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Old 08-19-2011, 06:23 AM   #1
Pam P
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scan and doctor update

I saw the oncologist Thursday. Good news - echo is normal - it always is. Brain MRI looked better than in May - still multiple spots though. Not good: MRI lumbar sacra spine - lots of mets - may be contributing to leg pain.

I have radiation starting Monday on my lumbar and sacral spine. That touches on the lower abdomen and can cause nausea and other gastro problems - diarrhea , constipation. I still have 1 week to go with the femur so the 1st week will be on both areas. Wish they had decided this in the beginning so I could have been done with it all in a week.

PET/CT shows mild progression in all areas - "diffuse met disease in all bony area." CA2729 is up to 5500 from 4700 3 weeks ago.

I'm off halven and will start abaxane, herceptin, zomets on Sept.1

I asked about tdm1 and he said I'd have a rough time getting in with my current brain MRI. I might still call and ask.

I broke down and started to drink boost & ensure. Do not like the taste but am tolerating it. At least I get a few more calories that way.

He's usually a jovial guy; he was very somber. As he was looking at the list of drugs he said - "you are running out of options." Hard to here.

Meanwhile the pain in my left thigh is no better. That radiation isn't doing a thing yet. I was getting by on ibuprofin but now sometimes take oxycodone but only when I know I can sleep.

That's my update still trying to process it all - it keeps getting worse. Love you all pam
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Pam
6/01 IBC er+ her2+stage IIIb; mastecomy
7/01 AC, taxol; radiation
2/02 tamoxifen
9/02 stage IV bone mets femara
1/03 taxotere/herceptin/aredia
6/03 herceptin, aredia & faslodex
1/04 navelbine, herceptin, aredia
2/05 herceptin/aredia
7/05 xeloda/herceptin/aredia
3/07 xeloda/tykerb/aredia
5/08 taxol/avastin/aredia
2/09 gemzar/herceptin/zometa
7/09 Taxol/Carbo/Herceptin, zometa
10/09 navelbine/herceptin & zometa
2/10 herceptin & tykerb & zometa
4/10 add xeloda &aromasin
10/10 dx with dermatomyiositis triggered by cancer
11/10 restart herceptin, tykerb, zometa
12/10 surgery-place rod in R femur to stabilize bone
1/11 radiation to R femur - 20 tx
2/11 2nd surgery - rod in Left femur
2/11 tx eribulen -- suspended dx brain mets
3/11 brain mets wbr 20 tx
4/11 halaven; discontine 8/11 not working
8/11 radiation to left femur 20 tx'
8-9/11 rad to lower spine
9/11 abraxane/herceptin/zometa
9/12 xeloda/herceptin/zometa
12/12 ablation of liver
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Old 08-19-2011, 09:32 AM   #2
Mary L
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Re: scan and doctor update

Pam, I haven't been on this site for awhile and I was so sad to hear that you are still having so much pain & progression. I so hoped that they would be able to get this under control. I will be praying for you and I send my best wishes. Mary L
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Mary L from PA Diag: Oct 2003 w/6mm mass, IDC grade III ductal carcinoma in-situ, IBC stage IIIB. tx A/C followed by Taxotere(only able to have 2 tx, allergic), mastectomy, 3 0ut of 7 positive nodes. 35 rads. Recurrence 9 months later, skin mets to mastectomy site. Tx Carboplatin/Herceptin. Stayed on Herceptin almost 5 years, had 3 more recurrences when I had to stop Herceptin due to my ejection fraction getting too low. Herceptin stopped and ned 3 years in Oct. 2010.
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Old 08-19-2011, 10:20 AM   #3
ElaineM
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Wink Re: scan and doctor update

Great news on your heart. It is good to have a nice strong heart. Not so good news on the other things.
Good luck with the additional radiation. Maybe the Herceptin and Abraxane will kick some of the cancer to the curb. I hope so.
I was reading an article about combining Herceptin, Tykerb and Taxol (Abraxane is actually Taxol with a different easier to tolerate binder.)It is supposed to be a great combo too. You haven't had Herceptin in awhile. Maybe adding it now will surprise the cancer to the point it will give up. I hope so.
If you have a blender and you or someone else has the energy to add some fruit, fruit juice, yoghurt, almond milk or regular milk to the Ensure and blend it all together it might taste better. You could throw in some protein powder or some Carnation instant breakfast drink for variety too. It would give you some extra nutrition and protein. I don't know if they still make it, but Boost used to have some good berry or tropical fruit flavored juice. When I don't feel like making a full breakfast I mix a package of instant oatmeal, with hot water and some dried fruit for a pretty healthy start to the day. I eat that with some yoghurt. In fact a cup of yoghurt makes a great snack too.
We are all keeping our fingers crossed for you Pam. Hang in there. New drugs and new drug combinations will be on the market soon.
Take good care of yourself. Good luck with everything.
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12 years and counting
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Old 08-19-2011, 01:03 PM   #4
caya
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Re: scan and doctor update

Pam, I am also sorry to hear of progression. Hoping the new drug combo will surprise the mets and destroy them. I'm sure it was tough to hear, but remember, when you're going through hell, just keep going.

all the best
caya
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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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Old 08-19-2011, 02:05 PM   #5
Barbara H.
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Re: scan and doctor update

HI Pam,
I am sorry to hear this latest news. Once you finish the radiation and begin the new chemo, perhaps you can look into the treatment plan that Courtney is using to try and tackle the brain mets. After you get them under control you would have a better chance of getting into a T-DM1 Trial. This drug really took care of my bone mets. I have a feeling that it could work wonders for you.
My thoughts continue to be with you.
Barbara H.
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Old 08-19-2011, 03:25 PM   #6
hutchibk
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Re: scan and doctor update

Hi Pam... here's the sentence about brain mets exclusion for TDM1 EAP: Brain metastases that are untreated or progressive or currently require any type of therapy, including radiation, surgery, and/or steroids to control symptoms from brain metastases within 30 days before the first study treatment.

If you think you are interested in getting the ball rolling just as a back up, it might be wise to talk to the clinic in Iowa and see how they interpret it in your case. (before Sept 6)

Glad you got good news! Hope you start to feel better and less pain very soon!
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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 08-19-2011, 07:32 PM   #7
Dianedack
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Smile Re: scan and doctor update

Hi Pam

Sorry to hear your news. Hopefully the new chemo/radiation will get things under control. I have swelling around my treated brain met so I have weakness in my right arm & leg which is making life difficult so back on steriods. I have an MRI to the brain booked for next week also CT of the body had a break from Chemo this week just herceptin & Zometa. Like you I am fed up but you just have to keep going and hopefully things will work out. Thinking of you all the time. With my love Dianexx
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adenocarcinoma ductal grade 3 DX Oct 2001 2mm grade111. Level one two out of four lymph nodes positive. ER strongly positive PR strongly positive HER2 staus not known. Chemo FEC six courses Radiotherapy course. Arimidex 5 years. Recurrence April 09 Liver, Lungs & Bones May 09 Liver Biopsy ER status changed to negative PR status changed to negative. HER2 now+++May09 Docetaxol 6 cycles Herceptin and Zometa added.Disease stable for 17 months Scans Jan 2011 one of the tumours in right lung has grown significantly scan due in April 2011 to check lung tumour. Current treatment Herceptin & Zometa February 2011 unwell so hospital. DX inoperable Brain mass 11x8mmx12mm left of midline. from lungs and heart March 2011 Gamma knife treatment to brain met.March2011Tykerb/Xeloda/Zometa
March 2011 Severe allergic reation to Tykerb July 2011 New met in lymph glandineck.July2011Navaline/Herceptin/Zometa
August 2011 Necrosis in brain
Herceptin/Zometa Oct 2011 considering Avastin for Necrosis
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Old 08-19-2011, 11:33 PM   #8
Pray
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Re: scan and doctor update

Pam and Diane, My heart and prayers go out to you both!

Keep the faith!
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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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Old 08-20-2011, 01:26 AM   #9
Trish
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Re: scan and doctor update

Pam
All the best with the next options. Hoping TDM-1 is one of them-I'm a bit hopeful based on what Brenda posted. I got nearly a progression free year out of Abraxane so am hopeful it will be good for you.
Diane
So sorry to hear about the arm and leg weakness and I hope the MRI goes OK.
Thinking of you both with love
Trish
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5/2004 (R) 30mm bre gr3 infiltrating ductal ca 16/18nodes er (2+) pr (3+) HER2 (3+)
6/2004
6 cycles(FEC), Oct 40 rads, Tamoxifen
5/2006
oopherectomy, Arimedex
12/2006
liver mets largest 9cm
1/2007
Herceptin,
3/2007
Taxol + Herc
1/2008
Herc alone
4/2008
Multiple bone mets,Zometa
7/2008
Herc + Gemcitabine
8/2008
Herc+Navelbine/vinoralbine
10/2008
Herc+Carboplatin+Taxol
12/2008
Tykerb+Xeloda
2/2010
Herceptin + trial drug
5/2010
Herceptin+Tykerb
8/2010
Tykerb+Abraxane
9/2010
Abraxane
12/2010
Abraxane+Tyk+Herc
4/2011
Tyk+Herc+Femara
6/2011
Liver and bone mets prog.Abraxane continue Herceptin,Tykerb,Femara and Zometa
8/2011
Probable liver progression and increased neuropathy. Xeloda with Tyk+Herc. Zometa 6 weekly.
9/2011
Liver progression,TM +++. Cyclophosphamide and Methotrexate metro Herc Zometa
10/2011 liver mets prog.Herc, 3 Tykerb +2mg decodron daily,Zometa
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Old 08-20-2011, 05:25 AM   #10
krisvell
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Re: scan and doctor update

Pam,
I hope the new treatment works and stops the progression. Just want you to know my thoughts and prayers are with you.
Love & Hugs,
Kris....
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06/08/09 - 55, IDC, IIIA, ER+/PR-/HER+++
Nottingham 6/9 - Grade 2 5.2cm, several nodes
06/23/09 - Neoadjuvant - TCH Herceptin til June
10/07/09 - Finished Chemo
10/27/09 - Mastectomy RB
Path Report: RB No residual tumor pCR,
2 of 15 pos - .5mm largest micromets
12/18/09 - Radiation started (28)
02/05/10 - Finished Radiation
01/11/10 - Started Femara
06/22/10 - Finished Herceptin.. My son's 22nd BD. Hope it's a sign! Hoping for the best.
11/15/10 - Started Walter Reed BC Vaccine trial at
1/04/11 - Sibley Mem. Had to withdraw due to met
01/23/11 - Stage IV - Brain Met 1.6cm 1.7cm
02/03/11 - Gamma Knife (2 fracts to minmize necrosis)
03/01/11 - Gamma Knife
6/11 - Necrosis
7/11 - Necrosis stopped & Tumor progression
8/11 = Now think it's really necrosis
9/11 - Avastin every two weeks -- It's working!! Necrosis is shrinking.
12/11 - Necrosis gone AVASTIN worked.
12/11 - Bone &CT found


Oct '10 - Ran Hartford 1/2 Marathon to Thank Dr. Slamon for Herceptin!
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Old 08-20-2011, 06:43 AM   #11
Mary Jo
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Re: scan and doctor update

Hi Pam.....Nothing else to offer than everyone else hasn't but I did want to offer you my cyber hug. It's from me to you, with love.

Mary Jo
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"Be still and know that I am God." Psalm 46:10

Dx. 6/24/05 age 45 Right Breast IDC
ER/PR. Neg., - Her2+++
RB Mast. - 7/28/05 - 4 cm. tumor
Margins clear - 1 microscopic cell 1 sent. node
No Vasucular Invasion
4 DD A/C - 4 DD Taxol & Herceptin
1 full year of Herceptin received every 3 weeks
28 rads
prophylactic Mast. 3/2/06

17 Years NED

<>< Romans 8:28
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Old 08-20-2011, 01:31 PM   #12
Pinay88
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Re: scan and doctor update

Pam,
I have no other words to say except that I will be praying for you always...for your strength, resilience and hope. Lots of hugs and love to your way..
__________________
Hold on to trust and faith,
Donna =)

Diagnosed at age 38 with IDC (T1, N0, M0)
6/22/2011: Excision biopsy, right breast, 1.9cm tumor,
ER-/PR-/HER2+++, grade 3
7/12/2011: MRM, right; elective mastectomy, left
ALL residual breast tissue and 19/19 lymph nodes NEGATIVE for tumor...yay!!
8/18/2011: port placement, start AC, cycle 1
10/23/2011: end AC cycle 4
12/12/2011: TH cycle 2 done
1/17/2012: Taxotere 3 done, on herceptin holiday due to arrhythmia..

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Old 08-20-2011, 02:11 PM   #13
LoisLane
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Re: scan and doctor update

Pam you are in my thoughts and prayers, I wish you continued strength and hope soon
that treatment will succeed in these setbacks.
__________________
August 2008
Lumpectomy left breast
1 tumour 0.9 cm
Her2 negative
lymph nodes negative
venous/lymphatic invasion absent
ER+PR-
Stage I Grade 2
Radiation and Femara

November 2008
Lumpectomy right breast
2 tumours .03 cm and .05 cm and extensive DCIS
.05 tumour Her2+
lymph node negative
venous/lymphatic invasion "indeterminate"
ER+PR low postive
Stage 1 Grade 2

January 2009
bilateral mastectomy
chemotherapy taxotere
Herceptin one year
Femara
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Old 08-21-2011, 02:35 AM   #14
pibikay
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Re: scan and doctor update

Pam, the hews is good.
__________________
PBK
huband of Hema
Metstatic Breast Cancer Stage 4
Left breast cauliflower 25x20cm
ossousmetstatis in vertbrae secondaries L4=L5secondary
nodules in both liver lobes secondary
Diagnosed 10th March 2010
ER/PR-ve
Her 2 neu +++
Taxotrne Zylotec started 16th March
Herceptin added 5th April.9th Herceptin over on 20th Sep '10.Started on Tykerb and Xeloda on 22nd Oct2010TYKERB 4 TAB A DAY XELODA 4 TAB A DAY ONE WEEK ON ONE WEEK OFFZoletrust infusion every 4 months.Lesion in Brain 3D CRT Radiation started on 1st Feb'12 for 20 days ,5 days a week for 4 weeks.Devloped a small lump in breast.Xeloda stopped from 11th April '12.On Taxol.After 3 cycles of Taxol Taxol stopped.Back to Xeloda regime from 3rd July
Herceptin started again on 27th Dec 2012.Xeloda stopped Navelbin added on 7th February 2013.Now on Tykerb Herceptin and Navelbin
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Old 08-22-2011, 10:40 AM   #15
Sheila
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Re: scan and doctor update

Pam
Sending positive thoughts that the new regime will be the one.....kind of like the old story, you have to kiss a lot of frogs before you meet your prince.

I am impressed that you are doing the boost and ensure....considering how it tastes. Please know you are in my thoughts and prayers for good news!
__________________
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is fighting some kind of battle."



Hugs & Blessings
Sheila
Diagnosed at age 49.99999 2/21/2002 via Mammography (Calcifications)
Core Biopsy 2/22/02
L. Mastectomy 2/25/2002
Stage 1, 0.7cm IDC, Node Neg from 19 nodes Her2+++ ER PR Neg
6/2003 Reconstruction W/ Tissue Expander, Silicone Implant
9/2003 Stage IV with Mets to Supraclavicular nodes
9/2003 Began Herceptin every 3 weeks
3/2006 Xeloda 2500mg/Herceptin for recurrence to neck nodes
3/2007 Added back the Xeloda with Herceptin for continued mets to nodes
5/2007 Taken Off Xeloda, no longer working
6/14/07 Taxol/Herceptin/Avastin
3/26 - 5/28/08 Taxol Holiday Whopeeeeeeeee
5/29 2008 Back on Taxol w Herceptin q 2 weeks
4/2009 Progression on Taxol & Paralyzed L Vocal Cord from Nodes Pressing on Nerve
5/2009 Begin Rx with Navelbine/Herceptin
11/09 Progression on Navelbine
Fought for and started Tykerb/Herceptin...nodes are melting!!!!!
2/2010 Back to Avastin/Herceptin
5/2010 Switched to Metronomic Chemo with Herceptin...Cytoxan and Methotrexate
Pericardial Window Surgery to Drain Pericardial Effusion
7/2010 Back to walking a mile a day...YEAH!!!!
9/2010 Nodes are back with a vengence in neck
Qualified for TDM-1 EAP
10/6/10 Begin my miracle drug, TDM-1
Mixed response, shrinking internal nodes, progression skin mets after 3 treatments
12/6/10 Started Halaven (Eribulen) /Herceptin excellent results in 2 treatments
2/2011 I CELEBRATE my 9 YEAR MARK!!!!!!!!!!!!!
7/5/11 begin Gemzar /Herceptin for node progression
2/8/2012 Gemzar stopped, Continue Herceptin
2/20/2012 Begin Tomo Radiation to Neck Nodes
2/21/2012 I CELEBRATE 10 YEARS
5/12/2012 BeganTaxotere/ Herceptin is my next miracle for new node progression
6/28/12 Stopped Taxotere due to pregression, Started Perjeta/Herceptin
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Old 08-22-2011, 02:01 PM   #16
schoolteacher
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Re: scan and doctor update

Pam,

Hope to hear from you soon.

Amelia
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Old 08-23-2011, 03:05 PM   #17
jml
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Re: scan and doctor update

Sending hugs and hope you're resting easy.
Good news about the heart and brain and I pray and cross fingers, toes, heart & mind that the TDM1 route is open for you.
Will be waiting to hear an update when you have a chance.
Hugs to you~

Keep the Faith

Jml
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Old 08-23-2011, 03:38 PM   #18
KristinSchwick
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Re: scan and doctor update

Pam,
I'll keep you and your medical team in my prayers. Has your doctor said anything about pertuzumab? Its like herceptin and tykerb in that it targets the Her2 protein. Keep the faith.
(Hugs)
Kristin
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[B]Kristin
Aug 2010: diagnosed stage 3b, 4 mo. after birth of son. 29 yrs old and breastfeeding, ER/PR-, Her-2+ started Neoadjuvant therapy: 4x FEC, 10x abraxane & Herceptin
Feb 2011: L mx with recon. Path. showed only DCIS but 4/10+ nodes.
March 2011: 6 wks rads.
Mother passed, lower back pain.
Late May 2011: Bone mets but organs clear; Tykerb, Xeloda, Xgeva. Stopped Herceptin. Implant infected: removed implant.
October 2011: Bone progression; Gemzar and Carboplatin & restarted Herceptin.
Jan 2012: Progression, re-classified as ER+; Tykerb, Herceptin, Zoladex & Femara. Anti-E is working!
May 2012: ovaries out, markers stable but elevated. Cont. Herceptin, Tykerb, Xgeva & Femara.
Dec 2012: aromasin
Jan 2013: faslodex, herceptin, tykerb
Jun: Kadcyla
Aug: Rads to hip, then Perjeta, Herceptin & Taxotere
Nov 2013: Perjeta, Herceptin, Halaven
Early 2014: Affinitor, Aromasin, Perjeta, Herceptin.
June 2014: Estradiol, Perjeta, Herceptin
Aug 14: Tamoxofin, H & P
http://kristin-notdying-blog.blogspot.com/
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Old 08-23-2011, 03:41 PM   #19
Lani
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Re: scan and doctor update

Pam there is a recently approved drug for bone mets from breast cancer which works at least as well as Zometa, and probably better. It is called denosumab. If you put it in the search function above and put Lani in too, I think I have posted about it. It works differently than bisphosphonates--perhaps worth inquiring about ...
Hope this helps
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Old 08-23-2011, 06:25 PM   #20
KristinSchwick
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Re: scan and doctor update

I agree with Lani, denosumab (aka Xgeva) is as good as bisphosphonates minus some of the side effects. It is given as a shot every month- I have had good luck with it.
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[B]Kristin
Aug 2010: diagnosed stage 3b, 4 mo. after birth of son. 29 yrs old and breastfeeding, ER/PR-, Her-2+ started Neoadjuvant therapy: 4x FEC, 10x abraxane & Herceptin
Feb 2011: L mx with recon. Path. showed only DCIS but 4/10+ nodes.
March 2011: 6 wks rads.
Mother passed, lower back pain.
Late May 2011: Bone mets but organs clear; Tykerb, Xeloda, Xgeva. Stopped Herceptin. Implant infected: removed implant.
October 2011: Bone progression; Gemzar and Carboplatin & restarted Herceptin.
Jan 2012: Progression, re-classified as ER+; Tykerb, Herceptin, Zoladex & Femara. Anti-E is working!
May 2012: ovaries out, markers stable but elevated. Cont. Herceptin, Tykerb, Xgeva & Femara.
Dec 2012: aromasin
Jan 2013: faslodex, herceptin, tykerb
Jun: Kadcyla
Aug: Rads to hip, then Perjeta, Herceptin & Taxotere
Nov 2013: Perjeta, Herceptin, Halaven
Early 2014: Affinitor, Aromasin, Perjeta, Herceptin.
June 2014: Estradiol, Perjeta, Herceptin
Aug 14: Tamoxofin, H & P
http://kristin-notdying-blog.blogspot.com/
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