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			08-22-2006, 09:00 AM
			
							
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			#1
			
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				recycling used chemos
			 
			 
			
		
		
		
		I am running out of options for my lung mets. We are kind of scraping the bottom of the barrel. I keep asking various oncs about reusing chemos that worked so well before and I keep getting the stock answer which is that if you progressed on a certain chemo, it won't work again. 
But if I think about it, some of these chemos are from 4 years ago, and if I have had other chemos since then, is it possible that these might have wiped out those particular resistant cells? What is the downside in trying other than it won't work? 
Does anyone have any stories about reused chemos working? Any stories about abraxane or taxol working after a year on taxotere?  
I don't have much left to go for. 
  
Anybody know anything about topotecan?  
  
Any ideas welcome. 
Rosie 
		
	
		
		
		
		
		
		
		
		
		
	
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			08-22-2006, 09:47 AM
			
							
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			#2
			
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				tykereb?
			 
			 
			
		
		
		
		Rosie, 
  
Are you trying to get tykereb on EAP? 
  
Julie 
		
	
		
		
		
		
		
		
			
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				Diagnosed in Sept 2004 while pregnant with the second child. Stage 3b, tumor 4.5cm, 4 auxillary and supraclav node positive. Her2+++ FISH 9.4 and er-,pr-. 
Had dose dense neoadjuvant AC,Taxol then mastectomy,radiation+xeloda+Herceptin.
			 
		
		
		
		
		
		
	
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			08-22-2006, 09:55 AM
			
							
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			#3
			
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		 I was on the original trial for tykerb back in 2003 for 4 months. No longer an option.... 
		
	
		
		
		
		
		
		
		
		
		
	
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			08-22-2006, 01:11 PM
			
							
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			#4
			
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		You did say any ideas.  I wondered if you have looked at the posts on diet, possible cancer risk reduction and particularly balancing the omega threes and sixes.  
There is significant evdience that omega threes ALA DHA and EPA may moderate cancer risk.
 
Various trials are being done with DHA and low dosage COX blockers.
 
There is also some evidence of omega three proving a positive adjunct to some chemos. 
 
The above subject are covered in the following link
 http://www.her2support.org/vbulletin...ght=greek+diet
You might if interested like to look at this link which contains a range of links on omega three, six and cancer.  
 
Please definately discuss any dietary changes with your advisors.
 
Bearing in mind all the caveats contained in tha paragrpah below you may find this interesting  http://www.her2support.org/vbulletin...ught+provoking
I am sorry I cannot do more than post what other people are saying.  The subject of fats and the body is enormous complex controversial and much is not understood, but it is none the less highly thought provoking, and it would appear that some have benifited sufficently for trials to be ongoing.
 
RB  
		
	
		
		
		
		
		
		
		
		
		
	
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			08-22-2006, 01:13 PM
			
							
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			#5
			
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				Location: Ontario, Canada 
				
				
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		 Hi; 
 
Have you tried Avastin?   
  
Cathy 
		
	
		
		
		
		
		
		
			
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				Cathy 
  
Diagnosed Oct. 2004 3 cm ductal, lumpectomy Nov. 2004  
Diagnosed Jan. 2005 tumor in supraclavicular node 
Stage 3c, Grade 3, ER/PR+, Her2++ 
4 AC, 4 Taxol, Radiation, Arimidex, Actonel  
Herceptin for 9 months until Muga dropped and heart enlarged 
Restarting herceptin weekly after 4 months off 
Stopped herceptin after four weekly treatments....score dropped to 41 
Finished 6 years Arimidex 
May 2015 diagnosed with ovarian cancer 
Stage 1C  
started 6 treatments of carboplatin/taxol 
Genetic testing show BRCA1 VUS 
Nice! My hair came back really curly. Hope it lasts lol.  Well it didn't but I liked it so I'm now a perm lady 
29 March 2018 Lung biopsy following chest CT showing tumours in pleura of left lung, waiting for results to the question bc or ovarian 
April 20, 2018 BC mets confirmed, ER/PR+ now Her2- 
Questions about the possibility of ovarian spread and mets to bones so will be tested and monitored for these. 
To begin new drug Palbociclib (Ibrance) along with Letrozole May, 2018. 
Genetic testing of ovarian tumour and this new lung met will take months. 
To see geneticist to be retested for BRCA this week....still BRCA VUS 
CA125 has declined from 359 to 12 as of Aug.23/18 
 
 
			 
		
		
		
		
		
		
	
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			08-22-2006, 07:31 PM
			
							
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			#6
			
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				Al from Canada sez it's so...
			 
			 
			
		
		
		
		Rosie, 
 
I have heard on this board and from my doctors that there IS data indicating that you can "reuse" a chemo that has been successful in the past.  I don't know the studies, but Al from Canada has commented on this more than once.  I don't know if he will see this, but you could send him a PM with this question. 
  
Also, as others have suggested, you may be eligible for Tykerb so that is definitely worth trying! 
Chris 
  
Best of luck to you 
		
	
		
		
		
		
		
		
			
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				Chris in Scotts Valley 
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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			08-22-2006, 08:38 PM
			
							
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			#7
			
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		 Rosie, 
I think there are women here who have been on the different Taxanes.  They do work differently in they system so you can try one after you have tried another.  At least that is my understanding.  Hopefully someone with experience  with this will  write. 
Hugs, 
Janet 
		
	
		
		
		
		
		
		
		
		
		
	
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			08-22-2006, 08:48 PM
			
							
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			#8
			
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				Location: Madison, Connecticut 
				
				
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		 Dear Rosie, 
If Al from Canada or Becky don't see your post, you may want to send them a private email asking for advice.  I am also wondering if you can just get a pathology on this stubborn lung mets, you may find that it no longer has the same characteristics of your original tumor.  For example if it is now overexpressing Her1 instead of Her 2, your onc may treat it differently.  I think if I were in your shoes, with the limited information on your tumor that you have provided, I would get another pathology on this tumor and fly to Dr. Eric Winer at Dana Farber in Mass or Dr. Denny Slamon in LA for a second opinion. 
Hang in there with us Rosie, this is an unsettling and difficult time for you...it will be hard to stay energized and focused, but you can do this.  Read MADuBois's posts for some inspiration!  Love and light, 
Kim from CT 
		
	
		
		
		
		
		
		
		
		
		
	
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			08-23-2006, 08:57 PM
			
							
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			#9
			
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				Old Chemo
			 
			 
			
		
		
		
		My doc has suggested going from taxol to taxotere or even a newer derivation so  it seems that it's possible I'll ask tomorrow. However they did work for some time? He is very well respected arounfd here? Prayers. 
Kathy 
		
	
		
		
		
		
		
		
		
		
		
	
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