My first post. Although I received the results of my core biopsy 33 days ago, I have not yet had any treatment but have had a lot of follow-up tests to further define my specific disease. My oncologist and surgeon have just agreed that neoadjuvant chemotherapy is probably best in my situation. My onc would use the TC regimen.
I have many questions and just discovered this site while searching for info on cold cap therapy to prevent or reduce chemo hair loss. I would like to participate here both to obtain information and to help others by sharing what I have learned or will learn in the future. However, navigating the discussion topics and even how to see the most recent posts vs. original posts is confusing to me. Is there an instruction manual somewhere? :)
In the last month I have found that there is at least one silver lining in having this life-threatening disease -- that is the loving support and cameraderie from 2 other women also afflicted who are a bit ahead of me in treatment.
I've been in a bit of denial about the emotional impact and haven't yet joined any support groups either online or in person, but as it comes time to begin treatment, I am realizing how much I need a support network.
Thanks for any navigation or other assistance.
Lori
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xpectmiracl
Joined: Dec 2008 Posts: 388 |
Jul 1, 2009 09:26 pm
xpectmiracles wrote:
Hi Lori! Sorry you are joining us; but you are right. This site has given me a lot of information and support. I finished TC a couple of months ago. Every month someone will start a thread for those beginning chemo that month. I joined the February Furies! All through treatment we kept in touch. I can't tell you how much help that group has been, and still is, to me. I can express anything, share whatever is going on and everybody "gets it". There are many discussions going on all the time. Click on the Help in the upper right hand corner of the page. This gives answers to the most common questions about the discussion board. Hope this helps! Cheryl
Dx 10/2008, IDC, <1cm, Stage I, Grade 2, 0/7 nodes, ER+/PR+, HER2- |
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NewportLori
Joined: Jul 2009 Posts: 38 |
Jul 1, 2009 09:37 pm
NewportLori wrote:
Thank you for responding Cheryl. How was the TC regimen? Did you lose all of your hair (including eyelashes and eyebrows)? Did you you lose or have any major impact on your fingernails or toenails? Lori Dx 5/28/2009, IDC, 5cm, Stage IIb, Grade 2, / nodes, ER+/PR+, HER2- |
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lisalisa Joined: Sep 2008 Posts: 808 |
Jul 1, 2009 09:41 pm
lisalisa wrote:
Hi Lori, I also had a TC regimen. 6 cycles. I started in December and ended in April. I cut my hair off after my first cycle and had it made into a wig....then shaved the rest. I didn't want to see it fall. So, I'm not sure if I would have lost it all or not. I did not lose my eyebrows and eyelashes until AFTER I was done with chemo. I finished chemo mid april, then did radiation. I now have a full head of hair and all of my lashes/brows back. So, it wasn't as bad as I expected! Granted, my hair is short and not what I would choose, but I'm going to have fun trying new styles and colors LOL! your neighbor to the north, Lisa DX 9/12/08. Lumpectomy 9/25/08 6cm, Stage 3, nodes 4/6, ER+/PR+, HER2-. Bilateral mastectomy 11/19/08 with immediate reconstruction(DIEP). More nodes taken 6/17 total.
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Curlylocks Joined: Oct 2005 Posts: 1,359 |
Jul 1, 2009 09:52 pm, edited Jul 1, 2009 10:01 PM
by Curlylocks
Curlylocks wrote:
Hi Lori, Sorry you have had to join us. I was diagnosed at age 41, also stage IIb with er/pr+, her- and a 4 cm tumour in October 05. So I am an oldie here. My treatment was 4 a/c and 4 taxol. I had 3 out of 23 positive nodes thus the extra 4 treatments of chemo. I also had a lumpectomy with radiation, had my ovaries removed last May and am on Armidex (hormonal) drug to help prevent reoccurance for 3 years now. Most women do loose their hair during chemo, for me it was the most traumatic part of chemo. But it is only TEMPORARY for a good part of about 9 months and it grows back in alot of cases curly and thick, thick. I had long curly ringlets past my shoulders before I lost my hair, got it cut short in preparation for loosing it. I cried my eyes out when it started to fall out but then my husband shaved it off for me so it wouldnt all just come out on Christmas Day in the shower. I did loose my eyelashes and eyebrows. I got really good at drawing fake eyebrows and well the eyelashes just let it be. My eyebrows and lashes came back fairly quickly about 3 weeks after the end of chemo finished. I didnt have any problems with my nails, except my little one turned black but never fell off. Everyone is different in how they handle this disease, the emotional impact is the hardest...it is similar to going through the grieving process. You are grieving the loss of your old carefree life prior to bc, denial and anger are the first steps of it. At a much later date the acceptance will come...be kind to yourself...baby steps will get your through this...one day at a time. You will soon learn how to navigate this board, it is fairly easy. Click on the topic that you want to see and there are different subjects within those main threads. You have figured out how to post a question and then you can also receive private emails. If you have a private message it will show up highlighted as New under the Private Messages Tag at the top of the page. Just click on that and you will be able to read the message and respond back to someone if you want to. All the best in your journey, it is a tough one physically and emotionally but life does return to a new normal afterwards. I am proof that you can come out the other side of this nasty disease! Michele Dx 10/25/2005, IDC, 4cm, Stage II, Grade 3, 3/23 nodes, ER+/PR+, HER2- |
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NewportLori
Joined: Jul 2009 Posts: 38 |
Jul 1, 2009 10:16 pm, edited Jul 1, 2009 10:28 PM
by NewportLori
NewportLori wrote:
Hi Lisa: So good to get your response as you have many similar disease aspects to mine, including a large tumor. My 3 tumors combined measure over 7 cm. Even before the MRI showed multi-focal disease, my main tumor alone was so large in comparison to my barely B-cup breast size that a lumpectomy first was not an option for me -- there wouldn't have been much left. Although my sentinel nodes have not yet been removed, the biopsy path report stated suspicion of node involvement. If that's the case, I will also need rad tx, which I'm told would make reconstruction with implants more difficult. The plastic surgeon said she recommends a flap reconstruction after rad tx but I don't have sufficient abdomial fat for the complete reconstruction, so would still need supplemental implants. I carry my fat all over my body and my limbs probably have more fat than my belly. I'm hoping that the neoadjuvant TC regimen will assure that my nodes (even if they are positive now) will be found negative when I eventually have surgery. That might allow me to avoid rad tx and have a better outcome with reconstruction since I could simply use implants. Glad to hear that you already have a full head of hair! I read that Taxotere has a 6% occurence of permanent hair loss (low but still scary). UCLA is very well respected in cancer research and treatment. It does give me some degree of assurance that you were given the same protocol of 6 TC cycles. Thanks again!!! Lori
Dx 5/28/2009, IDC, 5cm, Stage IIb, Grade 2, / nodes, ER+/PR+, HER2- |
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lisalisa Joined: Sep 2008 Posts: 808 |
Jul 1, 2009 10:25 pm
lisalisa wrote:
Hi Lori, yes, i noticed that your stats were similar to mine. we thought my tumor was smaller than it ended up being.. once my surgeon went in for the lumpectomy it was bigger than she expected. she removed it but didn't get clean margins. at that point, she could have done more surgery, but like you i was a big b, small c and it would have been too noticeable. as well, i've been pretty agressive about my decision making and i wanted a bilateral. my surgeon talked me out of it but when the margins didn't come back, we did it my way! i am being treated by amazing doctors at ucla! and, i've done tons of research on my own. so, i feel very confident in my treatment. i just finished rads yesterday and now i'm moving on to a hysterctomy to rid my body of estrogen (i'm premenopausal). then, i'll need a bit more breast surgery to finish my reconscruction. if it helps, you're welcome to read my caring bridge: http://caringbridge.org/visit/lisamittleman a few others that have been diagnosed after me have read it. while long, you can skip to the parts that pertain to you. good luck! p.s. yes, the hair loss is a SCARY and EMOTIONAL thing. to be honest, i never thought about it not coming back. my biggest issue was that my daughter (then 5) FREAKED when i lost my hair. it was bad! DX 9/12/08. Lumpectomy 9/25/08 6cm, Stage 3, nodes 4/6, ER+/PR+, HER2-. Bilateral mastectomy 11/19/08 with immediate reconstruction(DIEP). More nodes taken 6/17 total.
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lisalisa Joined: Sep 2008 Posts: 808 |
Jul 1, 2009 10:27 pm
lisalisa wrote:
Lori - I meant to ask...where are you being treated? you know, if you can't get the reconstruction you want in OC, it's not a big deal to have it done at UCLA. they have an AMAZING team of plastic surgeons! I've sent 3 others to my PS and each has been very happy! also...I did my DIEP prior to chemo and rads. It held up very well!!! DX 9/12/08. Lumpectomy 9/25/08 6cm, Stage 3, nodes 4/6, ER+/PR+, HER2-. Bilateral mastectomy 11/19/08 with immediate reconstruction(DIEP). More nodes taken 6/17 total.
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NewportLori
Joined: Jul 2009 Posts: 38 |
Jul 1, 2009 10:57 pm, edited Jul 1, 2009 11:00 PM
by NewportLori
NewportLori wrote:
Hi Michele: I really appreciate your response. You also had a large tumor. One of the things that has been an issue for me has been how did I not notice this mass until it was so large? Even though my mother had breast cancer, I neglected doing BSE. Thank you for sharing your experience with hair loss including eyelashes and eyebrows. Like most women I suppose, my hair has been part of my identity -- in my case since high school when I had near waist-long blonde "Marcia Brady" hair (I'm 51 so perhaps you can't relate to that era since you're so much younger). One of the 2 women undergoing tx I've been in touch with chose to shave off her hair so she wouldn't wake up with it all over her pillow. As you said, the emotional impact can be difficult. Being single,never married with no kids, I have a pattern of trying to bear my own emotional burdens, but I am realizing this one is too much for me to bear alone. Because I have been on an emotional roller coaster since being diagnosed, I know that I need support from other women who understand -- both online and in person. Glad to hear how well you are doing. Lori
Dx 5/28/2009, IDC, 5cm, Stage IIb, Grade 2, / nodes, ER+/PR+, HER2- |
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kt57 Joined: Dec 2008 Posts: 308 |
Jul 1, 2009 11:01 pm
kt57 wrote:
Lori, Check out the "Anyone just on Taxotere and Cytoxin" thread under the "Chemotherapy - before during and after" link under Forum Index.You could be reading for a week as there are currently 86,000 posts --- but it gives you an idea of the range of experience people have with TC. I had 6 rounds - 3 weeks apart. Finished mid April. I was able to work through it..most days I felt pretty good. This board has been a tremendous help to me - both in information and support. You will get through this! Kathy
Dx 11/11/2008, IDC, <1cm, Stage I, Grade 3, 0/4 nodes, ER+/PR+, HER2- |
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MaryNY Joined: May 2009 Posts: 370 |
Jul 1, 2009 11:04 pm
MaryNY wrote:
Hi Lori: I've been diagnosed with multifocal IDC a week before you but am still waiting for surgery but dithering on whether to have a lumpectomy or a mastectomy. My biopsied lump is 1.5 x 1.6 x 1.3 cm. An MRI found a second spiculated mass adjacent to this 1.2 x 0.7 cm. When did you have surgery and how come they didn't do the SNB at that time? BS says I'm still a candidate for a lumpectomy as although she'll have to remove a sizeable chunk, she says there is enough spare tissue in the breast that could be moved around during reconstruction. Mary |
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lisalisa Joined: Sep 2008 Posts: 808 |
Jul 1, 2009 11:07 pm
lisalisa wrote:
Also, when you start chemo, get yourself in a group with the same timing! I started the "January 2009" group and Kt57 (kathy) who posted to you above was a January Jewel with me and a bunch of other great women! we're all done with chemo now...some had radiation, some didn't. But, we stuck together and we're STILL a support group for one another! I also posted on the Taxotere/Cytoxin thread that Kathy mentioned. You'll find a group and that will help you immensley. Also to prep for chemo, read the very beginning of the T/C thread. I made my shopping list from there. Lastly, you aren't too far away from me. Just holler if you need something! Really! Lisa DX 9/12/08. Lumpectomy 9/25/08 6cm, Stage 3, nodes 4/6, ER+/PR+, HER2-. Bilateral mastectomy 11/19/08 with immediate reconstruction(DIEP). More nodes taken 6/17 total.
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NewportLori
Joined: Jul 2009 Posts: 38 |
Jul 1, 2009 11:23 pm
NewportLori wrote:
Hi Lisa, I am being treated by physicians associated with Hoag Hospital in Newport Beach. Although Hoag has a dedicated Breast Care Center, because I have an HMO (Blue Shield Access Plus) with Greater Newport Physicians as my IPA, I am not able to go to any of the surgeons or oncologists who are part of Hoag's BCC as none of them are part of the GNP IPA. For most of my career prior to my recent focus on real estate, I was in either hospital administration or management consulting to hospitals and healthcare organizations. I have an MPH in Health Services Management from UCLA. In my opinion, it is a shame that the 100,000 HMO patients capitated to GNP do not have access to any of Hoag's BCC surgeons or oncologists. Fortunately, the GNP surgeon to whom I was referred seems to be very well qualified. Additionally, the plastic surgeon to whom I was referred and who is part of my HMO network also seems to be well qualified. Lori
Dx 5/28/2009, IDC, 5cm, Stage IIb, Grade 2, / nodes, ER+/PR+, HER2- |
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lisalisa Joined: Sep 2008 Posts: 808 |
Jul 1, 2009 11:48 pm
lisalisa wrote:
posting for Lori. she hit the 5 post limit for a new user. she won't be back on till tomorrow. i know that is so frustrating when you're newly diagnosed and just want info! DX 9/12/08. Lumpectomy 9/25/08 6cm, Stage 3, nodes 4/6, ER+/PR+, HER2-. Bilateral mastectomy 11/19/08 with immediate reconstruction(DIEP). More nodes taken 6/17 total.
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Gitane Joined: Feb 2008 Posts: 829 |
Jul 2, 2009 02:14 am
Gitane wrote:
HI Lori, I'm sorry you hit a posting limit. I didn't even know there was such a thing. I don't have IDC, but there are some other things that are similar about our situations. I was a little older than you are, I was 57 when diagnosed. (I'm 61 now.) My multifocal tumors covered an 8 cm area. I wanted to be treated at UCLA but my insurance wasn't accepted by them. I did go there to get an evaluation and second opinion from a surgeon, Dr. Chang, and an oncologist, Dr. Glasby, and then took their recommendations to my treating doctors. That gave me confidence in my decisions. I also had neoadjuvant therapy and bilateral mast. I had a SNB before chemo. I had AC not TC. Dx 8/18/05, PILC, multifocal, multicentric, G2, N0 (1 micromet) ER+ PR- Her2-
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xpectmiracl
Joined: Dec 2008 Posts: 388 |
Jul 2, 2009 08:21 am
xpectmiracles wrote:
Lori, I only had thinning of my eyelashes and eyebrows. My hair started falling out about 2 weeks into treatment. I didn't wait to see if it all came out or not. As soon as it started coming out, I had my kids shave it off. Here's a picture of their work!
I have ridges in my fingernails and they seem to split along the middle, but I never lost any. I keep my toenails painted, so all I can say is I didn't loose them! Cheryl
Dx 10/2008, IDC, <1cm, Stage I, Grade 2, 0/7 nodes, ER+/PR+, HER2- |
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