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			06-13-2014, 04:57 AM
			
							
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				Location: New York, New York 
				
				
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				Navelbine & Herceptin Not Working
			 
			 
			
		
		
		
		Since the surgery disaster, nothing but a downward slope.  Navelbine and Herceptin not working.  Scanning today and Saturday.  Will keep you posted.  Suggestions welcome. 
Forward! 
 
Karen 
		
	
		
		
		
		
		
		
			
				__________________ 
				World Trade Center Survivor (56th Floor/North Tower): 14 years and still just like yesterday. 
Graves Disease, became Euthyroid via Radioactive Iodine, June 2001. 
Thyroid Eye Disease. 2003.  Decompression surgery in 2009; eyelid lowering surgery in 2010. 
Diagnosed: June 2010, liver mets. ER-/PR+10%; HER2+++.  
July 2010: Begin Taxol/Herceptin. Eliminate sugar from diet.  No surgery or radiation. 
January 2011: NED 
April 2011: Progression in liver only. Other previous affected areas eradicated. Stop Taxol/Herceptin after 32 infusions. 
May 2011: Brain MRI: clear. 
May 2011: Begin Tykerb daily, Xeloda twice per day for one week on, one week off, and Herceptin.   
November 2011: Progression in liver.  All other tumors remain eradicated. 
December 2011: BEGIN TRIAL #09-093 Taxol, MCC-DM1 (T-DM1), Perjeta. 
Trial requires scans every six weeks, bloodwork and infusions weekly. 
Brain MRI: clear. 
January 2012: NED. Liver mets, good riddance! 
March 2012: NED.  Developed SMA (rare blood clot) in intestinal artery and loss of sight in right eye due to optical nerve neuropathy.  Resolved when Taxol removed this month. 
Continue Protocol of T-DM1 weekly and Perjeta every 3 weeks. 
May 2012: NED. 
June 2012: Brain MRI: clear. 
June-December 2012: NED.  
December 2012: TRIAL CONCLUDED; ENTER TRIAL EXTENSION #09-037. CT, Brain MRI, bone scan: clear. NED. 
January-March 2013: NED. 
June 2013: Brain MRI: clear. CEA upticking; CT shows new met on liver.  
July 3, 2013: DISASTER STRIKES during liver ablation: sloppy surgeon cuts intercostal artery and I bleed out, lose 3.5 liters of blood, have major hemothorax, and collapsed lung requiring emergency resuscitative thoracotomy, lung surgery, rib rearrangement and cutting deep connective tissue, transfusion.  Ablation incomplete.  This life-saving procedure would end up causing me unforgiving pain with every movement I make, permanently, otherwise known as forever. 
July 26, 2013: Try Navelbine/Herceptin.  Body too weak after surgery and transfusion. Fever. CEA: Normal. 
August 16, 2016: second dose Navelbine/Herceptin; CEA: Normal. Will skip doses. Watching and waiting. 
September 2013: NED, Herceptin only. CEA: Normal. Started Arimidex. 
October-November 2013: NED. Herceptin and Arimidex. CEA, CA125, 15-3: Normal. 
December 2013: Something brewing. PET lights up on little spot on liver; CEA upward trend, just outside normal. PET and triphasic liver scan confirm Little Met. Restart Perjeta with Herceptin, stay on Arimidex. Genomic sequencing completed for future treatments, if necessary. 
January 2014: Ablate Little Met on the 6th. Happy New Year. 
March 2014: Brain MRI: clear. PET/CT reveal liver mets return; new lung mets. This is not funny.  
March 2014: BEGIN TRIAL #10-005 A(11)-Temsirolimus plus Neratinib. 
April 2014: Genomic testing indicated they could work, they did not. Very strange drug combo for me, felt weird.  
April 2014: Started Navelbine and Herceptin. Needed something tried and true, but had significant progression. 
June 2014: Doxil and Herceptin. 
July 2014: Progression. Got nothing out of it. Brain: NED.  
July 2014: Add integrative medical hematologist-oncologist to my team. Begin supplements.  These are tumor-busting, immune system boosters. Add glutathione, lysine and taurine IV infusions every three weeks. 
July 2014: Begin Gemzar, Herceptin & Perjeta. Happy. 
August 2014: ECHO perfect. 
January 2015: Begin weekly Vitamin D Analog infusions. 25 mcg. via port. 
February 2015: CT: stable. 
April 2015: Gem working, but not 100%.  Looking into immunotherapy.  Finally, treatments for the 21st century! 
April 2015: Penn Medicine.  Dendritic cell immunotherapy. 
			 
		
		
		
		
		
		
	
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			06-13-2014, 07:19 AM
			
							
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			#2
			
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				Re: Navelbine & Herceptin Not Working
			 
			 
			
		
		
		
		Hi Karen, 
   
 No suggestions but just wanted you to know you are in my thoughts and prayers.  
   
 Carol Ann 
		
	
		
		
		
		
		
		
			
				__________________ 
				July 24, 2013: "Infected" Right Nipple and benign cyst removed, pathology report revealed Paget's, DCIS, and ILC 1.25 cm, ER+/Pro+/HER2 equivocal, Grade 2 under benign cyst, previous diagnostic mammo/ultrasound said I was perfectly healthy in both breasts.  
 
Aug 18, 2013: MRI report says Left breast is perfectly healthy "consistent with previous studies". 
 
Sept 2013: I insist on a bilateral mastectomy anyway. Too nervewracking to let left breast remain with higher risk after 3 cancers in right, nipple in right is already gone anyhow. 
 
Sept 18, 2013: Bilateral mastectomy, 11 right nodes removed, ALL negative BUT -- ER+/PRO+/HER2+ tumor, 1.0 cm, Grade 2 found in a piece of "grossly unremarkable" breast tissue from prophylactic mastectomy of left breast, no nodes removed. 
 
Oct 25, 2013: 13 left side nodes removed, ALL negative, Stage 1 across the board, NO RADS needed, YAAAAY! Port also installed. 
 
Nov 25, 2013 Begin 6 rounds TCH. 
 
March 10, 2014 Just finished 6th and LAST Chemo today, YAAAAAY! 
 
March 24, 2014 Echocardiogram to make sure I'm still good for Herceptin every 3 weeks. 
 
March 31, 2014 Echo results NORMAL, first Herceptin all by itself. Now if only my eyes would stop streaming from the Taxotere ... :) 
 
April 21, 2014 Started Arimidex and therapy for "mild" lymphedema in left hand and arm 
 
May 2014 Therapy completed, I have sleeves and gloves for both arms, a Flexi touch lymph pump to hook up to for an hour every day, and I've become an arm bandaging expert. :)  
 
June 2014 Begin Fosamax to prevent osteoporosis; bone scan revealed osteopenia 
 
Nov 17, 2014 FINAL Herceptin! 
 
Dec 4, 2014 My right thigh muscle has been extra achy for days ... I discover a blister rash cluster on the side of my right thigh while taking a shower. Port appointment cancelled until Dec 17, my doc is working me in tomorrow afternoon to see me and the rash. My muscle at least feels less achy.  
 
Dec 5, 2014 Yep, I have shingles. Boo! I start acyclovir and also have a prescription for a painkiller just in case for over the weekend. 
 
Dec 17, 2014 Port is OUT! 
 
January 2016 Shingles again and this time it started where my left breast (where the hidden HER2+++ tumor was!) used to be. My onc nurse got me a same day appointment to see my doc when I called and told her I had a rash on the site. The antiviral meds are working once again, though, so that is good news. :)
			 
		
		
		
		
		
		
	
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			06-13-2014, 09:35 AM
			
							
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			#3
			
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				Join Date: Jul 2013 
				Location: Katonah,New York 
				
				
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				Re: Navelbine & Herceptin Not Working
			 
			 
			
		
		
		
		Oh Crud! so sorry, praying you find your magic potion! 
		
	
		
		
		
		
		
		
			
				__________________ 
				3/11/13- normal mammo and US 
4/30/13 Found pea sized lump while showering 
5/10/13 core bx 
5/15/13 dx IDC 1CM,  
5/20/13 BRAC 1&2 neg 
5/28/13 lumpectomy and SNB, ER/PR/Her-2+, Nodes neg,positive margins 
6/13/13 revision of margins . Now clear 
6/26/13 first TCH 
Chemo Ninja~kutaki Zika Zukuchiri 
10/18/13-Bx of calcification-neg whew 
11/7/13 Started Radiation. 
01/2014- Started Tamoxifen 
06/09/14-Steriotactic BX left breast calcification-Benign 
06/18/2014-completed one year of Herceptin!
			 
		
		
		
		
		
		
	
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			06-13-2014, 10:16 AM
			
							
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			#4
			
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			 Senior Member 
			
			
		
			
				
			
			
			
				 
				Join Date: Aug 2010 
				Location: New York, New York 
				
				
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				Re: Navelbine & Herceptin Not Working
			 
			 
			
		
		
		
		An author friend once told me, "No matter what, everything will be o.k." And it will. 
 
Will keep you posted.  Waiting on scans. 
 
Karen 
		
	
		
		
		
		
		
		
			
				__________________ 
				World Trade Center Survivor (56th Floor/North Tower): 14 years and still just like yesterday. 
Graves Disease, became Euthyroid via Radioactive Iodine, June 2001. 
Thyroid Eye Disease. 2003.  Decompression surgery in 2009; eyelid lowering surgery in 2010. 
Diagnosed: June 2010, liver mets. ER-/PR+10%; HER2+++.  
July 2010: Begin Taxol/Herceptin. Eliminate sugar from diet.  No surgery or radiation. 
January 2011: NED 
April 2011: Progression in liver only. Other previous affected areas eradicated. Stop Taxol/Herceptin after 32 infusions. 
May 2011: Brain MRI: clear. 
May 2011: Begin Tykerb daily, Xeloda twice per day for one week on, one week off, and Herceptin.   
November 2011: Progression in liver.  All other tumors remain eradicated. 
December 2011: BEGIN TRIAL #09-093 Taxol, MCC-DM1 (T-DM1), Perjeta. 
Trial requires scans every six weeks, bloodwork and infusions weekly. 
Brain MRI: clear. 
January 2012: NED. Liver mets, good riddance! 
March 2012: NED.  Developed SMA (rare blood clot) in intestinal artery and loss of sight in right eye due to optical nerve neuropathy.  Resolved when Taxol removed this month. 
Continue Protocol of T-DM1 weekly and Perjeta every 3 weeks. 
May 2012: NED. 
June 2012: Brain MRI: clear. 
June-December 2012: NED.  
December 2012: TRIAL CONCLUDED; ENTER TRIAL EXTENSION #09-037. CT, Brain MRI, bone scan: clear. NED. 
January-March 2013: NED. 
June 2013: Brain MRI: clear. CEA upticking; CT shows new met on liver.  
July 3, 2013: DISASTER STRIKES during liver ablation: sloppy surgeon cuts intercostal artery and I bleed out, lose 3.5 liters of blood, have major hemothorax, and collapsed lung requiring emergency resuscitative thoracotomy, lung surgery, rib rearrangement and cutting deep connective tissue, transfusion.  Ablation incomplete.  This life-saving procedure would end up causing me unforgiving pain with every movement I make, permanently, otherwise known as forever. 
July 26, 2013: Try Navelbine/Herceptin.  Body too weak after surgery and transfusion. Fever. CEA: Normal. 
August 16, 2016: second dose Navelbine/Herceptin; CEA: Normal. Will skip doses. Watching and waiting. 
September 2013: NED, Herceptin only. CEA: Normal. Started Arimidex. 
October-November 2013: NED. Herceptin and Arimidex. CEA, CA125, 15-3: Normal. 
December 2013: Something brewing. PET lights up on little spot on liver; CEA upward trend, just outside normal. PET and triphasic liver scan confirm Little Met. Restart Perjeta with Herceptin, stay on Arimidex. Genomic sequencing completed for future treatments, if necessary. 
January 2014: Ablate Little Met on the 6th. Happy New Year. 
March 2014: Brain MRI: clear. PET/CT reveal liver mets return; new lung mets. This is not funny.  
March 2014: BEGIN TRIAL #10-005 A(11)-Temsirolimus plus Neratinib. 
April 2014: Genomic testing indicated they could work, they did not. Very strange drug combo for me, felt weird.  
April 2014: Started Navelbine and Herceptin. Needed something tried and true, but had significant progression. 
June 2014: Doxil and Herceptin. 
July 2014: Progression. Got nothing out of it. Brain: NED.  
July 2014: Add integrative medical hematologist-oncologist to my team. Begin supplements.  These are tumor-busting, immune system boosters. Add glutathione, lysine and taurine IV infusions every three weeks. 
July 2014: Begin Gemzar, Herceptin & Perjeta. Happy. 
August 2014: ECHO perfect. 
January 2015: Begin weekly Vitamin D Analog infusions. 25 mcg. via port. 
February 2015: CT: stable. 
April 2015: Gem working, but not 100%.  Looking into immunotherapy.  Finally, treatments for the 21st century! 
April 2015: Penn Medicine.  Dendritic cell immunotherapy. 
			 
		
		
		
		
		
		
	
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			06-13-2014, 12:36 PM
			
							
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			#5
			
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			 Senior Member 
			
			
		
			
				
			
			
			
				 
				Join Date: Nov 2004 
				Location: Misty woods  of WA State 
				
				
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				Re: Navelbine & Herceptin Not Working
			 
			 
			
		
		
		
		Tumor markers or something in bloodwork that pointed to this? 
 
Now I will send even stronger positive messages your way! 
		
	
		
		
		
		
		
		
			
				__________________ 
				"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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			06-13-2014, 04:21 PM
			
							
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			#6
			
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				Re: Navelbine & Herceptin Not Working
			 
			 
			
		
		
		
		Sending you positive thoughts. God bless. 
		
	
		
		
		
		
		
		
			
				__________________ 
				January 2012 - itchy nipple on right breast  
February 2012 - lump appeared in right breast  
March 2012 - diagnosed with breast cancer in right breast, mastectomy on right breast found that 12 of 13 lymp nodes in armpit were positive. Her2+ ER - 
May 2012 -  fec t chemotherapy  
September 2012 -  herceptin began and fec t ended  
November 2012 - radiotherapy to breast, neck and armpit 
March 2013 - healthy left breast removed and reconstruction on both breasts 
May 2013 - lump appeared on neck at right side, surgery removed two nodes and one showed cancer her2+ er Started vinorelbine chemotherapy along with herceptin  
July 2013 - cerebral venous sinus thrombosis diagnosed, hospitalised for one month 
August 2013 - continued with vinorelbine chemotherapy and herceptin 
November 2013 - vinorelbine chemotherapy ended and continued with herceptin on its own 
February 2014 - lump appeared in neck in same area and tdm1/kadcycla chemotherapy began 
June 2014  - have received 3 x tdm1/kadcycla and await body scan this week
			 
		
		
		
		
		
		
	
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			06-13-2014, 05:17 PM
			
							
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			#7
			
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			 Senior Member 
			
			
		
			
				
			
			
			
				 
				Join Date: Jan 2013 
				Location: 'Burbs of Atlanta, GA 
				
				
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				Re: Navelbine & Herceptin Not Working
			 
			 
			
		
		
		
		Karen,
Did you read this post about 3 down from yours.   Cancer secret to success?! Finding your match! 			(    1 2 3)
 
Praying for you - Pam  
		
	
		
		
		
		
		
		
			
				__________________ 
				[FONT=Tahoma] Dx 12/14/2012, IDC, 2cm, Stage II, Grade 2, 4/5 nodes, ER+/PR+, HER2+[SIZE=2][COLOR=Blue]  
Surgery 12/28/2012 Lumpectomy (Right); Lymph Node Removal: Axillary Lymph Node Dissection (Right) 
Chemotherapy 02/06/2013  
Herceptin, Carboplatin, Taxotere Started 6 rounds on 02/06/2013 Herceptin 
Finished chemo - May 22, 2013 
Radiation Therapy 06/12/2013 - 36X External 
TM Marker - 13 October, 2013 
TM Marker - 15 November, 2013  
Annual Mammagram - 3D - Both Breast - CLEAR!!! 
Colonscopy - 1st-Clear - November 18, 2013 
CT Scan-Results-Clear - November 27, 2013 
BC Diagnosis-1 Year - December 14, 2013 
TM - holding steady at 15 - December 24, 2014 
TM - 24.2 - January 12 
Herceptin Treatment - Last One-February 4, 2014!!! 
TM - 3.7 - February 4, 2014 
MRI & CT - February 21, 2014 - All Clear  
NED - and my doctor said - "well, it looks like you are NED - your MRI and CT are clear - Febuary 25, 2014 
TM - 18.2 - February 21, 2014  
Port Removed - Scheduled for Wed, March 19, 2014 
Port Removed - Yeah!!! I feel lighter already!!! 
TM - 15.3 - March 25, 2014  
Diagnostic 3D Mammogram - Rt Breast - All Clear!!! - Tuesday, May 13, 2014 
TM-15.5 - June 25, 2014 
Diagnostic 3D Mammogram - Nov. 2014   All Clear!!! 
Diagnostic 3D Mammogram-Rt Only-May,2015-All Clear!!! 
Diagnostic 3D Mammo-Annual-Nov 2015-Right Clear!!! - Left Breast-found 5 mm CYST.  Aspirated - all clear!! 
TM - Nov 2015 - 18.2 
NED-December, 2015 - 3 Years NED!!! 
TM-Feb 2016 - 13.7 
TM-June 2016 - 13.3 
TM-Oct 2016-10.0 
Annual 3D Mammo-Nov, 2016-All Clear!!!
Annual Mammogram - November 2017 - ALL CLEAR. i AM 5 (YES) YEARS OUT!!!
NED - 10 Years Out!! - December, 2022  
			 
		
		
		
		
		
		
	
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			06-13-2014, 11:43 PM
			
							
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			#8
			
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			 Senior Member 
			
			
		
			
				
			
			
			
				 
				Join Date: Apr 2012 
				Location: Melbourne, Australia 
				
				
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				Re: Navelbine & Herceptin Not Working
			 
			 
			
		
		
		
		Dear Karen - all digits crossed for you! 
Sending love and positive vibes your way... Pam 
		
	
		
		
		
		
		
		
			
				__________________ 
				Diagnosed 2004: Lumpectomy - 2 tumours, both grade 1 infiltrating duct carcinoma, about 12mm. ER+,  
C-erbB-2 status 3+.  
Clear margins, no nodal involvement. 
Radiotherapy, i year Tamoxifen, 4 years Arimidex. 
Rediagnosed 2012: Multiple bone metastases. 
3/12: began on Marianne trial - T-DM1 + Pertuzamab/Placebo. 
5/12:Unexpected development of numerous bilateral liver mets. Came off trial. 
Started Docetaxol/ Herceptin + Zometa. 
8/12:Bones stable +major regression in liver (!) 
9/12:Can't take any more Docetaxol! Start on Herceptin and Tamoxifen. Cross fingers! 
Changed to Denosumab. 
11/12: Scan shows stable - yay! 
11/13: Still stable :-) !!! 
1/16: All stable, but lowered calcium, so switched to Zometa 3 monthly. 
2/19: Happily still stable on Herceptin, Letrozole and 3 monthly Zometa.
			 
		
		
		
		
		
		
	
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			06-14-2014, 06:26 AM
			
							
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			#9
			
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				Join Date: Jul 2010 
				Location: South Jersey 
				
				
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				Re: Navelbine & Herceptin Not Working
			 
			 
			
		
		
		
		prayers 
 
:-) Penny 
		
	
		
		
		
		
		
		
			
				__________________ 
				...but he said to me, “My grace is sufficient for you, for power is made perfect in weakness.” I will rather boast most gladly of my weaknesses, in order that the power of Christ may dwell with me. (2 Corinthians 12:9) 
  
Penny 
 
July 2010 IDC grade 3 stage 3 er-/pr-/her2+++, BRCA2 
Skin mets 11/10 
1/12/11 Surgery path - complete response 
Rads 2/11-4/11 
Liver mets 11/11 now stage IV  
Xeloda & Tykerb 12/11 
Allergic reaction to Tykerb 12/11 
Xeloda only 12/11  
Added herceptin January 2012 
Progression February 2012.  
Started Veliparib (parp inhibitor) trial 3/5/12. 
4/30/12 Liver met shrunk in half! Praise Jesus! 
6/18/12 another 25% shrinkage, down to @3x3. Thank you, God! 
8/8/12 Brain MRI - clear! Praise to You, Lord Jesus Christ! 
8/27/12 Thank You, God - another 20% decrease in liver met! Now @ 3.2x1.9. 
10/5/12 stable-ish 
11/21/12 allergic reaction to carboplatin 
12/10/12 stable & progression 
12/31/12 liver ablation 
2/6/13 ablation successful but new tiny mets in liver.  May or not be cancer.  
Another ablation scheduled 2/28/13. Cancelled. 
2/20/13 started taxotere & herceptin. Pretty toxic. Oncologist says start tdm1 4/3/13. From her lips to God's ears. Praying for no allergic reactions/adverse side effects. 
3/28/13 increase in liver mets - number & size 
4/3/13 started TDM1 
6/25/13 Praise God!  Scan shows only one viable lesion and it's smaller. 
10/8/13 MRI shows 1 large and two small tumors. 
10/11/13 Ablation of tumors.  It's in God's Hands. 
10/23/13 Jesus and TDM1 
12/19/13 Started trial of palbociclib & herceptin after scan showed growth of liver tumor and a questionable spot on rib. 
2/6/14 CT scan - previous suspicious spot on rib probably damage from radiation - Praise God!  MRI - over 200% growth in cancer in liver. 
2/19/14 started Navelbine, Perjeta, & Herceptin combo. 
5/2-5/4/14 hospitalized with very high liver function numbers, plus skin and eyes are yellow, plus urine is orange.  Feel ok, so doctor not sure if liver failing due to cancer, chemo, or infection.  Hospital gets numbers to go down and sends me home.  MRI done in hospital reveals cancer shrinking - praise God! 
5/6/14 - 5/8/14 hospitalized with no white blood cell count.  Released when they go back up, @ 6 days after doctor gave me a neulasta shot. 
5/16/14 - informed blood cultures done in hospital are back and that I contracted hepatitis e.  Have to take ribavirin (anti-hep med) until liver function numbers are back to "normal" before re-starting chemo.  Will probably go on veliparib and temodar this time. 
5/26/14 - my birthday - GI doctor informed me that the hepatitis e was completely gone - I didn't even need the anti-viral meds!  This is a miracle from God! 
5/28/14 - started veliparib and temodar (compassionate use) 
8/18/14 MRI shows 90% growth in liver tumors 
8/20/14 start Perjeta, Herceptin, & Navelbine. Thanking & giving Glory to God for each moment. 
9/22/14 - 9/24/14 Hospitalized with 102.2 fever and neutropenia 
11/13/14 ER for high fever and fast heart rate. Got both down with IV antibiotic and fluids. Sent home same night. Thank You, Lord! 
12/2/14 MRI shows progression in liver.  Grateful to God that I still feel good. 
12/11/14 Simulated SIR-spheres.  Successful.  Real thing (1st lobe) scheduled for the 23rd.  Also starting Xeloda on 22nd for 2 weeks because it's synergistic with the spheres. 
12/23/14 SIR-spheres in left lobe of liver.  On Xeloda 12/22/14 - 1/4/15.   
1/7/15 Receiving Perjeta & Herceptin while awaiting next course of action. 
2/9/15 SIR-spheres in right lobe of liver.  On Xeloda for 2 weeks (started 2/8).  Still on Perjeta & Herceptin.  Don't know what's next for me.  :-) 
3/25/15 Final read on MRI report - there are new and multiple lesions in both lobes of liver. Sigh. Praise God I've made it this far! 
4/1/15 Started Gemzar & Herceptin.  1st week G&H, 2nd week G only, 3rd week off.  Thank You, Lord, for this option. 
4/15/15 Labcorp - liver enzymes in 200's.  Appointment 4/22 with oncologist to discuss.  Also, "radiation recall" in previously treated area?  Very itchy.  Need to discuss. 
4/22/15 Enzymes came down.  Received reduced dose of Gemzar only.  No herceptin.  Will get labs at lapcorp next two weeks since taking break for vacation purposes.  Treat radiation area. 
5/9/15 ER for severe abdominal pain.  Constipation. Sent home with meds and advice to follow up with oncologist regarding jaundice and bilirubin. 
5/11/15 Hospitalized for rising bilirubin and jaundice. CT scan reveals larger and more constricting tumors in liver. 
5/13/15 Met with my oncologist. Bilirubin came down. If still down by Monday, I'll get chemo. If not, than I guess I'll see you all in Heaven. Praise God. Please pray, pray, pray. 
5/18/15 Bilirubin jumped up. Trying lowered dose of Ixempra, with Herceptin.  Oncologist is surprised that I'm functioning so well, given the high bilirubin.  I have anywhere from 2 weeks - 2 months to live.
			 
		
		
		
		
		
		
	
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			06-14-2014, 07:23 AM
			
							
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			#10
			
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			 Senior Member 
			
			
		
			
				
			
			
			
				 
				Join Date: Sep 2005 
				Location: Naples FL 
				
				
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				Re: Navelbine & Herceptin Not Working
			 
			 
			
		
		
		
		Waiting is the pits. Sending a big hug your way. 
		
	
		
		
		
		
		
		
			
				__________________ 
				 Suzan W. 
age 54 at diagnosis 
5/05 suspicious mammogram-left breast 
5/05 biopsy-invasive lobular carcinoma with LCIS,8mm tumor,stage 1 grade 2, ER+ PR+ Her2+++ 
6/14/05 bilateral mastectomy, node neg. all scans neg. 
Oncotype DX-high risk  
8/05-10/05 4 rounds A/C 
10/05 -10/06 1 yr. herceptin  
arimidex-5 years 
2/14/08 started daily self administered injections..FORTEO for severe osteoporosis 
7/28/09 BRCA 1 negative BRCA2 POSITIVE 
8/17/09 prophylactic salpingo-oophorectomy 
10/15/10 last FORTEOinjection 
RECLAST infusion(ostoeporosis)  
6/14/10 5 year cancerversary! 
8/2010-18%increase in bone density! 
no further treatments 
Oncologist says, "Go do the Happy Dance"  
I say,"What a long strange trip its been" 
'One day at a time' 
6-14-2015. 10 YEAR CANCERVERSARY! 
 7-16 to 9-16. Extensive (and expensive) dental work done to save teeth. Damage from osteoporosis and chemo and long term bisphosphonate use 
 6-14-16. 11 YEAR CANCERVERSARY!! 
7-20-16 Prolia injection for severe osteoporosis 
    2 days later, massive hive outbreak. This led to an eventual dx of Chronic Ideopathic Urticaria, an auto-immune disease from HELL.  
6-14-17 12 YEAR CANCERVERSARY!! 
     still suffering from CIU.  4 hospitilizations in the past year
 
as of today, 10-31-17 in remission from CIU and still, CANCER FREE!!! 
6-14-18 13 YEAR CANCERVERSARY!! NED!!
			  
		
		
		
		
		
		
	
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			06-14-2014, 02:06 PM
			
							
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			#11
			
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			 Senior Member 
			
			
		
			
			
			
				 
				Join Date: Feb 2014 
				Location: Washington State 
				
				
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				Re: Navelbine & Herceptin Not Working
			 
			 
			
		
		
		
		Sending prayers your way to find the next plan.  You are so strong! 
		
	
		
		
		
		
		
		
			
				__________________ 
				2009:  dcis rt side, mastectomy, no chem or rads 
2009: rt recon implant. 
Jan 2014:  stage 4. pain right side, found "too many to individually account for" liver mets.  Found right axilla lymph nodes and nearby mass (source).  Lung, lymph and bone mets.  Brain clear by MRI. Er and pr neg, HER2 +++ 
Feb 2014: herceptin, perjeta, taxol 
July 2014:  no active disease, only bone scars and 1 liver scar!  Tumor markers all normal again.   
Dec 2014: seizure, 3 brain mets (15, 5 and 3 mm) 
Feb 2015:  Linac Stereotactic Radiation for brain mets 
June 2015:  no new brain mets, old ones greatly reduced in size.  Bod still no active disease 
October 2015: New brain Met, zapped by Stereotactic rads, watching another spot 
Jan 2016: The other spot grew, zapped again.  Still on herceptin and perjeta every 3 weeks
			 
		
		
		
		
		
		
	
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			06-14-2014, 04:13 PM
			
							
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			#12
			
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			 Senior Member 
			
			
		
			
				
			
			
			
				 
				Join Date: Dec 2006 
				Location: Oregon 
				
				
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				Re: Navelbine & Herceptin Not Working
			 
			 
			
		
		
		
		Hi Karen, 
 
Sending all the love and positive vibes I can. We are all here with you as you wait for the scan news. Prayers are coming your way! 
		
	
		
		
		
		
		
		
			
				__________________ 
				Catherine 
  
  
Found my own lump in the shower 
April 2006 at the age of 58 
Stage IIB, ER- PR- HER2+++ multi focal tumors, largest 2.3cm 
Chemo first: AC/Taxol over 16 weeks 
Bilateral mastectomy Sep 06 
 33 rads after the surgery 
1 year of Herceptin completed Dec 07 
15 years and no recurrence as of April 2021
			 
		
		
		
		
		
		
	
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			06-14-2014, 09:01 PM
			
							
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			#13
			
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			 Senior Member 
			
			
		
			
				
			
			
			
				 
				Join Date: Sep 2005 
				Location: Mountains of Virginia 
				
				
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				Re: Navelbine & Herceptin Not Working
			 
			 
			
		
		
		
		Sending positive and healing thoughts and prayers. 
		
	
		
		
		
		
		
		
			
				__________________ 
				Rhonda (Sassy)
dx age 45
DX 2/15/05 Stage IIb (at surgery)restaged IIIa
Left mast .9cm tumor 5 of 14 nodes
Triple Positive 
4 DD A/C
12 Taxol/Herceptin
33Rads
Strange infect mast site one year aft surg, hosp 1 wk
Herceptin for total of 18 months
Lupron Monthly 4 yrs
Neurontin for aches, pains and hot flashes(It works!)
Ovaries removed 11/09 stop Lupron and Neurontin
Arimidex 6 yrs (tried Femara, no SE improvement)
Tried Exemestane-hips got so bad could hardly walk
Back to Arimidex for year seven
Zometa 2X Annual for 7years, Lasix
Stop Arimidex 5/13
Stop Zometa 7/13-Bi-lateral Stress Fractures in Femurs from Zometa 
5/14 Start Tamoxifen
3/15 Stem cell transplant to stimulate femur bone growth/healing
5/15 Complete fracture of right femur/Titanium rods both femurs
9/16 Start Evista stopTamoxifen
 3/17 Stop Evista--unwelcome side effects!
 NED and no meds.......
14 YEARS NED!
			 
		
		
		
		
		
		
	
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			06-14-2014, 09:41 PM
			
							
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			#14
			
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			 Senior Member 
			
			
		
			
				
			
			
			
				 
				Join Date: Jan 2007 
				Location: Thornhill, Ontario
Canada 
				
				
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				Re: Navelbine & Herceptin Not Working
			 
			 
			
		
		
		
		Prayers for you Karen from the Great White North. 
 
all the best 
caya 
		
	
		
		
		
		
		
		
			
				__________________ 
				ER90%+/PR 50%+/HER 2+ 
1.7 cm and 1.0 cm. 
Stage 1, grade 2, Node Negative (16 nodes tested) 
MRM Dec.18/06 
3 x FEC, 3 x Taxotere 
Herceptin - every 3 weeks for a year, finished May 8/08 
Tamoxifen - 2 1/2 years 
Femara - Jan. 1, 2010 - July 18, 2012 
BRCA1/BRCA2 Negative 
Dignosed 10/16/06, age 48 , premenopausal 
Mild lymphedema diagnosed June 2009 - breast surgeon and lymph. therapist think it's completely reversible - hope so. 
Reclast infusion January 2012  
Oopherectomy October 2013 
15 Years NED!!
			 
		
		
		
		
		
		
	
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			06-15-2014, 06:41 PM
			
							
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			#15
			
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			 Senior Member 
			
			
		
			
				
			
			
			
				 
				Join Date: May 2013 
				
				
				
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				Re: Navelbine & Herceptin Not Working
			 
			 
			
		
		
		
		Always, in my prayers. 
		
	
		
		
		
		
		
		
			
				__________________ 
				Tracy Arcari 
___________________________________________ 
11/12 BSE ignored the lump for SIX months. 
5/1/13 IDC ER/PR- HER2/neu+++ 
5/14/13 Mastectomy and SN biopsy 
5/20/13 IDC Stage IIb Grade 3  Nodes 1/4 also IDC and DCIS multi focal in remaining dissected tissue. 
5/30/13 MUGA and CT thorax, abdomen & pelvis, establish baseline. 
6/4/13 Installed my little purple power port. 
6/14/13 Chemo started TCH 
6/14/13 Informed of suspicious ares on scans scheduled PET. 
7/1/13 PET Scan NED! 
9/27/13 FINAL CHEMO taken! ----well, maybe not. 
10/15/13 Three little tattoos.   
10/24/13 Radiation begins and fourth tattoo placed. 
11/27/13 Perfectly radiant!  Radiation completed the day before Thanksgiving and so, so much to be thankful for this year and every day hereafter. 
1/2/14  Happy New Year, you have a Goiter?  Muga down to 59%. 
1/17/14 Hashimoto's Dz Dx'd.  Now maybe I'll feel BETTER! 
5/2/14 Herceptin completed!  New kitten! 
8/19/14 Prophylactic mastectomy (right) and PORT OUT!  I'm DONE and now I really am a SURVIVOR. 
2/15 Started not feeling so swell.  Memory lapses and GI issues with nausea and blurry vision. 
4/30/15 U/S cystic gallbladder, cyst on right ovary and mass in my uterus. GYN consult scheduled---and cancelled. I'm not ready. 
5/4/15  Brain MRI clear (big sigh of relief) 
7/30/15 Back Pain 
8/31/15 Radiograph: compression fracture L2 
9/10/15 Bone Scan positive 
9/21/15 CT scan conclusive for tumor 
10/1/15 CT guided biopsy & Brain to Pelvis MRI reveal additional lesions on spine C6, T10, T11 and L2 is collapsing. 
10/8/15 Abbreviated pathology: new tumor(s) poorly differentiated carcinoma consistent with known breast primary. 
ER-/PR+ (40%) HER2/neu+++ Ki-67 4% Pancytokeratin AE1/3 Strong Positivity in all malignant cells. 
10/13/15 Abnormal Dexa: moderate risk of fracture to both femoral head/neck R&L. Significant risk to lumbar spine. 
10/14/15 Radiation consult back to the cooker.  
10/20/15 MUGA 50% down from 54% after a year off Herceptin (???) 
10/21/15 Kyphoplasty L2 
10/22/15 Re-start Chemo: Perjeta, Herceptin & Taxotere  
10/26/15 PET Scan confirms C6, T10-11, L2, new lesion noted at L4 but no visceral involvement---Happy dance!!! 
10//29/15  Xgeva 
10/29/15 Radiation Simulation--three new tattoos to add to my collection. Just call me Dotty. 
10/30/15 CA27-29  63 U/mol  (<38 U/mol) 
11/3/15 First Trip to see Dr. E. Mayer at DFCI 
11/4/15 Surgical consult to re-install my little purple power port.  
11/9/15  Radiation treatment one of five. 
11/10/15 Installed my little purple power port and not a moment too soon, took them four tries to get an IV started today. 
Yes, we really are going down this road again. 
12/5/15 CT for suspected pulmonary embolism demonstrates increase in T10-11 mets. 
12/8/15 Bone Scan uptake at T10-11 (not seen 9/17/15) & Right 8th Rib (not evident on PET 10/26/15)  
12/10/15 Consult Re: PROGRESSION.  Halt THP due today.  Schedule PET and order TDM1 for next week. PLAN B. 
12/14/15  PET scan: NO PROGRESSION! THP is working, metabolic activity minimal.  Merry Christmas to me!  Sticking with PLAN A, it's working. 
1/7/16 Start Taxol weekly instead of Taxotere (has been too taxing and not rebounding between txs.) Zometa instead of Xgeva. 
3/28/16 CT shows new sclerotic lesions on T12, L3, L5, L6, right ilium and head of right femur. No uptake on Bone Scan (progression????) 
3/31/16 Discontinue Taxol start Arimidex, still getting H&P. 
6/2/16 Discontinue Arimidex and start Exemestane. 
6/18/16 PET is NEAD!! 
7/1/16 Discontinue Exemestane and restart Armidex (SEs) 
8/29/16 CT/Bone Scan Stable (still uptake at T10-11) 
10/3/16 BSO pathology negative 
10/10/16 MRI: Brain clear! 
10/14/16 Switched care to Harold Alfond Center for Cancer Care 
11/24/16 Xgeva, New MO preference to Zometa 
12/12/16 CT/Bone scan Mostly stable significant uptake at L2 plan to PET 
1/12/17 PET shows NEAD celebrate with a new puppy! 
3/29/17 CT & BS = NEAD 
7/31/17 Aetna denies access to H&P <gearing up for a fight> 
8/4/17 CT& BS= STABLE 
8/9/17 No treatment, Aetna still denying H&P 
8/14/17 Aetna appeal approved H&P through February 2018!   
2/5/18 CT & BS = STABLE 
 
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			06-15-2014, 07:01 PM
			
							
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			#16
			
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			 Senior Member 
			
			
		
			
			
			
				 
				Join Date: Apr 2011 
				Location: Michigan 
				
				
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				Re: Navelbine & Herceptin Not Working
			 
			 
			
		
		
		
		Hoping and praying for you all goes well. Gods blessings. 
		
	
		
		
		
		
		
		
			
				__________________ 
				dx 11/12/09 IDCI 
 Stage 3a  
 ER 98% PR 80% 
 Her2 +3 
 4/12 nodes 
 6 rounds TCH 
 Herceptin 12 months 3weeks 
 Rad. 30 tx 
 Tamoxifin 6 months stopped 
 Arimedex stopped 9/12 (side effects) 
 Aromasin 10/12
			 
		
		
		
		
		
		
	
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			06-16-2014, 03:16 AM
			
							
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			#17
			
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			 Senior Member 
			
			
		
			
				
			
			
			
				 
				Join Date: Apr 2011 
				Location: Port Hedland, Australia 
				
				
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				Re: Navelbine & Herceptin Not Working
			 
			 
			
		
		
		
		Best of luck with your next direction x 
		
	
		
		
		
		
		
		
			
				__________________ 
				Diagnosed Nov '10 IDC whilst pregnant with 2nd child 
Her 2 ++ ER/PR + but weak and patchy 50% + 5% 
Left mastectomy Dec '10, 6cm tumour 1 of 2 lymph (micro mets) 
Clear margins but lymphovasculer invasion 
Stage 3a Grade 3 
Fec 100 x 3 Jan '11 Taxotere X 3 and Herceptin X 1yr 
Staging scans - CT brain & body and bone - May '11 - NED!! 
Start Femara - in chemo induced menapause 
25 Rads June '11  
Dec '11 Menstruation resumed - zoladex inj monthly and Tamoxifen 
Feb '12 Back on Femera and Zoladex 
March '12 CT brain & body & bone scan all clear 
Zometa x2/yearly 
April '12 - Oopherectomy 
 
Praying the Herceptin is as good as its hype!! 
			 
		
		
		
		
		
		
	
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			06-16-2014, 03:47 AM
			
							
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			#18
			
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			 Senior Member 
			
			
		
			
				
			
			
			
				 
				Join Date: Feb 2007 
				Location: Paris, France 
				
				
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				Re: Navelbine & Herceptin Not Working
			 
			 
			
		
		
		
		Dear Karen, I hope the scans will be better than what you think and that your oncs will open new options. I keep my fingers crossed and watch for your next post. You are in my thoughts. Hugs. Michka 
		
	
		
		
		
		
		
		
			
				__________________ 
				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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			06-16-2014, 04:07 PM
			
							
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			#19
			
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			 Senior Member 
			
			
		
			
				
			
			
			
				 
				Join Date: Aug 2010 
				Location: New York, New York 
				
				
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				Re: Navelbine & Herceptin Not Working
			 
			 
			
		
		
		
		Thanks for all your messages of support and care!  So far, the brain MRI is clean, waiting on PET results.  
Interviewed IR at Weill Cornell today and really like him if onco agrees I am a candidate for Y90, along with a treatment of our choosing. 
Karen 
		
	
		
		
		
		
		
		
			
				__________________ 
				World Trade Center Survivor (56th Floor/North Tower): 14 years and still just like yesterday. 
Graves Disease, became Euthyroid via Radioactive Iodine, June 2001. 
Thyroid Eye Disease. 2003.  Decompression surgery in 2009; eyelid lowering surgery in 2010. 
Diagnosed: June 2010, liver mets. ER-/PR+10%; HER2+++.  
July 2010: Begin Taxol/Herceptin. Eliminate sugar from diet.  No surgery or radiation. 
January 2011: NED 
April 2011: Progression in liver only. Other previous affected areas eradicated. Stop Taxol/Herceptin after 32 infusions. 
May 2011: Brain MRI: clear. 
May 2011: Begin Tykerb daily, Xeloda twice per day for one week on, one week off, and Herceptin.   
November 2011: Progression in liver.  All other tumors remain eradicated. 
December 2011: BEGIN TRIAL #09-093 Taxol, MCC-DM1 (T-DM1), Perjeta. 
Trial requires scans every six weeks, bloodwork and infusions weekly. 
Brain MRI: clear. 
January 2012: NED. Liver mets, good riddance! 
March 2012: NED.  Developed SMA (rare blood clot) in intestinal artery and loss of sight in right eye due to optical nerve neuropathy.  Resolved when Taxol removed this month. 
Continue Protocol of T-DM1 weekly and Perjeta every 3 weeks. 
May 2012: NED. 
June 2012: Brain MRI: clear. 
June-December 2012: NED.  
December 2012: TRIAL CONCLUDED; ENTER TRIAL EXTENSION #09-037. CT, Brain MRI, bone scan: clear. NED. 
January-March 2013: NED. 
June 2013: Brain MRI: clear. CEA upticking; CT shows new met on liver.  
July 3, 2013: DISASTER STRIKES during liver ablation: sloppy surgeon cuts intercostal artery and I bleed out, lose 3.5 liters of blood, have major hemothorax, and collapsed lung requiring emergency resuscitative thoracotomy, lung surgery, rib rearrangement and cutting deep connective tissue, transfusion.  Ablation incomplete.  This life-saving procedure would end up causing me unforgiving pain with every movement I make, permanently, otherwise known as forever. 
July 26, 2013: Try Navelbine/Herceptin.  Body too weak after surgery and transfusion. Fever. CEA: Normal. 
August 16, 2016: second dose Navelbine/Herceptin; CEA: Normal. Will skip doses. Watching and waiting. 
September 2013: NED, Herceptin only. CEA: Normal. Started Arimidex. 
October-November 2013: NED. Herceptin and Arimidex. CEA, CA125, 15-3: Normal. 
December 2013: Something brewing. PET lights up on little spot on liver; CEA upward trend, just outside normal. PET and triphasic liver scan confirm Little Met. Restart Perjeta with Herceptin, stay on Arimidex. Genomic sequencing completed for future treatments, if necessary. 
January 2014: Ablate Little Met on the 6th. Happy New Year. 
March 2014: Brain MRI: clear. PET/CT reveal liver mets return; new lung mets. This is not funny.  
March 2014: BEGIN TRIAL #10-005 A(11)-Temsirolimus plus Neratinib. 
April 2014: Genomic testing indicated they could work, they did not. Very strange drug combo for me, felt weird.  
April 2014: Started Navelbine and Herceptin. Needed something tried and true, but had significant progression. 
June 2014: Doxil and Herceptin. 
July 2014: Progression. Got nothing out of it. Brain: NED.  
July 2014: Add integrative medical hematologist-oncologist to my team. Begin supplements.  These are tumor-busting, immune system boosters. Add glutathione, lysine and taurine IV infusions every three weeks. 
July 2014: Begin Gemzar, Herceptin & Perjeta. Happy. 
August 2014: ECHO perfect. 
January 2015: Begin weekly Vitamin D Analog infusions. 25 mcg. via port. 
February 2015: CT: stable. 
April 2015: Gem working, but not 100%.  Looking into immunotherapy.  Finally, treatments for the 21st century! 
April 2015: Penn Medicine.  Dendritic cell immunotherapy. 
			 
		
		
		
		
		
		
	
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			06-16-2014, 06:58 PM
			
							
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			#20
			
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			 Senior Member 
			
			
		
			
				
			
			
			
				 
				Join Date: Sep 2005 
				Location: Madison, Connecticut 
				
				
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				Re: Navelbine & Herceptin Not Working
			 
			 
			
		
		
		
		Hi Angel - Feel the love….just feel that love flowing toward you from your Her2 sisters!  I am SICK in my gut that you have to slog through more scans…another treatment - but always so happy to see love and support holding you up when you hit a bump in the road.  Add my love to the river.    
It seems like you have already taken the bull by the horns and found another trial - Y90 is getting some great reviews.  Please let us know what your oncologist thinks. 
(Amazing that we live in a place with immediate access to the most recently researched and approved drugs!)  
XO 
		
	
		
		
		
		
		
		
			
				__________________ 
				2001 - Stage 0, lumpectomy, radiation, tamoxifen 
 
2004 - Stage 4, mets to 4 lobes of lungs and liver,  lumpectomy, er/pr -, her2 neu+++, Herceptin and Navelbine then Herceptin only. 
 
2005 - Breast Ca vaccinations with the Tumor Vaccine Group in Seattle 
 
2011 - Still Herceptin only and NED 
 
2011, June - STOPPED Herceptin and kicked up my heels! 
 
2012, February - 1 small tumor came back to haunt me in my lungs - back on Herceptin only, tumor stable. 
 
2015, November - tumor on lungs removed (Segmentectomy), back on Herceptin only 
Received U of W vaccine clinical  "booster" Vaccine 
 
2022 On Herceptin and NED continues - WOOT WOOT! 
			 
		
		
		
		
		
		
	
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