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Old 03-27-2007, 07:08 AM   #1
janet11
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Location: Rowlett, TX
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A quick post.... I received 6 cycles of TCH. Anyone else?
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Janet in Rowlett Texas

Dx July 2006 IDC 1.8cm, ER-/PR- HER2+ (FISH 7), KI67 High (60%) grade 3, TOPO II neg
Aug2006: lumpectomy, SNB (4 nodes neg), Stage 1
Jan 2007:
Finished 6 cycles of TCH (Taxotere, Carboplatin, Her ceptin). Then Herceptin every 3 weeks.
Feb 2007: Completed Radiation
May 2007: Stopped Herceptin due to low LVEF (49%)
July 2007: LVEF now 44% -- starting Coreg
May 2008: Heart NORMAL! Yippee.
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Old 03-27-2007, 07:10 AM   #2
Becky
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Six cycles is common and standard of care.
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Kind regards

Becky

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
Arimidex Only
Prolia every 6 months for osteopenia

NED 18 years!

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 03-27-2007, 07:34 AM   #3
Melinda
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You go girl!

Hi Sue,
Welcome to the ranks of TCH! Love your attitude, thats what makes all the difference in the world! I started TCH on 3/2 and posted a thread asking about it earlier in the month. Here is the link so that you can see all of us newbies and senior members that have in fact are doing it or DID IT!http://her2support.org/vbulletin/showthread.php?t=27287
IN case the link does not work, it started on March 8th (TCH SIDE EFFECTS)and there are many responses. I have just finished my second treatment and I agree ... its a very doable treatment and much less harsh than A/C. Feel free to email me anytime to compare notes. Everyone is differenet in their side effects but it seems that the overwhelming majority agree.... DOABLE. I have found that taking "prevevntative meds such as Anti nausua, Biotene mouthwash, maybe a tylenol for aches and pains, and of course Imodium, (I am a card carrying member) , will help you through what ever ails you. DRINK LOTS OF WATER. I personally think the worst part is taking the steroids prior to treatment. I asked for a sleep aid (ativan for me) to help get a goods nights sleep the day before and for two more days after. TO me getting a good nights sleep made all the difference in the world The steroids have a tendency to "wire" up and sleep is difficult. I tried Tylenol PM and it didn't cut it.
I scheduled my treatments for a Thursday. I go to work on Friday, and the weekend is for resting, mainly because I take a Neulasta shot for WBC the next day and it gives me that achy flu like feeling for two days. But heah, everyone is different. By Monday I am at 80% and today.... I am feeling great, except for the "metal" flavor that is in my mouth. Oh I wish I could enjoy a great cup of coffee in the AM but that will take a couple more days.
As for hair, I still have most, but its thinning quickly. I ordered a wig and a really neat beaded head covering from www.chemochicks.com
sort of hippy style (they have henna to decorate scalps as well). I will probably need the wig or art work by next week, but I did have my hair cut REALLYshort prior to treatment. SO I have managed to keep hair for almost a month after my first treatment. DOnt worry it grows back.
You can do this. For me the hard part was waiting to see exactly what my treatment would be, knowledge is power and it seems as tho you have taken the bull by the horns. YOu are in my thoughts and prayers. As I said before feel free to email mzerweck1@verizon.net
or continue to post. We can compare notes and take this journey together. Ther are a lot of us out there just starting this. MAybe one day we can all meet wouldnt that be a hoot! Support, friendship and faith are our cornerstone with this..... so charge and know that you are one of our sisters in battle!
Keep the faith
Melinda
PS the American Cancer Society sponsors a LOOK GOOD >>>FEEL BETTER PROGRAM in many areas that has a wonderful cosmetics program...check it out they give useful makeup tips and lots of give aways. I have not seen it mentioned on this board but I will post a thread to it later. Anyone else familiar with this?
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DX BC 12/06
tumor .9
Lumpectomy 1/8
Mammosite radiation completed 2/10
Stage1/Grade 1
clear Margins /Nodes Neg
ER+
IHC +2 Fish +
ONCO 23
Started TCH on 3/2 for 6 rounds of TC once every three weels and a year of Herceptin every 3 weeks -
Finished everything and now on Aromasin
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Old 03-27-2007, 07:42 AM   #4
janet11
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Ohh... good point Melinda. Coffee! I totally lost my taste for coffee right away and it was a month AFTER TCH ended that I finally had some again. I missed my morning (and afternoon) coffee (*sigh*). (*grin*)
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Janet in Rowlett Texas

Dx July 2006 IDC 1.8cm, ER-/PR- HER2+ (FISH 7), KI67 High (60%) grade 3, TOPO II neg
Aug2006: lumpectomy, SNB (4 nodes neg), Stage 1
Jan 2007:
Finished 6 cycles of TCH (Taxotere, Carboplatin, Her ceptin). Then Herceptin every 3 weeks.
Feb 2007: Completed Radiation
May 2007: Stopped Herceptin due to low LVEF (49%)
July 2007: LVEF now 44% -- starting Coreg
May 2008: Heart NORMAL! Yippee.
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Old 03-27-2007, 07:43 AM   #5
janet11
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Location: Rowlett, TX
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Does anyone know of a link to show that 6 cycles of TCH (rather than 4) is "standard"?

Hmm.. .just found these:

http://www.prnewswire.com/cgi-bin/mi...E=Dec+18,+2006

http://www.asco.org/portal/site/ASCO...abstractID=193

Not sure they're much help though.



Last edited by janet11; 03-27-2007 at 08:49 AM.. Reason: Links added
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Old 03-27-2007, 02:00 PM   #6
ExpectAMiracle
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Thanks so much for the replies to my post! Everyone here is so kind and helpful! I will definitely keep in touch with you Melinda. Thanks for taking time to give me all of that great information. I've gotten my Biotene already, but I'll get Immodium too, just in case. I'll see how the sleeping goes. Thanks for the heads up on that!
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Susan in VA

Determined to be a VICTOR not VICTIM - by the grace of God!
DX 2/8/07 at 48
1.75 cm IDC in left breast, Stage 1
Grade 3, ER-/PR-/HER 3+
Lumpectomy 3/7/07, 5/5 nodes clear, clear margins
Starting TCH on 4/9/07, every 3 weeks X 4 treatments - Completed on 6/12/2007
33 rads to began 7/2/07 and completed on 8/22/07
Herceptin every 3 weeks until April '08
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Old 03-27-2007, 02:02 PM   #7
ExpectAMiracle
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I actually am scheduled for a Look Good, Feel Better meeting in April at my local ACS. It sounds like a great program and as you said, you get a great goody bag of makeup for attending. I'm looking forward to it. You can get more info at the ACS website or your local ACS office.
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Susan in VA

Determined to be a VICTOR not VICTIM - by the grace of God!
DX 2/8/07 at 48
1.75 cm IDC in left breast, Stage 1
Grade 3, ER-/PR-/HER 3+
Lumpectomy 3/7/07, 5/5 nodes clear, clear margins
Starting TCH on 4/9/07, every 3 weeks X 4 treatments - Completed on 6/12/2007
33 rads to began 7/2/07 and completed on 8/22/07
Herceptin every 3 weeks until April '08
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Old 03-27-2007, 08:01 PM   #8
Jean
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Red face Melinda (you are a doll) and Susan...

Melinda,

Try iced coffee (I know it is still a bit chilly) but at least you will have your coffee, that worked for me.

Susan,
I had 6 Tch treatments and most have 1 yr. of herceptin, why 9? I would
bring in some information to your onc. to review. Welcome to this wonderful
site of beautiful, brillent ladies and gentelmen. I am sorry that you need
us...but this is just about the best source of knowledge and sharing.

Good luck and keep us posted....if you need anything just reach out...
I am finishing up my 1 yr. herceptin very shortly. Did my TC portion
and completed that in Sept.

You have found the right and only place!
God Bless,
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 03-27-2007, 09:45 PM   #9
hutchibk
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I don't know if this counts, since I did Taxol/Carbo/Herc after my first recurrence, not as my first line of treatment. I did every 3 weeks x 8, and might have done one or two more except it was beating up my bone marrow a little too much...
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Brenda

NOV 2012 - 9 yr anniversary
JULY 2012 - 7 yr anniversary stage IV (of 50...)

Nov'03~ dX stage 2B
Dec'03~
Rt side mastectomy, Her2+, ER/PR+, 10 nodes out, one node positive
Jan'04~
Taxotere/Adria/Cytoxan x 6, NED, no Rads, Tamox. 1 year, Arimadex 3 mo., NED 14 mo.
Sept'05~
micro mets lungs/chest nodes/underarm node, Switched to Aromasin, T/C/H x 7, NED 6 months - Herceptin only
Aug'06~
micro mets chest nodes, & bone spot @ C3 neck, Added Taxol to Herceptin
Feb'07~ Genetic testing, BRCA 1&2 neg

Apr'07~
MRI - two 9mm brain mets & 5 punctates, new left chest met, & small increase of bone spot C3 neck, Stopped Aromasin
May'07~
Started Tykerb/Xeloda, no WBR for now
June'07~
MRI - stable brain mets, no new mets, 9mm spots less enhanced, CA15.3 down 45.5 to 9.3 in 10 wks, Ty/Xel working magic!
Aug'07~
MRI - brain mets shrunk half, NO NEW BRAIN METS!!, TMs stable @ 9.2
Oct'07~
PET/CT & MRI show NED
Apr'08~
scans still show NED in the head, small bone spot on right iliac crest (rear pelvic bone)
Sept'08~
MRI shows activity in brain mets, completed 5 fractions/5 consecutive days of IMRT to zap the pesky buggers
Oct'08~
dropped Xeloda, switched to tri-weekly Herceptin in combo with Tykerb, extend to tri-monthly Zometa infusion
Dec'08~
Brain MRI- 4 spots reduced to punctate size, large spot shrunk by 3mm, CT of torso clear/pelvis spot stable
June'09~
new 3-4mm left cerrebellar spot zapped with IMRT targeted rads
Sept'09~
new 6mm & 1 cm spots in pituitary/optic chiasm area. Rx= 25 days of 3D conformal fractionated targeted IMRT to the tumors.
Oct'09~
25 days of low dose 3D conformal fractionated targeted IMRT to the bone mets spot on rt. iliac crest that have been watching for 2 years. Added daily Aromasin back into treatment regimen.
Apr'10~ Brain MRI clear! But, see new small spot on adrenal gland. Change from Aromasin back to Tamoxifen.
June'10~ Tumor markers (CA15.3) dropped from 37 to 23 after one month on Tamoxifen. Continue to monitor adrenal gland spot. Remain on Tykerb/Herceptin/Tamoxifen.
Nov'10~ Radiate positive mediastinal node that was pressing on recurrent laryngeal nerve, causing paralyzed larynx and a funny voice.
Jan'11~ MRI shows possible activity or perhaps just scar tissue/necrotic increase on 3 previously treated brain spots and a pituitary spot. 5 days of IMRT on 4 spots.
Feb'11~ Enrolled in T-DM1 EAP in Denver, first treatment March 25, 2011.
Mar'11~ Finally started T-DM1 EAP in Denver at Rocky Mountain Cancer Center/Rose on Mar. 25... hallelujah.

"I would rather be anecdotally alive than statistically dead."
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Old 03-27-2007, 09:55 PM   #10
Erin
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I am also on TCH, 6 rounds with Herceptin to continue for 1 year. I believe the foundation for this protocol was a large study out of UCLA's Jonsson Cancer Center. Here is the link..

http://www.cancer.mednet.ucla.edu/ne...item_id=134542

It doesn't seem to spell out the number of rounds they used for the study though.
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Age 50, premenopausal
Dx 1/2/07 DCIS/IDC
Lumpectomy 1/4/07 1.1cm tumor
SNB 3 nodes clear
Stage 1, Grade 2, HER2+++ (FISH 6.8)
ER + / PR +
TCH, 6 rounds, finished 6/1/07!!!
Herceptin to continue for 1 year
36 rads finished 8/22/07
Port out 8/27/07
Switched to Herceptin weekly for joint pain
Ooph 11/13/07
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Old 03-27-2007, 10:02 PM   #11
Grace
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Hi Susan in Va,

I only did two rounds of TCH but I was originally scheduled for four rounds. In fact, I was orignally scheduled for just taxol with herceptin. I suggested that we add the carboplatin.
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