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Old 03-10-2007, 07:04 PM   #1
kat in the delta
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Thumbs down kat in the Delta

How have some of YOU found out that YOUR cancer had recurred?? Was it only by a tumor marker- blood test?-or a scan?? Did any of You have Pain in an area that wouldn't go away for longer than 2 wks? "I have had pain at the site of my Masc.in my RIBS on that same side for about 2 or 3 wks". Sometimes I can even feel (with hands on rt.side of rib cage)-""-a rattle/movements like congestion . My last tumor blood marking test CA 27-29 was normal. My Onc is giving me Zometa every 3wks because my bone density was in the lower range of w Osteopenia. I have had about 3 IV's of Zometa since the end of All other chemos. I am also taking Tamoxifen. My Onc. never returned my call, so I went to my reg. MD who ran a bone scan --which was fine. He said something about the "membrane/ ?" between my bones and muscles, & this could make me hurt like having a broken rib(s)....CAN any of YOU explain this to me, or what other tests or scans, if any, would YOU ask for to find out WHY I AM STILL in PAIN ??? Anyone think I Am I overdosed on Zometa??
------- kat in the delta

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Old 03-10-2007, 08:26 PM   #2
MGordon
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Kat...

Please do not let me create any fear - but the pain you are describing is indicitive of liver metastasis. These are exactly the symptoms Lisa fought before they found the meatastasis in her liver (test after teast after test) and when they did find it in the liver it was already 30% invovled.

PLEASE to not wait. If you cannot see your onc on Monday see your PCP - in our case our PCP was the physician that found it!

Love and Light
Mel
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Old 03-10-2007, 09:22 PM   #3
MGordon
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Thread from the HER2 database...

http://www.her2support.org/vbulletin...ad.php?t=24212

...regarding this type of pain with recurrance.
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Old 03-11-2007, 12:21 AM   #4
StephN
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Kat -

I think your doctor was talking about Pleurisy regarding your rib pain. I have had that malady too and it is not the same pain as with my liver mets. Pleurisy is a sharp pain that stabs when you take a deep breath. The liver mets was more of an ache due to the swelling liver capsule on my right side.

But, get it checked out.
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"When I hear music, I fear no danger. I am invulnerable. I see no foe. I am related to the earliest times, and to the latest." H.D. Thoreau
Live in the moment.

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 03-11-2007, 04:57 AM   #5
tricia keegan
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Kat I had a pain around my surgery site and ribs and it turned out to be nothing more sinister than radiation induced fibrosis but as the other replies have said it may be worth checking if only for peace of mind.Good luck!
Tricia
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Dx July '05 IDC 1.9cm Triple positive 3/9 nodes positive
A/C X 4 ..Taxol/Herceptin x 12 wks then herceptin 1 yr
Rads x 36 ..oophorectomy August '06
Currently taking Arimidex..
June 2011 osteopenia/ zometa x1 yearly- stopped Zometa 2015 as Dexa show normal bone density.
Stopped Arimidex July 2014- Restarted Arimidex 2015 for a further two years on the advice of my Onc.
2014 Normal Dexa scan
2018 Mammo all clear, still NED!
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Old 03-11-2007, 07:59 AM   #6
Val Pfeiffer
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hi Kat--
I can't remember what your exact situation is, but I have also had a lot of pain in my ribs since my mastectomy (which was two years ago). It turned out to be bruising from my bra (I was still trying to wear my pre-mastectomy bras). I have better bras now so I don't have nearly as much trouble.

All I have is skin over my rib bones, and human ribs are much more accustomed to having something over them--muscles, breasts, something besides skin! I still get sore there.

I hope you are having a problem similar to mine, rather than a recurrence!

Val
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Dx 11/04, Age 42, ER-/PR-, HER2+++
3 months weekly Herceptin, Taxol. Carboplatin
Significant tumor shrinkage
Mastectomy 3/05; Stage 3b, 9 cm tumor, 5/8+ nodes
3 more months weekly Herceptin, Taxol. Carboplatin
7/05 30 radiation treatments, IMRT planning approach
Started 1 year of Herceptin 9/05
9/06 Began quarterly triple doses Herceptin. Brain & breast MRIs semi annually.
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6/08 Right breast, intraductal carcinoma, high nuclear grade associated with comedo necrosis; extensive diffusely involved the entire biopy specimen. ER+, PR-, Her2 unknown at this point, 07/08 mastectomy.
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Old 03-11-2007, 03:43 PM   #7
kat in the delta
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kat in the delta

My MD knows it is not pleur(sp)....I have not been coughing with congestion,,but the sound or feeling my rt.rib cage when I take a deep breath in --is very noticeable....my sister could feel it also when she held her hands over my ribs...Know anything else....I did not even know where the liver was...I have gotten rid of books and have this computer instead....I will go to a link with a picture of the body. How did YOU know you had cancer in your LIver?? Could it be felt or have a fluid movement with it ?? What type of SCAN should I have?? kat in the delta

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Old 03-11-2007, 05:07 PM   #8
heblaj01
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kat in the delta,
If one of your concerns is a rumbling noise when breathing it could be caused by a slight anomaly in the spacing of the 2 membranes surrounding the lungs.
If this is so it is of no concern.
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Old 03-11-2007, 07:17 PM   #9
Barbara2
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My onc said a person can have pain/discomfort in the mastectomy area forever. These pains may come and go.

I've been told that Zometa can cause people a lot of pain. Of course that varies with each individual, but the possibility of additional bone discomfort is the reason I have put off taking it. I'm taking Actonel for bone loss, and have some bone discomforts at many locations. I was afraid that Zometa would be even worse.

Regarding the ribs, they have given me discomfort since finishing chemo several years ago. They are very tender if I press on them, and the area between the ribs is tender, too. When scans etc came back OK, I decided those pains were from one of the medications I was taking, so I tried to stop worrying about it.
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DX Oct 02 @ age 52 Stage 2B Grade 3 Mastectomy
"at least" 4.5 cm IDC 1+node ER+61% /PR-
Assiciated Intraductual component with Comedo Necrosis
Her2+ FISH8.6 IHC 2+
5 1/2 CEF Arimidex
Celebrex 400mg daily for 13 months
Prophylactic mastectomy
Estradiol #: 13
PTEN positive, "late" Herceptin (26 months after chemo)
Oct 05: Actonel for osteopenia from Arimidex.
May 08: Replaced Actonel with Zometa . Taking every 6
months.

Accepting the gift of life, I give thanks for it and live it in fullness.
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Old 03-11-2007, 11:10 PM   #10
StephN
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Hi Kat -

In my case I did not KNOW I had cancer moving to my liver - I just had a dull ache starting in my right side about the time I had my regular 3-month tumor marker check - the marker was up out of normal range then. My med onc felt my liver (our liver covers the whole of the front of us over our stomach and a little ways under the ribs) and could tell that it was a little swollen. I had noticed that my pants were getting a little tight.

I had NO PAIN just the discomfort and NO rumbling or fluid noise. Cancer moves in stealth mode - that is important to remember.

Just have a CT scan of you chest and abdoman and it will show anything.

I hope one of your docs can figure out what is bothering you.
__________________
"When I hear music, I fear no danger. I am invulnerable. I see no foe. I am related to the earliest times, and to the latest." H.D. Thoreau
Live in the moment.

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 03-12-2007, 03:22 AM   #11
tousled1
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Here's a link to a thread from this site not long ago that you might be interested in. It's very strange what our bodies go through with all types of chemo.

http://www.her2support.org/vbulletin...ad.php?t=26896
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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 03-12-2007, 08:09 PM   #12
chrisy
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I also had minimal symptoms with my liver mets. So you just never know....

Until you get it checked out. CT chest/abdomen is probably the best bet, as StephN says.

You will rest easier once you know.
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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 03-12-2007, 09:25 PM   #13
MGordon
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I hope...

... that my previous post in this thread has caused you NO distress. Your symptoms are not 100% indictive of mets. As pointed out throughout this this thread, there are several possible issues. But, please get tested, knowing is over half the battle...

Love and Light
Mel
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