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Old 10-30-2009, 10:51 PM   #1
Lani
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her2+ brst cancer, Grade III associated with nulliparity, late age at 1st childbirth

in Medscape From Reuters Health Information
Nulliparity, Late Age at First Childbirth Linked to Aggressive Breast Cancer




NEW YORK Oct 28 - Nulliparity and late-life first childbirth are associated with more agresssive breast cancer, according to Swedish researchers.

"We found that nulliparous women had a statistically significant high risk of grade III and HER2 over-expressing tumors," Dr. Salma Butt, of Malmo University Hospital, Sweden, and colleagues write in the October 15th issue of the International Journal of Cancer.
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Old 10-31-2009, 01:08 AM   #2
Chelee
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Re: her2+ brst cancer, Grade III associated with nulliparity, late age at 1st childbi

Interesting. I have no family history of cancer on either side of the family. I'm the only one that ended up with bc...or any type of cancer for that matter. I stepped into a pre-made family and never had any bio childern...just my two step-kids I raised. So yet another possible reason for having Her2 bc.

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 10-31-2009, 02:50 AM   #3
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Re: her2+ brst cancer, Grade III associated with nulliparity, late age at 1st childbi

I had tried three infertility treatments and all I got were three uterine fibroids. I think it was some genetic malfunction that caused my brain tumor, infertility, and breast cancer. Chinese has an old saying, "born in the wrong hour." I was born almost two months premature, definitely in the very 'wrong' hour.

Nulliparity and late child birth have all been said to be related to breast cancer. I wonder how they got narrowed down to be related to just the Her2+ Grade III subtype?
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Old 10-31-2009, 11:10 AM   #4
bejuce
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Re: her2+ brst cancer, Grade III associated with nulliparity, late age at 1st childbi

Well, I have 3 kids (first one at 31). Breastfed them all until they were 2 years old and ended up with a very aggressive HER-2+ tumor at 38. I've met other young moms in a similar situation. Not sure I buy it.
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ER+ (30%)/PR-/HER-2+, stage 3

Diagnosed on 02/18/09 at 38 with a huge 12x10 cm tumor, after a 6 month delay. Told I was too young and had no risk factors. Found swollen node during breastfeeding.
March-August 09: neo-adjuvant chemo, part of a trial at Stanford (4 DD A/C, 4 Taxotere with daily Tykerb), loading dose of Herceptin
08/12/09 - bye bye boobies (bilateral mastectomy)
08/24/09 - path report shows 100 % success in breast tissue (no cancer there, yay!), 98 % success in lymphatic invasion, and even though 11/13 nodes were still positive, > 95 % of the tumor in them was killed. Hoping for the best!
September-October 09: rads with daily Xeloda
02/25/10 - Cholecystectomy
05/27/10 - Bone scan clear
06/14/10 - CT scan clear, ovarian cyst found
07/27/10 - Done with Herceptin!
02/15/11 - MVA-BN HER-2 vaccine trial
03/15/11 - First CA 15-3: 12.7 and normal, yay!
10/01/11 - Bone scan and CT scan clear, fatty liver found
now on Tamoxifen and Aspirin


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Old 10-31-2009, 02:34 PM   #5
Lien
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Re: her2+ brst cancer, Grade III associated with nulliparity, late age at 1st childbi

These are relative risks. My cancer was found in 2004. Had my kids in 1995 and 2000, breastfed for a year. I was an older mom, though. I was 40 when my youngest was born.

Jacqueline
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Diagnosed age 44, January 2004, 0.7 cm IDC & DCIS. Stage 1, grade 3, ER/PR pos. HER2 pos. clear margins, no nodes. SNB. 35 rads. On Zoladex and Armidex since Dec. 2004. Stopped Zoladex/Arimidex sept 2009 Still taking mistletoe shots (CAM therapy) Doing fine.
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Old 10-31-2009, 03:54 PM   #6
Chelee
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Re: her2+ brst cancer, Grade III associated with nulliparity, late age at 1st childbi

Jackie, That is a good question you asked? I wondered the same?

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 10-31-2009, 04:30 PM   #7
whatz
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Re: her2+ brst cancer, Grade III associated with nulliparity, late age at 1st childbi

I was 26/28 when my boys were born and breast fed both for a year. There is no cancer history in my family, I'm the first.
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4/09 suspicious lump in left breast
5/09 biopsi lead to diagnosis ER/PR -
Her2+.Grade 3,full masectomy left breast,sentinel nodes clear,Stage 1
6/09 Adriamycin + Cytoxan 4 treatments (every 3 weeks) followed by Taxol + Herceptin, 1 treatment weekly for 12 weeks, followed by Herceptin for 40 weeks
MRI Brain 4/10 clear
CT Body 4/10 clear
PET Body 2/11 clear
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Old 10-31-2009, 06:33 PM   #8
sassy
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Re: her2+ brst cancer, Grade III associated with nulliparity, late age at 1st childbi

I was 31 when my first son was born. Second son 20 months later. Breastfed both. I am the first in my family on either side with breast cancer.
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dx age 45
DX 2/15/05 Stage IIb (at surgery)restaged IIIa
Left mast .9cm tumor 5 of 14 nodes
Triple Positive
4 DD A/C
12 Taxol/Herceptin
33Rads
Strange infect mast site one year aft surg, hosp 1 wk
Herceptin for total of 18 months
Lupron Monthly 4 yrs
Neurontin for aches, pains and hot flashes(It works!)
Ovaries removed 11/09 stop Lupron and Neurontin
Arimidex 6 yrs (tried Femara, no SE improvement)
Tried Exemestane-hips got so bad could hardly walk
Back to Arimidex for year seven
Zometa 2X Annual for 7years, Lasix
Stop Arimidex 5/13
Stop Zometa 7/13-Bi-lateral Stress Fractures in Femurs from Zometa
5/14 Start Tamoxifen
3/15 Stem cell transplant to stimulate femur bone growth/healing
5/15 Complete fracture of right femur/Titanium rods both femurs
9/16 Start Evista stopTamoxifen
3/17 Stop Evista--unwelcome side effects!
NED and no meds.......
14YEARS NED!
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