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12-06-2007, 03:16 PM
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#1
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Senior Member
Join Date: Sep 2006
Location: Savannah, Georgia
Posts: 301
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What's considered a big jump w/ markers?
Hi all,
I was just wondering what a "big" jump for markers is? I got my results today and they went up from 16.8 to 24.8- still in normal range, but seems like a big jump. I go for a repeat bone scan on Monday to check on my "rib spot" that has been there since last Jan. (doc thinks its nothing). Now I'm going to be a worried mess waiting. Xanax here I come.....
Love, Kelly
__________________
dx'd 05/06, 37 years old
er/pr-, Her2+, grade 3
double mastectomy, immediate reconstruction- implants
Stage 2b, 2 tumors- 2.2 cm and 0.6 cm, 3/5 + nodes
all scans clear
genetic testing- negative
06/06 began dd A/C x 4, 12 weekly Taxols w/ Herceptin
30 rads
Herceptin weekly x 1 year
Herceptin completed 08/07
Port removed 12/26/07 MERRY CHRISTMAS!!!!!!
05/17/08 Two year anniversary NED
"We gain strength, courage, and confidence by each experience in which we really stop to look fear in the face... you must do the thing that you think you cannot do."
-Eleanor Roosevelt
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12-06-2007, 03:22 PM
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#2
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Senior Member
Join Date: Oct 2005
Location: New Jersey
Posts: 3,154
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Hi Kelly,
Love your photo!
Try not to get upset...from what I understand the markers can move up and down for many different reasons. You are still in the normal range.
My onc. is not in big favor of the markers, he uses them but does not depend only on them. Kelly, did you have radiation? Often times there
is some rib soreness from radiation that can last a while.
Hopefully all is wel - I hate that this disease plays with our minds.
Take a deep breath and think positive.
Kind Regards,
jean
__________________
Stage 1, Grade 1, 3/30/05
Lumpectomy 4/15/05 - 6MM IDC
Node Neg. (Sentinel node)
ER+ 90% / PR-, Her2+++ by FISH
Ki-67 40%
Arimidex 5/05
Radiation 32 trt, 5/30/05
Oncotype DX test 4/17/06, 31% high risk
TOPO 11 neg. 4/06
Stopped Arimidex 5/06
TCH 5/06, 6 treatments
Herceptin 5/06 - for 1 yr.
9/06 Completed chemo
Started Femara Sept. 2006
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12-06-2007, 03:27 PM
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#3
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Senior Member
Join Date: Sep 2006
Location: Savannah, Georgia
Posts: 301
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Hi Jean,
Thanks for your reply. I did have radiation, however the spot is on the other "good" side, directly under my implant. It is a "new" spot, as it was not there on my baseline, which was after surgery. So far, my markers have been running lower went I have gone for my scans, and although I know they are not always reliable, I have had a little more peace of mind going into the scans with the lower numbers.....
All I want for Christmas is a good scan..... I don't want much do I?! :-)
Love, Kelly
__________________
dx'd 05/06, 37 years old
er/pr-, Her2+, grade 3
double mastectomy, immediate reconstruction- implants
Stage 2b, 2 tumors- 2.2 cm and 0.6 cm, 3/5 + nodes
all scans clear
genetic testing- negative
06/06 began dd A/C x 4, 12 weekly Taxols w/ Herceptin
30 rads
Herceptin weekly x 1 year
Herceptin completed 08/07
Port removed 12/26/07 MERRY CHRISTMAS!!!!!!
05/17/08 Two year anniversary NED
"We gain strength, courage, and confidence by each experience in which we really stop to look fear in the face... you must do the thing that you think you cannot do."
-Eleanor Roosevelt
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12-06-2007, 03:53 PM
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#4
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Senior Member
Join Date: Oct 2005
Location: New Jersey
Posts: 3,154
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Kelly,
Just did some addtional checking and found something intereting which may give you some additional peace of mind.
I read that it is not unusual for there to be a spike as a result of dying cancer cells spilling their contents into the bloodstream. Since you recently completed herceptin maybe that is a reason.
Enjoy Christmas - You earned it!
Hugs,
Jean
__________________
Stage 1, Grade 1, 3/30/05
Lumpectomy 4/15/05 - 6MM IDC
Node Neg. (Sentinel node)
ER+ 90% / PR-, Her2+++ by FISH
Ki-67 40%
Arimidex 5/05
Radiation 32 trt, 5/30/05
Oncotype DX test 4/17/06, 31% high risk
TOPO 11 neg. 4/06
Stopped Arimidex 5/06
TCH 5/06, 6 treatments
Herceptin 5/06 - for 1 yr.
9/06 Completed chemo
Started Femara Sept. 2006
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12-06-2007, 03:56 PM
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#5
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Senior Member
Join Date: Sep 2006
Location: Savannah, Georgia
Posts: 301
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Thanks Jean- Let's say that's what it is :-). I appreciate you looking up the info for me.
Love, Kelly
__________________
dx'd 05/06, 37 years old
er/pr-, Her2+, grade 3
double mastectomy, immediate reconstruction- implants
Stage 2b, 2 tumors- 2.2 cm and 0.6 cm, 3/5 + nodes
all scans clear
genetic testing- negative
06/06 began dd A/C x 4, 12 weekly Taxols w/ Herceptin
30 rads
Herceptin weekly x 1 year
Herceptin completed 08/07
Port removed 12/26/07 MERRY CHRISTMAS!!!!!!
05/17/08 Two year anniversary NED
"We gain strength, courage, and confidence by each experience in which we really stop to look fear in the face... you must do the thing that you think you cannot do."
-Eleanor Roosevelt
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12-06-2007, 04:57 PM
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#6
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Senior Member
Join Date: Aug 2006
Location: Sheboygan, WI
Posts: 2,582
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Hi Kelly,
I ditto what Jean said about your photo. It really is SO nice. You really are a beautiful lady. Your heart seems as beautiful as you look on the outside.
Sending prayers for God's Peace to hold you as you wait for results. I know (as we all do) how difficult that is. May the Lord keep you in His perfect peace and may the results be ONLY good. Amen
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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12-06-2007, 06:37 PM
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#7
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Senior Member
Join Date: Dec 2006
Posts: 63
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Hi
I know it is worrisome to have the TM jump. Did you have a cold or were feeling under the weather when they were done? My mom's onc says that any inflammation can affect marker and still be normal. It is good you are getting scanned to be on the safe side.
Think good thoughts and I will pray you have good results.
Hugs,
Anne
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12-06-2007, 07:49 PM
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#8
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Senior Member
Join Date: Sep 2005
Posts: 589
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Kelly,
Caryn's doctor has made it clear that tm's can go up and down often. It becomes more concerning if it shoots up or continues to move up each time. I know it's easier said than done but try not to worry as it could easily be nothing.
By the way, I agree...great picture of you and your son (my assumption).
Eric
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12-06-2007, 09:58 PM
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#9
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Senior Member
Join Date: Sep 2005
Location: South Dakota.
Posts: 621
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I saw Dr. Pegram this past April and what follows is his response to my question about tumor markers. I have to say, I wish I would have pressed him a little more for details. My numbers went up recently, too, and it made me quite nervous. I won't know anything further until my next 3 month check. (This is why some oncs don't do the markers...it causes such anxiety...and if there is trouble brewing, we wouldn't know until symptoms appear or the markers continue to rise.) Here is Dr. Pegram:
Tumor Markers:
What is your opinion of having markers done?<O
I do them. They’re not very good, but I do them once in a while. It’s about like the barometric pressure. “How’s the weather today?” Oh its 760 millimeters of mercury today; well that’s one atmosphere, so that tells you maybe it’s not high or low but it doesn’t tell you the temp, clouds, precip. So that’s exactly the analogy I would make of the tumor markers. They’re a piece of a puzzle; by themselves they’re virtually worthless. But I still give them.
My CA27-29 #s have been in the normal range, but went down a little more after completing Herceptin. Might that possibly show that Herceptin had an effect?<O
They’re all in the normal range. It doesn’t mean a thing. Any bouncing around in the normal range doesn’t mean a thing. I don’t get impressed unless those things double on 2 separate occasions, back to back, a month apart. To impress me it would have to go from 20 to 40 to 80, then I’d say maybe something’s going on. That just means it’s time to take a look with some tests, but it’s not alarming. But 20 to 40 even, doesn’t get me excited. 40 doesn’t mean anything; 38 is the upper end of normal. So if it doesn’t double twice, then I’m unimpressed.
__________________
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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12-06-2007, 10:10 PM
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#10
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Senior Member
Join Date: Dec 2006
Location: Oregon
Posts: 715
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Hi Kelly, I am not in the TM consulation realm much yet...But starting in January, I will only see my onc. once every 4 months. Even for the last year and a half he really does not tell me what my TMS are. He thinks it is too easy to get hung up on the numbers. I really trust him, and feel he will tell me if I need to be concerned. He also wants me to report anything that I do not think is "right." about my body. He has already told me that he does not rely 100% on TM because they do fluctuate....I really know nothing.....Just want to send good vibes your way. Pox on those TM numbers. Get some rest, and try not to worry...yeah, yeah
Catherine
__________________
Catherine
Found my own lump in the shower
April 2006 at the age of 58
Stage IIB, ER- PR- HER2+++ multi focal tumors, largest 2.3cm
Chemo first: AC/Taxol over 16 weeks
Bilateral mastectomy Sep 06
33 rads after the surgery
1 year of Herceptin completed Dec 07
15 years and no recurrence as of April 2021
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12-07-2007, 01:57 AM
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#11
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Senior Member
Join Date: Jun 2006
Location: San Antonio, TX
Posts: 2,357
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Hi Kelly!
Mine have been as low as 25 (can hardly remember back that far!) but usually stay around 30 something to high 40s! *CA 27-29
I have had scans (including a brain MRI) and they found nothing!
Maybe I'm just tired of worrying about myself, but I just guess mine run a bit high!
Please try not to worry and just wait for the "good news"! I hope they find nothing new for you and that you get great news for the holidays! ma
__________________
MA in TX.
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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12-07-2007, 02:57 AM
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#12
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Senior Member
Join Date: Sep 2006
Location: Savannah, Georgia
Posts: 301
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Thank you all so much for your advice and encouragement. I really do feel much better. :-) I will try not to think about it today and this weekend and pray for good results Monday. The plan is that if the "spot" is gone or unchanged, my port comes out. Fingers crossed......
Love, Kelly
__________________
dx'd 05/06, 37 years old
er/pr-, Her2+, grade 3
double mastectomy, immediate reconstruction- implants
Stage 2b, 2 tumors- 2.2 cm and 0.6 cm, 3/5 + nodes
all scans clear
genetic testing- negative
06/06 began dd A/C x 4, 12 weekly Taxols w/ Herceptin
30 rads
Herceptin weekly x 1 year
Herceptin completed 08/07
Port removed 12/26/07 MERRY CHRISTMAS!!!!!!
05/17/08 Two year anniversary NED
"We gain strength, courage, and confidence by each experience in which we really stop to look fear in the face... you must do the thing that you think you cannot do."
-Eleanor Roosevelt
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12-07-2007, 01:30 PM
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#13
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Senior Member
Join Date: Feb 2006
Location: Southern, CA
Posts: 2,511
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Kellly, My tumor markers stay at 15. But not long ago it jumped up to 25...I thought, Ut Oh. But we ran them again 2 months later and it was back down to 18. So I would try not to worry even though thats easier said then done. You will feel better once you get your scan out of the way Monday and it comes back clean. I'll be thinking of your Monday. Hang in there.
Chelee
__________________
DX: 12-20-05 - Stage IIIA, Her2/Neu, 3+++,Er & Pr weakly positive, 5 of 16 pos nodes.
Rt. MRM on 1-3-06 -- No Rads due to compromised lungs.
Chemo started 2-7-06 -- TCH - - Finished 6-12-06
Finished yr of wkly herceptin 3-19-07
3-15-07 Lt side prophylactic simple mastectomy. -- Ooph 4-05-07
9-21-09 PET/CT "Recurrence" to Rt. axllia, Rt. femur, ilium. Possible Sacrum & liver? Now stage IV.
9-28-09 Loading dose of Herceptin & started Zometa
9-29-09 Power Port Placement
10-24-09 Mass 6.4 x 4.7 cm on Rt. femur head.
11-19-09 RT. Femur surgery - Rod placed
12-7-09 Navelbine added to Herceptin/Zometa.
3-23-10 Ten days of rads to RT femur. Completed.
4-05-10 Quit Navelbine--Herceptin/Zometa alone.
5-4-10 Appt. with Dr. Slamon to see what is next? Waiting on FISH results from femur biopsy.
Results to FISH was unsuccessful--this happens less then 2% of the time.
7-7-10 Recurrence to RT axilla again. Back to UCLA for options.
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