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Old 01-30-2008, 05:05 PM   #21
Adriana Mangus
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Join Date: May 2006
Location: California
Posts: 668
Hi from Adriana

Dear Sheila:

Thank you for asking about my husband. He's still at the rehab facility, he's doing a lot better, talks a lot more, walks little more than before-with help- he's able to get in and out of the car with little help.
He goes to the bathroom with assistance also. He's alert and understands everything. He gets frustrated because he cannot communicate but doc put him on an antidepressant and it has helped him a lot.

Doc said that it will take at least a year before is able to walk again, but he will regain the use of his legs and speech.
He's seeing a neuro-biofeedback doc and also a chiropractor. Both are helping him. Husband likes both of them.

Thank you so much for responding to my email. I have not made a decision as of yet. I have a little more time......:-) Stay well.

Much love to you.
__________________
1994 - rt brst, .lump, underarm node dissection,chemo+rad 1.2 cms, Grade 3.
28 nodes neg
Er,Pr, Positive HER2 status unknown
2003- Recur to rt lung.July 16 ( B-Day!)
Her2+++ Er,Pr, Negative
2003 - Aug04--Navelbine + Herceptin
2004- 2007--
NED - Herceptin, only
2007 Feb-April Xeloda added to hereceptin
2007-May Back on Navelbine+Herceptin
2008-Feb-Mar 15 Ses Rad to Rt. Lung
2008- Oc 17 Add Tykerb to Herceptin
2009- June-- Discont Tykerb
2009 July 7--Current Taxol + Herceptin
2009 Dec--Discontinued treatment due to progression. Looking into cyberknife.
2010-Aug Accepted to TDM1, no SE, except liver count went up.
2010-2011 September got kicked out of the trial, due to a small spot found on lung.
2011- 2012 September thru early 2013 on Herceptin
2013- March Bone density shows small spot on 5th rib.
2013 - April 4th appt with onc. will post after discussing course of treatment.
2013-March-April Cyber knife to brain and radiation to rib. Chest --base line before chemo-CT-Scan stable for lung issue. CA2729 Normal.
2013 April Herceptin- TDMI
2013 Sept Herceptin + Perjeta . CA2729 within normal range. Brain and Pet scans October 31st. will post results.
2013 October Brain MRI- mixed response. Will see Onc/rad on Halloween.
2013 October/November Brain-MRI nothing new. Repeat MRI next year in May.

2013 December Continue Herceptin and Perjeta. Stable at the moment.
2014 February Brain MRI -clear!
2014 January Added Taxotere to Perjeta+Herceptin.
2014 March Stopped chemo-chest ct-scan next.

2014- March Scans shows tumor's larger, CA2729 higher. Discontinue Herceptin.
2014 April Perjeta+ Halaven
2014 April CA2729 went down 60 points after one cycle. Cough does not want to go away.
2014 June Continue on Perjeta + Halaven-- no more cough. Stable
2014 June Back on Herceptin + abraxane
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Old 01-30-2008, 05:06 PM   #22
Adriana Mangus
Senior Member
 
Join Date: May 2006
Location: California
Posts: 668
Thanks

Thank you Julie...
__________________
1994 - rt brst, .lump, underarm node dissection,chemo+rad 1.2 cms, Grade 3.
28 nodes neg
Er,Pr, Positive HER2 status unknown
2003- Recur to rt lung.July 16 ( B-Day!)
Her2+++ Er,Pr, Negative
2003 - Aug04--Navelbine + Herceptin
2004- 2007--
NED - Herceptin, only
2007 Feb-April Xeloda added to hereceptin
2007-May Back on Navelbine+Herceptin
2008-Feb-Mar 15 Ses Rad to Rt. Lung
2008- Oc 17 Add Tykerb to Herceptin
2009- June-- Discont Tykerb
2009 July 7--Current Taxol + Herceptin
2009 Dec--Discontinued treatment due to progression. Looking into cyberknife.
2010-Aug Accepted to TDM1, no SE, except liver count went up.
2010-2011 September got kicked out of the trial, due to a small spot found on lung.
2011- 2012 September thru early 2013 on Herceptin
2013- March Bone density shows small spot on 5th rib.
2013 - April 4th appt with onc. will post after discussing course of treatment.
2013-March-April Cyber knife to brain and radiation to rib. Chest --base line before chemo-CT-Scan stable for lung issue. CA2729 Normal.
2013 April Herceptin- TDMI
2013 Sept Herceptin + Perjeta . CA2729 within normal range. Brain and Pet scans October 31st. will post results.
2013 October Brain MRI- mixed response. Will see Onc/rad on Halloween.
2013 October/November Brain-MRI nothing new. Repeat MRI next year in May.

2013 December Continue Herceptin and Perjeta. Stable at the moment.
2014 February Brain MRI -clear!
2014 January Added Taxotere to Perjeta+Herceptin.
2014 March Stopped chemo-chest ct-scan next.

2014- March Scans shows tumor's larger, CA2729 higher. Discontinue Herceptin.
2014 April Perjeta+ Halaven
2014 April CA2729 went down 60 points after one cycle. Cough does not want to go away.
2014 June Continue on Perjeta + Halaven-- no more cough. Stable
2014 June Back on Herceptin + abraxane
Adriana Mangus is offline   Reply With Quote
Old 01-30-2008, 05:09 PM   #23
Lolly
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Join Date: Aug 2001
Location: Oregon
Posts: 1,756
Adriana, I had/have mets to the axilla nodes, supraclavicular nodes and chest wall(skin). At the time I had radiation, it was just the right axilla we were targeting as the clavicular nodes were responding to Herceptin/Xeloda and the chest lesions hadn't showed up yet.

The axilla mass was very large and uncomfortable, and my rad onc wanted to shrink it and try to prevent spread into the chest wall so he also mapped out part of my right chest area.

I had 37 tx, 7 weeks of daily tx 5 days a week. Each session took about 20 mins, but of course they were zapping the tumors from various angels, each target area being zapped for maybe 15 seconds? Wasn't really timing it.

I was on Herceptin every 2 weeks and daily Xeloda throughout this time, and continued the same after finishing rads.

I was symptom free (didn't really consider myself NED) after finishing radiation from the end of October to the end of January, when several new axilla nodes started enlarging along with the tumor we radiated(some of it is scar tissue according to the onc) and have been in constant treatment for these and other new areas since.

So, although the axilla/chest radiation didn't stop spread in these local areas, I remain NED everywhere else. That is a victory, but don't know if that can be attributed to the radiation or Herceptin/chemo. I lean towards the systemic treatment keeping me NED elsewhere, and believe the radiation didn't help me for long enough to warrant the collateral damage of scar tissue, which is now causing problems with systemic treatments not being able to penetrate tissue.

<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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Old 01-30-2008, 05:54 PM   #24
Lolly
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Join Date: Aug 2001
Location: Oregon
Posts: 1,756
Adriana, as you can see I keep adding to my comments I'm trying not to "advise" you one way or the other as only you can make this decision, based on your individual circumstances.

However I did want to add that I knew, going into radiation for this "localized" metastasis, that we were thinking "outside the box" as my onc put it, and that it was an unknown as to how well it would work to clear up the tumor. I felt at the time it was worth it, and want to stress that my regrets are only in hindsight. You know the old saying, hindsight is 20/20! Nodal metastasis is a difficult type of mets.


<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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