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Old 07-27-2010, 09:14 PM   #21
mts
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Re: Bad News

Laurie,

There are so many women who post here in your shoes and have been doing so well for so long... I have always felt this is the place to go to get the best advice...

I had a pediatric port... it was barely noticeable (no bulge). I had it removed after my 2nd year of tx... I am not a small person either-- (150 lbs)
I never had the discomfort from seatbelts rubbing against it, nor did it "show" when I wore clothes with a bit of cleavage. I guess this sounds rather silly- but for some reason I did not care about my hairless head; I cared more about my port protuding and it making me feel like a cancer patient.

Hang in there-- you will do great.

Warmly--

MTS
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--------------
Dx'd 8/04 at 41
Stage 1 for some onc's; Stage II for others (if you add up the sizes of all tumors).
Infiltrating DCIS
HER2+, ER+10% & PR-
.9cm tumor not visible on mammo, but palpable; visible on ultrasound
Lumpectomy/ clear margins, no nodes
Had Breast MRI after lumpectomy that revealed two more tumors in same quadrant(.4cm and 1.6cm) that were not visible on either mammo or ultrasound.
Re-excision
DD AC+T; Herceptin one year
Rads
NED/Taking Tamoxifen reluctantly
--------------
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Old 07-28-2010, 04:57 AM   #22
Lauriesh
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Re: Bad News

Thanks everyone for your encouragement and advice!

I am leaving for chemo in a little while and I will be bringing some ice packs along.

Yes, Mary Jo, I celebrated my five years on 3/21. I had my last onc appointment then, and he told me I didn't need to come see him anymore. While he said he would never tell me that my chance of a recurrence was zero, he said it was pretty close to that.

My family and I went to Hawaii to celebrate and I went on living, thinking this cancer thing was all in the past.

To say that this last week has been a shock is an understatement. I keep thinking it is a bad dream that I am going to wake up from.

I have a good friend, who has a great sense of humor, and she told me yesterday that she thinks I should tell my onc that he needs to refund me for my trip to Hawaii!

Hopefully, I will be getting a power port on Friday. I then have my brain mri, pet scan and muga scan all next week.

I will keep you updated.

Laurie
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Old 07-28-2010, 07:37 AM   #23
ammebarb
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Re: Bad News

Hello Laurie. I'm so sorry you are having to do battle again. Sounds like you now have a plan and that's so very important. I'm praying for your port insertion and good scans, and then for your strength and fortitude to do your treatment. Please know that your HER2 family is surrounding you with love and support.

Barb A.
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Old 07-28-2010, 12:26 PM   #24
janieR
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Re: Bad News

Dear Laurie.

Good luck you deserve it.

Janie
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Old 07-28-2010, 12:44 PM   #25
michka
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Post Re: Bad News

Laurie, I am so sorry you have to fight again. I just wanted to send you courage and hugs. Michka
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08.2006 3 cm IDC Stage 2-3, HER2 3+ ER+90% PR 20%
FEC, Taxol+ Herceptin, Mastectomy, Radiation, Herceptin 1 year followed by Tykerb 1 year,Aromasin /Faslodex

12.2010 Mets to liver,Herceptin+Tykerb
03.2011 Liver resection ER+70% PR-
04.2011 Herceptin+Navelbine+750mg Tykerb
06.2011 Liver ned, Met to sternum. Added Zometa 09.2011 Cyberknife for sternum
11.2011 Pet clear. Stop Navelbine, continuing on Hercpetin+Tykerb+Aromasin
02.2012 Mets to lungs, nodes, liver
04.2012 TDM1, Ned in 07.2012
04.2015 Stop TDM1/Kadcyla, still Ned, liver problems
04.2016 Liver mets. Back on Kadcyla
08.2016 Kadcyla stopped working. mets to liver lungs bones
09.2016 Biopsy to liver. no more HER2, still ER+
09.2016 CMF Afinitor/Aromasin/ Xgeva.Met to eye muscle Cyberknife
01.2017 Gemzar/Carboplatin/ Ibrance/Faslodex then Taxotere
02.2017 30 micro mets to brain breathing getting worse and worse
04.2017 Liquid biopsy/CTC indicates HER2 again. Start Herceptin with Halaven
06.2017 all tumors shrunk 60% . more micro mets to brain (1mm mets) no symptoms
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Old 07-28-2010, 05:04 PM   #26
R.B.
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Re: Bad News

Hi Laurie

I am sad to hear your news.

I hope they were petit pois you took with you, and the packet was colour co-ordinated with your nails - nothing but the best (-:

May there be humour even in hospital (-:

Best wishes for a speedy recovery


Robert
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Old 07-28-2010, 08:16 PM   #27
Jean
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Re: Bad News

Laurie,
I am very sorry to hear your news. I did have taxotere and yes it is doable. I did not ice my fingers or toes and did not have any issues with my nails. Did have the aches and muscle tenderness and I would take advil.
Also needed the shot to boost the white cells back up.
But for the most part what not as bad as I thought it would. The steriod portion was not easy as I found it wired me up.

Sending you much love and prayers for the taxotere to kick those nasty cells to the curb and do it fast.

Hugs,
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 07-29-2010, 12:44 AM   #28
SoCalGal
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Re: Bad News

I am just speechless that you were asked what kind of a PORT you want? Trying to think of a nice way to put it, but are they &*%$!! kidding you? What next? What kind of scalpel shall we use? Do you prefer clear or white thread for stitches? Wow - we have enough pressure researching our own chemo regimes. Why aren't our doctors advising us what is the best port to use and why that is so? Wishing you all the best, of course, and please take things one day at a time. Cliche but it works. Hugs, Flori
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1996 cancer WTF?! 1.3 cm lumpectomy Er/Pr neg. Her2+ (20nodes NEGATIVE) did CMF + rads. NED.
2002 recurrence. Bilateral mastectomy w/TFL autologous recon. Then ACx2. Skin lymphatic rash. Taxotere w/Herceptin x4. Herceptin/Xeloda. Finally stops spreading.
2003 - Back to surgery, remove skin mets, and will have surgery one week later when pathology can confirm margins.
‘03 latisimus dorsi flap to remove skin mets. CLEAN MARGINS. Continue single agent Herceptin thru 4/04. NED.
‘04 '05 & 06 tiny recurrences - scar line. surgery to cut out. NED each time.
1/2006 Rads again, to scar line. NED.

3/07 Heartbreaking news - mets! lungs.sternum. Try Tykerb/Xeloda. Tykerb/Carbo/Gemzar. Switch Oncs.
12/07 Herceptin.Tykerb. Markers go stable.
2/8/08 gamma knife 13mm stupid brain met.
3/08 Herceptin/tykerb/avastin/zometa.
3/09 brain NED. Lungs STABLE.
4/09 attack sternum (10 daysPHOTONS.5 days ELECTRONS)
9/09 MARKERS normal!
3/10 PET/CT=manubrium intensely metabolically active but stable. NEDhead.
Wash out 5/10 for tdm1 but 6/10 CT STABLE, PET improving. Markers normal. Brain NED. Resume just Herceptin plus ZOMETA
Dec 2010 Brain NED, lungs/sternum stable. markers normal.
MAR 2011 stop Herceptin/allergy! Go back on Tykerb and switch to Xgeva.
May-Aug 2011 Tykerb Herceptin Xgeva.
Sept 2011 Tykerb, Herceptin, Zometa, Avastin.
April 2012 sketchy drug trial in NYC. 6 weeks later I’m NED!
OCT 2012 PET/CT shows a bunch of freakin’ progression. Back to LA and Herceptin.avastin.zometa.
12/20/12 add in PERJETA!
March 2013 – 5 YEARS POST continue HAPZ
APRIL 2013 - 6 yrs stage 4. "FAILED" PETscan on 4/2/13
May 2013: rePetted - improvement in lungs, left adrenal stable, right 6th rib inactive, (must be PERJETA avastin) sternum and L1 fruckin'worsen. Drop zometa. ADD Xgeva. Doc says get rads consultant for L1 and possible biopsy of L1. I say, no thanks, doc. Lets see what xgeva brings to the table first. It's summer.
June-August 2013HAPX Herceptin Avastin Perjeta xgeva.
Sept - now - on chemo hold for calming tummy we hope. Markers stable for 2 months.
Nov 2013 - Herceptin-Perjeta-Avastin-Xgeva (collageneous colitis, which explains tummy probs, added Entocort)
December '13 BRAIN MRI ned in da head.
Jan 2014: CONTINUING on HAPX…
FEB 2014 PetCT clinical “impression”: 1. newbie nodule - SUV 1.5 right apical nodule, mildly hypermetabolic “suggestive” of worsening neoplastic lesion. 2. moderate worsening of the sternum – SUV 5.6 from 3.8
3. increasing sclerosis & decreasing activity of L1 met “suggests” mild healing. (SUV 9.4 v 12.1 in May ‘13)
4. scattered lung nodules, up to 5mm in size = stable, no increased activity
5. other small scattered sclerotic lesions, one in right iliac and one in thoracic vertebral body similar in appearance to L1 without PET activity and not clearly pathologic
APRIL 2014 - 6 YRS POST GAMMA ZAP, 7 YRS MBC & 18 YEARS FROM ORIGINAL DX!
October 2014: hold avastin, continue HPX
Feb 2015 Cancer you lost. NEDHEAD 7 years post gamma zap miracle, 8 years ST4, +19 yrs original diagnosis.
Continue HPX. Adding back Avastin
Nov 2015 pet/ct is mixed result. L1 SUV is worse. Continue Herceptin/avastin/xgeva. Might revisit Perjeta for L1. Meantime going for rads consult for L1
December 2015 - brain stable. Continue Herceptin, Perjeta, Avastin and xgeva.
Jan 2016: 5 days, 20 grays, Rads to L1 and continue on HAPX. I’m trying to "save" TDM1 for next line. Hope the rads work to quiet L1. Sciatic pain extraordinaire :((
Markers drop post rads.
2/24/16 HAP plus X - markers are down
SCIATIC PAIN DEAL BREAKER.
3/23/16 Laminectomy w/coflex implant L4/5. NO MORE SCIATIC PAIN!!! Healing.
APRIL 2016 - 9 YRS MBC
July 2016 - continue HAP plus Xgeva.
DEC 2016 - PETCT: mets to sternum, lungs, L1 still about the same in size and PET activity. Markers not bad. Not making changes if I don't need to. Herceptin/Perjeta/Avastin/Xgeva
APRIL 2017 10 YEARS MBC
December 2017 - Progression - gonna switch it up
FEB 2018 - Kadcyla 3 cycles ---->progression :(
MAY30th - bronchoscopy, w/foundation1 - her2 enriched
Aug 27, 2018 - start clinical trial ZW25
JAN 2019 - ZW25 seems to be keeping me stable
APRIL 2019 - ONE DOZEN YEARS LIVING METASTATIC
MAY 2019 - progression back on herceptin add xeloda
JUNE 2019 - "6 mos average survival" LMD & CNS new single brain met - one zap during 5 days true beam SBRT to cord met
10/30/19 - stable brain and cord. progression lungs and bones. washing out. applying for ds8201a w nivolumab. hope they take me.
12/27/19 - begin ds8401a w nivolumab. after 2nd cycle nodes melt away. after 3rd cycle chest scan shows Improvement, brain MRI shows improvement, resolved areas & nothing new. switch to plain ENHERTU. after 4th cycle, PETscan shows mostly resolved or improved results. Markers near normal. I'm stunned but grateful.
10/26/20 - June 2021 Tucatinib/xeloda/herceptin - stable ish.
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Old 07-29-2010, 11:52 PM   #29
tammymarie1971
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Re: Bad News

Hi Laurie, I hardly ever post here anymore but, I feel if I don't share my story to encourage others I will be wasting my experience. I had liver mets, but just one it was caught a 3 cm, this made me eligible for a re-section which I had along with taxol/herceptin, this was dx'd in March of '04!! I had a 4 kids 10 & under with a grim prognosis of 16% 5 yr survival, although during a routine ct scan for the liver 6mos later they found bone mets, but I am still doing well and Lord willing..I will see my oldest graduate high school and turn 40 next year!
I wish you all the best...Try not to let fear rule your life..
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Dx'd Dec'01 while 6mos preg. with #4. child (30yrsold)Mastectomy/AC chemo/radiation/ Recur:Mar'04 liver mets: 3 taxol/herceptin /liver resection/3 taxol/herceptin. Cured?
Recur: May'05 spine & Hip. New onc
treatment in Mexico Feb'06-Mar-06
back to Mexico June/July '06
Currently on herceptin/Zometa/Femara-recently added navelbine
Switched to arimidex Nov'06
ovaries removed June '07
ca15-3 in May'06 was 102
ca15-3 summer of '07 holding steady at 23!
ca15-3 slowly rising Dec & Jan 36, 38, 41 and Feb was 36
Feb '08 Liver, lung & Brain scan NED... bones are stable with even a couple spots gone. as compared with '06 scans
May '08 ca 15-3 is 55. Treatment is zometa, vinorelbine, herceptin and aromasin.
No signifcant changes.
Feb'09 Started Xeloda with herceptin..no more hormonals
Feb'09-June'09 tumor markers coming down again from 155 to 84
May'09 blood clots in lungs vena cava filter put in..Heparin shots daily for now.
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Old 07-30-2010, 02:49 PM   #30
Joan M
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Re: Bad News

Laurie,

I know the feeling of learning that your breast cancer has spread. It's what we fear the most.

Is it possible to have the liver lesion surgically removed, or treated with radiofrequency ablation (that's radio waves, not radiation), or cryoablation (freezing the tumor)?

Oncologists rarely mention these procedures, but several women on this board have had them.

I had a lung wedge resection when my bc first occurred. There was one small tumor in my lung. The tumor recurred a year later, and I had an RFA. In my case, and a rare event, a fungus grew in the cavity caused my the RFA and I ended up having to have another lung surgery. But, and that's a big but, there was only a fungal ball in the cavity and no cancer according to the pathology report. So, I've been cancer-free since October 2008.

Just a thought on how you might proceed.

Joan
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Diagnosed stage 2b in July 2003 (2.3 cm, HER2+, ER-/PR-, 7+ nodes). Treated with mastectomy (with immediate DIEP flap reconstruction), AC + T/Herceptin (off label). Cancer advanced to lung in Jan. 2007 (1 cm nodule). Started Herceptin every 3 weeks. Lung wedge resection April 2007. Cancer recurred in lung April 2008. RFA of lung in August 2008. 2nd annual brain MRI in Oct. 2008 discovered 2.6 cm cystic tumor in left frontal lobe. Craniotomy Oct. 2008 (ER-/PR-/HER2-) followed by targeted radiation (IMRT). Coughing up blood Feb. 2009. Thoractomy July 2009 to cut out fungal ball of common soil fungus (aspergillus) that grew in the RFA cavity (most likely inhaled while gardening). No cancer, only fungus. Removal of tiny melanoma from upper left arm, plus sentinel lymph node biopsy in Feb. 2016. Guardant Health liquid biopsy in Feb. 2016 showed mutations in 4 subtypes of TP53. Repeat of Guardant Health biopsy in Jana. 2021 showed 3 TP53 mutations, BRCA1 mutation and CHEK2 mutation. Invitae genetic testing showed negative for all of these. Living with MBC since 2007. Stopped Herceptin Hylecta (injection) treatment in March 2020. Recent 2021 annual CT of chest, abdomen and pelvis and annual brain MRI showed NED. Praying for NED forever!!
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Old 07-31-2010, 04:07 AM   #31
swimangel72
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Re: Bad News

Laurie I'm so sorry to read this news - but you sound strong, and with the help of the wonderful women on this board - I believe you'll fight this beast back into a corner very soon! I'll be praying for you!
__________________
xxoo
Kathy
2/5/08 - dx age 53, post-menopausal;
IDC Stage 1, Grade 1
ER+ 90% /PR+ 90% /Her2++++, BRAC1 & 2 neg
3/5/08 - mast with muscle-sparing free tram;
0/7 nodes clear; Stage 1 lymphedema in right arm
3/11/08 - MRSA infection in abdomen causes large hernia
4/11/08 - Oncotype DX score 22 (intermediate)
4/12/08 - Muga score 67%
4/23/08 - Chemo, Navelbine and Herceptin every 2 weeks
8/20/08 - Last Navelbine infusion! Yay!
1/22/09 - First mammo since dx - unaffected breast CLEAR!
1/30/09 - Second Muga score 63%
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Old 07-31-2010, 11:42 AM   #32
Lauriesh
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Re: Bad News

Thank you for all of the help and encouragement.

I have considered cyberknife or other treatments, but right now the tumor is 11 cm, so chemo , I think is the only option.

the good news is after having my first chemo, my pain in my back and when breathing is gone. I am taking that as a good sign. I will have herceptin on wed. then a pet scan on thur. I am hoping for even a little shrinkage of the liver tumor ( and of course NED everywhere else)

I used the ice bags on my feet and hands during the taxotere, but I have a question. It took 1 hour and 15 minutes for the infusion. Do you need to keep the ice on the whole time? It was freezing! I tried to tolerate it as long as I could, then would take small breaks, then put it back on.

Thanks for all of the suggestions.

Laurie
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