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Old 05-05-2008, 02:33 PM   #1
abitjaded
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Question Looking for others who have had WBRT 30 Gy

Hopefully moved to other website
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Carla


Dx July 2006 right breast Age 52
PR- ER- Her2Neu+ grade 3, IHC3+, FISH 4.3
Mastectomy Aug 2006,
Axillary node dissection 3 of 9 lymph pos, invasive 30tx, 9-06 38 Gy?
4 cycles AC start 9-11-06
4 cycles Paclitaxel finish 2-11-07
Herceptin with tax, 52 weekly end 11-27-07
One yr follow-up 4-2008, missed due to ER visit, ha!
4-9-08 found wandering halls at work
ER 4-9-08, admitted ICU killer headache
One week ICU massive steroids
Tumor on surface of right parietal, frontal lobe, 1cm? tumor, 4x5x6 cyst
Her2Neu+, IHC>3, FISH 10 yikes
Neurosurgeon got tumor 4-14-08! Little scraping, slight left ataxia left only!
WBRT on 4-08, 10tx of 3Gy for total of 30
PET 5-07 clean!, MRI 5-07 clean!, MRI 9-08 not O.K. WBRT fails, seeing lots of something on MRIs and MRI-Spectral
12-2008, second craniotomy
Necrosis plus HER2 FISH tumor >10
Start lapatinib (tykerb) monotherapy Feb 2009
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Old 05-05-2008, 03:17 PM   #2
AlaskaAngel
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Wbrt

Hello abitjaded,

I've not had WBRT (only breast rads), but welcome to a place where HER2's hang out and debate and try to find answers. The newcomers club generally has mostly those in it who are either about to experience some therapy or just starting, so your description may be a tad unsettling to a fair number of those who come here..... but don't go away... just post directly to the main forum, where there are more of those who have possibly had WBRT...

And please don't let this scare the poo out of you, but the website for all types of bc who have mets may also have more info on WBRT simply because more of them have had that therapy.... That site is bcmets.org

I'm glad you found your way here. Let's hope it turns your luck around!

AlaskaAngel
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Old 05-05-2008, 04:25 PM   #3
hutchibk
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Hi Abitjaded - It was nice to meet you in Denver this weekend... Definitely put up a post here looking for others who have had WBR - there is a lot of info to be had from many of our ladies, some in the last 6-8 months who have had WBR and some have had WBR going back a few years.

Join in and start getting your info! Also, as Alaska says, check in the BCmets.org website as well.

Brenda
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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 05-05-2008, 05:07 PM   #4
Bill
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Hi abitjaded, my wife, Nicola had WBR 28 treatments, in July '07. If you need info. maybe I can help. Best wishes, Bill
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Old 05-05-2008, 06:08 PM   #5
alw
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My sister, Laura, had WBR in Jan/Feb of 2007. Let me know if she or I can answer any questions.

Amy
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Amy age 37 at dx
Feb 2008 Multifocal DCIS
Apr 2008 Bilateral Mastectomies

Sister to Laura age 37 at dx
April 2006
9 cm ER-/PR- Her2 +++/bone mets
neoadjuvant TCH plus Zometa
November 2006
bilateral mastectomy - Change to ER+/PR- Her2 +++
January 2007
innumerable tiny brain mets - WBR
March 2007
good response to WBR - some gone, all smaller
currently on Lapatinib and Xeloda
Feb 2008
Brain MRI: brain mets went from innumerable (jan '07) to 5 (june '07) to 3 (oct '07) to 1 that is getting less conspicuous(feb '08) PET/CT: Slight uptake in some sclerotic bone mets
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Old 05-06-2008, 10:38 AM   #6
abitjaded
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30gy questions

Lotsa stuff, free association ala James Joyce. Just blame dilantin and steroids, and boredom cause I can't go anywhere.

Hey Brenda, I had no idea the Her2 Neu symposium was basically marketing for Tykerb. I had not been on the net before the Cure symposia, too busy trying to get nurses to "walk the dog" (get it? lots of morphine and oxycodone and too little senna and colace) in ICU and recovery. It was so nice to meet you and the others. I sent an email to Cure suggesting an informational symposium at next year's meeting just for us Her2 gals, when we won't be spied on and be advertising focus grops for Glaxo. Sheesh, let us vent please! What's the best way to describe "Hey, you are not dead meat yet, buy our drug and have fun!"

My WBRT consists of 30 GY, 3 per day over 10 days. Radiologist said he guarantees I will not have another brain met. All the info on bcmets and other sites mostly addresses the past guidelines where people were given more than this. (Read them the first day I was home, plus the seminal original research, yikes, scary).

My brain met was on the surface, 1 cm with a 4x5x6 cyst (even my friend from Neurosurgery that I was working for said I did not want to see the CAT or MRI). The surgeon felt he got it. Did finally convince the Rad Onc to show me the after picture, not at all scary, just a couple dings on surface. I have a bit of ataxia on the left left, and that's it.

Anyone who has only had 30, please respond? (Radiologist is out of town this week, duh, no one else can answer my???, "You will have to wait to talk to Dr. X") All the web sites keep lecturing about only getting cyberknife, not WBRT. We had good input. Because of my connections with the University of CO Health Sci (15 yrs Onc, 10 years Psych, one disastrous month in Neurosurgery of all places) we were able to cobble the best minds, but my Oncologist (private, not Univ, Kaiser) stated "I have no choice but to get WBRT" She's kinda a "female-dog on -wheels" if you get my drift. We butt heads often because I know too much, but dilettante, due to my skills (and husband and friends in biology and med fields) at cruising PubMed and I drive her crazy.

Seems like I should be mainlining herceptin (she kinda said I would be getting more) even during the WBRT rather than waiting for PET scan on May 19th, 10 days after end of radiation.

My forehead down to my eyebrows is red and itchy, wondering if my brows will fall out. Radiologist had said not... but why are my brows so red? I am a progressive lens wearer and putting on mascara normally is a challenge since I can't see. Dread trying to draw on eyebrows, I looked like an idiot when I tried to do that after the chemo two years ago. Tied to put on false eyelashes, looked and felt like I had caterpillars on my lids. Make-up is not my strong, or even marginal suit.

Wouldn't worry too much except I always sweat like a pig under a wig. But maybe my scalp isn't even going to sweat after this?

My boys before (especially my poor teenager who is going through the icks right now anyway) was freaky about me just wearing a hat in front of his friends. I am empathizing with him mightily right now with the steroids and zits. If his natural homones are like what they have me on, I can see why he is nuts.

Plus I always forgot about the oven thing and melted the front of the wigs.

Now I'll have a lobster zitty head with a gash from top to behind ear. Trying to be like a mafia king and making sure I get the booth in the back with right side to wall. Who needs hit-men when you got radiation or chemotherapy? Get to keep my hair a week or two more, then dang, bald again. How long does it take the head to heal with this amount so I can even put a wig on?

I'm blond and freckled and cooked to a crisp with the breast radiation. Came off in sheets, itched like a son of a gun and I smeared so much Eucerin and Vaseline to get relief that it took about 10 washes of t shirts with a gallon of detergent to make them wearable again.

Will copy and paste this to bcmets if I just get admitted and can figure out how the mailing list works. Two days and waiting.

If my post is deemed too scary and inappropriate again, please report it and have webmaster remove.

Carla

Last edited by abitjaded; 05-06-2008 at 11:10 AM.. Reason: more mental free association
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Old 05-06-2008, 12:21 PM   #7
hutchibk
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I didn't know what the focus group was for, but since it came with a monetary stipend for participating, I assumed it had to do with gathering some marketing data for a pharma co. I didn't know it would be for Tykerb, either, but I respect their process - they are hoping to learn how best to get the word out to more Her2 patients about another option in our toolbox, one that specifically can hopefully help the increasing number of patients who eventually experience brain mets...

Glad you are here Carla. You will find an amazing amount of info and support here. Just keep asking!
__________________
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 05-06-2008, 01:21 PM   #8
abitjaded
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Join Date: May 2008
Posts: 62
Yeah, I just like to complain. I know the poor drug companies need feedback. Especially in the light of Oncologists opinions like mine who say, when asked: Remember to read with a gruff Brooklyn accent, spoken out of the side of your mouth: "Well, I've heard it ain't all it's cracked up to be." The women at the meeting obviously put paid to that comment.

I actually love focus marketing groups. There is one near our house that is always trying to recruit my sons. There is a great lady who calls and always prompts my sons for the right answers so they can participate and get big bucks. Usually junk food testing (they usually fail, cause we don't eat it) but this woman gets them in.

Plus, having worked under Fed and State Grants as a FED and State employee we never got any perks (no Christmas party, no comp lunches, no nothing). The drug companies always had some slush funds so we could at least go out to dinner at Scientific meetings. Or attend really nice parties at interesting places. They have always kept a lot of my science friends in funds during dry periods in lost grants.

Carla
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Old 05-07-2008, 06:23 PM   #9
hutchibk
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All I know is that Tykerb/Xeloda has been the magic bullet so far for my brain mets (and for JulieRene for her liver mets)... and it is the easiest regimen I have been on so far. Everyone is different and some have good response when others don't, but that's why we (and OUR DOCS!) need to stay open minded to all options... and many folks have had complete response with Herceptin that I was unable to accomplish, so I am thankful for T/X! Thankful beyond words!
__________________
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 05-08-2008, 10:19 AM   #10
abitjaded
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Join Date: May 2008
Posts: 62
Hey Brenda,

I hope you and others in Denver know about this organization:

http://www.dpfcf.org/pages/home.html

When I first got treated they gave me the only fun, affordable outings we got.

Waiting list is 6-8 weeks. Waiting again to get on.

I hope after all this I can write an experience for all to read. All the Internet stuff for WBRT is out of date and way too scary. So far my experience has been good. In a month or two I would love to post something, it would be amazingly reassuring to all, I think.

We of Her2Neu are just so new, the Docs are still at a loss.

Carla
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