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Old 11-05-2008, 11:30 PM   #1
charlotte
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sad and disappointed

well, we got part of the answers we were looking for with my mother.. Her brain has 2 many to count(metastics)The Dr. is going to do a cat scan on her monday
The Dr. is looking for the primary site... I thought it might be from her lungs...

So much sadness. by father will soon be a year passed away, with colon cancer.. I just don't understand how it can grow that fast.. she had a mri of the head less than a year and was (clear)... all of the other tests are coming back normal.except for her blood being anemic.
I don't post a lot as it seems , I have little good news to report.. a
an update of me of sorts.... I had a pet scan week ago, and all of my body shows no sign of cancer....EXCEPT
the mets (bc mets)to my chest, 2-polops and a new one in the axillary..this 5fu cream is doing its thing , I guess I this is good news for me.!!!

She goes to the Dr. again Monday and we will see what is going on.... she has no clue as to what is wrong with her....(she is 85)

Please pray for my mother... I can't imagine her not being around...


thanks , for any input
charlotte
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Old 11-05-2008, 11:36 PM   #2
BonnieR
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Charlotte, just to say I feel your sadness and I am sorry you have to deal with yet more cancer in your life. I wanted to offer a hug and some prayers. God bless.....
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Post menopause
May 2007 Core biopsy, Rt breast
ER+, Pr-, HER2 +++, Grade 3
Ki-67: 90%
"suspicious area" left breast
Bilateral mastectomy, (NED on left) May 2007
Sentinel Node Neg
Stage 1, DCIS with microinvasion, 3 mm, mostly removed during the biopsy....
Femara (discontinued 7/07) Resumed 10/07
OncoType score 36 (July 07)
Began THC 7/26/07 (d/c taxol and carboplatin 10/07)
Began Herceptin alone 10/07
Finished Herceptin July /08
D/C Femara 4/10 (joint pain/trigger thumb!)
5/10 mistakenly dx with lung cancer. Middle rt lobe removed!
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Old 11-06-2008, 03:40 AM   #3
Mary Anne in TX
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Charlotte, I'm so sorry that your mom's news was not good. I send my love and prayers.
I'm glad to hear that the creme is working for your skin mets though. Best wishes and please check in again soon. ma
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Grateful for each and every day....

Diag. 12/05 at age 60
Stage II, Grade 3, 4.5 cm primary tumor
ER/PR- Her2 +3 strongly positive
Her2 by FISH 7.7 amplified
vascular invasion
Ki67 20% borderline
Jan - March '06 Taxotere/Adriamycin X 3 to try to shrink tumor - it grew
April '06 Rt Modified Radical Mas, 7 of 9 nodes positive
April - Aug. '06 Herceptin/Taxol/Carboplatin X 8 (dose dense)
Sept - Dec. '06 Navelbine/Herceptin x 8 (dose dense)
Radiation & Herceptin Jan. 22 - March 1, 2007
Finished Herceptin Dec. 10 '08! One extra year.
Port removed August, 2012.
8 1/2 years since diagnosis! 5 1/2 Years NED!
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Old 11-06-2008, 04:52 AM   #4
Pam P
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I'm sad to hear of your mom's news. And sad to hear that this comes so soon after your dad's passing too. I'm praying for you to be surrounded by support and peace and hope - and for continued stability in your health.
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6/01 IBC er+ her2+stage IIIb; mastecomy
7/01 AC, taxol; radiation
2/02 tamoxifen
9/02 stage IV bone mets femara
1/03 taxotere/herceptin/aredia
6/03 herceptin, aredia & faslodex
1/04 navelbine, herceptin, aredia
2/05 herceptin/aredia
7/05 xeloda/herceptin/aredia
3/07 xeloda/tykerb/aredia
5/08 taxol/avastin/aredia
2/09 gemzar/herceptin/zometa
7/09 Taxol/Carbo/Herceptin, zometa
10/09 navelbine/herceptin & zometa
2/10 herceptin & tykerb & zometa
4/10 add xeloda &aromasin
10/10 dx with dermatomyiositis triggered by cancer
11/10 restart herceptin, tykerb, zometa
12/10 surgery-place rod in R femur to stabilize bone
1/11 radiation to R femur - 20 tx
2/11 2nd surgery - rod in Left femur
2/11 tx eribulen -- suspended dx brain mets
3/11 brain mets wbr 20 tx
4/11 halaven; discontine 8/11 not working
8/11 radiation to left femur 20 tx'
8-9/11 rad to lower spine
9/11 abraxane/herceptin/zometa
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Old 11-06-2008, 08:15 AM   #5
pattyz
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Charlotte,

Having brain mets for six years now, I can say that there are drugs that might help control your mom's 'too many to count' mets. I would hate to see her undergo WBR at her age.

It may be difficult, not knowing her primary, yet there are many cancer types treated with the same drugs.

I have had mixed successes with Xeloda and Temodar.

Lomustine / CeeNU is an older chemo used as it crosses the blood brain barrier.

Sutent has shown to be somewhat effective as a targeted drug.

However, all these are Oral meds. Need to be taken with and without food. I don't know if your mom would be able to follow the schedule on her own...from what you say?

In other cases, a course of Decadron can help with syptoms of brain mets... and a daily dose less than the old traditional is now found to be just as effective, lessening a bit the side effects of the drug itself. Long term it is dangerous. So, it depends on that.... what will be considered as a 'prognosis' for your mom.

XERECEPT is a drug w/orphan approval status that is being trialed to replace Decadron in cases of 'long term need'.

There are many chemos and targeted drugs being trialed together or on their own for brain mets or primary brain cancers.

Gemzar, Ixempra, Doxil are examples of chemos.

Irinotectan, Patupilone, Sorafenib are examples of targeted drugs.

Then some have had good response with Boswellia Serrata.

Overall, your mom's age and general health are the main issues for ANY kind of treatment....... They all have side effects, some very severe. So, it comes to the question of her quality of life, doesn't it?

If it were me, at that age, in rather poor health overall, I think I would opt for trying a low dose of Decadron first. But, since I don't know the details it is a bit difficult to say......

I can say how sorry I am for the loss so recently of your dad, and now this diagnosis for your mom. And hope I have not offended you with my 'opinions'.

Hoping for the best outcome for you all,
pattyz
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Old 11-06-2008, 08:58 AM   #6
Believe51
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Charlotte

I embrace you as you help Mom through this hard time. Your plate is surely full and I ache for you. I am sending you my sympathies to you and your family as you heal from the loss of your Dear Father. The stresses you are facing are many, I wish I could give you a hug, so I am sending you a giant one right now. On the brighter side, I am thrilled that the 5fu cream is working its magic. May it continue to give you wonderous results.>>Believe51
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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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Old 11-06-2008, 04:08 PM   #7
ElaineM
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Cool sad and disappointed

I am sorry to hear your news, but I am sure you, your mother and her docs will be able to get to the bottom of what is going on and decide what to do about it. Try to stay positive
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Old 11-06-2008, 04:33 PM   #8
juanita
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can't help at all except to add prayers and send hugs with positive thoughts your way.
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st 1, gr 3, er,pr-, her2 +,
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Old 11-06-2008, 04:34 PM   #9
Joan M
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Charlotte,

I'm sorry to hear about your mom.

It's very tough. My mom is also 85, and she takes no medications for anything ... except Alzheimer's Disease. She barely knows my family, by brothers, her sister.

I'm praying that your mom will be able to receive treatment that will help shrink the mets.

Joan
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Diagnosed stage 2b in July 2003 (2.3 cm, HER2+, ER-/PR-, 7+ nodes). Treated with mastectomy (with immediate DIEP flap reconstruction), AC + T/Herceptin (off label). Cancer advanced to lung in Jan. 2007 (1 cm nodule). Started Herceptin every 3 weeks. Lung wedge resection April 2007. Cancer recurred in lung April 2008. RFA of lung in August 2008. 2nd annual brain MRI in Oct. 2008 discovered 2.6 cm cystic tumor in left frontal lobe. Craniotomy Oct. 2008 (ER-/PR-/HER2-) followed by targeted radiation (IMRT). Coughing up blood Feb. 2009. Thoractomy July 2009 to cut out fungal ball of common soil fungus (aspergillus) that grew in the RFA cavity (most likely inhaled while gardening). No cancer, only fungus. Removal of tiny melanoma from upper left arm, plus sentinel lymph node biopsy in Feb. 2016. Guardant Health liquid biopsy in Feb. 2016 showed mutations in 4 subtypes of TP53. Repeat of Guardant Health biopsy in Jana. 2021 showed 3 TP53 mutations, BRCA1 mutation and CHEK2 mutation. Invitae genetic testing showed negative for all of these. Living with MBC since 2007. Stopped Herceptin Hylecta (injection) treatment in March 2020. Recent 2023 annual CT of chest, abdomen and pelvis and annual brain MRI showed NED. Praying for NED forever!!
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Old 11-06-2008, 10:05 PM   #10
charlotte
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Thanks to all who replied... this place is comforting to me...
as for my mother, we will take another test Monday and see if the primary tumor can be found......
I honestly don't know if mama can withstand chemo.......
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Old 12-04-2008, 02:30 AM   #11
BarbM
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Charlotte, how is your Mom doing? She is in my prayers. It's so hard...My Mom is 86..has a heart issue she just wants to ignor...keep you chin up.

Is the 5FU cream still working for you? I just completed my 2nd round of rads for skin mets. I was taken off of chemo (Gemzar/Herceptin) for 8 weeks...the mets seem to have spread, ugh! I was stable before the break. Started back on chemo yesterday and have a PET on Friday. When I see my Onc next week, I will suggest the cream and perhaps a switch to Xeloda & perhaps Tykerb.
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Old 12-04-2008, 07:54 AM   #12
Jean
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Charlotte,
I understand and feel your pain, as my mother was 86 when she became ill....the choices are difficult when our parents reach this age and are often facing other medical issues which will be effected by treatment.

I can only say what every your decisons are they will be the right ones...wishing you all the best during these stressful times.

Kind Regards,
jean
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Lumpectomy 4/15/05 - 6MM IDC
Node Neg. (Sentinel node)
ER+ 90% / PR-, Her2+++ by FISH
Ki-67 40%
Arimidex 5/05
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Oncotype DX test 4/17/06, 31% high risk
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Old 12-04-2008, 09:30 AM   #13
Shobha
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Dear Charlotte, you and your mom are in my prayers. Think positive thoughts as much as possible although I know it can be difficult at times.
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DX: 06-30-2007 - left breast -stage IIIB, Her2/Neu 3+++, ER weakly positive, PR-
Taxol+herceptin weekly for 3 months
FEC+herceptin every 3 weeks for 3 months
BRCA 1 and 2 - Negative
Jan 2008 - Bilateral mastectomy, prophylactic Rt. side.
Radiation for 5 weeks
Completed my yr of herceptin on 07-14-2008
Brain MRI - 3/2/09 Clean
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Old 12-04-2008, 01:34 PM   #14
charlotte
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a little update on my mother and me!!! I hope so much to not be discouraging to others on the board.
As for my mother , believe it or not , she had a tooth pulled yesterday.. the pain pills are working like a charm... while we were chatting, she said" you know if something was really wrong with me, I don't think I would like to know"...I was going to hand off this painful talk and make the Dr. do it... Now, I don't know...
will figure this out later..
My world is still here...I have had another outbreak of skin ca.. 5 fu cream has lost that loving feeling,,, the Dr. marked on my chest, where he could safely go this time.
I told him , I did not want to look like a fried turkey.. he has no sense of humor.. looked me straight in the eyes and said, I don't fry people , I radiate them.. guess I made him mad??
2 weeks ago, I tripped and fell on my concrete landing and landed on my ribs... of course it had to be on the side that has had surgery done on it.... I am starting to feel better these days.
that was a painful journey.
So, thanks to all who inquired about my mother, and me... It made me feel special.... love, Charlotte
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Old 12-04-2008, 01:38 PM   #15
Believe51
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Charlotte

You are special and very loved!!>>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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Old 12-04-2008, 04:22 PM   #16
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Yes, Charlotte, you ARE very special. You are carrying a lot - so you must be very strong as well. Hang in there
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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 12-05-2008, 06:24 AM   #17
WomanofSteel
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Sending out prayers for you and mom. Stay strong!
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dx aug 03
invasive dcis 1 cm
er/pr/her2+
bcs 8/4/03
bcs 8/21/03 0/16 nodes
tx 4x ca 36 rad tam
postmenopausal 06 aromasin
sept 07 biopsy node in neck
muga/pet/cat/bone mets to lungs nodes and liver stage iv
tx hki-272
tx not working switched to taxol herceptin
Taxol not working switched to navelbine
navelbine is causing bad neuropathy
starting gemzar
gemzar quit on me now on Ixempra due to increasing number and size of liver mets
another progression starting tykerb/xeloda
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Old 12-05-2008, 03:34 PM   #18
Bill
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Charlotte, you and your Mom are in my thoughts and prayers. What wonderful women you are!
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Old 12-05-2008, 05:15 PM   #19
Lani
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Charlotte,

did they ever find out where your mother's primary tumor was?

Sending my best wishes and prayers your way,
Lani
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Old 12-05-2008, 08:05 PM   #20
vickie h
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Sweet Charlotte, More prayers for you and your mother are coming! You keep putting one foot in front of the other, knowing that we are all here for you and that God is holding your shoulders. The path is long, but it is filled with wisdom and light. Please let us know how you are both doing. WE LOVE YOU, Vickie
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Feb 04 IBC IIIC/IV er-/pr- her2+++
3/04 TCH X4
7/ 04 MRM 9/04 Taxol/herceptin wkly 1 yr 33X rads
11/04 skin mets 33x rads,10/05 Avast/Herc. 11 mos.
8/ 06 PET mets lymphs, neck
9/ 06 Navelbine/herceptin
11/ 06 PET NED
2/ 07 skin mets, 4/07 Xeloda, 5/07 add Tykerb
2/ 08 Tykerb failed. Doxil /Herceptin 6 months
8/08 PET skin mets, 8/08 Abraxane/Avastin
11/ 08 PET prog., skin mets
1/09 PET/CT progress, 1/09 Ixempra, 2/09 add Xeloda and low dose Naltrexone
2/09 off Ixempra/Xeloda
3/09 navelbine/herc/cytoxin 4/09 PET shows regress.7/09 start Topotecan. Failed.
8/09 extensive mets rgt brst, back and torso. starting Pazopanib clinical trial.
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