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Old 12-28-2011, 12:10 PM   #1
alli98
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Join Date: Dec 2011
Posts: 7
Re: vascular invasion

Thanks for articles rhondalea. Our treatment plans seems pretty similar except for the rads you are getting. I should b done with taxol in feb. Good luck.
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Old 12-29-2011, 12:45 AM   #2
yanyan
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Join Date: Apr 2011
Posts: 403
Re: vascular invasion

Hi, Alli. I think many here who had positive lymph nodes freaked about the path report. There are quite a few of us here in our 30s are diagnosed at stage 3. Vascular invasion, yes i had 10 out 23 and that was after 4 chemos. My cancer cell broke away from my lymph nodes as well, i think it is called external capsular invasion. When my surgeon told me i had 10 positive nodes i said,um not too bad only 10. He didn't not say anything. Later i found out what it meant and i couldn't pull myself out from "google". It has been 10 months since i started 1st chemo and there were so many bad dreams after surgery when things eventually felt so real as my scars proved what happened- i had cancer. There are still gloomy moody days but it is getting better. I guess what i am trying to say that you will be fine. I eventually came to understand that living today is the most important. I used to worry sick about my prognosis but it really sucks to live in fear and worry. Easy said, it is tough. I hope you will feel better soon. There is a life after cancer, it is upto us whether we want to live it happy as much as we can.
__________________
1/11 age 36 DX
ER/PR-, Her2 +
TCH*6, Herceptin
BMX with immediate recontruction 5/2011 Lattismus Flap- Dx stage 3c 10/23 nodes
9/11 Radiation
3/12 Local recurrence to skin stage IV
Whole body scan CLEAR
4/12 Tykerb & Xeolda Skin mets slowly regressing
8/12 PET & Brain CT Clear
5/13 Skin mets progressing
6/13 PET scan chestwall recurrence in contralateral anxillary,internal mammary and ipsilateral subpectoral nodes
6/13 kadcyla
10/13 whole body scan -clear NED. previously resolved skin rash gone but 3 new lesions. Biopsy confirmed for skin recurrence
11/13 to 02/14 tykerb & herceptin
02/14 add abraxane/gemzar, 2 weeks on 1 week off at reduced dose
05/14 whole body PET clear/ brain CT clear but skin mets are getting worse, ready for new chemo
05/14 navelbine perjeta herceptin
07/14 skin mets progressing red rash worse
08/14 wide local excision with diep flap to close wound. Final path shows 2 positive margins showing inflammatory carcinoma Going back to surgery in 2 weeks
09/01/14 resection- clear margins
3 weeks after 2nd surgery, a new nodular rash found near drain incision with 2 small red spots behind the chest wall biopsy on 10/1. Positive for breast cancer
Radiation 11/2014 with xeloda then weekly cisplatin
11/14 brain MRI clean
12/14 finished 33 radiations burnt and very painful. Bedridden for 1 week
12/14 t current Herceptin and perjeta only
02/15 rash on upper back right side skin mets radiation planned
02/15 staring electron radiation *35
Stopped at 30 due to severe skin burn, resumed 10 days later
05/15 red patches appeared in between previously radiated area, skin mets. Ct and brain Mri clear. Simulation planned, radiation to start after trip to Alaska.
05/24 new spot identified in scar line on previously radiated reconstructed breast- electron on both side chest wall area and scar line
07/15 multiple skin and lung recurrence begin halaven
11/15 cough much better but very tired on halaven and starting to see some new red skin blotches-suspicious
11/15 heading to China for immune therapy
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Old 12-29-2011, 05:45 AM   #3
rhondalea
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Join Date: Jun 2011
Location: Somerset, NJ
Posts: 487
Re: vascular invasion

Thanks, alli. For the Taxol, you might want to look into acetyl-l-carnitine. There are several studies which indicate it minimizes or even prevents neuropathy. It worked exceptionally well for me, and I have no neuropathy at all.

Note to yanyan: lymphovascular invasion is not the same as positive lymph nodes. See here for a concise explanation:

http://www.dslrf.org/breastcancer/co...d=132&cid=1104
__________________

2/6/09 Core needle biopsy: negative; Mammos through 2010: no change
3/30/11 Pea-sized lump in left breast at site of prior biopsy; mammo negative, sonogram not so much
4/14/11 Core needle biopsy: negative for cancer
5/18/11 Excisional biopsy 1.2 cm tumor, LVI, positive margin; ER+60%,PR+20%,HER2/CEP17 5
6/15/11 BMX: Left DCIS & LH; Right ADH; SNB: 2/3 nodes: 1.4 cm and 1 mm; ALND L1&2: 0/10; Stage IIa, Grade 3
7/14/11 CT/Bone scans NED; MUGA 66%
7/19/11 Biweekly dd AC w/Neulasta; done 8/30/11
9/13/11 Transfusion (Hemoglobin 8.6); MUGA 64%
9/20/11 Start Taxol + Herceptin; Taxol done 12/6/2011; continue Herceptin until 9/4/2012
12/27/11 Radiation - 6 weeks; 2/27/2012 - DONE! Yayyyy!
2/29/12 Start Tamoxifen 20 mg/day; continue until 2/28/17
5/16/12 Start five-years Metformin trial
6/19/12 MUGA 61%
8/21/12 Brain MRI NED (head still hurts, brain still fogged)
9/4/12 Herceptin done!
9/6/12 Port out!
7/11/13 Aricept 5mg for cognitive impairment; increased to 10mg as of 8/23/13; back to 5mg 12/2013
5/2014 Add Namenda 7mg
9/2014 Stop Aricept and Namenda; Neuropsychological evaluation
10/24/14 Start cognitive rehabilitation therapy
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