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Old 09-13-2008, 05:04 PM   #1
CLTann
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lung metastasis - Need HELP

A dear friend of mine had bc about 12 years ago. She had mastectomy followed by 5 years of anti hormone medication. Then no active medication followed after the end of 5 years. Recently, she had liquid in one lung and there are tumor cells in the red liquid. I know there are many here who had fought successfully against lung mets. Please briefly tell me what treatments gave those members the success. Thanks a lot.
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Ann

Stage 1 dx Sept 05
ER/PR positive HER2 +++ Grade 3
Invasive carcinoma 1 cm, no node involvement
Mastec Sept 05
Annual scans all negative, Oct 06
Postmenopause. Arimidex only since Sept 06, bone or muscle ache after 3 month
Off Arimidex, change to Femara 1/12-07, ache stopped
Sept 07 all tests negative, pass 2 year mark
Feb 08 continue doing well.
Sep 09 four year NED still on Femara.
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Old 09-14-2008, 12:31 PM   #2
CLTann
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I received no answer from this posting. Surely there are members who had success in dealing with lung mets. Please do your best in giving me an answer. Thanks.
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Ann

Stage 1 dx Sept 05
ER/PR positive HER2 +++ Grade 3
Invasive carcinoma 1 cm, no node involvement
Mastec Sept 05
Annual scans all negative, Oct 06
Postmenopause. Arimidex only since Sept 06, bone or muscle ache after 3 month
Off Arimidex, change to Femara 1/12-07, ache stopped
Sept 07 all tests negative, pass 2 year mark
Feb 08 continue doing well.
Sep 09 four year NED still on Femara.
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Old 09-14-2008, 02:34 PM   #3
chrisy
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I know at least one woman who had a lung met and was treated to remission with Herceptin and Navelbine.
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Chris in Scotts Valley
June 2002 extensive hi grade DCIS (pre-cancer-stage 0, clean sentinal node) Mastectomy/implant - no chemo, rads. "cured?"
9/2004 Diag: Stage IV extensive liver mets (!) ER/PR- Her2+++
10/04-3/05 Weekly Taxol/Carboplatin/Herceptin , complete response!
04/05 - 4/07 Herception every 3 wks, Continue NED
04/07 - recurrence to liver - 2 spots, starting tykerb/avastin trial
06/07 8/07 10/07 Scans show stable, continue on Tykerb/Avastin
01/08 Progression in liver
02/08 Begin (TDM1) trial
08/08 NED! It's Working! Continue on TDM1
02/09 Continue NED
02/10 Continue NED. 5/10 9/10 Scans NED 10/10 Scans NED
12/10 Scans not clear....4/11 Scans suggest progression 6/11 progression confirmed in liver
07/11 - 11/11 Herceptin/Xeloda -not working:(
12/11 Begin MM302 Phase I trial - bust:(
03/12 3rd times the charm? AKT trial

5/12 Scan shows reduction! 7/12 More reduction!!!!
8/12 Whoops...progression...trying for Perjeta/Herceptin (plus some more nasty chemo!)
9/12 Start Perjeta/Herceptin, chemo on hold due to infection/wound in leg, added on cycle 2 &3
11/12 Poops! progression in liver, Stop Perjeta/Taxo/Herc
11/12 Navelbine/Herce[ptin - try for a 3 cycles, no go.
2/13 Gemzar/Carbo/Herceptin - no go.
3/13 TACE procedure
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Old 09-14-2008, 02:39 PM   #4
Lani
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you do not say what type of breast cancer she had/has

ie, triple negative (now with her mets vs her primary) vs her2+ vs ER+her2-

Is she now her2+?Have they gone back and done her2 testing on her old primary specimen?
(is it still available for testing)?

Treatment depends on the molecular subtype of the tumor (in this case, the metastasis)

If neither her primary nor her metastasis were her 2 positive, then asking what treatment was helpful to those here may not be helpful.

A serum her2 test might also help decipher what is going on.

I am sure many will be happy to help out once they know whether she in fact was/is suffering from her2+ breast cancer.

If her mets are triple negative, I doubt contributions from the fine ladies here regarding their experience with treatment will be applicable/helpful, but they may be able to steer you to a better site for the info.

Fill us in--I am sure there are many ready to help.
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Old 09-14-2008, 06:55 PM   #5
Sherryg683
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I had 2 small lung mets when diagnosed in December 05. I was treated with Taxotere, Herceptin and Xeloda given together, 5 rounds. I did Herceptin every week for the first 2 years and now do it every 3 weeks ..indefinately. They did a PET/CT after my 2nd round of chemo and the mets were pretty much gone. I have been NED since then.. thank God. I now get scanned every 6 months. I am er/pr negative. It was a do able combination of chemo, although I would have pumped gas into my veins to get rid of it. Had blistered hands and feet from the Xeloda but it a great chemo. Good luck to your friend. ..sherryg683
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Diagnosed: December , 2005 at age 44
13+ positive lymph nodes
Stage IV , Her2+, 2 small mets to lungsChemo Started: Jan, 2006
4 months Taxotere, Xeloda, Hercepin
NED since April 2006!!
36 Rads to follow with weekly Herceptin indefinately
8 years NED now
Scans every year

Life is not about avoiding the thunderstorms, it's about learning to dance in the rain!
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Old 09-15-2008, 12:33 AM   #6
Kavy
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I was diagnosed with lung and liver mets almost 3 years ago, in Nov. 2005. Since then, I have been on Taxotere/Herceptin (about 9 months), Nalvabine/Herceptin (18 months, the liver mets were/are gone and the lungs mets were almost gone), Gemzar/Herceptin (9 months), now on Xeloda/Herceptin) for 2 months.
I am er/pr negative, and Hers2 +, and I do not have fluid in my lungs, I have small nodules.
I hope your friend will find the right treatment soon that will keep the mets under control and bring her to NED.
Hugs,
KarlaV.
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Old 09-15-2008, 11:08 AM   #7
Vi Schorpp
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Hi Ann

I can be of no assistance since I haven't deal with this, but go go the search option and type in lung mets and something there may be helpful. Best wishes for your friend.
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Diagnosed 4/03/03, age 50
3.5 cm, 0/19 positive nodes
Stage IIA
Her2++, ER & PR++
RB Mastectomy, 4 AC,
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Old 09-15-2008, 02:07 PM   #8
CLTann
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I am very aware of the importance of tumor characteristics, thus the treatment plan. However, my friend is at the other side of the world and I am not sure they do all the testings. I will check and come back for more questions. Thanks for the answers so far. She is very much encouraged by the fact that many have been in remission.
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Ann

Stage 1 dx Sept 05
ER/PR positive HER2 +++ Grade 3
Invasive carcinoma 1 cm, no node involvement
Mastec Sept 05
Annual scans all negative, Oct 06
Postmenopause. Arimidex only since Sept 06, bone or muscle ache after 3 month
Off Arimidex, change to Femara 1/12-07, ache stopped
Sept 07 all tests negative, pass 2 year mark
Feb 08 continue doing well.
Sep 09 four year NED still on Femara.
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Old 09-15-2008, 05:01 PM   #9
Joan M
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Ann,

Sorry to hear about your friend.

I had radiofrequency ablation for a single pulmonary nodule about five weeks ago. Since it was so recent, I'm not sure about the outcome.

I'm probably going to follow up with 6 rounds of Xeloda. I'm currently on only Herceptin.

Joan
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Diagnosed stage 2b in July 2003 (2.3 cm, HER2+, ER-/PR-, 7+ nodes). Treated with mastectomy (with immediate DIEP flap reconstruction), AC + T/Herceptin (off label). Cancer advanced to lung in Jan. 2007 (1 cm nodule). Started Herceptin every 3 weeks. Lung wedge resection April 2007. Cancer recurred in lung April 2008. RFA of lung in August 2008. 2nd annual brain MRI in Oct. 2008 discovered 2.6 cm cystic tumor in left frontal lobe. Craniotomy Oct. 2008 (ER-/PR-/HER2-) followed by targeted radiation (IMRT). Coughing up blood Feb. 2009. Thoractomy July 2009 to cut out fungal ball of common soil fungus (aspergillus) that grew in the RFA cavity (most likely inhaled while gardening). No cancer, only fungus. Removal of tiny melanoma from upper left arm, plus sentinel lymph node biopsy in Feb. 2016. Guardant Health liquid biopsy in Feb. 2016 showed mutations in 4 subtypes of TP53. Repeat of Guardant Health biopsy in Jana. 2021 showed 3 TP53 mutations, BRCA1 mutation and CHEK2 mutation. Invitae genetic testing showed negative for all of these. Living with MBC since 2007. Stopped Herceptin Hylecta (injection) treatment in March 2020. Recent 2023 annual CT of chest, abdomen and pelvis and annual brain MRI showed NED. Praying for NED forever!!
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Old 09-15-2008, 06:16 PM   #10
madubois63
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As suggested above, treatments does count on the characteristics of the beast. That said, I had my first bout with met's to my lung (and liver) 4 years ago. I was treated with carboplaten, taxatere and Herceptin. After 3 months, The liver met's were gone and the lung met's were half the size. Another 3 months of treatment, and all was clear!! It was 3 1/2 years later when the met's came back to my lung again. I've been on Herceptin and Fasalodex since the reoccurance and the met's are half the size without chemo (for those that don't know, Herceptin is not chemo). So, it's been nearly nine years since being diagnosed as stage IV and 4 1/2 years since getting met's. I am still here!!! Your a good friend. I hope you can get pathology info so that you can help your friend make decisions in her treatment...
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Maryann
Stage IV Inflammatory BC 1/00
Mod Rad Mastectomy 24nod/5+
Adriomycin Cytoxin Taxol
Tamoxifen 4 1/2 yrs
Radiation - 32 x
Metastatic BC lung/liver 10/04
thorocentesis 2x - pleurodesis
Herceptin Taxatiere Carbo
Femera/Lupron
BC NED 4/05
chemo induced Acute Myeloid Leukemia 5/06
Induction/consolidation chemo
bone marrow transplant - 11/3/06
Severe Host vs Graft Disease of liver
BC mets to lung 11/07
Fasoladex Herceptin Zometa Xeloda
GVHD/Iron overload to liver
Avascular Necrosis/morphine pump 10/10
metastatic brain tumor
steriotactic radiosurgery
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Old 09-17-2008, 05:55 PM   #11
CLTann
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I have been busy in helping my dear friend half way across the globe. Her pet scan results showed that her new cancer is not in the lung, but in the bone right below the cranial area. We have yet to determine whether it is breast cancer mets. Long distance care sure is difficult, with language and time zone difference, as well as the awkward communication with her onc. Stay tuned. Thanks for all you good people's replies.
__________________
Ann

Stage 1 dx Sept 05
ER/PR positive HER2 +++ Grade 3
Invasive carcinoma 1 cm, no node involvement
Mastec Sept 05
Annual scans all negative, Oct 06
Postmenopause. Arimidex only since Sept 06, bone or muscle ache after 3 month
Off Arimidex, change to Femara 1/12-07, ache stopped
Sept 07 all tests negative, pass 2 year mark
Feb 08 continue doing well.
Sep 09 four year NED still on Femara.
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Old 09-17-2008, 06:18 PM   #12
Bill
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Ann, you and your friend are in my thoughts and prayers. She is so blessed to have a friend such as you. Needless to say, the type of mets dictates the type of treatment.
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Old 09-18-2008, 04:26 PM   #13
ElaineM
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Question lung metastisis

I never had lung mets, so I don't know from experience, but I read that Navelbine was originally developed for lung cancer and then scientists discovered it could also be used for breast cancer. If it was indeed developed for lung cancer would it be useful to ask the doc about a Navelbine and Herceptin combo?
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Peace,
ElaineM
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