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Old 02-07-2007, 09:41 AM   #1
Vicki
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Question New Breast Cancer Test approved by FDA/Questions

Hi,

I just saw on NBC's "Today" show, a segment with Dr. Nancy Snyderman, "Today's" chief medical correspondent, that there's a new breast cancer test that came out of Europe and will be released by the FDA here in the United States in the next few months. It is designed to test and score 70 different genes as a "road map for treatment." (I recall a Dana Farber individual was interviewed in the segment.)

This is different from the Oncotype DX test, now currently available to ER+ women.

Here are my questions for those of you who know more:

1. Will ER- and Her2+++ women benefit from this test?
2. Can women who have been out of treatment for several years now ask for this test post-treatment (or is it only for newly-diagnosed women)?
3. Does anyone know how the test is conducted (by blood test, tumor sample, etc.).

Thanks, everyone.

Vicki Z
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Old 02-07-2007, 10:05 AM   #2
mslinda
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Re: New Breast Cancer Test

I also saw this on the NBC news. I tried to find additional info on it but was unable to locate anything detailed. I go in March to see my onc. I am going to ask her about this. The only thing I could see was that they said that there was a better percentage of telling you you wouldn't have a recurrance, but the percentage was low on determining if you would have a recurrance. If I am not correct in this, please someone correct me.

Thanks.
Linda
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Old 02-07-2007, 10:56 AM   #3
Becky
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Hi Vicki


I hope you're doing good. I believe that they need fresh tissue to perform the test but the test seems fairly accurate.

Therefore, I think it is for the newly diagnosed. I think the benefit will be there for Stage 1 people or Stage 2A but they are 2A because of the size of the tumore (2cm or more) but have negative nodes. Some of these women might rely on masectomy or lumpectomy with radiation as their only means of treatment when it might not be enough. The test also only gives chance of recurrence without inferring how that result might change with adjuvant therapies (ie: chemo, targeted therapies, hormone therapies etc).

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Found lump via BSE
Diagnosed 8/04 at age 45
1.9cm tumor, ER+PR-, Her2 3+(rt side)
2 micromets to sentinel node
Stage 2A
left 3mm DCIS - low grade ER+PR+Her2 neg
lumpectomies 9/7/04
4DD AC followed by 4 DD taxol
Used Leukine instead of Neulasta
35 rads on right side only
4/05 started Tamoxifen
Started Herceptin 4 months after last Taxol due to
trial results and 2005 ASCO meeting & recommendations
Oophorectomy 8/05
Started Arimidex 9/05
Finished Herceptin (16 months) 9/06
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Said Christopher Robin to Pooh: "You must remember this: You're braver than you believe and stronger than you seem and smarter than you think"
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Old 02-07-2007, 01:07 PM   #4
Vicki
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Smile Thanks for your answers, Linda and Becky...Miss you, too, Becky!!

Hi Wise Women,

Glad to have some feedback on this. So, it sounds like it's not relevant for me since I've been out of treatment for over two years. Yea! This will be a very good tool for newly-diagnosed women as you mentioned, Becky, and will help them in their personal treatment choices.

Becky, how's my favorite comedienne chemo chemist? You are insightful and funny all in one wonderful package. I miss you, too.

It's warm here in California. We'll have none of that minus-degree weather. So, take a business trip when you can.

Love to each and every one of you on this board,

Vicki Z
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Old 02-07-2007, 01:20 PM   #5
StephN
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Thumbs up A link ...

Hi Vicki -
I noticed this on AOL last night:
http://news.aol.com/topnews/articles...990012?cid=474

Hope this link works. It is a short article on the MAMM PRINT test, that I think is what you saw on TV.

The HORRIBLE stat that they quote is that 178,000 US women will be diagnosed with breast cancer this year!!! Extrapolate that at least 1/4 will be HER2 positive - we sure have a LOT of company. This test is for early stagers as Becky mentioned.

Keep warm! I think Martinique sounds good for a change!
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MY STORY SO FAR ~~~~
Found suspicious lump 9/2000
Lumpectomy, then node dissection and port placement
Stage IIB, 8 pos nodes of 18, Grade 3, ER & PR -
Adriamycin 12 weekly, taxotere 4 rounds
36 rads - very little burning
3 mos after rads liver full of tumors, Stage IV Jan 2002, one spot on sternum
Weekly Taxol, Navelbine, Herceptin for 27 rounds to NED!
2003 & 2004 no active disease - 3 weekly Herceptin + Zometa
Jan 2005 two mets to brain - Gamma Knife on Jan 18
All clear until treated cerebellum spot showing activity on Jan 2006 brain MRI & brain PET
Brain surgery on Feb 9, 2006 - no cancer, 100% radiation necrosis - tumor was still dying
Continue as NED while on Herceptin & quarterly Zometa
Fall-2006 - off Zometa - watching one small brain spot (scar?)
2007 - spot/scar in brain stable - finished anticoagulation therapy for clot along my port-a-catheter - 3 angioplasties to unblock vena cava
2008 - Brain and body still NED! Port removed and scans in Dec.
Dec 2008 - stop Herceptin - Vaccine Trial at U of W begun in Oct. of 2011
STILL NED everywhere in Feb 2014 - on wing & prayer
7/14 - Started twice yearly Zometa for my bones
Jan. 2015 checkup still shows NED
2015 Neuropathy in feet - otherwise all OK - still NED.
Same news for 2016 and all of 2017.
Nov of 2017 - had small skin cancer removed from my face. Will have Zometa end of Jan. 2018.
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Old 02-07-2007, 02:32 PM   #6
rinaina
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Ok, so for early stagers but what about those who are er/pr negative? And how recently diagnosed do you have to be? Not understanding about a new tissue sample. How is that done?
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34 radiation treatments including booster doses
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Old 02-07-2007, 04:24 PM   #7
carlsoj
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not for us :-(

If you go to http://www.breastcancer.org/research..._20070206.html
, they have an copy of the Reuter's News article about the MammaPrint test. It also has a "plain language" explanation of the information.

Unfortunately, the last paragraph states:
"MammaPrint CAN'T be used with women who have already been treated for early breast cancer. MammaPrint must be performed on a fresh breast cancer biopsy specimen."

so...not for us. but still good news for those who will be diagnosed in the future, and who knows, it may lead to new research that can benefit us.

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