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Old 12-08-2006, 05:24 AM   #1
momdeeco
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How often are you getting Muga/Echo's

I started Herceptin 10/06. My oncologist suggested a muga in 6 mo. I thought every 3 months for a muga would be better. Also after reading the Muga vs Echo thread, I think I will ask for an Echo next time.
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8/05 NORMAL MAMMO
11/05 DX AFTER FINDING LUMP AGE 47
STAGE 1 HIGH RISK
1.1 CM/NODE NEG
ER-/PR- HER 2 +++ GRADE 3
12/05 PARTIAL MASTECTOMY
1/06 CHEMO AC DD X 6
5/06 RADS X 30
10/06 STARTED HERCEPTIN AFTER 3RD OPINION
3/07 GENETIC TESTING-GENE VARIANT FOR BRCA 1 AND 2
3/07 STOPPED HERCPTIN DUE TO LOW EF
BSO 8/08 (P53 SIGNATURE--PRECANCEROUS CELLS)
11/08---IN A STUDY/MRI EVERY 6 MONTHS/MAMMO EVERY YEAR
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Old 12-08-2006, 09:26 AM   #2
Mary Jo
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Hi Carla,

I had an ECHO before chemo started to make sure I had a strong enough ticker for chemo. That is what my onc. used as a starting point for me for when herceptin started last Oct. 2005. After 4 months my onc. ordered a MUGA to make sure my heart was tolerating the herceptin well. It was and that is the last MUGA or ECHO I had. I finished herceptin Oct. 11, 2006 and basically had no troubles (minus aches/pains, a little diarrehea). I did question my onc. at about 6 months into herceptin and wondered why I wasn't given a MUGA more often and her response was that more often than not toxicisity (spelling?) from herceptin occurs within the first 4 months. She then goes by blood pressure, heart rate and symptoms. I didn't always like that about her BUT trusted her and made it through fine.

So, good luck to you. 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

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Old 12-08-2006, 10:06 AM   #3
MJo
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How often muga?

Every three months for me. My friend is being treated by same oncologist and she also gets hers every three months, so I guess it's standard for him. MJO
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IDC, Stage I, Grade 2
Oncotype DX Score 32
Her2++ E+P+, Node Neg.
Lumpectomy 11/04/05 Clear Margins
3 Dose dense AC (Couldn't tolerate 4)
4 Dose dense Taxol & Herc. (Tolerated well)
36 weeks Herceptin (Could not complete one year due to decrease in MUGA score)
2 years of Arimidex, then three years of Femara
Finished Femara May 2011
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Old 12-08-2006, 12:44 PM   #4
tousled1
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I receive echocardiograms every three months since starting Herceptin.
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Stage IIIC Diagnosed Oct 25, 2005 (age 58)
ER/PR-, HER2+++, grade 3, Ploidy/DNA index: Aneuploid/1.61, S-phase: 24.2%
Neoadjunct chemo: 4 A/C; 4 Taxatore
Bilateral mastectomy June 8, 2006
14 of 26 nodes positive
Herceptin June 22, 2006 - April 20, 2007
Radiation (X35) July 24-September 11, 2006
BRCA1/BRCA2 negative
Stage IV lung mets July 13, 2007 - TCH
Single brain met - August 6, 2007 -CyberKnife
Oct 2007 - clear brain MRI and lung mets shrinking.
March 2008 lung met progression, brain still clear - begin Tykerb/Xeloda/Ixempra
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Old 12-08-2006, 12:53 PM   #5
RhondaH
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I received

1 echo 3 days prior to starting Herceptin 8/18/05 and never received another one. Take care and God bless.

Rhonda
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Dx 2/1/05, Stage 1, 0 nodes, Grade 3, ER/PR-, HER2+ (3.16 Fish)
2/7/05, Partial Mastectomy
5/18/05 Finished 6 rounds of dose dense TEC (Taxotere, Epirubicin and Cytoxan)
8/1/05 Finished 33 rads
8/18/05 Started Herceptin, every 3 weeks for a year (last one 8/10/06)

2/1/13...8 year Cancerversary and I am "perfect" (at least where cancer is concerned;)


" And in the end, it's not the years in your life that count. It's the life in your years."- Abraham Lincoln
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Old 12-08-2006, 02:01 PM   #6
Chelee
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I have gotten ECHO's about every 3 months...closer to 4 months a couple times. My onc just assume not run any scans or tests unless I push for them...but ECHO's she has always been serious about. In fact I will finish herceptin in mid Feb. 07 and she even wants me to have one more ECHO before I am done...and one 3 months AFTER I finish herceptin.

My last ECHO was 72%...all mine have been pretty good so far. (Knock on wood.)

It sure gave me peace of mind to have my ECHO's on schedule. I agree that you should ask for a ECHO sooner.

Hang in there.

Chelee
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DX: 12-20-05 - Stage IIIA, Her2/Neu, 3+++,Er & Pr weakly positive, 5 of 16 pos nodes.
Rt. MRM on 1-3-06 -- No Rads due to compromised lungs.
Chemo started 2-7-06 -- TCH - - Finished 6-12-06
Finished yr of wkly herceptin 3-19-07
3-15-07 Lt side prophylactic simple mastectomy. -- Ooph 4-05-07
9-21-09 PET/CT "Recurrence" to Rt. axllia, Rt. femur, ilium. Possible Sacrum & liver? Now stage IV.
9-28-09 Loading dose of Herceptin & started Zometa
9-29-09 Power Port Placement
10-24-09 Mass 6.4 x 4.7 cm on Rt. femur head.
11-19-09 RT. Femur surgery - Rod placed
12-7-09 Navelbine added to Herceptin/Zometa.
3-23-10 Ten days of rads to RT femur. Completed.
4-05-10 Quit Navelbine--Herceptin/Zometa alone.
5-4-10 Appt. with Dr. Slamon to see what is next? Waiting on FISH results from femur biopsy.
Results to FISH was unsuccessful--this happens less then 2% of the time.
7-7-10 Recurrence to RT axilla again. Back to UCLA for options.
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Old 12-08-2006, 04:12 PM   #7
Mary Anne in TX
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My insurance company stops paying for the herceptin if I don't get a muga every 3 months. The business office at the clinic gets the "message" and sends me off for a muga! I was amazed!
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MA in TX.
Grateful for each and every day....

Diag. 12/05 at age 60
Stage II, Grade 3, 4.5 cm primary tumor
ER/PR- Her2 +3 strongly positive
Her2 by FISH 7.7 amplified
vascular invasion
Ki67 20% borderline
Jan - March '06 Taxotere/Adriamycin X 3 to try to shrink tumor - it grew
April '06 Rt Modified Radical Mas, 7 of 9 nodes positive
April - Aug. '06 Herceptin/Taxol/Carboplatin X 8 (dose dense)
Sept - Dec. '06 Navelbine/Herceptin x 8 (dose dense)
Radiation & Herceptin Jan. 22 - March 1, 2007
Finished Herceptin Dec. 10 '08! One extra year.
Port removed August, 2012.
8 1/2 years since diagnosis! 5 1/2 Years NED!
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