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Old 01-25-2007, 07:16 PM   #1
Joy
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update and question

Hi all, I got test results today and all in all it is okay. It sounds like things are stable (yes, I know that is good). No new liver mets, possible slight increase in a liver tumor, but the doc said that the CT prodedure was lacking a phase that would have given a better picture. Bone scan may show a little bone progression, but bone scans aren't terribly conclusive. She also mentioned a small lung spot which my sister said (she keeps the reports to keep me from reading them all the time) that sometimes that spot is there and sometimes it is not. Really my lungs haven't changed in 7 years so who knows really what is going on. Nodes in the chest are good.

We are going to do a PET/CT in 6 weeks. In the meantime I have asked that markers are not drawn as I just can't ride the marker rollercoaster anymore. She was cool with that and I told her if she really wanted them to draw them and I will just have to resist requesting the results. I guess it is my new year resolution.

So for now I stay on the navelbine, which is so easy for me. I mentioned avastin and gave her the study from San Antonio of that with herceptin. And we also discussed some radiologic options for the liver mets.

Which leads me to my question. Thanks to "fullofbeans" I got a lot of information from a site she recommended. I'll have to look up the link again, but it really helped me a lot. One procedure that I'd not heard of that seems to have some really great results is called Laser Interstitial Thermotherapy (LITT). I'm not sure, based on, my research if it is being done much in the US or not. Does anyone know?

Thank you again for all of your support. I'm trying to look at this as positive. I just don't think it is possible to become NED after you move into the heavily pre-treated category, huh?

p.s. WAY TO GO CHRISTINE!!!
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with love and gratitude,
joy

dx stage I 2/2000*er/pr+; her- per IHC*lumpectomy*4 rounds A/C*30 rads*tamoxifen*dx stage 4 5/2002*huge mets to liver*tiny mets to lungs*stopped tamoxifen*5/02 taxotere/xeloda*her 2 checked with FiSH-her2+++herceptin *2/03 stopped chemo femara w/herceptin*zolodex*04 switched to aromasin w/herceptin*05 high estrogen tx*11/05taxol/carbo*7/06 stopped chemo; megace/herceptin*9/06navelbine/herceptin*5/07tykerb/xeloda great response*4/08 progression in liver; ooph/ faslodex /herceptin
6/08 began Herceptin DM-1
9/08 progression
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Old 01-25-2007, 07:49 PM   #2
chrisy
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Hi Joy,


Glad to hear your good news. Take it as such! I haven't heard of the LITT but will be interested to hear more as I had liver mets and you just never know when those little buggers will pop up - so I want to be ready just in case.

What you also never know: "I just don't think it is possible to become NED after you move into the heavily pre-treated category, huh?" It could happen, I will keep holding this thought for you.

Hugs
Chris
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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 01-25-2007, 08:42 PM   #3
karen raines hunt
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Dear Joy,

So happy to hear things are stable.

Karen
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Karen Raines Hunt
Dx April 2005 at age 46
stage 3A, very large (12cm) tumor
2 positive axillary lymph nodes
ER+/PR+, Her 2 +++
Bilateral mastectomy, radiation, reconstruction, A/C, Taxol, Herceptin, Tamoxifen, Aromasin
5 yrs since diagnosis and NED
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Old 01-25-2007, 11:38 PM   #4
rinaina
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Way to go Joy. Keep bringing us good news!
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Dx:3/06 had a lumpectomy April 19, 2006
Her2+ er/pr- Stage I Grade 3 tumor size 1.4 cm, node negative
AC 4 dense doses
34 radiation treatments including booster doses
receiving herceptin every 3 weeks since late August 2006 for 12 months
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Old 01-26-2007, 06:34 AM   #5
Shell
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Joy-

Stable is good, although, like you, it took me a while to accept that.... Keep us posted if you start the herceptin/avasting with the navelbine - that's what I'm on now, and I'll have scans probably towards the end of february...

Kind regards,
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init diag 3/17/03-stage IIIC
ER-/PR-/HER2+++
CET x4 neo-adjuvant
lump & SNB 8/03
CET x2
radiation and herceptin/navelbine 11-03-1/04
1st reoccur to lymph nodes 8/04
complete axillary dissection 12/04
herceptin/taxotere til progression (lungs) 3/05
xeloda w/out lapatinib trial 6/05
lapatinib/tykerb added 4/06
ended trial 8/06 due to progression
doxil / avastin 11/06-12/06 - wasn't working
navelbine/herceptin/avastin 12/06/3/07 - progression
gemzar/carboplatin/tykerb 4/07
mri shows extensive mets to bone in pelvic area 6/07
switched to abraxane (3 on/1 off) + tykerb 6/07
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Old 01-26-2007, 08:21 AM   #6
Andi
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Joy - I'm glad to hear things are stable. I, too, would be interested in hearing if you add avastin to your navelbine, herceptin regimine, since I am currently on navelbine and herceptin. Keep your wonderful positive attitude!
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-- ------------------------
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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Old 01-26-2007, 08:21 AM   #7
tousled1
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Joy,

Great news! Stable is better than progression. I agree with you about the tumor markers -- too many things can affect the results. When I was diagnosed with Stage III my tumor marker was 15.3 - well within the normal limit. Have you considered the Bayer Serum HER2 test? That's the only one I do now and I have it done every 3 months.
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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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Old 01-26-2007, 01:23 PM   #8
juanita
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So glad to hear your good news. I hope things contuinue in your favor.
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Old 01-26-2007, 02:46 PM   #9
Adriana Mangus
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Smile Stable

Hi Joy: Stable is good, very good. I'm on xeloda due to tumor growing again -rt lung- and was on navelbine about three years ago. I'll take stable over progression any time! for as long as possible, maybe twenty years
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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 01-27-2007, 06:34 AM   #10
MJo
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Dear Joy - I am glad your bones are stable. As you suggested in your other post, I am giving a cheer for arthritis. My CT scan found something on my right lung that the doc called "pulmonary pimple." They are going to watch it to see if it grows. I trust not. A woman in my support group with bone mets said her CT scan found a cyst on her kidney. It's not doing anything, so doc isn't worried. I never had a CT scan before. It found all kinds of little quirks in my body -- a tiny gallstone, a pulmonary pimple. How can I possibly worry about them all!! Not likely. Hugs and blessings. MJO
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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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Old 01-27-2007, 06:57 AM   #11
fullofbeans
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Great news!!! I am delighted for you

Pressure is off and you can take time to think.

Love
Karina
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35 y/o
June 06: BC stage I
Grade 3; ER/PR neg
Her-2+++; lumpectomies

Aug 06: Stage IV
liver mets: 6 tumours
July 06 to Jan 07: 2*FEC+6*Taxotere; 3*TACE; LITT
March 07- Sept 07: Vaccination trial (phase 2, peptide based) at the UW (Seattle).
Herceptin since 2006
NED til Oct 09
Recurrence Oct 2009: to internal mammary gland since October 2009 missed on Oct and March 2010 scan.. palpable nodes in May 2010 when I realised..
Nov 2011:7 mets to lungs progressing fast failed hercp/tykerb/xeloda combo..

superior vena cava blocked: stent but face remains puffy

April 2012: Teresa Trial, randomised to TDM1
Nov 2012 progressing on TDM1
Dec 2012 blockage of my airways by tumours, obliteration of these blocking tumours breathing better but hoping for more- at mo too many tumours to count in the lungs and nodes.

Dec 2012 Starting new trial S-222611 phase 1b dual egfr her2+ inhibitor.



'Under no circumstances should you lose hope..' Dalai Lama
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Old 01-27-2007, 07:09 AM   #12
kimber
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Joy - Great news! Stable is very very good news. Of course I along with everyone else is praying for NED!

p.s. I was heart sick for your sister. She sounds like a wonderful foster mom. I in time may decide to do the same thing. Just think she gets to love those pups and send them into the world to their forever homes. How cool is that.

Now, you need to clear your mind and enjoy the weekend! love - kim
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Old 01-27-2007, 02:00 PM   #13
kk1
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Hi Joy;

in regard to tthe LITT question, I had an e-mail dialogue with the Dr. Mack in Germany last year and no it is not currently done in the united states but he said the RFA was an equivalent procedure and gave similar results. He sent me the names of people in the US he reccommended for RFA in the US.

Monday I am going for a liver resection which after much research and several second opionions seem to be the way to go when it is an option. After 3 different consults each of them said that RFA,cyberknife, LITT, or other abaltive techniques are only done if the tumor is not resectable. I am scared to to death about the surgery but figure it is my best hope for a really long remission now that they have reappeared again.

kk1
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Old 01-27-2007, 06:45 PM   #14
Jean
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Joy,

So happy for you! Wishing you continued good reports.

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 01-27-2007, 06:52 PM   #15
lindaw
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Dear Joy

i also think that stable is good.Anything that buys time for something else to become available is good - especially if the quality of life is good whilst on it.It is good news.

love
Lindaw
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Old 01-29-2007, 11:32 AM   #16
Vanessa
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Great news!!
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Old 01-29-2007, 11:43 AM   #17
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Dear Joy, that is good news! I hope you continue to remain stable, and yes, it's an "attitude adjustment" for sure, but one which brings much peace of mind. I'm hoping for stable myself, of course NED is something I'd love to see but stable would be just fine. I recently read a comment somewhere, can't remember where (ha!) but the comment was that it's now possible to remain in a stable disease state for many years, even with a cancer diagnosis, and have excellent QOL, as the rest of the body remains basically healthy. That seems to be what quite a few of us HER2 gals are experiencing, and in fact I got a big laugh from my onc once by saying "so I'm really pretty healthy except for this darn cancer"!. Keep up the good work, and BTW, I also have a lung "nodule" which comes and goes on scans, nothing changes except that sometimes "it" shows up and sometimes not. My onc is not worried, so I'm assuming it's possibly a bit of inflammation around a cyst, and cysts are pretty common, so try not to worry!

<3 Lolly
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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 01-29-2007, 12:33 PM   #18
Joy
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thank you lolly

Your post made me feel a lot better!!!
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with love and gratitude,
joy

dx stage I 2/2000*er/pr+; her- per IHC*lumpectomy*4 rounds A/C*30 rads*tamoxifen*dx stage 4 5/2002*huge mets to liver*tiny mets to lungs*stopped tamoxifen*5/02 taxotere/xeloda*her 2 checked with FiSH-her2+++herceptin *2/03 stopped chemo femara w/herceptin*zolodex*04 switched to aromasin w/herceptin*05 high estrogen tx*11/05taxol/carbo*7/06 stopped chemo; megace/herceptin*9/06navelbine/herceptin*5/07tykerb/xeloda great response*4/08 progression in liver; ooph/ faslodex /herceptin
6/08 began Herceptin DM-1
9/08 progression
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