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Old 03-26-2007, 06:02 AM   #1
bobbiw
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What sort of tests

I am nearing the end of my Herceptin journey (should be done in June) and have always wondered what sort of tests are done to assure that a reccurance has not (or has) happened. I ask my onc and he says not to worry. I really dont worry that much, if it does happen we will deal with it. But I would like to be educated you know?
Bobbi
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Diagnosed 10-18-05 found during annual mamogram
Left mastectomy 10-27-05.
Sentinal node biopsy-node negative
IDC Grade 3 of 3
Tumor 2 cm margins clear
HER-2/neu 3+++
Er Pr +
Began chemo/AC every 3 weeks 12-6-05 followed by Taxol and weekly Hercpetin (Herceptin through June 2007)
Right prophlyactic mastectomy June 2006 with expanders. Due to have exchange surgery sometime end of May 2007.
Exchange surgery completed June 2007 with saline implants and nipples. Darned left implant is lopsided to the left due to the wrongly formed pocket and my wrongly formed chest wall!
Switched from Tamoxifen to Armidex in May due to menopause.
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Old 03-26-2007, 07:33 AM   #2
Mary Jo
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Hello Bobbi,

My oncologist does not do any tests once treatment is over and neither do most. Some will agree to them but most do not. Me and my onc. (who is also a breast cancer survivor) had a lengthy discussion about it. She explained how most tests aren't very conclusive. For example a pet/ct scan will not find a "clump of cancer cells" about 1/2 the size of your fingernail and there are many false positives. The stress of going through these tests and many false positives also needs to be weighed. It is very stressful to go through this. My onc. does routine blood work - looks at liver counts - something with the bone and basic routine blood work. She examines me thoroughly - asks me lots of questions and that's it.

Although, I'd love to know that "what ifs" associated with this disease and have concrete answers ALL OF THE TIME - that just isn't the way it goes. As you said - what will be will be. My onc. also went on to explain that doing tests and not doing tests statistically shows no increase in survivorship. So.................I guess we all have to do what we're comfortable with. I for one, agree with my onc. HOWEVER wishes there were better ways to check for recurrence with flawless results BUT so far that just doesn't seem to be the case.

Living for today.............................

Mary Jo
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"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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Old 03-26-2007, 07:52 AM   #3
Mary Anne in TX
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Hi Bobbi!
I finish Herceptin in June also and have wondered all the same things. I appreciate you starting this thread. I see my onc on Friday and will ask him the plans for me. I wish I trusted myself more to notice any changes, etc. 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 03-26-2007, 08:42 AM   #4
suzan w
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I finished Herceptin in Oct. My onc. does not believe in 'routine scans', she feels that there are too many false positives, etc. I see her every 3 months and have blood work-including tumor markers. I am always on the alert for anything that seems "off", although I will admit that there are days when everythng feels off and I worry about a hangnail. I think one of the most important things I do for myself is stay current with all the news, and with all the courageous women on this board who are blazing the trail!!!
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Suzan W.
age 54 at diagnosis
5/05 suspicious mammogram-left breast
5/05 biopsy-invasive lobular carcinoma with LCIS,8mm tumor,stage 1 grade 2, ER+ PR+ Her2+++
6/14/05 bilateral mastectomy, node neg. all scans neg.
Oncotype DX-high risk
8/05-10/05 4 rounds A/C
10/05 -10/06 1 yr. herceptin
arimidex-5 years
2/14/08 started daily self administered injections..FORTEO for severe osteoporosis
7/28/09 BRCA 1 negative BRCA2 POSITIVE
8/17/09 prophylactic salpingo-oophorectomy
10/15/10 last FORTEOinjection
RECLAST infusion(ostoeporosis)
6/14/10 5 year cancerversary!
8/2010-18%increase in bone density!
no further treatments
Oncologist says, "Go do the Happy Dance"
I say,"What a long strange trip its been"
'One day at a time'
6-14-2015. 10 YEAR CANCERVERSARY!
7-16 to 9-16. Extensive (and expensive) dental work done to save teeth. Damage from osteoporosis and chemo and long term bisphosphonate use
6-14-16. 11 YEAR CANCERVERSARY!!
7-20-16 Prolia injection for severe osteoporosis
2 days later, massive hive outbreak. This led to an eventual dx of Chronic Ideopathic Urticaria, an auto-immune disease from HELL.
6-14-17 12 YEAR CANCERVERSARY!!
still suffering from CIU. 4 hospitilizations in the past year

as of today, 10-31-17 in remission from CIU and still, CANCER FREE!!!
6-14-18 13 YEAR CANCERVERSARY!! NED!!
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Old 03-26-2007, 09:06 AM   #5
Jean
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Wink

I am finishing my herceptin soon also. Gee, the year went fast!
(I guess it is true that time flys when your having fun)

I will check with my onc. as to what he plans and not plans on?
But, for me I am certain that I will be doing some form of scan
at least once per year. We should also consider a Brain scan
at least once per year. Will update you. I am finding that most
dr. DO NOT recommend scans without some smyptons being
present. I know my onc. does not do markers.

I already have in place a schedule of breast MRI and Digital mammo.
every 6 months alternating between the two. (hoping that covers
any local recurrance issues if needed).

Congratulations on your up-coming completion of herceptin!
HUgs,
Jean
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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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Old 03-26-2007, 09:38 AM   #6
Hopeful
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Here is a link to a timely abstract: http://jco.ascopubs.org/cgi/content/abstract/25/9/1074


Hopeful
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