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Old 01-21-2011, 09:09 AM   #1
Jean
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Interesting research....I wonder...

how does this impact on us er+/pr- gals?
If at all....okay my propeller headed sisters..your thoughts.

http://www.medicalnewstoday.com/articles/214159.php
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Stage 1, Grade 1, 3/30/05
Lumpectomy 4/15/05 - 6MM IDC
Node Neg. (Sentinel node)
ER+ 90% / PR-, Her2+++ by FISH
Ki-67 40%
Arimidex 5/05
Radiation 32 trt, 5/30/05
Oncotype DX test 4/17/06, 31% high risk
TOPO 11 neg. 4/06
Stopped Arimidex 5/06
TCH 5/06, 6 treatments
Herceptin 5/06 - for 1 yr.
9/06 Completed chemo
Started Femara Sept. 2006
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Old 01-21-2011, 04:03 PM   #2
Jackie07
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Re: Interesting research....I wonder...

Jean,

The article states: "...both estrogen and progesterone must be present for the increased production of the protein amphiregulin, which binds to mammary cells and promotes cell growth, could lead to new treatment methods for the disease..."

The combination of the two hormones influences the cell growth. Whether or not the cells become ER+ or PR+ or both, in my understanding, is another matter. I am guessing that since both hormones are present in our body all the time, the extra hormones (of either kind) we received from all kind of sources ('contaminated' milk product, infertility treatment, birth control pills,...) 'stimulates' the cells and triggers the mechanism of proliferation.
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Old 01-22-2011, 10:25 AM   #3
Becky
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Re: Interesting research....I wonder...

I think ER+PR- disease is a totally different beast than ER+PR+ disease. Then, you are adding the Her2 into the mix which this article does not. This article is adding EGFR (aka Her1) into the mix.

It is an article, in my opinion, that may have been somewhat misquoted (as many articles can be unless you get the actual abstract).

I think what this article is trying to say (just me thinking out loud here), is that most women are ER+PR+ (but not Her2+). Many of these women do very, very well but some do very poorly. This may be because these women are also Her1+ (this is not tested for yet). In general, there is some interaction between PR and Her1 that is initiated by this protein that is only present if you are ER+PR+. So, you have this protein and if you are Her1+ too - BINGO!

That's kind of how I read it. If PR neg, this can't happen. Oddly though, being PR neg does tend to make scientists wonder, then some Her family must be positive - in our case Her2. Even in triple negative cancer, something is driving that cancer. For these women, some might be Her1+ or Her3+ or IGFR+ or something not known or understood.

We know all bc in each of us is different, even if we have the exact same pathology since our genetic makeups are unique to us and so too, our cancer.
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Found lump via BSE
Diagnosed 8/04 at age 45
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2 micromets to sentinel node
Stage 2A
left 3mm DCIS - low grade ER+PR+Her2 neg
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Old 01-22-2011, 04:42 PM   #4
Joan M
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Re: Interesting research....I wonder...

My breast, lung and brain tumors tested ER-/PR-, but an inadvertent EGFR test on my initial lung tumor removed by video-assisted thoracic surgery tested high for HER1. That test was mistakenly conducted (I think I was being mistaken by the lab as a lung cancer patient), and when the tumor was retested for HER2 it was positive. So for at least the lung tumor, EGFR was very high. My brain tumor was HER2-.
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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!!

Last edited by Joan M; 01-22-2011 at 04:46 PM..
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