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Old 08-13-2008, 09:28 AM   #1
Sherryg683
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Help Please

My good friend, who is a HER2 sister was recently diagnosed with a reoccurance of her cancer. She was originally diagnosed 3-1/2 years ago and had a mastectomy but the cancer has come back in the remaining breast tissue. We have the same Oncologist, he is putting her on 5FU, Eprubicin, and Cyclosphosimade for 3 months, then doing Taxol and Herceptin for 3 months. I am not familiar with the first 3 drugs used or side effects. Have any of you been on them and how did you tolerate them, what can be expected...tks..sherryg683
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Diagnosed: December , 2005 at age 44
13+ positive lymph nodes
Stage IV , Her2+, 2 small mets to lungsChemo Started: Jan, 2006
4 months Taxotere, Xeloda, Hercepin
NED since April 2006!!
36 Rads to follow with weekly Herceptin indefinately
8 years NED now
Scans every year

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Old 08-13-2008, 09:33 AM   #2
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Sherry,
Where do you live? I would most certainly get a second opinion and even a third.

We have connections with many of the top oncologists and can provide you with contact info.

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Old 08-13-2008, 02:20 PM   #3
caya
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Hi Sherry,

The acronym for the first 3 drugs is FEC - a commonly used chemo regime here in Canada and other commonwealth countries. I had 3 x FEC, then 3 X Taxotere. My oncologist(one of the tops in the country) here in Toronto has used this regime for Her2+ BC for years with great success.
The epirubicin will turn your pee red (the rubi). I had the usual side effects of other chemos - fatigue, nausea, weakness, some mouth sores etc. I also experienced tingling and muscle "jolts."
The Taxotere for me was worse - mouth sores, more intense muscle pain.

Hope this helps.

all the best
caya
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ER90%+/PR 50%+/HER 2+
1.7 cm and 1.0 cm.
Stage 1, grade 2, Node Negative (16 nodes tested)
MRM Dec.18/06
3 x FEC, 3 x Taxotere
Herceptin - every 3 weeks for a year, finished May 8/08

Tamoxifen - 2 1/2 years
Femara - Jan. 1, 2010 - July 18, 2012
BRCA1/BRCA2 Negative
Dignosed 10/16/06, age 48 , premenopausal
Mild lymphedema diagnosed June 2009 - breast surgeon and lymph. therapist think it's completely reversible - hope so.
Reclast infusion January 2012
Oopherectomy October 2013
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Old 08-13-2008, 02:33 PM   #4
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Hi Sherry
I had FAC which is pretty much the same as FEC. The A and the E are close relatives - both red devils.

My side effects were nausea, fatigue and mild mouth sores. I lost
all of my hair about 3 weeks after the first treatment.
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Dx Aug/05 at age 51
2cm. Stage 2A, Grade 3
ER+/PR-
Her2 +++

Sept 7/05 Mastectomy
4 FAC, 4 Taxol, no radiation
1 year of Herceptin
Tamoxifen for approx. 4 months,
Arimidex for 5 years
Prophylactic mastectomy June 22/09



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Old 08-13-2008, 03:32 PM   #5
Jackie07
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Hi,

I had FEC during my first breast cancer treatment in 2003. Your friend must have had a sensative heart like mine (with mitral valve prolapse) to be given FEC.

Epirubison is bright yellow-orange color; I threw up every time if not adquately premeded (tylenol, benedryl...). I remember the 2nd time I had the infusion, I was having nausea even before the drug flew into my vein. So it is important that they do it right the first time and not wait till the person got sick.

My hair fell off after the 2nd, 3rd treatment. I was given some shots to help boost my white blood cell count. Those shots made my lower legs felt very, very heavy.

Hope this helps. And good luck to her on her treatment.
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Last edited by Jackie07; 08-13-2008 at 03:37 PM..
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Old 08-13-2008, 05:09 PM   #6
Barbara2
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Those drugs are commonly given for treatment the first time around, but I'm not sure about this entire combo being used for metastasis. You didn't mention if she had been treated initially with a chemo cocktail of some sort...

I had 6 treatments of FEC; it was pretty tough.
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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
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Last edited by Barbara2; 08-13-2008 at 05:11 PM.. Reason: spelling
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Old 08-13-2008, 05:38 PM   #7
Sherryg683
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Barbara, she was originally treated with Adrimiacin/Cytoxin and Taxotere..Then had a year of Herceptin. She did not have radiation because she had a masectomy. Now 3-1/2 years later, it is back in the original area, 2 tumors, I guess in the remaining skin....sherryg683
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Diagnosed: December , 2005 at age 44
13+ positive lymph nodes
Stage IV , Her2+, 2 small mets to lungsChemo Started: Jan, 2006
4 months Taxotere, Xeloda, Hercepin
NED since April 2006!!
36 Rads to follow with weekly Herceptin indefinately
8 years NED now
Scans every year

Life is not about avoiding the thunderstorms, it's about learning to dance in the rain!
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Old 08-13-2008, 05:56 PM   #8
Sheila
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Sherry
If it is in the remaining skin on the original mastectomy side, it sounds as though it is skin mets....I would think they would use a single agent with herceptin or Tykerb to treat this, rather than a triple agent chemo, since it is a recurrence which is considered local rather than metastatic B/C.
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Diagnosed at age 49.99999 2/21/2002 via Mammography (Calcifications)
Core Biopsy 2/22/02
L. Mastectomy 2/25/2002
Stage 1, 0.7cm IDC, Node Neg from 19 nodes Her2+++ ER PR Neg
6/2003 Reconstruction W/ Tissue Expander, Silicone Implant
9/2003 Stage IV with Mets to Supraclavicular nodes
9/2003 Began Herceptin every 3 weeks
3/2006 Xeloda 2500mg/Herceptin for recurrence to neck nodes
3/2007 Added back the Xeloda with Herceptin for continued mets to nodes
5/2007 Taken Off Xeloda, no longer working
6/14/07 Taxol/Herceptin/Avastin
3/26 - 5/28/08 Taxol Holiday Whopeeeeeeeee
5/29 2008 Back on Taxol w Herceptin q 2 weeks
4/2009 Progression on Taxol & Paralyzed L Vocal Cord from Nodes Pressing on Nerve
5/2009 Begin Rx with Navelbine/Herceptin
11/09 Progression on Navelbine
Fought for and started Tykerb/Herceptin...nodes are melting!!!!!
2/2010 Back to Avastin/Herceptin
5/2010 Switched to Metronomic Chemo with Herceptin...Cytoxan and Methotrexate
Pericardial Window Surgery to Drain Pericardial Effusion
7/2010 Back to walking a mile a day...YEAH!!!!
9/2010 Nodes are back with a vengence in neck
Qualified for TDM-1 EAP
10/6/10 Begin my miracle drug, TDM-1
Mixed response, shrinking internal nodes, progression skin mets after 3 treatments
12/6/10 Started Halaven (Eribulen) /Herceptin excellent results in 2 treatments
2/2011 I CELEBRATE my 9 YEAR MARK!!!!!!!!!!!!!
7/5/11 begin Gemzar /Herceptin for node progression
2/8/2012 Gemzar stopped, Continue Herceptin
2/20/2012 Begin Tomo Radiation to Neck Nodes
2/21/2012 I CELEBRATE 10 YEARS
5/12/2012 BeganTaxotere/ Herceptin is my next miracle for new node progression
6/28/12 Stopped Taxotere due to pregression, Started Perjeta/Herceptin

Last edited by Sheila; 08-14-2008 at 04:38 AM..
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Old 08-13-2008, 06:26 PM   #9
Sherryg683
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Let me correct myself, it is not on the skin but rather in what ever skin was left on the chest wall after masectomy....sherryg683
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Sherry

Diagnosed: December , 2005 at age 44
13+ positive lymph nodes
Stage IV , Her2+, 2 small mets to lungsChemo Started: Jan, 2006
4 months Taxotere, Xeloda, Hercepin
NED since April 2006!!
36 Rads to follow with weekly Herceptin indefinately
8 years NED now
Scans every year

Life is not about avoiding the thunderstorms, it's about learning to dance in the rain!
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Old 08-13-2008, 07:03 PM   #10
PinkGirl
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Sherry,
The adriamycin and epirubicin are almost the same drug.

The cytoxan and cyclophosphamine are the same thing.
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Dx Aug/05 at age 51
2cm. Stage 2A, Grade 3
ER+/PR-
Her2 +++

Sept 7/05 Mastectomy
4 FAC, 4 Taxol, no radiation
1 year of Herceptin
Tamoxifen for approx. 4 months,
Arimidex for 5 years
Prophylactic mastectomy June 22/09



" I yam what I yam." - Popeye

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