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Old 06-14-2007, 08:44 AM   #1
Shell
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Join Date: Sep 2005
Location: Philadelphia
Posts: 301
and another change for me as well...

Well, you would think you could rely on a bone scan and x-ray. I had them to the left pubic bone area as I had pain there. Results were negative, but pain persisted, so doctor ordered MRI. Unfortunately, it shows extensive bone mets in that area, so it's time to change regimes again.

As you can tell from my signature, I am one of the more heavily prtreated women still walking!! We switched to abraxane today, and I'll stick with the tykerb as well...hopefully that will show great results.

Does anyone have any different thoughts? I have an app't with a radiation oncologist tomorrow to zap that area. I'll probably get a second opinion on treatment options, as I usually do when major changes like this occur. Any thoughts? Am probably thinking Sloan Kettering as I'm on the east coast (Phila), and have already visited Johns Hopkins.

Thanks for any thoughts...

Kind regards,
__________________
Shell

init diag 3/17/03-stage IIIC
ER-/PR-/HER2+++
CET x4 neo-adjuvant
lump & SNB 8/03
CET x2
radiation and herceptin/navelbine 11-03-1/04
1st reoccur to lymph nodes 8/04
complete axillary dissection 12/04
herceptin/taxotere til progression (lungs) 3/05
xeloda w/out lapatinib trial 6/05
lapatinib/tykerb added 4/06
ended trial 8/06 due to progression
doxil / avastin 11/06-12/06 - wasn't working
navelbine/herceptin/avastin 12/06/3/07 - progression
gemzar/carboplatin/tykerb 4/07
mri shows extensive mets to bone in pelvic area 6/07
switched to abraxane (3 on/1 off) + tykerb 6/07
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Old 06-14-2007, 09:47 AM   #2
Lala
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Posts: 131
Shell

I am sorry you are dealing with new mets. I can tell you of my experience on Abraxane. I found Abraxane to be a great drug, I responded very well. I took Abraxane with Carboplatin, Herceptin and Zometa for 6 months. I would think you should also be on Zometa as well.

I think getting a 2nd opinion is always a good idea. I find it helps when you have treatment changes ahead. I wish you the Very Best.
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Lala
DX Fall05 Stage 4 er+ pr+ her2+ liver and bone mets
DX Fall06 Brain mets, Brain mets gone Spring 2007
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Old 06-14-2007, 09:55 AM   #3
Becky
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Location: Stockton, NJ
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How about Fox Chase? One of their 3 specialties is breast cancer. I could get a name for you as the Cancer Center I go to is an affiliate of Fox Chase. My onc will let me know. You just let me know.
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Kind regards

Becky

Found lump via BSE
Diagnosed 8/04 at age 45
1.9cm tumor, ER+PR-, Her2 3+(rt side)
2 micromets to sentinel node
Stage 2A
left 3mm DCIS - low grade ER+PR+Her2 neg
lumpectomies 9/7/04
4DD AC followed by 4 DD taxol
Used Leukine instead of Neulasta
35 rads on right side only
4/05 started Tamoxifen
Started Herceptin 4 months after last Taxol due to
trial results and 2005 ASCO meeting & recommendations
Oophorectomy 8/05
Started Arimidex 9/05
Finished Herceptin (16 months) 9/06
Arimidex Only
Prolia every 6 months for osteopenia

NED 18 years!

Said Christopher Robin to Pooh: "You must remember this: You're braver than you believe and stronger than you seem and smarter than you think"
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Old 06-14-2007, 07:33 PM   #4
Adriana Mangus
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Location: California
Posts: 668
Question

Dear Shell: I'm sorry to hear this about your pain and bone mets. I have had pain in that area and have been wondering what to do about it. Maybe next time I will ask onc for an MRI. Why can we just have a little break? uh??
__________________
1994 - rt brst, .lump, underarm node dissection,chemo+rad 1.2 cms, Grade 3.
28 nodes neg
Er,Pr, Positive HER2 status unknown
2003- Recur to rt lung.July 16 ( B-Day!)
Her2+++ Er,Pr, Negative
2003 - Aug04--Navelbine + Herceptin
2004- 2007--
NED - Herceptin, only
2007 Feb-April Xeloda added to hereceptin
2007-May Back on Navelbine+Herceptin
2008-Feb-Mar 15 Ses Rad to Rt. Lung
2008- Oc 17 Add Tykerb to Herceptin
2009- June-- Discont Tykerb
2009 July 7--Current Taxol + Herceptin
2009 Dec--Discontinued treatment due to progression. Looking into cyberknife.
2010-Aug Accepted to TDM1, no SE, except liver count went up.
2010-2011 September got kicked out of the trial, due to a small spot found on lung.
2011- 2012 September thru early 2013 on Herceptin
2013- March Bone density shows small spot on 5th rib.
2013 - April 4th appt with onc. will post after discussing course of treatment.
2013-March-April Cyber knife to brain and radiation to rib. Chest --base line before chemo-CT-Scan stable for lung issue. CA2729 Normal.
2013 April Herceptin- TDMI
2013 Sept Herceptin + Perjeta . CA2729 within normal range. Brain and Pet scans October 31st. will post results.
2013 October Brain MRI- mixed response. Will see Onc/rad on Halloween.
2013 October/November Brain-MRI nothing new. Repeat MRI next year in May.

2013 December Continue Herceptin and Perjeta. Stable at the moment.
2014 February Brain MRI -clear!
2014 January Added Taxotere to Perjeta+Herceptin.
2014 March Stopped chemo-chest ct-scan next.

2014- March Scans shows tumor's larger, CA2729 higher. Discontinue Herceptin.
2014 April Perjeta+ Halaven
2014 April CA2729 went down 60 points after one cycle. Cough does not want to go away.
2014 June Continue on Perjeta + Halaven-- no more cough. Stable
2014 June Back on Herceptin + abraxane
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Old 06-14-2007, 08:25 PM   #5
Bev
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Location: Alexandria, VA
Posts: 1,055
Shell, sorry to hear your news. I would have thought the low tech scans would have picked up something.

Not that I have any experience with these places, just things that come to mind on East Coast near you. Washington Hospital Center and Georgetown University in DC, INOVA centers in Virginia and Roswell Park in Buffalo. Maybe a clinical trial @ NIH in MD.

Best of luck. Bev
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Old 06-18-2007, 09:16 PM   #6
Adriana Mangus
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Join Date: May 2006
Location: California
Posts: 668
Question Pubic bone area

Dear Shell: I have had pain in the pubic area as well, and the pain is also on the left side. How long did you experience the pain before having the MRI?. At first when I noticed the pain it was on both sides, and now I can only feel it on the left side, it goes away when I take tylenol.

Please let me know what the onc said to your problem, I won't be seeing mine until August ? Is it possible to radiate that area? Thanks for your response.
__________________
1994 - rt brst, .lump, underarm node dissection,chemo+rad 1.2 cms, Grade 3.
28 nodes neg
Er,Pr, Positive HER2 status unknown
2003- Recur to rt lung.July 16 ( B-Day!)
Her2+++ Er,Pr, Negative
2003 - Aug04--Navelbine + Herceptin
2004- 2007--
NED - Herceptin, only
2007 Feb-April Xeloda added to hereceptin
2007-May Back on Navelbine+Herceptin
2008-Feb-Mar 15 Ses Rad to Rt. Lung
2008- Oc 17 Add Tykerb to Herceptin
2009- June-- Discont Tykerb
2009 July 7--Current Taxol + Herceptin
2009 Dec--Discontinued treatment due to progression. Looking into cyberknife.
2010-Aug Accepted to TDM1, no SE, except liver count went up.
2010-2011 September got kicked out of the trial, due to a small spot found on lung.
2011- 2012 September thru early 2013 on Herceptin
2013- March Bone density shows small spot on 5th rib.
2013 - April 4th appt with onc. will post after discussing course of treatment.
2013-March-April Cyber knife to brain and radiation to rib. Chest --base line before chemo-CT-Scan stable for lung issue. CA2729 Normal.
2013 April Herceptin- TDMI
2013 Sept Herceptin + Perjeta . CA2729 within normal range. Brain and Pet scans October 31st. will post results.
2013 October Brain MRI- mixed response. Will see Onc/rad on Halloween.
2013 October/November Brain-MRI nothing new. Repeat MRI next year in May.

2013 December Continue Herceptin and Perjeta. Stable at the moment.
2014 February Brain MRI -clear!
2014 January Added Taxotere to Perjeta+Herceptin.
2014 March Stopped chemo-chest ct-scan next.

2014- March Scans shows tumor's larger, CA2729 higher. Discontinue Herceptin.
2014 April Perjeta+ Halaven
2014 April CA2729 went down 60 points after one cycle. Cough does not want to go away.
2014 June Continue on Perjeta + Halaven-- no more cough. Stable
2014 June Back on Herceptin + abraxane
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Old 06-19-2007, 09:06 AM   #7
Shell
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Join Date: Sep 2005
Location: Philadelphia
Posts: 301
Adriana-

I definitely would not wait until August. I tend to follow the 2 week rule for pain, but my onc asks me every time before treatment what symptoms I'm having, so we go to the tests rather quickly. I am totally non-medical, but the bone scan picks up only blastic lesions, and mine were lytic, and thus the MRI was required.

I start radiation to the area today for 10 days. I am concerned that the CTs I've been having every 2 months or so didn't pick it up, and I'm going to ask to have them re-read. I also had a pet/ct done yesterday from my "eyes to thighs" so that we can see if there are any surprises lurking.

The abraxane is fairly easy to tolerate - unfortunately I have been losing weight and am working diligently to keep the weight on - after all of those struggles to shed the 10 lbs. I always wanted to lose!!

The radiation should be very straightforward with few side effects, and while I hope yours is just a muscle-ache, I would get it checked out...

Kind regards,
__________________
Shell

init diag 3/17/03-stage IIIC
ER-/PR-/HER2+++
CET x4 neo-adjuvant
lump & SNB 8/03
CET x2
radiation and herceptin/navelbine 11-03-1/04
1st reoccur to lymph nodes 8/04
complete axillary dissection 12/04
herceptin/taxotere til progression (lungs) 3/05
xeloda w/out lapatinib trial 6/05
lapatinib/tykerb added 4/06
ended trial 8/06 due to progression
doxil / avastin 11/06-12/06 - wasn't working
navelbine/herceptin/avastin 12/06/3/07 - progression
gemzar/carboplatin/tykerb 4/07
mri shows extensive mets to bone in pelvic area 6/07
switched to abraxane (3 on/1 off) + tykerb 6/07
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Old 06-19-2007, 08:27 PM   #8
vickie h
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Location: san luis obispo, ca
Posts: 1,150
Dearest Shell, so sorry to hear about those mets. You have been on a long road... and you deserve to get better and feel better. I go to sleep tonight with prayers for you. Let me know how you do on the Abraxane. Much love and hugs to you, Vickie
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Love and Hugs, Vickie

Life's not about waiting for the storm to pass,
It's about learning to dance in the rain.


Feb 04 IBC IIIC/IV er-/pr- her2+++
3/04 TCH X4
7/ 04 MRM 9/04 Taxol/herceptin wkly 1 yr 33X rads
11/04 skin mets 33x rads,10/05 Avast/Herc. 11 mos.
8/ 06 PET mets lymphs, neck
9/ 06 Navelbine/herceptin
11/ 06 PET NED
2/ 07 skin mets, 4/07 Xeloda, 5/07 add Tykerb
2/ 08 Tykerb failed. Doxil /Herceptin 6 months
8/08 PET skin mets, 8/08 Abraxane/Avastin
11/ 08 PET prog., skin mets
1/09 PET/CT progress, 1/09 Ixempra, 2/09 add Xeloda and low dose Naltrexone
2/09 off Ixempra/Xeloda
3/09 navelbine/herc/cytoxin 4/09 PET shows regress.7/09 start Topotecan. Failed.
8/09 extensive mets rgt brst, back and torso. starting Pazopanib clinical trial.
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Old 06-19-2007, 09:52 PM   #9
jojo
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Join Date: Sep 2005
Location: San Francisco Bay Area in California
Posts: 176
Talking Minize size for CT's imagery

Hello Shell,

If memory serves, the CT picks up 8mm or 3cm?.... Can somebody help us out here?

Shell, I am sorry for not having the answer for you -- I am embarrassed! <covering face with hands>

Thanks in advance to the person who will be able to assist us.

Good luck Shell! You are in my thoughts. :-)
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Blessings & Peace,
~jojo~

1st Dx: May '03 at age 35
Stage 3b
6cm IDC tumor
17/18 + nodes
Neoadjuvant: 4x A/C dose dense; 12x weekly Taxol & weekly Herceptin
Left Mastectomy: Nov '03
27x Rads
Stage 4 since June '04
Still on maintenance Herceptin since the very beginning
Currently on Abraxane (3 weeks / 1 week off)
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Old 06-20-2007, 02:45 PM   #10
Lolly
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Location: Oregon
Posts: 1,756
Hi Shell; Just wanted to cheer you on and add that Abraxane/Tykerb has been very good to me so far, and hope you do well on it also; radiation should do a number on the pesky pelvic mets!

<3 Lolly
__________________
Sept.'99 - Dx.Stage IIIB, IDC ER/PR-, HER2+++ by IHC, confirmed '04 by FISH. Left MRM, AC x's 4, Taxol x's 4, 33 Rads, finishing Tx May 2000. Jan.'01 - local/regional recurrence, Stage IV. Herceptin/Navelbine weekly till NED August 2001, then maintenance Herceptin. Right Mast. April 2002. Local/Regional recurrence April '04, Herceptin plus/minus chemo until May '07. Gemzar added from Feb.'07-April '07; Tykerb/Abraxane until August '07, back on Herceptin plus Taxotere and Xeloda Sept. '07. Stopped T/X Nov. '07, stopped Herceptin Dec. '07, started Avastin/Taxol/Carboplatin Dec. '07. Progression in chest skin, stopped TAC March '03, started radiation.

Herceptin has served as the "Backbone" of my treatment strategy for over 6 years, giving me great quality of life. In 2005, I was privileged to participate in the University of Washington/Seattle HER2 Vaccine Trial.
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Old 06-22-2007, 06:54 AM   #11
Shell
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Join Date: Sep 2005
Location: Philadelphia
Posts: 301
Today is day 4 of 10 for the radiation, so that should be done soon- no side effects so that's nice ... I stopped the tykerb for a day or two because of the diarheea, as I kept losing weight, but I think I'll tackle that issue in other ways and resume the tykerb.

Regards,
__________________
Shell

init diag 3/17/03-stage IIIC
ER-/PR-/HER2+++
CET x4 neo-adjuvant
lump & SNB 8/03
CET x2
radiation and herceptin/navelbine 11-03-1/04
1st reoccur to lymph nodes 8/04
complete axillary dissection 12/04
herceptin/taxotere til progression (lungs) 3/05
xeloda w/out lapatinib trial 6/05
lapatinib/tykerb added 4/06
ended trial 8/06 due to progression
doxil / avastin 11/06-12/06 - wasn't working
navelbine/herceptin/avastin 12/06/3/07 - progression
gemzar/carboplatin/tykerb 4/07
mri shows extensive mets to bone in pelvic area 6/07
switched to abraxane (3 on/1 off) + tykerb 6/07
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