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				Re: Anybody have experience with Imiquimod or Photodynamic therapy
			 
 Sorry to hear about your wife's recurrence. I'm in the same boat. If the recurrence is in previously treated area, it could mean a change in the way it's treated be of benefit. If the recurrence is outside radiation port, it could mean clear margin is very hard to achieve or we don't know where the margin is. The only thing we can do is chasing our tails and deal with them once they pop up. Although very very frustrating, we just have to deal with it. Best luck to the new treatment plan! 
				__________________1/11 age 36 DX
 ER/PR-, Her2 +
 TCH*6, Herceptin
 BMX with immediate recontruction 5/2011 Lattismus Flap- Dx stage 3c 10/23 nodes
 9/11 Radiation
 3/12 Local recurrence to skin stage IV
 Whole body scan CLEAR
 4/12 Tykerb & Xeolda Skin mets slowly regressing
 8/12 PET & Brain CT Clear
 5/13 Skin mets progressing
 6/13 PET scan chestwall recurrence  in contralateral anxillary,internal mammary and ipsilateral subpectoral nodes
 6/13 kadcyla
 10/13 whole body scan -clear NED. previously resolved skin rash gone but 3 new lesions. Biopsy confirmed for skin recurrence
 11/13 to 02/14 tykerb & herceptin
 02/14 add abraxane/gemzar, 2 weeks on 1 week off at reduced dose
 05/14 whole body PET clear/ brain CT clear but skin mets are getting worse, ready for new chemo
 05/14 navelbine perjeta herceptin
 07/14 skin mets progressing red rash worse
 08/14 wide local excision with diep flap to close wound. Final path shows 2 positive margins showing inflammatory carcinoma Going back to surgery in 2 weeks
 09/01/14  resection- clear margins
 3 weeks after 2nd surgery, a new nodular rash found near drain incision with 2 small red spots behind the chest wall biopsy on 10/1. Positive for breast cancer
 Radiation 11/2014 with xeloda then weekly cisplatin
 11/14 brain MRI clean
 12/14 finished 33 radiations burnt and very painful. Bedridden for 1 week
 12/14 t current Herceptin and perjeta only
 02/15 rash on upper back right side skin mets radiation planned
 02/15 staring electron radiation *35
 Stopped at 30 due to severe skin burn, resumed 10 days later
 05/15 red patches appeared in between previously radiated area, skin mets. Ct and brain Mri clear. Simulation planned, radiation to start after trip to Alaska.
 05/24 new spot identified in scar line on previously radiated reconstructed breast- electron on both side chest wall area and scar line
 07/15 multiple skin and lung recurrence begin halaven
 11/15 cough much better but very tired on halaven and starting to see some new red skin blotches-suspicious
 11/15 heading to China for immune therapy
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