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Old 10-30-2007, 08:20 PM   #1
Cannon
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Posts: 203
Smile My onc's answer

Hi again - thanks for all the love for my dog - it's actually his name that is Cannon, I borrowed it for my username. He's 7 and a total love. He was supposed to be a guide dog, but honest-to-goodness, he's afraid of cats, so they failed him (they call it "career-changing").

Saw my onc today and he said he would not recommend continuing on Herceptin past a year, with me not being Stage IV, and given the possibility of cardio-toxicity. I got the impression if I had pressed, he probably would have continued a little longer, but I'm pretty sure I'm ready to risk it.

He did tell me that he knew of another drug (for a different disease, not sure if it was even a cancer) that had a similar gene-modifying effect - or whatever it is that Herceptin does - that they could not get enough people to go off for a good A/B test. But some patients did take themselves off it, and they found that the disease did come back.

I asked him if this was a relatively low risk thing to try going off Herceptin, though, since there was a high likelihood that if I recurred, the Herceptin would work again. He did agree with this thinking.

He also told me of a patient he has who has BC, and had a bone met 25 years ago! treated with whatever they had at the time, driven into remission. Had a new bone met last year, and she is back in remission now. He cares so much!

So, I will have my last Herceptin in early December, and then do the scan thing again. My markers have all been normal for a long time.
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Dx 8/06 Age 43 Stage IIIA multifocal throughout breast, largest tumor 5 cm, grade 3, comedo, ER+PR+HER+++
Neoadjuvant A/C 4X Dose Dense
11/06 Bilateral Mastectomy (no choice on the right, my choice on the left)
Taxol+Herceptin weekly x12, continuing with Herceptin, finished one year in 12/07
33 Rads
Femara for 5+ years, staying on (started with Arimidex, switched after about a month, much happier)
Abnormal brain MRI shows no cancer, but "extensive white matter diease" - unknown cause
BRCA negative - lots of cancer in my family
survivor of thyroid cancer
also have Crohn's disease
CT and bone scan say NED as of 5/13
dx with severe cardiomyopathy 5/12 (likely due to chemo and Herceptin), ejection fraction in low 20's, now up to 40, went to 50, latest read 12/13 is back down to 35
1/13 Acute pancreatitis - are you kidding me?
9/13 started Humira for Crohn's. starting to have some energy again
B12 and Vit D both needed supplementation
Cataracts in both eyes noted 6/12 - surgery in the next 2-4 years?
4/14 Kidney stones/blockage/infection - related to Crohn's Disease
5/14 My aunt passed away - she was diagnosed after I was with Stage I - not Her2+, then Stage 4 for about one year
6/14 Scans - still NED, thank God. However, broken rib (I didn't notice) lots of bone degeneration osteopenia/osteoporosis. I also still have cardiomyopathy secondary to chemo.
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Old 10-30-2007, 08:34 PM   #2
chrisy
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Location: Central Coast, CA
Posts: 3,207
Cannon,
Good doggy! Suggest to your mommy that she request regular monitoring of Her2 serum levels - this might help her confidence level once off the Herceptin.

I can imagine it would feel like being naked and exposed, stopping the vitamin H. With the Her2 serum levels under surveillance you'll feel a little less exposed - and have an early warning system to alert you when it's time to push harder.

Glad to see you still have your fighting spirit intact. Don't ever let anyone try to take THAT away.
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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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Old 10-30-2007, 08:55 PM   #3
Bev
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Location: Alexandria, VA
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Hi there,

I would guess the thing to do is wait for the spring results. As linda has said, no news likely means nothing conclusive at this point in time.

Gina, stage 4, has a different take where she has tumor markers done and asks to renew Herceptin treatment based on that periodically,

My best guess would be if your LVF has held steady, it's not a valid argument against Herceptin. Mine inproved during the course. I think Ac is the demon.

My thought is to wait for those spring studies and really scrutinize them for your particular status. The downside is they may delay the release of said studies for another year or two, which would take you to the Gina Plan B.

Hang in there. I truly believe they are going to figure this out soon. Bev
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