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All TopicsForum: Stage IV and Metastatic Breast Cancer ONLY → Topic: If you are NOT stage IV but have questions please post here

Topic: If you are NOT stage IV but have questions please post here

Forum: Stage IV and Metastatic Breast Cancer ONLY — A place for those managing the ups & downs of a Stage IV/metastatic breast cancer diagnosis. Please respect that this forum is for Stage IV members only or those posting on behalf of a Stage IV patient. There is a separate forum for Stage IV Caregivers/Family in "Support and Community Connections".

Posted on: Mar 4, 2012 11:52 AM

chrissyb wrote:

This thread is for those people who are not stage IV but are having concerns or questions regarding stage IV.

I found my peace which gave me strength.
Diagnosis: 12/8/2003, IDC, 4cm, Stage IV, Grade 2, 0/12 nodes, mets, ER+/PR+, HER2-
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Jul 27, 2012 10:22 AM blainejennifer wrote:

Linda,

You need more information, which the MRI will provide. Did your onc do a blood work-up to check your tumor markers? They are a good tool for some, and don't budge - even with mets - for others.

Please let your Onc know about the headaches. They are most likely due to stress or allergies, but your doc should know everything that is gong on with you.

Let us know how you are doing, ok?

Jennifer

2006: Stage 2b ER/PR+, HER -. 2012: Stage 4, bone lesions. July 2012: Tumor markers crazy (2000!), starting weekly Taxol, continuing Zometa.
Dx 5/2006, IDC, 4cm, Stage IIb, Grade 3, 4/12 nodes, ER+/PR+, HER2-Dx 3/2012, IDC, Stage IV, 4/12 nodes, ER+/PR+, HER2-
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Jul 27, 2012 04:58 PM chrissyb wrote:

Ssmith, so sorry that you are having these concerns.  I don't have lung mets but I do have many B9 nodes within the lungs caused through lung infections in the past.  I am told they are scar tissue.  Hopefully what your pet is showing is just the same sort of thing. At least you can be assured your onc is on your side and is being very vigilant with your health. 

Thinking of you and please let us know the result of your biopsy.

Linda, just because the PET showed something and your MO has ordered an MRI what is being looked at may be something else altogether.  Sometimes results of Pets show a false positive even with so called bone mets so your MO is just being super cautious for your benefit in ordering the MRI.  If that comes back positive, then he/she will surely discuss with you what needs to be done for treatment.

Hoping all is good.

Love n hugs to you both.   Chrissy 

I found my peace which gave me strength.
Dx 12/8/2003, IDC, 4cm, Stage IV, Grade 2, 0/12 nodes, mets, ER+/PR+, HER2-
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Jul 27, 2012 11:07 PM Linda-n3 wrote:

Thanks Stormy, Chrissy, and Jennifer.  My MO has not done tumor markers ever.  I am thinking I probably need to get a second opinion at some point - I have had a little lack of trust in my MO from the beginning, so dug my heels in and have not really followed her advice at times - mostly because I have had such SEs from everything she has given me that my QOL is not so great much of the time - now I know she is sort of gently trying to prepare me for the next steps .... and I don't want to go there .... and I don't want to deal with any more SEs .... and I don't want to deal with this miserable BC .... and I have a lot yet to do and don't want to lose a lot of time in a bad mood ... so I am going to watch funny videos today after cleaning my bathroom, which always makes me happy when it is sparkling clean!  Smile
Linda
Dx 7/14/2010, IDC, 3cm, Stage IIIc, Grade 2, 19/23 nodes, ER+/PR-, HER2-
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Jul 28, 2012 02:42 AM mimi24 wrote:

Thank you to everyone who replied.  After 3 mri's, a pet scan and a bone scan, the doc finally decided it was severe inflammation from my arthritic neck that caused the fluid on the spine that showed up on the mri......which precipitated the pet scan which showed "stuff", which precipitated the bone scan. Whew, what a mouthful..........anyway.........that sound you hear as you read this is a big whopping sigh of relief.  Now I just have to convince my heart doc I need to be on some kind of anti-inflammatory so this doesn't happen again.  (He had told me to stop taking it in April.)  My best wishes are with everyone who has the need to post on this board.  Pat

Dx 11/1995, ILC, 2cm, Stage IIb, 6/22 nodes, ER+/PR+Surgery 12/15/1995 Mastectomy (Left); Lymph Node Removal (Left); Reconstruction: Tissue expander placement, Breast implants (permanent), Latissimus Dorsi flap (Left)Chemotherapy 01/15/1996 Adriamycin, Cytoxan, fluorouracil, methotrexateRadiation Therapy 08/15/1996 ExternalHormonal Therapy 09/28/1996 Tamoxifen
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Jul 28, 2012 03:18 AM chrissyb wrote:

Mimi so glad to hear the good news! Hope you manage to convince your heart doc about the anti inflamatories.

Love n hugs. Chrissy

I found my peace which gave me strength.
Dx 12/8/2003, IDC, 4cm, Stage IV, Grade 2, 0/12 nodes, mets, ER+/PR+, HER2-
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Jul 28, 2012 06:55 AM ssmith37 wrote:

Chrissy and bak94, thank you for your responses.  Turns out it is lung mets, is inoperable, and without chemo, I would probably have 3-6 months to live!  Wow!  I may have bone mets as well.  I will have a bone biopsy on Monday, along with the reinsertion of a port for chemo that will start next week.  Carboplatin, Gemzar and Zometa.  My onc says the side effects are nowhere near what I suffered with A/C and Taxol.  I hope he's right.  Guess I will be posting on a Stage IV thread now.  Good luck to everyone here.  Pat - congratulations on the good news.  Linda - my onc never checked tumor markers either because of the high incidence of false positives and the anguish that causes.  I'm hoping your onc just has your best interests in mind.  Keep enjoying the funny videos!  I think I will make more of an effort to enjoy more funny videos myself now.

Stephanie
Dx 4/25/2011, IDC, 1cm, Stage II, Grade 3, 1/3 nodes, ER-/PR-, HER2-Surgery 05/31/2011 Lumpectomy (Left); Lymph Node Removal: Sentinel Lymph Node Dissection (Left)Chemotherapy 07/07/2011 Adriamycin, Cytoxan, TaxolRadiation Therapy 12/15/2011 External
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Jul 28, 2012 07:36 AM chrissyb wrote:

Steph I'm so sorry to hear this, I was hoping for a better outcome for you. I hate to say it but welcome to stage IV and the stage IV threads. There are some truly wonderful women here and I know they will offer you masses of love and support.

Hoping your chemo is gentle to you and hard on the cancer.

Love n hugs. Chrissy

I found my peace which gave me strength.
Dx 12/8/2003, IDC, 4cm, Stage IV, Grade 2, 0/12 nodes, mets, ER+/PR+, HER2-
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Jul 29, 2012 01:11 AM FLtricia wrote:

My 87 year old mother, 16 year survivor had mammogram, bone scan, chest x-ray yesterday. She barely got home and received call they scheduled her for scan of lungs Wednesday and appt with onc. Friday.  I fear it may be breast cancer in lungs.  I hope it is an infection or something simple.

My question is at her age is chemo and/or radiation her only options for treatment? Can they just give her an AI to slow things down?  My dad had lung cancer (heavy life time smoker) and at 86 they gave him chemo and radiation telling him it may cure him or at least give him more time. Within a month he was in renal failure and passed.

I want to know what to ask.  My mother is fine with a bad prognosis.  She said she was blessed with 16 healthy years. She is at the age that if they tell her she should do something she won't question (you never question a doctor) other options.  That's why I am going.   Any suggestions?

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Jul 29, 2012 01:24 AM blainejennifer wrote:

Steph,

A pox on lung mets! However, I'll bet they respond well to chemo. By inoperable, do they mean you have a bunch of teeny ones, or are they too close to a vital structure?

I'm from Dallas, so can I think of you battling Central Expressway in the heat?

Come, join us in the Stage 4 forum. Those ladies are wise and funny. I shudder to think of managing this disease without their knowledge and support. What did people do in the bad old days before the internet? Plus, now I can watch funny dog videos on Youtube whenever I need a boost.

Jennifer

2006: Stage 2b ER/PR+, HER -. 2012: Stage 4, bone lesions. July 2012: Tumor markers crazy (2000!), starting weekly Taxol, continuing Zometa.
Dx 5/2006, IDC, 4cm, Stage IIb, Grade 3, 4/12 nodes, ER+/PR+, HER2-Dx 3/2012, IDC, Stage IV, 4/12 nodes, ER+/PR+, HER2-
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Jul 29, 2012 02:50 AM Kindergarten wrote:

Hi, ChrissyB, Thank you so much for starting this thread!!!!! I do have a question for you all. I have never had a CA27.29 test, until moving to CA. My first 2 oncs, did not test me. My new onc in CA, is a very thorough young lady and wanted a base line. Well, CA 27.29 was 67, normal being,38 and my ALp was slightly elevated too. She is retesting me in a month. If they are still at this level, would you agree to do scans, or wait and still do another repeat of bloodwork. What is considered high and when do you think I should have the scans done. Thank you in advance for all your replies. Kathy

Kathy
Dx 11/17/2004, IDC, 2cm, Stage IIb, Grade 3, 1/28 nodes, ER+/PR+, HER2-Dx IDC, 2cm, Stage IIb, Grade 3, 1/28 nodes, ER+/PR+, HER2-Chemotherapy 12/05/2004 Adriamycin, Cytoxan, TaxotereRadiation Therapy 06/05/2005 External
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Jul 29, 2012 03:00 AM learnin wrote:

FLtricia - at 86 years old, the best option may be symptom control only. If they feel obliged to offer her chemo, she does not have to accept it. Maybe you can discuss it with her ahead of time, so she can go into the appt telling the onc that she is OK with bad news, and doesn't want chemo. It is really good you can go with her.

The questions I would ask are - what is her life expectancy with treatment? What is it without treatment? What side effects and changes to quality of life will treatment cause? Is there a symptom control (palliative care) team she can see? What home care can be arranged?

First dx 2005 Stage IIIC then; BRCA2; 2011 mets liver & bone
Dx 11/24/2011, IDC, Stage IV, ER+/PR+, HER2-
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Jul 29, 2012 03:16 AM FLtricia wrote:

Thank you learnin. The talk with her beforehand about turning down treatment is a good idea.  I've been "walking on eggshells" in conversations so far.  I guess we have to have a real talk before Friday.  She saw what my dad went through.  Also asking life expectancy with and without treatment is a good idea.  She knows what chemo is like, and she is much older now.

This is so hard.  Don't want to upset her. Don't want her to suffer through treatment. Don't want to let her go.  I pray it is not cancer and I am angsting about nothing.

Thanks again.

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Jul 29, 2012 07:58 AM lifeiswonderful wrote:

FLtricia - At the treatment center where I received chemo, there were mostly senior citizens being treated, and I happen to know that one was in her 90's.  Most of them seemed to be doing well with the treatment; some were very spry, while there were others in wheelchairs, for example.  Those of us who were younger seemed to be the ones having all the complications. 

I am sorry about what happened to your father; my father also passed away shortly after his one and only chemo treatment (long story).  I don't know what the best option for your mother is, but sometimes it seems the outcome might have less to do with age and more to do with other factors, perhaps, like overall health.

I pray that it is not cancer, after all, and if it is, that the doctors can help her in the way that she decides is best for her.

{{Hugs}}

Left MX w/ TE 1/20/11 AC x 4, Taxol x 12, Radiation, Tamoxifen, BRCA2+
Dx 11/23/2010, IDC, 1cm, Stage IIa, Grade 3, 2/22 nodes, ER+/PR+, HER2-
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Jul 29, 2012 05:04 PM chrissyb wrote:

Kindergarten for a lot of people the CA 27-29 and CA 15-3 (those tests show virtually the same thing) are not terribly accurate nor reliable that is why some doctors do not test them. Because yours are outside the normal range your doc wants to test again so she can see if for you they are going to prove a good indication tool. 

As far as how high is too high before scans etc are done?  Well again it will depend on the accuracy for you of the test and of course how quickly they are rising. There are a few factors that will influence these results including inflammation in your body so the follow up tests will either fall or rise consistently which will tell your doc if she needs to follow through with scans. 

Hope this helps a little and your numbers are just because of inflammation.

Love n hugs.   Chrissy

I found my peace which gave me strength.
Dx 12/8/2003, IDC, 4cm, Stage IV, Grade 2, 0/12 nodes, mets, ER+/PR+, HER2-
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Jul 30, 2012 12:17 AM Kindergarten wrote:

Dear Chrissy, thank you so much for your kind and informative relply. I have a feeling as well that it might be due to inflamation as well. I have lymphedema and have had two bouts of cellulitis. I have also been taking a maintenance antibiotic for a year!!!  I so appreciate this thread and thank you for giving your time to answer. Love and hugs to you!!! Kathy

Kathy
Dx 11/17/2004, IDC, 2cm, Stage IIb, Grade 3, 1/28 nodes, ER+/PR+, HER2-Dx IDC, 2cm, Stage IIb, Grade 3, 1/28 nodes, ER+/PR+, HER2-Chemotherapy 12/05/2004 Adriamycin, Cytoxan, TaxotereRadiation Therapy 06/05/2005 External
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Jul 31, 2012 11:19 AM srbl62 wrote:

Hello ladies,

Just wanted to give you an update. I was frantic panic the last time I was in here. All of my test results showed NED. I could not tolerate that arimidex. Just came off my 6 week break and my whole body feels much better. I took my first aromisin tonight. We'll see how it goes.

Sharon
Dx 6/5/2010, ILC, 5cm, Stage IIIc, Grade 1, 22/29 nodes, ER+/PR+, HER2-Chemotherapy 06/20/2010 Abraxane, Adriamycin, CytoxanSurgery 01/11/2011 Mastectomy (Right); Lymph Node Removal: Sentinel Lymph Node Dissection, Axillary Lymph Node Dissection (Right)Radiation Therapy 02/01/2011 ExternalHormonal Therapy 04/01/2011 Arimidex
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Jul 31, 2012 01:17 PM jacksnana wrote:

srbl62, that is wonderful news!!  Hope the aromasin is much kinder to you!

Dx 10/26/2009, IDC, 3cm, Stage IIa, Grade 1, 0/12 nodes, ER+/PR-, HER2+
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Jul 31, 2012 05:21 PM chrissyb wrote:

Sharon that is great news!  Sorry you had so much trouble with the Arimidex but I'll hope for you that the Aromasin treats you more gently.

Love n hugs.   Chrissy 

I found my peace which gave me strength.
Dx 12/8/2003, IDC, 4cm, Stage IV, Grade 2, 0/12 nodes, mets, ER+/PR+, HER2-
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Aug 1, 2012 12:10 AM Lady_Miz wrote:

Good morning ladies...

So, after requesting a PET or CT scan to determine what the pain in my ribs, femur and hips was about, I wound up getting a bone scan and though several areas (right shoulder, both hips, right knee) showed "uptake", they think it is "PROBABLY" degenerative joint process.  So i am to be okay with the assumption that in a year's time, I have developed degenerative disease at 38 years old when there was no evidence of it last September? Has anyone else encountered this? 

My onc doesn't check tumor markers unless someone is diagnosed Stage IV so I didn't have any reassurance from that either. I am not quite sure how I feel about the whole thing.  The pain isn't really local to my joints - it is in the middle of my right femur and no amount of rubbing or massaging will relieve it.  This has been going on for several months now and is starting to get frustrating because by the end of the day, my feet and legs make it almost unbearable to even walk to my bedroom.  The spot under my right breast on the ribs is so tender that I won't even touch it and am extremely careful putting a bra on.  Due to the aggressiveness of my cancer (TNBC; grade III; Ki-67 of 75%) I get checked out every 3 months so I guess I will wait until the October 26th visit and see if anything is better by then.

I apologize for whining as I am the type who doesn't acknowledge pain unless it is really bad but this is just getting exhausting and I don't want to find out down the road that there is something going on that needed to be addressed. 

xoxoxo to y'all...

Dx 8/26/2011, IDC, 3cm, Stage IIb, Grade 3, 0/4 nodes, ER-/PR-, HER2-Surgery 09/15/2011 Lumpectomy (Right); Lymph Node Removal: Sentinel Lymph Node Dissection (Right)Chemotherapy 10/14/2011 Adriamycin, Cytoxan, TaxolRadiation Therapy 02/23/2012 External
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Aug 1, 2012 12:27 AM chrissyb wrote:

Hi mmizerak I understand how frustrating things can be when pain is involved and you are not getting the answers you need.  It sounds like the scan has really not given you an answer other than degeneration of the joints.........mind you, that can be extremely painfull.  

As your onc doesn't do tumor markers perhaps you could aks your PCP if he/she will order it.  Do you know if they are accurate for you?

Sure hope you get both answers and relief from the pain.

Love n hugs.   Chrissy 

I found my peace which gave me strength.
Dx 12/8/2003, IDC, 4cm, Stage IV, Grade 2, 0/12 nodes, mets, ER+/PR+, HER2-
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Aug 1, 2012 12:32 AM Lady_Miz wrote:

chrissyb ~

Wouldn't degeneration of the joints hurt...in the joints?  the pain really isn't at the joint but right smack dab in the middle of the bone (in the case of my thigh) and in the hips, it feels like I should be able to look down and see a bruise but obviously I don't.  It is dfinitely a deep bruise feeling though.

I wouldn't know if the tumor marker tests are accurate for me because she has never done them before - that is what I thought was so bizarre.

That's a great idea regarding my PCP.  I think I will get on that as I am due for a physical anyway - although those somewhat scare me now.  When I went for my physical in August of 2010, I wound up having to have a total hysterectomy and at my physical in 2011 - well, you already know that! Undecided

Dx 8/26/2011, IDC, 3cm, Stage IIb, Grade 3, 0/4 nodes, ER-/PR-, HER2-Surgery 09/15/2011 Lumpectomy (Right); Lymph Node Removal: Sentinel Lymph Node Dissection (Right)Chemotherapy 10/14/2011 Adriamycin, Cytoxan, TaxolRadiation Therapy 02/23/2012 External
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Aug 1, 2012 12:53 AM chrissyb wrote:

mmizerak pain can radiate so sometimes where we feel the pain is not where the cause of the pain is.  I hear you on thinking about bone mets..........I have bad arthritis in my hips but the pain I feel is in my femur that's what I mean about pain radiating.  

Please never fear your physicals and never not do them.  If you think about it, they have actually saved your life and that is a really good thing.

Some docs are loathe to do the tumor makers as they are very often not acurate.......mine are always well within the normal range and the only thing that moves them at all (and that is only a point or two) is inflamation so for me they say nothing.  Having said that, it's not a bad idea to get a base level for you so as you already have an appointment with your PCP it will not harm anything to ask.

Love n hugs.   Chrissy 

I found my peace which gave me strength.
Dx 12/8/2003, IDC, 4cm, Stage IV, Grade 2, 0/12 nodes, mets, ER+/PR+, HER2-
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Aug 1, 2012 01:59 AM minxie wrote:

Has anyone had a local recurrence before going to stage IV? Is it inevitable that it will recur as distant mets? I can't make heads or talis of what I'm reading. One abstract said everyone they studied with a local recurrence was dead in 10 years. Another said that my type of local recurence had a 68% survival rate at 10 years.

IDC, lumpectomy, SNB, axillary ND 12/08. DD AC, Taxol. Then DCIS found 7/09, BMX w/lat flap reconstruction. Local recurrence 5/12, TN, 1 cm, node negative. Implant removed.
Dx 12/4/2008, IDC, 1cm, Stage IIa, Grade 3, 2/8 nodes, ER-/PR-, HER2-Chemotherapy 02/01/2009 Adriamycin, Cytoxan, TaxolSurgery 07/27/2009 Lumpectomy (Right); Mastectomy (Right); Lymph Node Removal (Right); Prophylactic Mastectomy (Left); Reconstruction: Tissue expander placement, Breast implants (permanent), Latissimus Dorsi flap (Both)
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Aug 1, 2012 02:13 AM blainejennifer wrote:

Minxie,

If you take the stats to heart, you'll make yourself crazy. Any stats available are - by the very nature of medical trials/analysis - out of date by the time they are available.

A trial takes 1 to five years to institute, then it takes a year or two to get peer reviewed and published. Even a meta-analysis of available data takes two or three years to get "done" and published, and uses old (ie: available) data.

So, let's say that, in a best case scenario, any available data is at least three years old. That is generous. It's most likely five years old. In that five years, new chemotherapeutic drugs have become available, and protocols have changed (for example: moving away from dose dense Taxol to weekly Taxol, and the improvement in response because of weekly dosing).

Some stats are good, some are bad, but this disease is very individual. A definite "your mileage may vary" situation.

That said - best of luck. Keep us posted, and add your data to this site by joining in. I get the best and most current information by reading this site.

2006: Stage 2b ER/PR+, HER -. 2012: Stage 4, bone lesions. July 2012: Tumor markers crazy (2000!), starting weekly Taxol, continuing Zometa.
Dx 5/2006, IDC, 4cm, Stage IIb, Grade 3, 4/12 nodes, ER+/PR+, HER2-Dx 3/2012, IDC, Stage IV, 4/12 nodes, ER+/PR+, HER2-
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Aug 1, 2012 04:08 AM Lady_Miz wrote:

Thank you, Chrissy...

No, I will never skip a physical. I have too many reasons to take care of myself! I was just speaking theoretically, meaning my track record the last couple of times kinda sucks! :o)

Thank you for the reassurance about the degenerative pain. I've been told by several today that this can also be another "not-so-advertised" SE of chemo...go figure.

I appreciate your patience with my little "freak-out" and will be checking with my PCP to see what he suggests as far as non-cancer explanations.

Xoxoxo!

Dx 8/26/2011, IDC, 3cm, Stage IIb, Grade 3, 0/4 nodes, ER-/PR-, HER2-Surgery 09/15/2011 Lumpectomy (Right); Lymph Node Removal: Sentinel Lymph Node Dissection (Right)Chemotherapy 10/14/2011 Adriamycin, Cytoxan, TaxolRadiation Therapy 02/23/2012 External
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Aug 1, 2012 04:17 AM Lady_Miz wrote:

Minxie...girl, I hear your panic! I know it is easier said than done but stop Google searching anything using the terms "rate", "expectancy", "statistics" or "percentages" as it will only serve to keep you awake at night instead of getting MUCH needed rest & recovery from the physical, mental & emotional roller coaster ride you've found yourself on. What you read as far as studies is only as accurate as the individual(s) performing the testing...need I say more?

Trust your doctor & your instincts (as I have had to tell myself again today, given my own hiccup in confidence) & live your life in spite of this ugly disease!

Hugs to you!

Dx 8/26/2011, IDC, 3cm, Stage IIb, Grade 3, 0/4 nodes, ER-/PR-, HER2-Surgery 09/15/2011 Lumpectomy (Right); Lymph Node Removal: Sentinel Lymph Node Dissection (Right)Chemotherapy 10/14/2011 Adriamycin, Cytoxan, TaxolRadiation Therapy 02/23/2012 External
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Aug 1, 2012 05:51 AM learnin wrote:

Mmizerk - I may be the little dark rain cloud in this conversation.

I had pain for several years before my mets dx. Bone scans were always OK. Eventually a bone scans showed a single hot spot "unlikely mets" - did a CT at my request - turns out I had widespread mets liver and bone. The single hot spot I had only showed up because I had fractured a rib.

Bone mets can be osteoblastic (like scarring) or osteolytic (like holes). The osteolytic mets don't show up on bone scan.

Bottom line - if your bone scan doesn't match your symptoms, you may wish to request a CT scan

Good luck. Keep us posted.

First dx 2005 Stage IIIC then; BRCA2; 2011 mets liver & bone
Dx 11/24/2011, IDC, Stage IV, ER+/PR+, HER2-
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Aug 1, 2012 07:46 AM Lady_Miz wrote:

learnin ~

Thank you for your input - and you are most certainly not a raincloud. Breast Cancer is the raincloud here! I am exploring all of my options & will follow-up accordingly. Please private message me & let me know what your pain was like, where it started, etc..if your comfortable doing so.

Hugs!

Dx 8/26/2011, IDC, 3cm, Stage IIb, Grade 3, 0/4 nodes, ER-/PR-, HER2-Surgery 09/15/2011 Lumpectomy (Right); Lymph Node Removal: Sentinel Lymph Node Dissection (Right)Chemotherapy 10/14/2011 Adriamycin, Cytoxan, TaxolRadiation Therapy 02/23/2012 External
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Aug 10, 2012 03:17 PM StayStrong101 wrote:

Dear Beloved and Strong members,

I feel as though I need some honest advice on what to expect, I am really unsure :(.Sorry that it is so long but please read I will give you some background.

I am 19years old, My mother is 56years old, she was diagnosed with Breast Cancer in May 2010 of the left breast, they couldn't tell her a stage (and I'm still not sure why), with her they did things a little different. They said they were going to try and shrink the tumor as much as possible before removing it. They did 12 weeks of chemotherapy (not sure which one they only used the word most aggressive every time we were there), she then did 6 weeks of radiation, with the time in between and the wait on surgery they operated and successfully removed the whole tumor through a Full Mastectomy including removal of lymph nodes from under the left arm in Mid December 2010. They then did tests and confirmed they had got the tumor, this was suppose to be the day where everything would get better and go back to normal, not the case, the doctor added the bad news on Christmas Eve may I add, the cancer had spread to her bones. The doctor now classified the cancer as Stage IV Metastatic Breast Cancer.He said her expectancy is 12months to 36months. She has been on Zometa once a month through a port they have placed in her chest, they say this will not help with the cancer but will reduce breakages and pain. Now it is 20months later and she has been well up until now, working, eating, sleeping. The family have been supportive and positive. However, last month when she went for her Zometa they said they are worried about her weight loss (8Kg in a month) she says its from eating well and going to the gym, she weighs 65kg, from there for the past two weeks she has been having sharp pain in her right hand side near the rib cage at the back (very bad, she won't ever mention pain unless it's absolutely terrible) she has been crying it's so bad, she has days where she doesn't feel like eating, she physically can't hide the pain its obvious she is hurting and it's getting worse, she gets very frazzled, she is very tired and lethargic and says she doesn't feel right, she also has these fits of laughter out of nowhere (I'm happy if she is just being happy but this is very random and worries me). But, she won't go to the hospital, she says there is nothing they can do anyway and she doesn't want people prodding anymore, she wants to be at home. She has a CT scan at the end of the month as she does every three months, I'm worried this has something to do with her liver ( I really hope not but the doctor warned us about this).

My questions are:

Does this sound like her liver?

If it does what would that mean?

Is her downward progression alarming as it is happening so quick?

Any other advise would be great, thank-you in advance.

Sorry for the long passage, I needed to vent I will worry about this all month and I can't worry to her she says I am her rock (she is divorced)so she needs me to be strong, It is so sad this happens to people with no reason why, I pray for each and every person going through this battle, so strong and couragious.

P.s.I am not intending to be negative I hope this has a positive outcome but the worry isstrong. I send her positive rainbows everyday.

Thank-you again,

My heart goes out to you, Love and respect. Rainbows of strength to all

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Aug 10, 2012 05:48 PM chrissyb wrote:

Hi Staystrong.  I'm so sorry that your mom is going through all this.  One question though or maybe two, what is her ER/PR status as in positive or negative and also her Her2 status, positive or negative.  Why I ask is because if she is triple negative the treatment is slightly different than if she were ER/PR + Her2- or ER/PR+ Her2- or ER/PR- Her2+.  Sorry I know this is a bit confusing but the doc should have told her these things even if they couldn't tell her what stage she was at the beginning which sounds a little unusual.  You say that her cancer is very agressive so that would put it at grade 3 and if her tumor was large enough to warrant chemo first to shrink it then that would have been either Stage 2b or 3. Those things are worked out on size of tumor and spread to the lymph nodes and speed of cell divide.

As for being stage IV and the statistics that the doc quoted to her please don't let those numbers upset you as they are old statistics and it is very possible to live for quite a few years even with cancer to the liver.  I am no doctor but what you describe does indeed sound like a problem coming from the liver but whether it is mets or not well that can ony be confirmed with tests.  The CT she had sheduled will confirm what;s happening.

I know you said that your mom was on Zometa for her bones but was she not on anything else?  no other drug at all?  That information directs me to thinking that she is tripple negative ie ER/PR- Her2-  and if that is the case and the problem with her liver turns out to be mets (metastisis) then I'm sure the doc or Oncologist will recommend chemo again.  

As a stage IV person, she can with treatment have a good life length so please tell her not to give up but if she doesn't want anymore treatment, respect her decision even though it will be hard.

I hope this has helped a little but if you want to ask more questions please feel free to do so also please let us know how your mom's scans go.

Love n hugs.   Chrissy 

I found my peace which gave me strength.
Dx 12/8/2003, IDC, 4cm, Stage IV, Grade 2, 0/12 nodes, mets, ER+/PR+, HER2-

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