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		|  03-13-2013, 06:36 PM | #1 |  
	| Senior Member 
				 
				Join Date: Sep 2005 Location: Mountains of Virginia 
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				 Extending signatures 
 As you know, many of us use our signatures to share the steps of our journey through diagnosis, treatment and survivorship.
 Happily, as our years stretch on, our signatures need room to grow!
 
 We've been hoping to expand our availability and Tom has come through! For the past several years our signatures have been limited to around 1000 characters.  That has now been increased to 5000.
 
 So, write on my friends!
 
 If anyone needs assistance, send me a PM.
 
				__________________Rhonda (Sassy)
dx age 45
DX 2/15/05 Stage IIb (at surgery)restaged IIIa
Left mast .9cm tumor 5 of 14 nodes
Triple Positive 
4 DD A/C
12 Taxol/Herceptin
33Rads
Strange infect mast site one year aft surg, hosp 1 wk
Herceptin for total of 18 months
Lupron Monthly 4 yrs
Neurontin for aches, pains and hot flashes(It works!)
Ovaries removed 11/09 stop Lupron and Neurontin
Arimidex 6 yrs (tried Femara, no SE improvement)
Tried Exemestane-hips got so bad could hardly walk
Back to Arimidex for year seven
Zometa 2X Annual for 7years, Lasix
Stop Arimidex 5/13
Stop Zometa 7/13-Bi-lateral Stress Fractures in Femurs from Zometa 
5/14 Start Tamoxifen
3/15 Stem cell transplant to stimulate femur bone growth/healing
5/15 Complete fracture of right femur/Titanium rods both femurs
9/16 Start Evista stopTamoxifen
 3/17 Stop Evista--unwelcome side effects!
 NED and no meds.......
14  YEARS NED!			 Last edited by sassy; 03-18-2013 at 06:32 PM..
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		|  03-13-2013, 07:09 PM | #2 |  
	| Senior Member 
				 
				Join Date: May 2011 Location: Denver, CO 
					Posts: 1,427
				 
		 
		 
		
		 
		
		
	
		
	
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				Re: Extending signatures
			 
 That's great! Thank you so much. 
				__________________Amy
 _____________________________
 4/19/11 Diagnosed invasive ductal carcinoma in left breast; 2.3 cm tumor, 1 axillary lymph node, weakly ER+, HER2+++
 4/29/11 CT scan shows suspicious lesions on liver and lungs
 5/17/11 liver biopsy
 5/24/11 liver met confirmed--Stage IV at diagnosis
 5/27/11 Begin weekly Taxol & Herceptin for 3 months (standard of care at the time of my DX)
 7/18/11 Switch to weekly Abraxane & Herceptin due to Taxol allergy
 8/29/11 CT scan shows no new lesions & old lesions shrinking
 9/27/11 Finish Abraxane. Start Herceptin every 3 weeks. Begin taking Arimidex
 10/17/11--Brain MRI--No Brain mets
 12/5/11 PET scan--Almost NED
 5/15/12 PET scan shows progression-breast/chest/spine (one vertebra)
 5/22/12 Stop taking Arimidex; stay on Herceptin
 6/11/12 Started Tykerb and Herceptin on clinical trial (w/no chemo)
 9/24/12 CT scan--No new mets. Everything stable.
 3/11/13 CT Scan--two small new possible mets and odd looking area in left lung getting larger.
 4/2/13--Biopsy of suspicious area in lower left lung. Mets to lung confirmed.
 4/30/13 Begin Kadcyla/TDM-1
 8/16/13 PET scan "mixed," with some areas of increased uptake, but also some definite improvement, so I'll stay on TDM-1/Kadcyla.
 11/11/13 Finally get hormone receptor results from lung biopsy of 4/2/13. My cancer is no longer ER positive.
 11/13/13 PET scan mixed results again. We're calling it "stable." Problems breathing on exertion.
 2/18/14 PET scan shows a new lesion and newly active lymph node in chest, other progression. Bye bye TDM-1.
 2/28/14 Begin Herceptin/Perjeta every 3 weeks.
 6/8/14 PET "mixed," with no new lesions, and everything but lower lungs improving. My breathing is better.
 8/18/14 PET "mixed" again. Upper lungs & one spine met stable, lower lungs less FDG avid, original tumor more avid, one lymph node in mediastinum more avid.
 9/1/14 Begin taking Xeloda one week on, one week off. Will also stay on Herceptin and Perjeta every three weeks.
 12/11/14 PET Scan--no new lesions, and everything looks better than it did.
 3/20/15 PET Scan--no new lesions, but lower lung lesions larger and a bit more avid.
 4/13/15 Increasing Xeloda dose to 10 days on, one week off.
 7/1/15 Scan "mixed" again, but suggests continuing progression. Stop Xeloda. Substitute Abraxane every 3 weeks starting 7/13.
 10/28/15 PET scan shows dramatic improvement everywhere. All lesions except lower lungs have resolved; lower lungs noticeably improved.
 12/18/15 Last Abraxane. Continue on Herceptin and Perjeta alone beginning 1/8/16.
 1/27/16 PET scan shows cancer is stable.
 5/11/16 PET scan shows uptake in some areas that were resolved on the last two scans.
 6/3/16 Begin Kadcyla and Tykerb combination
 6/5 - 6/23 Horrible diarrhea from K&T together. Got pneumonia.
 7/15/16 Begin Kadcyla only every 3 weeks.
 9/6/16 Begin radiation therapy on right lung lesion that caused the pneumonia.
 10/3/16 Last of 12 radiation treatments to right lung.
 11/4/16 Huffing and puffing, low O2, high heart rate, on tiniest bit of exertion. Diagnosed as radiation pneumonitis. Treated with Prednisone.
 11/11/16 PET scan shows significant improvement to radiated part of right lung BUT a bunch of new lung lesions, and the bone met is getting worse.
 11/22/16 Begin Eribulin and Herceptin. H every 3 weeks. E two weeks on, one week off.
 3/6/17 Scan shows progression in lungs. Bone met a little better.
 3/23/17 Lung biopsy. Tumor sampled is ER-, PR+ (5%), HER2+++. Getting Herceptin and Perjeta as a maintenance treatment.
 5/31/17 Port placement
 6/1/17 Start Navelbine & Tykerb
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		|  03-14-2013, 05:45 AM | #3 |  
	| Senior Member 
				 
				Join Date: May 2012 Location: Bethlehem PA 
					Posts: 395
				 
		 
		 
		
		 
		
		
	
		
	
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				Re: Extending signatures
			 
 I tried to update to update mine but still got an "error", signature cannot be more than 1000". Did I do something wrong? 
				__________________  39 year old wife, mother of one and nurse. 
April 20, 2012: Dx Invasive Ductal Carcinoma 
April 25, 2012: ER+(5%), PR-, HER2+++ 
May 10, 2012: BRCA 1,2 Negative 
May 23, 2012: MUGA Scan EF 70% 
May 31, 2012: B/L Mastectomy. 2/2 nodes removed and CLEAR!! Power Port placed. 2 Drains. 2 Expanders placed 
June 5, 2012: Drains OUT! Ahhhh.. 
June 12, 2012: Final Pathology Report, .8x.3cm tumor. Micromets to 1 node .35mm under cytokeratin staining. Stage 2A. Onc says "you are lucky to have found this early" 
July 10, 2012: Started 6 rounds of TCH with weekly H 
Sept 5, 2012: MUGA 65% 
Sept 20, 2012: CAT scan of brain clear! 
Oct 23, 2012: LAST TC! AMEN! Continue Herceptin every three weeks until July 2013. 
Nov 19, 2012: Port out! 
Dec 5, 2012: Started radiation 
Dec. 10, 2012: MUGA 65% 
Dec. 13, 2012: Turned 40. BEST BIRTHDAY EVER! 
Jan 23, 2013: Last radiation. Told I am NED. Continue Herceptin every three weeks till July 2013. 
Jan 29, 2013: Begin 5 years of Tamoxifen. 
Feb 28, 2013: CT Scan with Contrast of lungs. 5mm and 4mm nodules of unknown origin. Rescan in 3 months. 
Mar 6, 2013: EF 60% 
May 8, 2013: Exanders out, implants implanted...abd. lipo and fat moved up. Girls are looking good! 
June 3, 2013: CT Scan with Contrast of lungs. Previous nodules gone. New nodules (2mm and 3mm) found. Rescan in 3 months. So sorry I opened this can of worms... 
June 11, 2013: EF 60% 
June 25, 2013: Last Herceptin. wow... 
Aug 20, 2013: Tumor markers within normal limits. Xray to sore left ribs shows no disease or fractures. 
Sept 9, 2013: CT of lungs shows no disease. Closing this can of worms and moving on. 
Nov 20, 2013: Tumor markers within normal limits. Severe Vit D deficiency, started on prescription Vit. D. Blaming chemo for this. 
Feb 2014: Tumor markers within normal limits. 
May 2014: Tumor markers within normal limits. Graduated to twice yearly onc appts.  
Oct 2014: Tumor markers within normal limits. 
May 2015: Tumor markers WNL. Bone density scan fine. Bone scan and xray of ribs shows "something" 4th right rib. Could be healed fracture but if it is healed why does it hurt? 
 Nov 2015: Tumor markers WNL. Follow up bone scan clear. 
 Feb 2016: Syncope! WTF? Dizzy too. Brain scan clear, ECHO EF 60%, Halter Monitor shows heart is fine. Viral? I will never know. 
June 2016: Tumor markers WNL. 
Oct 2016: Stabbing pain right eye. Long story short, trigeminal neuralgia. 
Nov 2016 Brain MRI clear. 
Jan 2017: Tumor markers WNL, still getting weird pain right rib area, and sometimes  right upper chest. Xray x2, Bone Scan, Breast MRI all clear. Scar tissue? Rads. I may never know.
www.onmywaytosurvivorhood.blogspot.com
www.thechemobag.com
www.facebook.com/thechemobag |  
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		|  03-14-2013, 02:22 PM | #4 |  
	| Senior Member 
				 
				Join Date: Sep 2005 Location: Mountains of Virginia 
					Posts: 2,267
				 
		 
		 
		
		 
		
		
	
		
	
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				Re: Extending signatures
			 
 Checking on it Leah, will let you know.
 The one I tried worked OK, but we'll find out if there is a problem.
 
				__________________Rhonda (Sassy)
dx age 45
DX 2/15/05 Stage IIb (at surgery)restaged IIIa
Left mast .9cm tumor 5 of 14 nodes
Triple Positive 
4 DD A/C
12 Taxol/Herceptin
33Rads
Strange infect mast site one year aft surg, hosp 1 wk
Herceptin for total of 18 months
Lupron Monthly 4 yrs
Neurontin for aches, pains and hot flashes(It works!)
Ovaries removed 11/09 stop Lupron and Neurontin
Arimidex 6 yrs (tried Femara, no SE improvement)
Tried Exemestane-hips got so bad could hardly walk
Back to Arimidex for year seven
Zometa 2X Annual for 7years, Lasix
Stop Arimidex 5/13
Stop Zometa 7/13-Bi-lateral Stress Fractures in Femurs from Zometa 
5/14 Start Tamoxifen
3/15 Stem cell transplant to stimulate femur bone growth/healing
5/15 Complete fracture of right femur/Titanium rods both femurs
9/16 Start Evista stopTamoxifen
 3/17 Stop Evista--unwelcome side effects!
 NED and no meds.......
14  YEARS NED! |  
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		|  03-14-2013, 02:38 PM | #5 |  
	| Senior Member 
				 
				Join Date: May 2012 Location: Bethlehem PA 
					Posts: 395
				 
		 
		 
		
		 
		
		
	
		
	
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				Re: Extending signatures
			 
 Great. Thanks Sassy. 
				__________________  39 year old wife, mother of one and nurse. 
April 20, 2012: Dx Invasive Ductal Carcinoma 
April 25, 2012: ER+(5%), PR-, HER2+++ 
May 10, 2012: BRCA 1,2 Negative 
May 23, 2012: MUGA Scan EF 70% 
May 31, 2012: B/L Mastectomy. 2/2 nodes removed and CLEAR!! Power Port placed. 2 Drains. 2 Expanders placed 
June 5, 2012: Drains OUT! Ahhhh.. 
June 12, 2012: Final Pathology Report, .8x.3cm tumor. Micromets to 1 node .35mm under cytokeratin staining. Stage 2A. Onc says "you are lucky to have found this early" 
July 10, 2012: Started 6 rounds of TCH with weekly H 
Sept 5, 2012: MUGA 65% 
Sept 20, 2012: CAT scan of brain clear! 
Oct 23, 2012: LAST TC! AMEN! Continue Herceptin every three weeks until July 2013. 
Nov 19, 2012: Port out! 
Dec 5, 2012: Started radiation 
Dec. 10, 2012: MUGA 65% 
Dec. 13, 2012: Turned 40. BEST BIRTHDAY EVER! 
Jan 23, 2013: Last radiation. Told I am NED. Continue Herceptin every three weeks till July 2013. 
Jan 29, 2013: Begin 5 years of Tamoxifen. 
Feb 28, 2013: CT Scan with Contrast of lungs. 5mm and 4mm nodules of unknown origin. Rescan in 3 months. 
Mar 6, 2013: EF 60% 
May 8, 2013: Exanders out, implants implanted...abd. lipo and fat moved up. Girls are looking good! 
June 3, 2013: CT Scan with Contrast of lungs. Previous nodules gone. New nodules (2mm and 3mm) found. Rescan in 3 months. So sorry I opened this can of worms... 
June 11, 2013: EF 60% 
June 25, 2013: Last Herceptin. wow... 
Aug 20, 2013: Tumor markers within normal limits. Xray to sore left ribs shows no disease or fractures. 
Sept 9, 2013: CT of lungs shows no disease. Closing this can of worms and moving on. 
Nov 20, 2013: Tumor markers within normal limits. Severe Vit D deficiency, started on prescription Vit. D. Blaming chemo for this. 
Feb 2014: Tumor markers within normal limits. 
May 2014: Tumor markers within normal limits. Graduated to twice yearly onc appts.  
Oct 2014: Tumor markers within normal limits. 
May 2015: Tumor markers WNL. Bone density scan fine. Bone scan and xray of ribs shows "something" 4th right rib. Could be healed fracture but if it is healed why does it hurt? 
 Nov 2015: Tumor markers WNL. Follow up bone scan clear. 
 Feb 2016: Syncope! WTF? Dizzy too. Brain scan clear, ECHO EF 60%, Halter Monitor shows heart is fine. Viral? I will never know. 
June 2016: Tumor markers WNL. 
Oct 2016: Stabbing pain right eye. Long story short, trigeminal neuralgia. 
Nov 2016 Brain MRI clear. 
Jan 2017: Tumor markers WNL, still getting weird pain right rib area, and sometimes  right upper chest. Xray x2, Bone Scan, Breast MRI all clear. Scar tissue? Rads. I may never know.
www.onmywaytosurvivorhood.blogspot.com
www.thechemobag.com
www.facebook.com/thechemobag |  
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		|  03-15-2013, 02:43 PM | #6 |  
	| Senior Member 
				 
				Join Date: Apr 2007 Location: LA LA Land 
					Posts: 1,607
				 
		 
		 
		
		 
		
		
	
		
	
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				Re: Extending signatures
			 
 WOULD LIKE TO UPLOAD THIS FOR MY SIGNATURE...Cannot figure out why word shows 1600 characters but upload shows error message.  Any ideas? Thanks!!!!!!
 
 1957-1995 – Just living my life...
 1996 cancer?! 1.3 cm lumpectomy(20nodes NEGATIVE) CMF + rads. ’02 recurrence. bilats.w/recon. ACx2. skin lymphatic rash. taxotere w/Herceptin x4. Herceptin/zeloda.
 ‘03 latisimus dorsi flap to remove skin mets. CLEAN MARGINS. continue herceptin only thru 4/04 NED.
 ‘04 '05 & 06 tiny recurrences - scar line – cut out, cut out, cut out. 1/06 RE-radiation to scar line. NED.
 3/07 mets!lungs.sternum. Tykerb/Xeloda boo. Tykerb/Carbo/Gemzar boo.
 12/07 Herceptin.Tykerb.GOD.
 2/8/08 gamma knife 13mm stupid brain met.
 3/08 Herceptin/tykerb/avastin/zometa.
 3/09 brain NED. Lungs STABLE. Sternum boo.
 4/09 attack sternum: rads for the third time…(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 trial but then 6/2010 CT STABLE, PET improving. Markers normal. Brain NED. Doctor is perplexed at such improvement without treatment.  Cautiously Resume just Herceptin plus ZOMETA
 Dec 2010  Brain NED, lungs/sternum stable. markers normal
 MAR 2011 stop Herceptin - weird allergy.  Go back on Tykerb and switch to Xgeva.
 May-Aug'11 Tykerb Herceptin Xgeva. (premeds for Herceptin now)
 Sept ‘11 Tykerb, Herceptin, Zometa, Avastin.  (switched back to Zometa, pet/ct bone mets seemed worse on Xgeva)
 April 2012 – drop everything and join a 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 GAMMA ZAPPA, ALMOST 6 YEARS STAGE 4 AND 17 YEARS FROM ORIGINAL DIAGNOSIS! continue Herceptin, Avastin, Zometa, Perjeta
 
				__________________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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		|  03-16-2013, 04:43 PM | #7 |  
	| Senior Member 
				 
				Join Date: Dec 2009 
					Posts: 562
				 
		 
		 
		
		 
		
		
	
		
	
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				Re: Extending signatures
			 
 That's great, thank you so much! 
				__________________  http://butdoctorihatepink.com 
08/17/09  Dx'd. 
Multifocal/multicentric IDC,  largest 3.4 cm, associated ADH, LCIS, DCIS 
HER2+ ER+/PR- Grade 3, Node Negative
 
10/20/2009:  Right mastectomy, reconstruction with TE 
12/02/2009:  Six rounds TCH, switched to Taxol halfway through due to neuropathy 
03/31/2010:  Finished chemo 
05/01/2010:  Began tamoxifen, the worst drug ever 
11/18/2010:  Reconstruction completed 
12/02/2010:  Finished herceptin 
05/21/2011:  Liver Mets.  Quit Tamoxifen 
06/22/2011:  Navelbine/Zometa/Herceptin 
10/03/2011:  Liver Resection, left lobe.  Microwave      ablation, right lobe - going for cure! 
11/26/2011:  C-Diff Superbug Infection, "worst case doctor had seen in 20 years" 
03/28/2012:   Progression in ablated section of the          liver - no more cure.  Started Abraxane, continue herceptin/zometa 
10/10/2012:  Progression continues, started Halaven, along with herceptin and zometa.  
01/15/2013:  Progression continues, started Gemzar and Perjeta, an unusual combo, continuing with herceptin and zometa 
03/13/2013:   Quit Gemzar, body just won't handle it.  Staying on herceptin, zometa and perjeta.   
04/03/2013:   CT shows 50% regression in tumor, so am starting back on Gemzar with dose reduction, staying with perjeta/herceptin/zometa.  Can't argue with success! 
05/09/2013:  Discussing SBRT with Radiology due to inability of bone marrow to recover from chemo. 
06/07/2013:  Fiducial placement for SBRT 
07/03/2013:  Chemo discontinued, on Perjeta, Herceptin and Zometa alone 
07/25/2013: SBRT (gamma knife) begins 
08/01/2013: SBRT completed 
08/15/2013: STABLE! continuing with Perjeta, Herceptin, Zometa 
06/18/2014: ***** NED!!!!*****  continuing with Perjeta, Herceptin, Zometa 
01/29/2014: Still NED.  continuing with Perjeta, Herceptin.  Zometa lowered to every 3 months instead of monthly. 
11/08/2015: Progression throughout abdomen and lungs. Started TDM-1, aka Kadcyla. Other meds discontinued. Remission was nice while it lasted.
 
5/27/18:  Stable. Kadcyla put me right back in the barn. I have two teeny spots on my lungs that are metabolically inactive, and liver is clean. 
 
I’m beating this MFer. I was 51 when this started and had two kids, 22 and 12. Now I’m 60. My oldest got married and trying to start s family. My youngesg graduates from Caltech this June. My stepdaughter gave me grandkids. Life is fantastic.
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		|  03-18-2013, 06:31 PM | #8 |  
	| Senior Member 
				 
				Join Date: Sep 2005 Location: Mountains of Virginia 
					Posts: 2,267
				 
		 
		 
		
		 
		
		
	
		
	
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				Re: Extending signatures
			 
 Flori and Leah,
 Could you try once again, please? If it doesn't work, please PM me to let me know and we'll try a different approach.
 
				__________________Rhonda (Sassy)
dx age 45
DX 2/15/05 Stage IIb (at surgery)restaged IIIa
Left mast .9cm tumor 5 of 14 nodes
Triple Positive 
4 DD A/C
12 Taxol/Herceptin
33Rads
Strange infect mast site one year aft surg, hosp 1 wk
Herceptin for total of 18 months
Lupron Monthly 4 yrs
Neurontin for aches, pains and hot flashes(It works!)
Ovaries removed 11/09 stop Lupron and Neurontin
Arimidex 6 yrs (tried Femara, no SE improvement)
Tried Exemestane-hips got so bad could hardly walk
Back to Arimidex for year seven
Zometa 2X Annual for 7years, Lasix
Stop Arimidex 5/13
Stop Zometa 7/13-Bi-lateral Stress Fractures in Femurs from Zometa 
5/14 Start Tamoxifen
3/15 Stem cell transplant to stimulate femur bone growth/healing
5/15 Complete fracture of right femur/Titanium rods both femurs
9/16 Start Evista stopTamoxifen
 3/17 Stop Evista--unwelcome side effects!
 NED and no meds.......
14  YEARS NED! |  
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		|  03-19-2013, 04:01 AM | #9 |  
	| Senior Member 
				 
				Join Date: May 2012 Location: Bethlehem PA 
					Posts: 395
				 
		 
		 
		
		 
		
		
	
		
	
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				Re: Extending signatures
			 
 Worked!! Thank you!! 
				__________________  39 year old wife, mother of one and nurse. 
April 20, 2012: Dx Invasive Ductal Carcinoma 
April 25, 2012: ER+(5%), PR-, HER2+++ 
May 10, 2012: BRCA 1,2 Negative 
May 23, 2012: MUGA Scan EF 70% 
May 31, 2012: B/L Mastectomy. 2/2 nodes removed and CLEAR!! Power Port placed. 2 Drains. 2 Expanders placed 
June 5, 2012: Drains OUT! Ahhhh.. 
June 12, 2012: Final Pathology Report, .8x.3cm tumor. Micromets to 1 node .35mm under cytokeratin staining. Stage 2A. Onc says "you are lucky to have found this early" 
July 10, 2012: Started 6 rounds of TCH with weekly H 
Sept 5, 2012: MUGA 65% 
Sept 20, 2012: CAT scan of brain clear! 
Oct 23, 2012: LAST TC! AMEN! Continue Herceptin every three weeks until July 2013. 
Nov 19, 2012: Port out! 
Dec 5, 2012: Started radiation 
Dec. 10, 2012: MUGA 65% 
Dec. 13, 2012: Turned 40. BEST BIRTHDAY EVER! 
Jan 23, 2013: Last radiation. Told I am NED. Continue Herceptin every three weeks till July 2013. 
Jan 29, 2013: Begin 5 years of Tamoxifen. 
Feb 28, 2013: CT Scan with Contrast of lungs. 5mm and 4mm nodules of unknown origin. Rescan in 3 months. 
Mar 6, 2013: EF 60% 
May 8, 2013: Exanders out, implants implanted...abd. lipo and fat moved up. Girls are looking good! 
June 3, 2013: CT Scan with Contrast of lungs. Previous nodules gone. New nodules (2mm and 3mm) found. Rescan in 3 months. So sorry I opened this can of worms... 
June 11, 2013: EF 60% 
June 25, 2013: Last Herceptin. wow... 
Aug 20, 2013: Tumor markers within normal limits. Xray to sore left ribs shows no disease or fractures. 
Sept 9, 2013: CT of lungs shows no disease. Closing this can of worms and moving on. 
Nov 20, 2013: Tumor markers within normal limits. Severe Vit D deficiency, started on prescription Vit. D. Blaming chemo for this. 
Feb 2014: Tumor markers within normal limits. 
May 2014: Tumor markers within normal limits. Graduated to twice yearly onc appts.  
Oct 2014: Tumor markers within normal limits. 
May 2015: Tumor markers WNL. Bone density scan fine. Bone scan and xray of ribs shows "something" 4th right rib. Could be healed fracture but if it is healed why does it hurt? 
 Nov 2015: Tumor markers WNL. Follow up bone scan clear. 
 Feb 2016: Syncope! WTF? Dizzy too. Brain scan clear, ECHO EF 60%, Halter Monitor shows heart is fine. Viral? I will never know. 
June 2016: Tumor markers WNL. 
Oct 2016: Stabbing pain right eye. Long story short, trigeminal neuralgia. 
Nov 2016 Brain MRI clear. 
Jan 2017: Tumor markers WNL, still getting weird pain right rib area, and sometimes  right upper chest. Xray x2, Bone Scan, Breast MRI all clear. Scar tissue? Rads. I may never know.
www.onmywaytosurvivorhood.blogspot.com
www.thechemobag.com
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		|  03-28-2013, 08:25 PM | #10 |  
	| Senior Member 
				 
				Join Date: Apr 2007 Location: LA LA Land 
					Posts: 1,607
				 
		 
		 
		
		 
		
		
	
		
	
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				Re: Extending signatures
			 
 by the way, meant to say yay and thanks! sig in place ;-) 
				__________________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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