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		|  03-13-2007, 01:07 PM | #1 |  
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				 ***i'ts Official...tykerb Has Been Approved*** 
 
				__________________Rhonda
 
 Dx 2/1/05, Stage 1, 0 nodes, Grade 3, ER/PR-, HER2+ (3.16 Fish)
 2/7/05, Partial Mastectomy
 5/18/05 Finished 6 rounds of dose dense TEC (Taxotere, Epirubicin and Cytoxan)
 8/1/05 Finished 33 rads
 8/18/05 Started Herceptin, every 3 weeks for a year (last one 8/10/06)
 
 2/1/13...8 year Cancerversary and I am "perfect" (at least where cancer is concerned;)
 
 
 " And in the end, it's not the years in your life that count. It's the life in your years."- Abraham Lincoln
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		|  03-13-2007, 01:31 PM | #2 |  
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				 ...with Xeloda 
 Whoo Hoo!  Quote from the article Rhonda  posted. This means that more trials can start with this drug.  Emphasis is mine.
 
 "The regulator approved the once-daily pill in combination with Roche Holding AG's Xeloda for treatment of advanced breast cancer in women who carry the HER-2 gene and don't respond to Roche's Herceptin, London-based Glaxo said today in an e-mailed statement. Tykerb belongs to a class of drugs known as dual- kinase inhibitors, which impede the growth of tumor cells."
 This would not prevent an onc from giving it "off label," but I expect most oncs to be conservative in this approach until more data or anecdotal info comes in.
 
				__________________"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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		|  03-13-2007, 02:14 PM | #3 |  
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	 | Yipee!!!!!!  Another weapon in our arsenal.  I am so glad to finally hear that it has been approved. I am not sure at what point my onc. is going to use it, but I am sure she will. |  
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		|  03-13-2007, 02:16 PM | #4 |  
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	 | Super news!!!! |  
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		|  03-13-2007, 02:53 PM | #5 |  
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	 | Here is the official GSK press release:www.her2support.org/tykerb-ok.htm 
Regards 
Joe
				__________________A Proud webmaster to the internet's most informed, educated, COMPASSIONATE and caring group of breast cancer survivors.
 
Illegitimi non carborundum
 
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		|  03-13-2007, 02:54 PM | #6 |  
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	 | Fabulous news! Thank god. Hope approval follows in Australia soon for us guys.
 
 love
 linda
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		|  03-13-2007, 03:19 PM | #7 |  
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				Fabulous news!
			 
 Excellent, excellent news! 
				__________________12/01/2006 Initial Dx via stereotactic biopsy - DCIS, grade 3
 12/27/2006 Lumpectomy w/ SNB: 2 foci of IDC (largest .3 cm, Grade 2, Notthingham score 6) amid large area of DCIS: No clear margins on the DCIS; re-excision recommended
 ER+(55%)/PR+(60+)/HER2+ (2.8+ via IHC?)
 01/23/2007 Re-excision Lumpectomy: No clear margins on the DCIS; mastectomy recommended
 03/02/2007 Bilateral mastectomy w/ expander implant insertion
 03/19/2007 Emergency surgery to fix broken blood vessel in left breast
 03/30/2007 Met w/ oncologist; oncologist checking on HER2 status with pathologist and doing some consulting on my case - no treatments for now!
 05/02/2007 Next appointment w/ oncologist
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		|  03-13-2007, 03:26 PM | #8 |  
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	 | Wow, Rhonda you must have stayed up all night waiting for this!!!  Anyway, good news.  hugs, Sandy 
				__________________Dx. 03/01, Rt. IBC
 AC/Taxatere
 Rt. MRM-with graft Lt. simple
 5 rads-skin mets
 Herceptin, taxol, carboplatin (taxol seem to be the magic drug)
 Navelbine & xeloda (did not work)
 topical miltex for skin mets
 Tykerb/xeloda
 thoracentesis x 2 left lung fluid shows cancer cells
 Port removal (4 years) with power port replacement
 Doxil
 Updated 05-07 Scans show no bone or organ involvement we shall see!
 
 
 
 
 I shall not pass this way again. Any good I can do or any kindness that I can show let me not defer or neglect it for I shall not pass this way again.
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		|  03-13-2007, 03:36 PM | #9 |  
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	 | WOOO HOOOO I am so glad to read this. Such WONDERFUL news. 
				__________________Vicki
 Texas
 Biopsy Dx'd 3-23-05 Age 48
 MRM 4-5-05 w/ 2 tumor's 5cm, and 6 cm (right side)
 IDC (poorly differentiated infiltrating ductual carcinoma)
 5+/16 nodes
 Stage III A
 Grade 3
 ER/PR-, Her2/neu ++
 Ki67 78%
 Begin Chemo 5-2-05 4XAC Dose Dense , 4X Abraxane Dose Dense (ended August 05)
 28 Rad's ended October 13 2005
 Started Herceptin Weekly August 2005 for one year
 Had a Simple mastectomy left side after Mamo showed incresed micro-calcifications. Jan. 17 2006.
 Brain MRI Feb.2006--All Clear
 August 28, 2006 Last Weekly Herceptin.
 October 2006--Colonoscopy, 6 Polyp's removed--all B9
 PET Scan July 2007
 Abdominal MRI Oct. 2007---2 Right Kidney Cysts
 Core Biopsy-- Lump on Scar Line 1-10-08---B9
 Brain MRI 6-2008--All Clear
 PET/CT Scan 6-2008
 Sept. 8 2008, 4CM area removed from mastectomy scar line. Proved to be B9.
 PET/CT Scan-- July 2009 --All clear
 August 17,2009 ---Had Port Removed
 6 Years NED -- April 5,2011
 DX'd with Melanoma left arm 10-10-2011
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		|  03-13-2007, 04:58 PM | #10 |  
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	 | What great news!!!
 Karen
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		|  03-13-2007, 10:23 PM | #11 |  
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	 | Awesome, awesome, awesome!  Sure hope early stagers will be able to someday also get tykerb on board because of it's ability to cross the blood brain barrier since herceptin doesn't protect the brain at all. 
				__________________~Rina~
 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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		|  03-13-2007, 10:27 PM | #12 |  
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	 | Yeah!!! I think this paragraph is really encouraging also:"...In a separate statement, Glaxo said it will offer Tykerb for free to low-income Americans without health insurance. Patients enrolled in the Medicare plan for the elderly and disabled may also be eligible if they spend $600 a year on other drugs, Glaxo said...." <O  </O  <O  </O 
				__________________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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		|  03-14-2007, 07:48 AM | #13 |  
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	 | Hooray!!  Super awesome! 
				__________________Rose 
 
Dx'd 1/04 at 33, while 33 weeks pregnant 
 
Dx: Stage IIIC IDC, ER-, PR+ (23%), Her2=2.7 (IDC)/7.6 (FSH), 2.5cm primary tumor, grade III, 11/18+ nodes (largest 3.8 cm)
 
Treatment: A/C *4, T *4, 1 year of herceptin (BCIRG 006), mastectomy, rads (7 weeks), zoladex (5 years) with tamoxifen (2 years)/aromisin (3 years), bilateral SGAP summer 05 at NOLA
Oops, retested tumor and I guess I'm er/pr- after all.
Stopped all hormonal tx 10/07. Periods resumed 6/08. Bye bye hot flashes!!!!
 
http://www.edrie.com/kopecky
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