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Old 09-09-2015, 02:51 PM   #1
MamaBexar
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No Radiation and no chemo ???

Just had lumpectomy yesterday. Surgeon said I should consider no radiation because of my age(77). My oncologist said no chemo just Herceptine because of my Ki-67 is only 3/5%. (maybe because of my age).
Any thoughts??? Any one???
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Old 09-09-2015, 03:16 PM   #2
Lisalou
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Re: No Radiation and no chemo ???

Can you give us a little more information about your situation, like what stage you are? And if You are ER/PR + or -?
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[SIGPIC]Lisa
Routine mammogram 12/20/2013
Call back with repeat films on12/31/2013 Ultrasound with core needle biopsy same day
Dx 1/2/2014 IDC ER/PR+
1/10/14 HER2 +
2/14/14 BRCA results negative
2/17/2014 skin & nipple sparing BMX with reconstruction Tissue expanders placed
IDC Stage 2A left breast. 9mm tumor no other CA 1/4 nodes positive
ER + PR + Her2 +(by FISH)
Right breast no cancer, sclerosing adenosis
3/13/14 Round 1 AC minimal side effects
3/27/14 Round 2 AC
4/10/14 Round 3 a little more nausea
4/24/14 round 4 hurray! Done with phase 1!
5/8/14 THP ( taxol weekly x12, Herceptin & perjeta every 3 weeks x 4)
7/24/14 done with chemo
Continue of Herceptin every 3 wks x 1 yr
5/14 start Tamoxifen x 5 years
8/18/14 removal of TEs silicone implants placed
9/14/14 Cellulitis Right Breast, suspect infected implant. Managed with Oral antibiotics, avoided surgery to remove implant. Whew!
12/17/14 nip & tuck revision of Left breast

We gain strength, courage, and confidence by each experience in which we really stop to look fear in the face. The danger lies in refusing to face the fear, not in daring to come to grips with it. We must do that which we think we cannot do. -Eleanor Roosevelt
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Old 09-09-2015, 08:13 PM   #3
MamaBexar
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Re: No Radiation and no chemo ???

I am ER-/PR -.HER2+. Probable Stage 1 . Waiting on Final Path report. IDC grade 2/3. Some DCIS with necrosis.
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Old 09-10-2015, 07:10 AM   #4
Debbie L.
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Re: No Radiation and no chemo ???

Hi Mama Bexar. That's a really low Ki-67, you'd think it would correlate with a lower grade. Maybe the surgery pathology will shed some light.

Treatment decisions are always hard, but when (like yours), one's situation is unusual, it's even harder. It's not as if your provider can tell you they've looked at thousands of women in your situation and found that "x" is the best treatment. Sometimes it's no fun to be unique.

Re: radiation, I have seen studies about deferring it in older women, because it's possible the toxicities are greater than the benefit. So that recommendation is not surprising. Although didn't you say earlier that they were proposing a short, implanted version of radiation treatment? Now not even that?

Once the pathology is in, it would be a good time for a second opinion. It may not change treatment recommendations (although it could) but it will give you peace of mind, knowing that you had all options on the table. You have mentioned your age and health several times -- might it be possible to get that 2nd opinion from an oncologist who specializes in geriatric oncology? I know you said your case was presented at a cancer conference (do you know which one?), which is helpful -- but again, especially if the operative pathology is different, another opinion could be helpful.

Please keep us posted. Sending good thoughts.

Debbie Laxague
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Old 09-10-2015, 09:06 AM   #5
MamaBexar
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Re: No Radiation and no chemo ???

Debbie, Thanks for your great reply and for taking the time to go into detail. You are a great help. I am still hoping that some one out there has had a similar situation. The oncologist ordered a mammoprint so that may give a clearer prognosis. I live San Antonio, Tx. We seem to have a plethora of breast cancer specialist. The surgeon said he was going to present at tumor conference.
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Old 05-03-2016, 06:43 AM   #6
jenco60
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Red face Re: No Radiation and no chemo ???

Her 2 Stage 2 ; Age 56
I did not have surgery at all.
Hercepton, Perjeta, Carboplatan, and Taxotera every three weeks. I am on round 4 and the lump is less than 1CM. Started out 3.5.
I hope to be done in two more treatments. Once the lump is gone the titanium marker will be removed. Leaving in the port.
Hate the Chemo, lots of side effects and I have no hair.
I teach full time at a college, chemo has made it very difficult week one and two.

I wanted to stop after treatment 3, doctor talked me into three more. I love food and food flavors, chemo kills all food flavors. Easy to get depression, make sure to have a lot of support around you cheering you on.
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Old 05-04-2016, 08:43 AM   #7
snolan
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Re: No Radiation and no chemo ???

I was Stage 1 Er/Pr +. I did chemo and radiation. My Dr did mention though that in the past it was common not to do either even herceptin for stage I.
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dx: DCIS 6/8/10, HER 2+ 7/26/10; Stage I Age 41
Double mast w reconstruction
6 TCH w 1yr herceptin
Tamox.
25 radiation tx
Removal of expander on L due to infection. Tried to save it had 3 bouts of antibiotics and went to see plastic surgeon 2-3x wk to get drained. Saving it was my idea not his. But lost it anyway.
Reconstruction set for December 21st,2011
Finished chemo 12/2010
Finished Herceptin 8/26/11
Reconstruction 12/21/11
Expanders exchanged for silicon 3/19/12
Nipple reconstruction 5/18/12
Nipple tatooing- 7/9/12- All done yay!
11/22/12-Went back to get scar tissue stretched to even the outside of breast, didn't work due to it being radiated skin.
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Old 05-04-2016, 10:36 AM   #8
roz123
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Re: No Radiation and no chemo ???

If you are in good health I would get a second opinion about chemo even with the low KI score -her 2 is aggressive and you are grade 2/3. For early stage some are recommending taxol only plus Herceptin which is a "gentler" chemo
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right breast IDC 2.2 cm LVI
neoadjuvant fecx3, tax and her x3
surgery -pCR 0/2 nodes
25 rads
herceptin x18
tamox
prophy bi-msx with TE's oct 15/12
LD flap reconstruction (PM me if you want the details)
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Old 05-28-2016, 04:47 PM   #9
Lani
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Re: No Radiation and no chemo ???

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