
OCT 2012 PET/CT shows a bunch of freakin’ progression. Back to LA and Herceptin.avastin.zometa.
12/20/12 add in PERJETA!
March 2013 – 5 YEARS POST continue HAPZ
APRIL 2013 - 6 yrs stage 4. "FAILED" PETscan on 4/2/13
May 2013: rePetted - improvement in lungs, left adrenal stable, right 6th rib inactive, (must be PERJETA avastin) sternum and L1 fruckin'worsen. Drop zometa. ADD Xgeva. Doc says get rads consultant for L1 and possible biopsy of L1. I say, no thanks, doc. Lets see what xgeva brings to the table first. It's summer.
June-August 2013HAPX Herceptin Avastin Perjeta xgeva.
Sept - now - on chemo hold for calming tummy we hope. Markers stable for 2 months.
Nov 2013 - Herceptin-Perjeta-Avastin-Xgeva (collageneous colitis, which explains tummy probs, added Entocort)
December '13 BRAIN MRI ned in da head.
Jan 2014: CONTINUING on HAPX…
FEB 2014 PetCT clinical “impression”: 1. newbie nodule - SUV 1.5 right apical nodule, mildly hypermetabolic “suggestive” of worsening neoplastic lesion. 2. moderate worsening of the sternum – SUV 5.6 from 3.8
3. increasing sclerosis & decreasing activity of L1 met “suggests” mild healing. (SUV 9.4 v 12.1 in May ‘13)
4. scattered lung nodules, up to 5mm in size = stable, no increased activity
5. other small scattered sclerotic lesions, one in right iliac and one in thoracic vertebral body similar in appearance to L1 without PET activity and not clearly pathologic
APRIL 2014 - 6 YRS POST GAMMA ZAP, 7 YRS MBC & 18 YEARS FROM ORIGINAL DX!
October 2014: hold avastin, continue HPX
Feb 2015 Cancer you lost. NEDHEAD 7 years post gamma zap miracle, 8 years ST4, +19 yrs original diagnosis.
Continue HPX. Adding back Avastin
Nov 2015 pet/ct is mixed result. L1 SUV is worse. Continue Herceptin/avastin/xgeva. Might revisit Perjeta for L1. Meantime going for rads consult for L1
December 2015 - brain stable. Continue Herceptin, Perjeta, Avastin and xgeva.
Jan 2016: 5 days, 20 grays, Rads to L1 and continue on HAPX. I’m trying to "save" TDM1 for next line. Hope the rads work to quiet L1. Sciatic pain extraordinaire :((
Markers drop post rads.
2/24/16 HAP plus X - markers are down
SCIATIC PAIN DEAL BREAKER.
3/23/16 Laminectomy w/coflex implant L4/5. NO MORE SCIATIC PAIN!!! Healing.
APRIL 2016 - 9 YRS MBC
July 2016 - continue HAP plus Xgeva.
DEC 2016 - PETCT: mets to sternum, lungs, L1 still about the same in size and PET activity. Markers not bad. Not making changes if I don't need to. Herceptin/Perjeta/Avastin/Xgeva
APRIL 2017 10 YEARS MBC
December 2017 - Progression - gonna switch it up
FEB 2018 - Kadcyla 3 cycles ---->progression :(
MAY30th - bronchoscopy, w/foundation1 - her2 enriched
Aug 27, 2018 - start clinical trial ZW25
JAN 2019 - ZW25 seems to be keeping me stable
APRIL 2019 - ONE DOZEN YEARS LIVING METASTATIC
MAY 2019 - progression back on herceptin add xeloda
JUNE 2019 - "6 mos average survival" LMD & CNS new single brain met - one zap during 5 days true beam SBRT to cord met
10/30/19 - stable brain and cord. progression lungs and bones. washing out. applying for ds8201a w nivolumab. hope they take me.
12/27/19 - begin ds8401a w nivolumab. after 2nd cycle nodes melt away. after 3rd cycle chest scan shows Improvement, brain MRI shows improvement, resolved areas & nothing new. switch to plain ENHERTU. after 4th cycle, PETscan shows mostly resolved or improved results. Markers near normal. I'm stunned but grateful.
10/26/20 - June 2021 Tucatinib/xeloda/herceptin - stable ish.
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Old 01-08-2008, 04:27 PM   #8
harrie
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Marejo, I had a bilat mastectomy at the time of my DIEP flap reconstruction Nov, 2006. After that I had the TCH and then Sept 2007 I had the final (second) stage of the DIEP which included small silicone implants.
If I can be of any help with my experience, please email and let me know.
Maryanne (Harrie)
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*** MARYANNE *** aka HARRIECANARIE

1993: right side DCIS, lumpectomy, rads
1999: left side DCIS, lumpectomy, rads, tamoxifen

2006:
BRCA 2 positive
Stage I, invasive DCIS (6mm x 5mm)
Grade: intermediate
sentinal node biopsy: neg
HER2/neu amplified 4.7
ER+/PR+
TOPO II neg
Oncotype dx 20
Bilat mastectomy with DIEP flap reconstruction
oophorectomy

2007:
6 cycles TCH (taxotere, carboplatin, herceptin)
finished 1 yr herceptin 05/07
Arimidex, stopped after almost 1 yr
Femara
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Old 01-09-2008, 06:26 AM   #9
Believe51
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Location: RHODE ISLAND (Ed getting me a latte on 2nd Cancerversary Cruise 2008) 'BELIEVE': To accept as true or real, To have faith in, To presume ALWAYS BELIEVE
Posts: 3,000
Smile Cannot offer advice but....

I shall certainly send prayers and positive thoughts your way. May you find peace in the next step and that all goes well. Keeping you on our minds>>Believe51
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9/7/06Husband 50yrs=StageIV IBC/HER2+,BoneMets10/06TaxotereX10,'H'1X wk,Zometa,Tamoxifen4/12/07Last Tax5/18/07Pet=Rapid Cell Activity,No Organ Mets,Lytic Lesions,Degeneration,Some Bone Repair5/07ChemoFail6/01/07Pleural Thoracentisis=Effusions,NoMalignantCells6/19/07+7/2/07DFCI
6/25/07BrainMRI=BrainMets,Many<9mm7/10/07WBR/PelvisRad37.5Gx15&Nutritionist8/19/07T/X9/20/07BrainMRI=2<2mm10/6/07Pet=BoneProgression
10/24/07ChemoFail11/9/07A/Cx10,EndTam12/7/07Faslodex12/10/07Muga7512/13/07BlasticLesions1/7/08BrainMRI=Clear4/1/08Pet=BoneImprovement,
NoProgression,Stable4/7/08BrainPerfect5/16/08Last A/C8/26/08BrainMets=10(<9mm)9/10/08Gamma10/30/08Met=5mm12/19/08Gamma5mets5
12/22/08SpinalMets1/14/09SpinalRads2/17/09BrainMRI=NoNewMets4/20/09BoneScan5/14/09Ixempra6/1/09BrainMRI=NumerousMets6/24/09DFCIw/DrBurstein6/26/09Continue
Ixempra/Faslodex/Zometa~TM now lower7/17/09Stop Ixempra By Choice9/21/09HOSPICE10/16/09Earned His Deserved Wings And Halo=37 Month Fight w/Stage 4 IBC, Her2+++,My Hero!!
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