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		|  05-14-2012, 06:08 PM | #1 |  
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				Hair loss question with TCH
			 
 Hi everyone, 
For those of you on TCH or who have had TCH, can you please let me know when to expect hair loss to begin?  I was told about 15-17 days into it when on AC-TH, but I wasn't certain if the timing was the same with TCH. My sister is as prepped as she can be - she basically bought out the wig boutique   , but she was just wondering on timing because she is working through chemo and wants to plan ahead as much as she can. 
 
Thank you so much on behalf of my amazing sister, 
Kathleen |  
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		|  05-15-2012, 01:22 AM | #2 |  
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				Re: Hair loss question with TCH
			 
 Hi, 
Here's a link about hairs after TCH (some mentioned about AC - notice the C in TCH is Carboplatin, and the C in AC is Cytoxan): http://her2support.org/vbulletin/sho...ir+loss&page=2 
There are other discussions - you can find them using the 'Search' button on the top bar.
  
As for myself, I'd had FEC (containing anthracycline - similar to the AC regimen) in 2003 and TCH in 2007. I still have hair - though quite thin, and I think it's mostly inherited from my Father because we (including my oldest sister and three older brothers) have the same oily skin. The only one who's not affected is 2nd sister who probably is the only one inherited the hair from our Mother who's had full head of hair up till now even at near 90. I've also inherited Mother's early 'gray' and possibly cancer genes - she is a 15-year NHL survivor
  
Oh, about 'how long'... I believe it was in the middle of the 2nd infusion (about the 4th, 5th week after starting chemo) when my hair began to fall off. I think a hat or scarf is a better choice at that time. I always put a small silk scarf inside my wig to protect my scalp. Silk is wonderful - it keeps you warm when it's cold outside and keeps you cool when it's hot.
				__________________Jackie07
http://www.kevinmd.com/blog/2011/06/doctors-letter-patient-newly-diagnosed-cancer.html 
http://www.asco.org/ASCOv2/MultiMedi...=114&trackID=2
 
NICU 4.4 LB
Erythema Nodosum 85 
Life-long Central Neurocytoma 4x5x6.5 cm  23 hrs 62090 semi-coma 10 d PT OT ST 30 d 
3 Infertility tmts 99 > 3 u. fibroids > Pills 
CN 3 GKRS 52301 
IDC 1.2 cm Her2 +++ ER 5% R. Lmptmy SLNB+1 71703 6 FEC 33 R Tamoxifen 
Recc IIB 2.5 cm Bi-L Mast 61407 2/9 nds PET 
6 TCH Cellulitis - Lymphedema - compression sleeve & glove 
H w x 4 MUGA 51 D, J 49 M
Diastasis recti
Tamoxifen B. scan 
Irrtbl bowel 1'09 
Colonoscopy 313 
BRCA1 V1247I 
hptc hemangioma 
Vertigo 
GI - > yogurt 
hysterectomy/oophorectomy 011410 
Exemestane 25 mg tab 102912 ~ 101016 stopped due to r. hip/l.thigh pain after long walk 
DEXA 1/13 
1-2016  lesions in liver largest 9mm & 1.3 cm onco. says not cancer. 
3-11 Appendectomy - visually O.K., a lot of puss.  Final path result - not cancer. 
Start Vitamin D3 and Calcium supplement (600mg x2)  
10-10 Stopped Exemestane due to r. hip/l.thigh pain OKed by Onco 11-08-2016 
7-23-2018 9 mm groundglass nodule within the right lower lobe with indolent behavior.  Due to possible adenocarcinoma, Recommend annual surveilence. 
7-10-2019 CT to check lung nodule. 
 1-10-2020 8mm stable nodule on R Lung, two 6mm new ones on L Lung, a possible lymph node involvement in inter fissule.
"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." Irene from Tampa
 
Advocacy is a passion .. not a pastime - Joe			 Last edited by Jackie07; 05-15-2012 at 01:54 AM..
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		|  05-15-2012, 04:25 AM | #3 |  
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				Re: Hair loss question with TCH
			 
 I was told around 14 days when I started the tch combo and at exactly 14 days it started to fall out. I shaved it that same day. I did not want to watch it fall out. Good luck. 
				__________________DX Sept 30 2010 at the age of 49. Oh crap! 1.5 cm idc, stage 1 grade 3 er/pr+, her2+ no lymph nodes, mastectomy Oct/10. Started 6 rounds of TCH Dec/10 and will continue herceptin until Nov /11 and just started femara.
 Stray kitten found my lump while I was playing with it. It is now my pet and my dog is not real happy about that.
 Mammo good
 last herceptin 11/21/11 YAY
 reconstruction 12/09/11
 Chapter closed 12/10/11, hopefully, fingers crossed
 Bone scan, chest xray, clear
 04/27/12 Expander removed, implant put in, ahh sigh of relief, much more comfortable
 Sept 30, 2014, 4 years NED
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		|  05-15-2012, 08:18 AM | #4 |  
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				Re: Hair loss question with TCH
			 
 Mine started to fall out the second week also. Just shaved it right then. Bald is beutiful 
				__________________  dx: DCIS 6/8/10, HER 2+ 7/26/10; Stage I Age 41 
Double mast w reconstruction 
6 TCH w 1yr herceptin 
Tamox. 
25 radiation tx 
Removal of expander on L due to infection. Tried to save it had 3 bouts of antibiotics and went to see plastic surgeon 2-3x wk to get drained. Saving it was my idea not his. But lost it anyway. 
Reconstruction set for December 21st,2011 
Finished chemo 12/2010 
Finished Herceptin 8/26/11 
Reconstruction 12/21/11 
Expanders exchanged for silicon 3/19/12 
Nipple reconstruction 5/18/12 
Nipple tatooing- 7/9/12- All done yay! 
11/22/12-Went back to get scar tissue stretched to even the outside of breast, didn't work due to it being radiated skin.
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		|  05-15-2012, 08:40 AM | #5 |  
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				Re: Hair loss question with TCH
			 
 Same here... 2 weeks. My hair was pretty long, so I shaved it and donated it to Locks of Love before it started falling out, I didnt want to deal with that emotionally. Good Luck  
				__________________10/01/10 - Dx at age 44. Found lump after miscarrying & was told it was "probably a clogged milk duct" not so much:
 stage II - invasive ductal carcinoma ER/PR+ HER2+
 10/01/10 - BRCA test - Negative
 11/3/10 -2.5cm tumor removed via lumpectomy, clear margins. sentinal node biopsy - nodes clear!
 12/2/10 - port placement
 12/2/10 to 3/17/11 - 6 rounds of taxotere, carboplatin & herceptin every 3rd week.
 04/20/11 - 6/6/11 - 33 rounds of radiation
 4/6/11 to 11/2/11 - 11 additional rounds of herceptin every 3rd week
 7/15/11 - port removal
 7/5/11 started my 5 year journey on Tamoxifen
 9/4/11 -1 yr Chest MRI - CLEAN!!!!
 9/5/12 -2 yr Chest MRI - CLEAN!!!!
 8/29/12 - Started spotting after being in chemopause 1.5 years. Ultra sound detected 6cm ovary mass & very thick lining. YIKES! Taken off Tamoxifen
 9/6/12 - Full abdominal hysterectomy. Pathology report came back clean... thank you baby Jesus!!
 9/28/12 - Started Anastrozole
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		|  05-15-2012, 12:09 PM | #6 |  
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				Re: Hair loss question with TCH
			 
 Two weeks for me.  BTW, I didn't shave it to the skin.I am on Chemo 3 out of 6 and I still have some hair.granted it looks like I am a balding man, nut I still have hair, sparse as it is. I am planning to straight razor it close to June. Then I am going to get a henna crown. |  
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		|  05-15-2012, 10:43 PM | #7 |  
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				Re: Hair loss question with TCH
			 
 I also started to lose my hair the 2nd week on TCH. It only took 5 days for 90 percent of it to fall. Good luck and Gods blessings to you. |  
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		|  05-16-2012, 05:26 PM | #8 |  
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				Re: Hair loss question with TCH
			 
 I started seeing groups of hair on my pillow and on the shower wall at about 15 days.  I had my son shave my head because I couldn't deal with the hair being all over everything.  Then, strangely and kind of ironically, it ended up not falling out.  It thinned, but never fell totally out.  I just did my last treatment today, and I almost have a pixie cut going for me.  The hair is a different texture tho, that I am not enjoying much, and seems to be somewhat curly which it was not before. 
				__________________Diagnosed in October 2011   Stage IV with metastasis to liver.
 January 2012 after double mastectomy, started taxotere, carboplatin and herceptin.
 Clear.
 December 2012 was diagnosed with five brain mets, and had whole brain radiation.
 Around July 2014 two mets in brain, one a residual spot and one new one growing in size. Received Cyberknife on both areas
 Clear/NED
 April 2015 remain NED
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		|  05-16-2012, 07:58 PM | #9 |  
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				Re: Hair loss question with TCH
			 
 I bought out the wig boutique too - it was a mistake because I could.not.stand to wear a wig.  Way too hot and itchy and it feels entirely different on a bald head then on one with hair.
 On TCH it began at day 19 and was gone by 23.  It goes FAST when it starts.
 
 I'm on Abraxane now and I still have hair.  90% lose it but not me.  It is coming out but so slowly compared to TCH.
 
				__________________  http://butdoctorihatepink.com 
08/17/09  Dx'd. 
Multifocal/multicentric IDC,  largest 3.4 cm, associated ADH, LCIS, DCIS 
HER2+ ER+/PR- Grade 3, Node Negative
 
10/20/2009:  Right mastectomy, reconstruction with TE 
12/02/2009:  Six rounds TCH, switched to Taxol halfway through due to neuropathy 
03/31/2010:  Finished chemo 
05/01/2010:  Began tamoxifen, the worst drug ever 
11/18/2010:  Reconstruction completed 
12/02/2010:  Finished herceptin 
05/21/2011:  Liver Mets.  Quit Tamoxifen 
06/22/2011:  Navelbine/Zometa/Herceptin 
10/03/2011:  Liver Resection, left lobe.  Microwave      ablation, right lobe - going for cure! 
11/26/2011:  C-Diff Superbug Infection, "worst case doctor had seen in 20 years" 
03/28/2012:   Progression in ablated section of the          liver - no more cure.  Started Abraxane, continue herceptin/zometa 
10/10/2012:  Progression continues, started Halaven, along with herceptin and zometa.  
01/15/2013:  Progression continues, started Gemzar and Perjeta, an unusual combo, continuing with herceptin and zometa 
03/13/2013:   Quit Gemzar, body just won't handle it.  Staying on herceptin, zometa and perjeta.   
04/03/2013:   CT shows 50% regression in tumor, so am starting back on Gemzar with dose reduction, staying with perjeta/herceptin/zometa.  Can't argue with success! 
05/09/2013:  Discussing SBRT with Radiology due to inability of bone marrow to recover from chemo. 
06/07/2013:  Fiducial placement for SBRT 
07/03/2013:  Chemo discontinued, on Perjeta, Herceptin and Zometa alone 
07/25/2013: SBRT (gamma knife) begins 
08/01/2013: SBRT completed 
08/15/2013: STABLE! continuing with Perjeta, Herceptin, Zometa 
06/18/2014: ***** NED!!!!*****  continuing with Perjeta, Herceptin, Zometa 
01/29/2014: Still NED.  continuing with Perjeta, Herceptin.  Zometa lowered to every 3 months instead of monthly. 
11/08/2015: Progression throughout abdomen and lungs. Started TDM-1, aka Kadcyla. Other meds discontinued. Remission was nice while it lasted.
 
5/27/18:  Stable. Kadcyla put me right back in the barn. I have two teeny spots on my lungs that are metabolically inactive, and liver is clean. 
 
I’m beating this MFer. I was 51 when this started and had two kids, 22 and 12. Now I’m 60. My oldest got married and trying to start s family. My youngesg graduates from Caltech this June. My stepdaughter gave me grandkids. Life is fantastic.
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		|  05-18-2012, 12:51 AM | #10 |  
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				Re: Hair loss question with TCH
			 
 Ditto everyone else, but I'll add that my underarm hair was the first--it just stopped growing.  I had my hair cut very short to prepare for the loss, and as soon as it did on day 10 (and it comes out in masses) my stylist shaved my head.  The least affected was the hair on my arms. 
				__________________Vicki
 Lord, give me the comfort of Your embrace and acceptance of Your will.
 
 3/11:     DX: IDC, HER2++, ER/PR neg, stage 4, mets to liver. Primary tumor: grade 3; 11 cm.  2nd smaller tumor: ~2.5cm. Multiple affected nodes, 1 spot on liver. 6 rounds TCH prior to bmx.
 7/11:      Nothing left except Primary breast tumor now 1.5cm.
 8/11:      BMX, 17/17 nodes clear. No post-op chemo or radiation indicated. NED!
 10/11:    NED!  Continue Herceptin indef.
 2/12:      Reoccurence of liver mets; both lobes. Tykerb added to Herceptin.
 5/12:       Progression of liver mets. Stop Tykerb, start Abraxane & Herceptin weekly.
 8/12:       Progression in liver and lymph nodes around liver and right kidney.  Herceptin not working anymore! Stop Abraxane and Herceptin. Start Tykerb and Xeloda.
 10/12:  Severe side effects. 3 weeks break from everything.
 12/12:   It's working! All tumors gone except 2 (from 20+) Continue Tykerb and Xeloda. Brain and spine MRIs clear.
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		|  05-19-2012, 09:23 PM | #11 |  
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				Re: Hair loss question with TCH
			 
 I finished TCH on April 24th. My hair started falling out exactly 17 days after my first TCH treatment. One day it was normal, the next day in the shower I had handfuls of hair coming out. After three days of that I had my husband buzz cut it. For about a week I lived with it but my scalp/roots hurt. So on my 46th birthday I shaved it clean and it felt a lot better. I have a wig but never wore it, preferring hats in the winter and scarves. 
 A month after treatment is done and I'm impatient... I really want my hair back NOW. its getting warm out and scarves are too hot, especially with these damn hot flashes!
 
 Good luck to your sister. My sister was my ROCK through all this.
 Lisa
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		|  05-20-2012, 01:32 AM | #12 |  
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Australia. 
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				Re: Hair loss question with TCH
			 
 Just like everyone else has said 10-14 days on TCH, I went and got mine shaved and it wasn't so damn annoying. Also couldn't stand wigs and just used hats and scarfs and it was winter in Australia.Cheers,
 Cheryl
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		|  05-20-2012, 01:01 PM | #13 |  
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				Join Date: Jun 2007 
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				Re: Hair loss question with TCH
			 
 KSGal, what you are experiencing is called "chemo curl". For some reason our hair often wants to come in curly. It will revert to the usual eventually. Although mine is thinner than it was before cancer.During chemo my hair did not come out in clumps. It was just a gradual thinning until I looked a bit ostrich-like!
 Keep the faith
 
				__________________Bonnie
 
 Post menopause
 May 2007 Core biopsy, Rt breast
 ER+, Pr-, HER2 +++, Grade 3
 Ki-67: 90%
 "suspicious area" left breast
 Bilateral mastectomy, (NED on left) May 2007
 Sentinel Node Neg
 Stage 1, DCIS with microinvasion, 3 mm, mostly removed during the biopsy....
 Femara (discontinued 7/07) Resumed 10/07
 OncoType score 36 (July 07)
 Began THC 7/26/07 (d/c taxol and carboplatin 10/07)
 Began Herceptin alone 10/07
 Finished Herceptin July /08
 D/C Femara 4/10 (joint pain/trigger thumb!)
 5/10 mistakenly dx with lung cancer. Middle rt lobe removed!
 Aromasin started 5/10
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		|  05-20-2012, 07:33 PM | #14 |  
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				Re: Hair loss question with TCH
			 
 Any idea I had of being an exotic bald woman was destroyed when my stylist shaved my head.  I always have had great thick hair--the envy of the family, and underneath were 10 cowlicks and one ugly scalp with dents resembling the surface of the moon.  It didn't look this bad in my baby pics.  LOL 
				__________________Vicki
 Lord, give me the comfort of Your embrace and acceptance of Your will.
 
 3/11:     DX: IDC, HER2++, ER/PR neg, stage 4, mets to liver. Primary tumor: grade 3; 11 cm.  2nd smaller tumor: ~2.5cm. Multiple affected nodes, 1 spot on liver. 6 rounds TCH prior to bmx.
 7/11:      Nothing left except Primary breast tumor now 1.5cm.
 8/11:      BMX, 17/17 nodes clear. No post-op chemo or radiation indicated. NED!
 10/11:    NED!  Continue Herceptin indef.
 2/12:      Reoccurence of liver mets; both lobes. Tykerb added to Herceptin.
 5/12:       Progression of liver mets. Stop Tykerb, start Abraxane & Herceptin weekly.
 8/12:       Progression in liver and lymph nodes around liver and right kidney.  Herceptin not working anymore! Stop Abraxane and Herceptin. Start Tykerb and Xeloda.
 10/12:  Severe side effects. 3 weeks break from everything.
 12/12:   It's working! All tumors gone except 2 (from 20+) Continue Tykerb and Xeloda. Brain and spine MRIs clear.
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		|  05-21-2012, 04:46 AM | #15 |  
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				Join Date: Aug 2003 Location: Morris, IL 
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				Re: Hair loss question with TCH
			 
 This is a timely topic for me since my first Taxotere was 11 days ago and I too am on fallout lookout....Taxol removed my hair, but I was on it so long my hair actually started to return...we'll see how Taxotere fairs in comparison...any bets? 
				__________________ "Be kinder than necessary, for everyone you meet  is fighting some kind of battle."Hugs & Blessings
Sheila
Diagnosed at age 49.99999 2/21/2002 via Mammography (Calcifications) 
Core Biopsy 2/22/02
L. Mastectomy 2/25/2002
Stage 1, 0.7cm IDC, Node Neg from 19 nodes Her2+++ ER PR Neg
6/2003 Reconstruction W/ Tissue Expander, Silicone Implant 
9/2003 Stage IV with Mets to Supraclavicular nodes
9/2003 Began Herceptin every 3 weeks
3/2006 Xeloda 2500mg/Herceptin for recurrence to neck nodes
3/2007 Added back the Xeloda with Herceptin for continued mets to nodes
5/2007 Taken Off Xeloda, no longer working
6/14/07 Taxol/Herceptin/Avastin
3/26 - 5/28/08 Taxol Holiday Whopeeeeeeeee
5/29 2008 Back on Taxol w Herceptin q 2 weeks
4/2009 Progression on Taxol & Paralyzed L Vocal Cord from Nodes Pressing on Nerve
5/2009 Begin Rx with Navelbine/Herceptin 
11/09 Progression on Navelbine
Fought for and started Tykerb/Herceptin...nodes are melting!!!!!
2/2010 Back to Avastin/Herceptin
5/2010 Switched to Metronomic Chemo with Herceptin...Cytoxan and Methotrexate
Pericardial Window Surgery to Drain Pericardial Effusion
7/2010 Back to walking a mile a day...YEAH!!!!
9/2010 Nodes are back with a vengence in neck
Qualified for TDM-1 EAP
10/6/10 Begin my miracle drug, TDM-1
Mixed response, shrinking internal nodes, progression skin mets after 3 treatments
12/6/10 Started Halaven (Eribulen) /Herceptin excellent results in 2 treatments 
2/2011 I CELEBRATE my 9 YEAR MARK!!!!!!!!!!!!!
7/5/11 begin Gemzar /Herceptin for node progression 
2/8/2012 Gemzar stopped, Continue Herceptin
2/20/2012 Begin Tomo Radiation to Neck Nodes
2/21/2012 I CELEBRATE 10 YEARS
5/12/2012 BeganTaxotere/ Herceptin is my next miracle for new node progression
6/28/12 Stopped Taxotere due to pregression, Started Perjeta/Herceptin |  
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		|  06-02-2012, 05:51 PM | #16 |  
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				Re: Hair loss question with TCH
			 
 Thank you so much for all of your reply's. Her first treatment was on May 24th so this week it will start I'm sure.  She continues to be amazingly brave.  I have so much respect for all of you and I'm in awe of your strength.  Being by my sisters side through this has taught me so much. |  
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		|  06-03-2012, 01:23 PM | #17 |  
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				Re: Hair loss question with TCH
			 
 My hair began falling out during week three.  
 Best wishes to your sister during her treatment.
 
				__________________Margo
 
 Diagnosed 08/2004 @ 45; Metaplastic Breast Cancer (MpBC)
 Stage IV, HER2 3+, ER-/PR-, Met to Liver
 
 08/2004 - Neo-adjuvant Taxotere/Carboplatin/Herceptin (TCH) - 4 rounds.
 09/2004 - Herceptin - Weekly.
 11/2004 - Liver RFA, followed w/TCH - 2 rounds.
 12/2004 - Lumpectomy, axillary node dissection, followed w/TCH - 2 rounds.
 05/2005 - Radiation - Breast, shoulder, neck (left side) - 35X
 09/2005 - Developed severe osteoporosis - Boniva - monthly
 04/2008 - Herceptin - Every 3 weeks (changed from weekly).
 05/2012 - Mets:  3 new liver and 2 lymph nodes.
 06/2012 - Start 16 rounds Navelbine and Herceptin weekly.
 11/2012 - Liver resection, RFAs (8), lymphadenectomy (2), cholecystectomy.
 12/2012 - Herceptin and Letrozole.
 05/2014 - Mets:  5 aortocaval nodes & 1 mesenteric.
 06/2014 - Herceptin/Perjeta/Taxotere -  6 rounds.
 10/2014 - Herceptin / Perjeta - Open ended
 04/2015 - Progression:  Porta hepatic node, 2 aortocaval nodes.
 05/2015 - Exploratory surgery treating progression, 12 nodes removed.
 07/2015 - Restart Herceptin / Perjeta
 01/2016 - Progression 8 nodes.
 02/2016 - Starting T-DM1 (Kadcyla) - Open ended.
 07/2017 - Progression.
 
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		|  06-07-2012, 08:11 AM | #18 |  
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				Re: Hair loss question with TCH
			 
 My hair started falling out, silently and prolifically, on day 15. Curiously, I had scalp pain---super sensitivity---beginning at about day 10 after my first infusion. The scalp pain, and accompanying headache, lasted for about 3 weeks, well after all of my hair was gone. A friend shaved my head at day 17 because hair was shedding everywhere. Like so many others, I couldn't bear to wear my wig---way too painful. It was like having a steel garotte tied around my head. I was looking for major narcotic pain meds! I'm happy to report that by the second month I could wear a wig comfortably for a couple of hour at least. I definitely prefer scarves and hats except when I going somewhere special. And the wig is suffocating in warm weather. Everyone is different. I have friends who wear them to work for 8 hours at a time. Good luck. |  
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		|  06-07-2012, 09:21 AM | #19 |  
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				Re: Hair loss question with TCH
			 
 Thank you all for your answers. Today is day 14 for my sister and she hasn't seen too much hair come out yet, but she does feel it thinner and she says more comes off in the shower than it did before.  We are shaving her head today - I'm leaving in about 10 min to pick her up.  Today is another milestone we'll conquer together.  My thoughts and admiration are always with all of you....
 Kathleen
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