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			05-04-2007, 03:00 PM
			
							
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				Location: Norridgewock, Maine 
				
				
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				Update from last week!
			 
			 
			
		
		
		
		Saw the surgeon this week, will have port moved over to the side away from skin mets on Monday.  Saw the oncologist today.  Fluid from right lung did contain cancer cells but he said not a lot.  He checked my lungs and did hear fluid back in the right lining so went for chest x-ray.  My caugh is back so probably will have to have fluid drained before surgery on Monday.  As soon as port is moved I will go to oncology and have Doxil treatment on Monday so another busy day.  We did decide to continue with Doxil as we think we are seeing some small changes in the mets.  Wishing every one a great weekend.  hugs, Sandy 
		
	
		
		
		
		
		
		
			
				__________________ 
				Dx. 03/01, Rt. IBC 
AC/Taxatere 
Rt. MRM-with graft Lt. simple  
5 rads-skin mets 
Herceptin, taxol, carboplatin (taxol seem to be the magic drug) 
Navelbine & xeloda (did not work) 
topical miltex for skin mets 
Tykerb/xeloda 
thoracentesis x 2 left lung fluid shows cancer cells 
Port removal (4 years) with power port replacement 
Doxil  
Updated 05-07 Scans show no bone or organ involvement we shall see! 
  
  
  
  
I shall not pass this way again. Any good I can do or any kindness that I can show let me not defer or neglect it for I shall not pass this way again. 
			 
		
		
		
		
		
		
	
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			05-04-2007, 03:54 PM
			
							
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				Join Date: Jun 2006 
				Location: San Antonio, TX 
				
				
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		 Hugs back to you, Sandy!  Hope that your Monday is as uneventful as possible.  I'll be thinking of you.  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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			05-04-2007, 05:23 PM
			
							
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			#3
			
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		 Dear Sandy 
 
  
All the best for monday. Keep us updated and look after yourself. 
May the doxil do its stuff. 
  
love 
linda 
		
	
		
		
		
		
		
		
		
		
		
	
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			05-04-2007, 06:04 PM
			
							
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		 Dearest Sandy,  My love and prayers are with you everyday. I, too am dealing with skin mets from the IBC, now on xeloda and starting tykerb on Monday. Your gentle soul has touched my life, abd I will be thinking of you and sending you lots of warm hugs.  Love, Vickie 
		
	
		
		
		
		
		
		
		
		
		
	
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			05-04-2007, 06:31 PM
			
							
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				Location: Sheboygan, WI 
				
				
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		 Thank you Sandy for taking the time to update us.  I pray Monday goes well for you.   
 
I care.  Hugs to you. 
  
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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			05-04-2007, 06:44 PM
			
							
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			#6
			
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		 Hugs back to you Sandy - we will be with you on Monday! 
		
	
		
		
		
		
		
		
			
				__________________ 
				Brenda 
 
 NOV 2012 - 9 yr anniversary 
JULY 2012 - 7 yr anniversary stage IV (of 50...) 
  
 Nov'03~ dX stage 2B  
Dec'03~ Rt side mastectomy, Her2+, ER/PR+, 10 nodes out, one node positive  
Jan'04~ Taxotere/Adria/Cytoxan x 6, NED, no Rads, Tamox. 1 year, Arimadex 3 mo., NED 14 mo.   
Sept'05~ micro mets lungs/chest nodes/underarm node, Switched to Aromasin, T/C/H x 7, NED 6 months - Herceptin only  
Aug'06~ micro mets chest nodes, & bone spot @ C3 neck, Added Taxol to Herceptin  
Feb'07~ Genetic testing, BRCA 1&2 neg  
Apr'07~ MRI - two 9mm brain mets & 5 punctates, new left chest met, & small increase of bone spot C3 neck, Stopped Aromasin  
May'07~ Started Tykerb/Xeloda, no WBR for now  
June'07~ MRI  - stable brain mets, no new mets, 9mm spots less enhanced, CA15.3 down 45.5 to 9.3 in 10 wks, Ty/Xel working magic!  
Aug'07~ MRI - brain mets shrunk half, NO NEW BRAIN METS!!, TMs stable @ 9.2  
Oct'07~ PET/CT & MRI show NED  
Apr'08~ scans still show NED in the head, small bone spot on right iliac crest (rear pelvic bone) 
Sept'08~ MRI shows activity in brain mets, completed 5 fractions/5 consecutive days of IMRT to zap the pesky buggers 
Oct'08~ dropped Xeloda, switched to tri-weekly Herceptin in combo with Tykerb, extend to tri-monthly Zometa infusion 
Dec'08~ Brain MRI- 4 spots reduced to punctate size, large spot shrunk by 3mm, CT of torso clear/pelvis spot stable  
June'09~ new 3-4mm left cerrebellar spot zapped with IMRT targeted rads  
Sept'09~ new 6mm & 1 cm spots in pituitary/optic chiasm area. Rx= 25 days of 3D conformal fractionated targeted IMRT to the tumors. 
Oct'09~ 25 days of low dose 3D conformal fractionated targeted IMRT to the bone mets spot on rt. iliac crest that have been watching for 2 years. Added daily Aromasin back into treatment regimen. 
Apr'10~ Brain MRI clear! But, see new small spot on adrenal gland. Change from Aromasin back to Tamoxifen. 
June'10~ Tumor markers (CA15.3) dropped from 37 to 23 after one month on Tamoxifen. Continue to monitor adrenal gland spot. Remain on Tykerb/Herceptin/Tamoxifen. 
Nov'10~ Radiate positive mediastinal node that was pressing on recurrent laryngeal nerve, causing paralyzed larynx and a funny voice. 
Jan'11~ MRI shows possible activity or perhaps just scar tissue/necrotic increase on 3 previously treated brain spots and a pituitary spot. 5 days of IMRT on 4 spots. 
Feb'11~ Enrolled in T-DM1 EAP in Denver, first treatment March 25, 2011. 
Mar'11~ Finally started T-DM1 EAP in Denver at Rocky Mountain Cancer Center/Rose on Mar. 25... hallelujah. 
 
  "I would rather be anecdotally alive than statistically dead."
			 
		
		
		
		
		
		
	
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			05-04-2007, 07:53 PM
			
							
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			#7
			
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				Join Date: Nov 2004 
				Location: Streetsboro, Ohio 
				
				
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		 Hi Sandy,  
  
Sounds like were in similar situations. I'm also having surgery to remove pleural effusion. The doxil I was on seemed to be working well with my mets, but doctor took me off incase I need radiation to clear up a possible node pinching some nerves and causing neuropathy. I explain more in the posts below.  
  
I'll be praying for you. Lu Ann 
		
	
		
		
		
		
		
		
		
		
		
	
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			05-04-2007, 08:47 PM
			
							
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			#8
			
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				Join Date: Aug 2001 
				Location: Oregon 
				
				
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		 Sandy, I'll be keeping you in my thoughts and prayers, hope all goes well Monday. You rest up this weekend, you hear?! 
  
<3 Lolly 
		
	
		
		
		
		
		
		
			
				__________________ 
				Sept.'99 - Dx.Stage IIIB, IDC ER/PR-, HER2+++ by IHC, confirmed '04 by FISH. Left MRM, AC x's 4, Taxol x's 4, 33 Rads, finishing Tx May 2000. Jan.'01 - local/regional recurrence, Stage IV. Herceptin/Navelbine weekly till NED August 2001, then maintenance Herceptin. Right Mast. April 2002. Local/Regional recurrence April '04, Herceptin plus/minus chemo until May '07. Gemzar added from Feb.'07-April '07; Tykerb/Abraxane until August '07, back on Herceptin plus Taxotere and Xeloda Sept. '07. Stopped T/X Nov. '07, stopped Herceptin Dec. '07, started Avastin/Taxol/Carboplatin Dec. '07. Progression in chest skin, stopped TAC March '03, started radiation. 
  
Herceptin has served as the "Backbone" of my treatment strategy for over 6 years, giving me great quality of life. In 2005, I was privileged to participate in the University of Washington/Seattle HER2 Vaccine Trial. 
			 
		
		
		
		
		
		
	
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			05-04-2007, 09:01 PM
			
							
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			#9
			
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			 Senior Member 
			
			
		
			
				
			
			
			
				 
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				Location: South Dakota. 
				
				
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		 Praying for your healing, Sandy, and that everything goes well on Monday.  During stressful times at the hospital or exams, I focus on home; at the end of the day that is where I want to be and will be.  There's no place like home! 
		
	
		
		
		
		
		
		
			
				__________________ 
				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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			05-04-2007, 09:16 PM
			
							
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			#10
			
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			 Senior Member 
			
			
		
			
			
			
				 
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				Location: Alexandria, VA 
				
				
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		 More thoughts and prayers Sandy. I read a study today that said a combo of H, Tykerb and Iressa resulted in a cure for the mice Cure underlined, explanation point. Hang in there. BB 
		
	
		
		
		
		
		
		
		
		
		
	
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			05-05-2007, 03:44 AM
			
							
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			#11
			
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			 Senior Member 
			
			
		
			
			
			
				 
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		 Hugs and a great weekend back to you too, Sandy.  I'll keep you in my thoughts on Monday and beyond. 
		
	
		
		
		
		
		
		
		
		
		
	
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			05-05-2007, 07:16 AM
			
							
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			#12
			
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			 Senior Member 
			
			
		
			
				
			
			
			
				 
				Join Date: Apr 2006 
				Location: Wilmington, Del. 
				
				
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		 Nuke those suckers, Sandy.  Be well. 
		
	
		
		
		
		
		
		
			
				__________________ 
				MJO 
  
IDC, Stage I, Grade 2 
Oncotype DX Score 32 
Her2++ E+P+, Node Neg. 
Lumpectomy 11/04/05 Clear Margins 
3 Dose dense AC (Couldn't tolerate 4) 
4 Dose dense Taxol & Herc. (Tolerated well) 
36 weeks Herceptin (Could not complete one year due to decrease in MUGA score) 
2 years of Arimidex, then three years of Femara 
Finished Femara May 2011  
			 
		
		
		
		
		
		
	
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			05-05-2007, 08:10 AM
			
							
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			#13
			
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			 Senior Member 
			
			
		
			
			
			
				 
				Join Date: Mar 2006 
				Location: IOWA 
				
				
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		 Here's hoping for all the best on Monday.  You are in my prayers. 
		
	
		
		
		
		
		
		
			
				__________________ 
				Andi 
-- ------------------------ 
Stage IIIC, 17 of 20 Nodes +, E+, Her2+++ 
Diagnosed 6/30/05  
Lumpectomy 7/13/05 
Dose Dense A/C x 4 
Weekly Taxol + Herceptin x 12 
Remainder of year Herceptin Every 3 weeks (completes 9/13/06) 
Radiation completed 2/28/06 
Currently on Tamoxifen 
Dec 06 - Pleural effusion treated with pleurodesis 
Now er/pr-, her2++ 
1/07 started weekly Navelbine plus Herceptin 
Discontinued Tamoxifen 
4/27/07 CTshowed progression 
5/01/07 Began Tykerb/Xeloda + Zometa 
5/22/07 Stopped treatment due to great progression
			 
		
		
		
		
		
		
	
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			05-05-2007, 08:52 AM
			
							
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			#14
			
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			 Senior Member 
			
			
		
			
			
			
				 
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				Location: Vancouver, Canada 
				
				
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		 Hi Sandy, 
 
We are with you and wish you the best. Take a good care of yourself. 
  
big hug, 
		
	
		
		
		
		
		
		
		
		
		
	
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			05-05-2007, 10:23 AM
			
							
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			#15
			
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				Location: California's Gold Country 
				
				
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		 Dear Sandy, 
  
I'm hoping all goes well for you on Monday. Those darn ports, love em and hate em! Take care of yourself and I'll be praying the Doxil works for you. 
  
Love Kim 
		
	
		
		
		
		
		
		
			
				__________________ 
				Diag. Feb 1997 4.5cm IDC <10%ER+, PR-. 5 out of 36 nodes +. Mastectomy followed by 3 rounds Adriamycin/Cytoxin.  
  
 
5/1997 Hi Dose Chemo w/ Stem cell rescue. Spent 4 weeks in isolation ward. Then 6 weeks radiation.  
  
9/2001 widespread mets to liver. 8 mos Taxotere/Herceptin brought me almost to NED. Stop Taxotere & add Femara .  
  
11/2002 liver resection to remove spot that turned out to be necrosis. Officially NED! 
  
7/2003 Tumor markers rising add Xeloda Disastrous reaction, 8 days hospital, but tumor markers came back to normal! 
  
June -Dec 2004 UW Vaccine Trial. 
  
7/2005 MRI single 11mm brain met 
8/2005 Gamma Knife.  
  
Brain MRI @3 months NED! 
  
2006-2011 brain/body still NED  
  
8/04/11 Taking Herceptin break, will monitor with tumor markers.  
  
6/20/12 Tumor markers begin to rise. CA15-3 is 31.3 and Her2 Serum is at 17.1 Decide to repeat in one month. 
  
7/23/12 CA15-3 now 49.3 
Her2 Serum 26.8 
  
8/6/12 Back on Herceptin  
CA15-3 now 76 
Her2 Serum now 49 
  
11/7/12 Add weekly Taxotere for 4 cycles 
  
2/2013 Stopped Taxotere added Perjeta. MRI shows approx. 50% reduction liver mets. CA15-3 still elevated @ 55. Will continue on just Herceptin & Perjeta. 
 
November 2014 Continuing on Herceptin, Perjeta, and   
Femara indefinitely.  Guess I'm NED again, but watching those tumor markers carefully! 
 
Dec. 2015 PET scan reveals mass in perirectal area of abdomen.biopsy confirms. Still Her2+, but no longer ER+.  Bye bye Femara 
 
Jan 2016 Begin Kadcyla 
 
March 2016 PET scan shows tumor now barely visible, still NED everywhere else. 
2016/2017 continue Kadcyla 
 
November 2017 brain MRI reveals small focus of T2 hyperintensity with possible 4mm enhancing nodule.  Short term follow up MRI suggested.  Stay tuned...
			 
		
		
		
		
		
		
	
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			05-05-2007, 04:18 PM
			
							
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			#16
			
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				Good luck on Monday Sandy
			 
			 
			
		
		
		
		and take care. Stay strong and positive. 
		
	
		
		
		
		
		
		
			
				__________________ 
				Irene from Tampa  
1996 - INFILT DUCTAL CAR.W/ LYMPH NODE INVOLVEMENT. ADRIA/CYTOXIN/5FU 
1999 - RECURR. TO AUXILA AND 2 TUMORS IN LIVER 
TREAT: STEM CELL REPLACEMENT/HERCEPTIN. 
2002 - RECUR TO LIVER  
TREAT: NAVELBINE, THEN GEMZAR, THEN XELODA. 
2004 - TUMORS STILL IN LIVER  
TREAT: RFA TO LIVER 
STABLE UNTIL 
2004 - TUMOR PROGRESSION IN LIVER. 
TREAT: RESECT HALF OF LIVER. 
2005 - RECURR TO LYMPH NODE OUTSIDE OF LIVER. 
TREAT: TAXOL/CARPO/HERCEPTIN. FAILED ON 
THIS TRIO. STARTED ON ABRAXANE. 
2006 - PROGRESS WITH 2ND TUMOR GROWTH. 
TREAT: AUG. BEGAN ON TYKERB/XELODA 
TRIAL. CONSIDERED STABLE TO DATE. 
2007 - TAKEN OFF OF TYKERB/XELODA TRIAL DUE TO 
PROGRESS STARTING TYKERB/AVASTIN. 
NOV 2007 - SCANS SHOW PROGRESS TUMOR GROWTH 
IN ABDOM. AND TWO NEW TUMORS IN NECK AREA. 
BEGAN HERCEPTIN/AVASTIN/TAXOTERE 
Feb 08 - Ixempra/Xeloda 
June 08 - Her/DM1 trial 
  
"I WANT TO BE AN OUTRAGEOUS OLD WOMAN WHO NEVER GETS CALLED AN OLD LADY. I WANT TO GET SHARP EDGED & EARTH COLORED, TILL I FADE AWAY FROM PURE JOY."
			 
		
		
		
		
		
		
	
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			05-05-2007, 05:25 PM
			
							
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			#17
			
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		 Hang in there Sandy. I wish you well. ((((HUGS)))) 
 
Rendi 
		
	
		
		
		
		
		
		
			
				__________________ 
				04/97- breast bx. diagnosis breast cancer. 
05/97- radical mastectomy; 5cm tumor & 11 lymph nodes. 
10/97- City of Hope, high dose chemotherapy. 
11/97- 36 radiation therapy. 
01/98- NED; tamoxifen. 
02/02- breast reconstruction. 
08/04- recurrence; mets to rt lung; thoracentesis; femara. 
09/04- thoracentesis; ER/PR +, Her2+++. 
10/04- total abdominal hysterectomy. 
02/06- mets to 9th rib; monthly zometa; arimidex. 
06/06- medi port insert; weekly herceptin. 
10/06- 3 weeks herceptin treatment. 
02/07- mets to liver; arimidex 
11/07-liver clear 
02/08-chemo taxol/herceptin weekly treatment 
12/08-taxol not working 
01/09-navelbine/herceptin weelky 
03/09-navelbine not working 
04/09-xeloda/tykerb 
09/09-30 radation to neck; xeloda/tykerb not working 
11/09-Gemzar/herceptin weekly 
04/10-tykerb/herceptin weekly 
06/10-cancer spread to left lung;stop treatment; tap 
07/10-right lung collasps; TDM1 
			 
		
		
		
		
		
		
	
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			05-05-2007, 07:29 PM
			
							
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			#18
			
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		 Keep your chin up Sandy-praying for you. 
		
	
		
		
		
		
		
		
			
				__________________ 
				Robin 
2002- dx her2 positive DCIS/bc TX Mast, herceptin chemo
			 
		
		
		
		
		
		
	
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			05-05-2007, 10:06 PM
			
							
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			#19
			
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			 Senior Member 
			
			
		
			
				
			
			
			
				 
				Join Date: Sep 2005 
				Location: Central Coast, CA 
				
				
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		 Sandy, 
 
You sure like to pack it in!  I can't believe you are having all that happen in one day, but I guess it makes more sense than messin' up 3 days - and you do want to give that second dose of Doxil a chance to get started right away! 
  
I hope Monday goes smoothly with less hassle and more hugs than you expect. 
Love 
Chris 
		
	
		
		
		
		
		
		
			
				__________________ 
				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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			05-06-2007, 08:46 AM
			
							
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			#20
			
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			 Senior Member 
			
			
		
			
				
			
			
			
				 
				Join Date: Feb 2006 
				Location: Acworth, GA 
				
				
					Posts: 2,104
				 
				
				
				
				
 
	 
		
	 		
	
		 
		 
		
		 
		
		
	
		
	
	 
	 
			 					
		
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		 Hoping everything goes well on Monday for you.  Hang in there Sandy. 
		
	
		
		
		
		
		
		
			
				__________________ 
				Kate 
Stage IIIC Diagnosed Oct 25, 2005 (age 58) 
ER/PR-, HER2+++, grade 3, Ploidy/DNA index: Aneuploid/1.61, S-phase: 24.2% 
Neoadjunct chemo: 4 A/C; 4 Taxatore  
Bilateral mastectomy June 8, 2006 
14 of 26 nodes positive 
Herceptin June 22, 2006 - April 20, 2007 
Radiation (X35) July 24-September 11, 2006  
BRCA1/BRCA2 negative 
Stage IV lung mets July 13, 2007 - TCH 
Single brain met - August 6, 2007 -CyberKnife  
Oct 2007 - clear brain MRI and lung mets shrinking.  
March 2008 lung met progression, brain still clear - begin Tykerb/Xeloda/Ixempra
			 
		
		
		
		
		
		
	
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