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Re: Her2 expression linked with DCIS
When I was diagnosed in 2004 with Stage 2 bc on right, I also had a low grade dcis on the left. Pathologies were totally different. The invasive cancer was moderately ER+, PR neg and highly Her2+. The dcis was moderately ER+ and PR+ but it was too small to test further with the exception that it was low grade compared to my cancer side which was higher grade. My dcis was only 3mm and sometimes there just isn't enough.
I ask alot about that tiny dcis as many on this board over the last 5 years know. There is evidence that over half of dcis starts out Her2+ but as it morphs to invasive cancer, some (I guess if you do the math - 80%) lose their Her2+ status.
Thinking out loud - in general, half of all dcis does become invasive cancer (statistics say of diagnosed dcis, if it recurs after treatment - half comes back as dcis and half comes back as invasive cancer) Perhaps this does have to do with the initial dcis' Her2 status.
I did want my dcis further tested but there just wasn't enough of it. I hope it doesn't come back but dcis really does have a 10 year timeline and I have another 4.5 years to go to really rest alittle easier but I think for either dcis or invasive cancer, the more time that goes by the better your odds against recurrence.
After going through this once, if something comes back or I get a brand new cancer, at least I know what to do straight off rather than have this learning curve and alot of would've, should've and could'ves.
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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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