Member Since: March 6, 2008
Last Login: December 2, 2008
Birthday: June 28, 1953
Location: MO United States
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| Diagnosis: | Dx 1/28/2008, ILC, <1cm, Stage Ia, 0/6 nodes, ER+/PR+, HER2- |
| Diagnosed: | January 28, 2008 |
| Type: | Invasive or Infiltrating Lobular Carcinoma |
| Recurrent? | No recurrence |
| Metastatic? | |
| Stage: | Stage Ia |
| Lymph Nodes Removed: | 6 |
| Positive Lymph Nodes: | 0 |
| Tumor Size: | Less than 1cm |
| Tumor Grade: | |
| Hormone Receptor Status: | Tumor has both estrogen and progesterone receptors |
| HER2/neu Status: | Tumor does not have an excess of HER2/neu receptors or genes |
Posted in:
Tests, Treatments & Side Effects + Hormonal Therapy - Before, During and After, Created: Dec 1, 2008 10:29 pm
side effects predict recurrence riskTreatment-Emergent Endocrine Symptoms and the Risk of Breast Cancer Recurrence: A Retrospective Analysis of the ATAC TrialLancet Oncol. 2008 Oct 30;[Epub ahead of print], J Cuzick , I Sestak, D Cella, L Fallowfield<!--startindex-->When the mechanism of action behind treatment toxicity reflects the intended effect on the treatment target, the toxicity might be a useful marker for efficacy. During endocrine treatment of breast cancer, the occurrence of symptoms related to oestrogen depletion or oestrogen blockade might thus be a predictor of treatment effectiveness. In this retrospective analysis, the relation between the reported incidence of vasomotor or joint symptoms and breast cancer recurrence in the Arimidex, Tamoxifen, Alone or in Combination (ATAC) trial is assessed.
Women with hormone-receptor-positive tumours who reported vasomotor or joint symptoms at the first follow-up visit (3 months) in the ATAC trial, (which assessed tamoxifen or anastrozole for adjuvant treatment of postmenopausal breast cancer), were compared with women without these symptoms to see if there was a relation between these symptoms and subsequent recurrence.
1486 of 3964 (37·5%) eligible women reported newly emergent vasomotor symptoms at the 3-month follow-up visit and had lower subsequent recurrence than those who did not report these symptoms (223 during 10 752 women-years of follow-up vs 366 during 11 573 woman-years of follow-up, respectively; hazard ratio [HR] 0·84 [95% CI 0·71—1·00], p=0·04; adjusted for age, body-mass index, previous hormone-replacement therapy, nodal status, tumour size, and tumour grade). A greater decrease in breast-cancer recurrence was seen for the 1245 of 3964 (31·4%) eligible women who reported new joint symptoms at the 3-month follow-up visit compared with those not reporting these symptoms (158 during 9242 women-years of follow-up vs 366 during 11 573 women-years of follow-up; adjusted HR 0·60 [0·50—0·72], p<0·0001).
The appearance of new vasomotor symptoms or joint symptoms within the first 3 months of treatment is a useful biomarker, suggesting a greater response to endocrine treatment compared with women without these symptoms. Awareness of the relation between early treatment-emergent symptoms and beneficial response to therapy might be useful when reassuring patients who present with them, and might help to improve long-term treatment adherence when symptoms cannot be alleviated effectively. |
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Tests, Treatments & Side Effects + Surgery - Before, During, and After, Created: Nov 27, 2008 11:45 pm
Menopause Symptoms Post Hysterectomy/OopherectomyHi katiejane, I had a TAH/BSO in June of this year because of complex endometrial hyperplasia with atypia. I was also close to menopause, and the doctor thought I would have no problems with menopausal symptoms. wrong. I have had the hot flashes, depression, and trouble sleeping. I think that the small amount of estrogen that the ovaries were making made a big difference. I had a bilateral mastectomy in February for ILC in six places with positive estrogen and progesterone receptors. I wasn't planning on having a hysterectomy/ooph though until my doctor said that my endometrial diagnosis was going to turn into cancer and everything had to come out. I guess it's good that I have less estrogen now, but I miss it. My skin texture is changing too and I think I'm starting to look much older quickly. Neurontin is sometimes given for the hot flashes, it helps me sleep also. I'm taking more fish oil also, which seems to help. I suppose we all worry about mets. I had an MRI of my back recently because of sciatica. My back did not look bad except for a tarlov cyst, but they found a 9mm hypodense lesion in my liver. They said that it could be an atypical hemangioma, which is benign, or a metastatic breast cancer lesion. They also found a tiny 2mm non-calcified lesion in the lower lobe of my lung. The plan is to wait for 3-4 months, rescan, and see if there are any changes. Julie, I'm sorry you're having regrets about your ooph. It's always kind of a guessing game in all the treatment decisions we make, isn't it. I try not to second guess myself too much, because there's no going back anyway. By the way, I live near Kansas City, hello over there! Sending good thoughts your way, gandl |
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Recovery, Renewal, & Hope + Moving Beyond Cancer, Created: Nov 24, 2008 01:35 pm
Gas price surveyGas here in western Missouri was $1.37 yesterday. I agree about the food prices. I went to Aldi's, which used to be very cheap, and prices are way up there also. I'm paying about $3.50 for a loaf of whole grain bread. |
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Connecting With Others Who Have a Similar Diagnosis + Recurrence and Metastatic Disease, Created: Nov 21, 2008 09:26 am
Liver Mets..Hi Ozzie, Your ALP, alkaline phosphatase, can be related to bone health also, so that may be the reason it is high. I do know that ALP is often high in cancer patients. Your other lab results don't seem too bad, just slightly off. I work in a lab, so I see patient results every day, but your doctor could give you better advice about their significance. I hope you start feeling better soon. gandl gandl Dx 1/28/2008, ILC, <1cm, Stage Ia, 0/6 nodes, ER+/PR+, HER2- |
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Recovery, Renewal, & Hope + Moving Beyond Cancer, Created: Nov 9, 2008 03:51 pm
Gas price surveyIndependence, Missouri $1.65 gandl Dx 1/28/2008, ILC, <1cm, Stage Ia, 0/6 nodes, ER+/PR+, HER2- |
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Recovery, Renewal, & Hope + Prayers and Spiritual Inspiration, Created: Nov 5, 2008 02:03 pm
Wishes for Slonedebslonedeb, I thought I would let you know that a woman in my local breast cancer support group had the lymph nodes on her aorta become involved. She has been successfully treated and is presently NED. I think it's much more likely that it is the lymph nodes by your aorta and not the aorta itself that showed up. I would be very surprised if it wasn't the lymph nodes she commented on. gandl Dx 1/28/2008, ILC, <1cm, Stage Ia, 0/6 nodes, ER+/PR+, HER2- |
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Connecting With Others Who Have a Similar Diagnosis + Recurrence and Metastatic Disease, Created: Oct 27, 2008 01:48 pm
question about pathology reporthi. from what I understand perineural invasion has no association whatsoever with disease free survival. It's not a prognostic marker. The higher the stage of your cancer the more likely you are to have PNI. Also if you have IDC and axillary lymph node involvement you are more likely to have it. |
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Connecting With Others Who Have a Similar Diagnosis + ILC (Invasive Lobular Carcinoma), Created: Oct 6, 2008 11:57 pm
Symtoms?I think I would have a check-up with my primary care physician if it was me. Feeling like you have the flu all the time has to be miserable, and even if it's not cancer related, maybe the doctor can give you something to help you feel better. It may not be something you need to discuss with your onc at all. I'd get checked sooner rather than later. gandl Dx 1/28/2008, ILC, <1cm, Stage Ia, 0/6 nodes, ER+/PR+, HER2- |
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Connecting With Others Who Have a Similar Diagnosis + ILC (Invasive Lobular Carcinoma), Created: Oct 6, 2008 11:49 pm
Interpreting the Biopsy ReportI found this discussion interesting because I work in a lab with a pathologist. My initial sympton with my ILC was bleeding from the nipple. Since I had the blood sample, I decided to make a slide and look at it. I could see the small tumor cells in a 3-D configuration. I looked in some of our reference books and found balls of breast cancer cells that looked like what I had. The stomach cancer cells were very similar also. After my mastectomy my path report said extensive LCIS with pagetoid spread and six areas of ILC. Pagetoid spread means that the LCIS was in the ducts and spreading toward the nipple. There's something called a basement membrane at the outside edge of the lobule or duct that is where the duct or lobule stops. If the cancer cells go through that membrane and outside of the lobule or duct they are called invasive. The cells look the same for LCIS and ILC, it just depends on whether they have grown through the basement membrane and out into the other breast tissue or not. ILC cells tend to be smaller and more normal looking than IDC and have to be identified through special stains. My pathologist said that they have to be really careful when looking in the lymph nodes for the ILC because it is easier to miss. The frozen sections that they did during surgery showed my lymph nodes to be clear, but the more careful testing done later showed isolated tumor cells in the first node. I am not a cytotech, so I've had to learn what I was looking at as I went along. All of this information is from my personal experience and understanding and study. If I am wrong about any of this I apologize,but I think this is correct. gandl gandl Dx 1/28/2008, ILC, <1cm, Stage Ia, 0/6 nodes, ER+/PR+, HER2- |
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Connecting With Others Who Have a Similar Diagnosis + Recurrence and Metastatic Disease, Created: Sep 26, 2008 09:02 am
Leg painI had severe leg pain last year before I was diagnosed with breast cancer. I went to an orthopedist, a pysiatrist, a chiropractor, a neurologist and my PCP. The chiropractic treatmant of electric trigger point stimulation would help temporarily by confusing my nerves. It only lasted a few hours though. I went three times a week for about six weeks. I tried shoe inserts, nsaids, and stronger pain meds. The treatment that finally helped was neurontin. It lasted about 6 hours but was prescribed for every 8 hours. A couple of months later I was diagnosed with breast cancer. The onc ordered a bone scan which showed nothing in my leg. It did show a couple of places on my sternum and one rib. I had regular x-rays of the sternum and rib which didn't show any lesions. I had a repeat bone scan three months later and the only thing that showed up was the rib. The neurologist did find "minimal evidence for an L5 radiculopathy" From what I understand that is like a pinched nerve in the lower back. I think sciatic nerve pain is similar. I know what you mean about worrying about recurrence of BC, but there are lots of other things to go wrong in our bodies also. : ) Anyway, keep looking into it and somebody will find a way to help eventually. Good luck gandl Dx 1/28/2008, ILC, <1cm, Stage Ia, 0/6 nodes, ER+/PR+, HER2- |
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Connecting With Others Who Have a Similar Diagnosis + Recurrence and Metastatic Disease, Created: Sep 16, 2008 11:14 am
These nights are killing me....Dani, I had bilat in Feb. '08 and TAH/BSO in June. I totally agree about the problems sleeping. I talked to my gyn about it, and he acted like he had never heard of it as a problem after ovary removal. I'm not terribly impressed with him anyway. I was hoping that the insomnia would get better as my body adjusted to the new estrogen levels, but I'm still having problems. Oh well, lang gandl Dx 1/28/2008, ILC, <1cm, Stage Ia, 0/6 nodes, ER+/PR+, HER2- |
Posted in:
Tests, Treatments & Side Effects + Help Me Get Through Treatment, Created: Sep 9, 2008 02:50 pm
Looking for fellow Neuropthy peopleI had a therapy at my chiropractor using electrodes on each leg which helped. Neurontin helped me the most. gandl Dx 1/28/2008, ILC, <1cm, Stage Ia, 0/6 nodes, ER+/PR+, HER2- |
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Connecting With Others Who Have a Similar Diagnosis + Recurrence and Metastatic Disease, Created: Sep 5, 2008 09:58 am
bone scan,, then x ray ??Hi Lynn, I also had a bone scan and then x-ray after it this year. They told me that the bone scan shows up lots of false positives. The x-ray can tell them if the bone looks like it is being eaten away or building up new bone inappropriately. If it looks OK then they say it's not mets.` I had a repeat bone scan 3 months later and the spots on the sternum had gone away. I still have one on one rib, but they don't seem concerned about it. I did get the report and it said that it was stable and continued follow-up is a good idea. The onc didn't mention it when I was there 3 weeks ago. I asked the nurse how I would know if it was mets, and she said it would hurt. Anyway, that's what I know about bone scans and x-rays. gandl Dx 1/28/2008, ILC, <1cm, Stage Ia, 1/6 nodes, ER+/PR+, HER2- |
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Connecting With Others Who Have a Similar Diagnosis + Recurrence and Metastatic Disease, Created: Sep 4, 2008 12:00 pm
metastasis may occur sooner than previously thoughtStudy suggests cancer cells may metastasize earlier than previously believed.
The U.K.'s Press Association (8/29) reports that a paper appearing in Science suggests that "cancer cells may spread around the body much earlier than was previously thought," a discovery that "could prompt a complete rethink about metastasis...and lead to new ways of tackling the disease." The medical community had previously believed that metastasis was "a late event that only occurs when a disease is advanced and has passed certain stages," after "a series of genetic alterations" made "them more aggressive." These changes would ensure the cells' survival as they "journey through the bloodstream," and the alterations would also enable the cells "to initiate malignant growth in their new environment in the new site," the BBC (8/28) added. But researchers at the Memorial Sloan-Kettering Center in New York now maintain that "'normal' cells may carry cancer to new sites long before a tumor develops, lying dormant until key genes are activated." Furthermore, these "cells were capable of traveling in the bloodstream to the lungs" -- some "surviving there for up to 16 weeks without expressing any oncogenes." The finding may provide "an explanation for why some breast cancers, for example, appear to spread throughout the body long after the initial tumor has been treated," pointed out the U.K.'s Telegraph (8/28, Highfield). During their experiments, the New York "team injected mice with normal mammary cells from donor mice that had been experimentally manipulated in a way that allowed the researchers to turn on in breast cells certain cancer genes, known as 'oncogenes,' at various times after injection." The "normal mammary cells traveled in the bloodstream to the lungs" for nearly four months, however, they "did not begin growing aggressively in the lungs until the oncogenes had been turned on, by giving the recipient mice a specially treated feed." Notably, the cells did not go "through the stage of being a primary tumor," HealthDay (8/28, Gardner) reported. The team led by Harold Varmus, "who won the 1989 Nobel Prize for his work in cancer genetics and later went on to become director of the National Institutes of Health," then "injected normal cells without manipulating any oncogenes." They found that "when these normal ectopic cells were injected back into a new generation of mice, they developed into normal mammary glands." Co-researcher Katrina Podsypanina, Ph.D., said, "It's definitely conceptually very profound," because "our data seems to point toward the inherent decision that is made when the tumor is formed whether it is highly malignant or not." She added, "Moreover, since the characteristic might be dependent on the normal cell status, one might imagine that they might be different between individuals." |
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Tests, Treatments & Side Effects + Breast Reconstruction, Created: Jul 14, 2008 08:26 am
continued Tissue expander pain!!Kerry, I am also 5 weeks post-op on the exchange. I am also having more tightness and discomfort instead of less. I don't see my ps until Aug. 21, so I would be interested to hear what your ps says about it. I'm thinking that maybe the scar tissue is getting firmer around the implant and more difficult to move around without pain. Has anyone else had experience with this? gandl Dx 1/28/2008, ILC, <1cm, Stage Ia, 1/6 nodes, ER+/PR+, HER2- |
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Connecting With Others Who Have a Similar Diagnosis + ILC (Invasive Lobular Carcinoma), Created: Jul 4, 2008 03:20 pm
possible mets to pelvic area or uterus?Gitane, I wrote a really long reply yesterday, but I guess it got lost in cyberspace. I have very good news from the surgery, NO CANCER. My tubes and ovaries were normal, and my uterus was 3 times normal size with 7 large fibroids, 2 polyps, and a large cyst. With my ovaries gone, and thus my estrogen supply, I'm feeling less worried about a recurrence of the breast cancer also. Obviously I don't need to worry about mets to my uterus, tubes, and ovaries any more. Thanks for checking on me. gandl gandl Dx 1/28/2008, ILC, <1cm, Stage Ia, 1/6 nodes, ER+/PR+, HER2- |
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Tests, Treatments & Side Effects + Breast Reconstruction, Created: Jun 30, 2008 04:32 pm
continued Tissue expander pain!!Monica1, I had a bilateral mastectomy with expanders in Feb., finished my fills in April, and got my permanent implants in June. I didn't want to wait that long for the implants, but I think with the waiting the expanders do their own settling in and become more bearable. Your wait will be a month longer than mine, so I hope your expanders continue to be less noticeable to you also. Your feelings sound like a classic description of depression to me. I got on anti-depressants when it hit me, and it has made a world of difference. You can talk to your primary physician about it, and he or she can prescribe something appropriate. You don't need to feel that bad, help is available. If you're curious about depression symptoms, you might try one of the many on-line questionaires to see what you think. I'm feeling better and hope you will be soon also. gand gandl Dx 1/28/2008, ILC, <1cm, Stage Ia, 1/6 nodes, ER+/PR+, HER2- |
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Connecting With Others Who Have a Similar Diagnosis + ILC (Invasive Lobular Carcinoma), Created: May 23, 2008 01:53 pm
possible mets to pelvic area or uterus?Hi Gitane, After the good news from the ultrasound, I received the results of the endometrial biopsy. I have complex endometrial hyperplasia with atypia which the gyn says will turn into cancer and must come out. So on June 6 I will have an exploratory TAH/BSO along with the exchange of my expanders for my permanent breast implants. I have to do both surgeries at the same time because I am almost out of sick time. There is a 60% chance that cancer is in the uterus already but just didn't show up on the biopsy. I also have endometriosis and those cells in my abdominal cavity may be turning into cancer also. So it looks like I won't need to worry about the ILC metastasizing to my reproductive organs because they will be gone. I had my repeat bone scan. The oncologist's nurse called to say the doctor wanted me to know that it was "stable". I guess that means that the spots that showed up last time are still there but not worse. I have to go in Tuesday to have my blood drawn, and I will try to get a copy of the report. The three hormone tests that the gyn did came back in the menopausal range. Apparently I am in menopause but didn't know it because I never stopped bleeding. That fact puts a new perspective on all the times I recently told doctor's I was not menopausal. I was inadvertently lying to them. Do any of you who have gone through similar abdominal surgery have any tips for me? How are the rest of you doing? Gandl gandl Dx 1/28/2008, ILC, <1cm, Stage Ia, 1/6 nodes, ER+/PR+, HER2- |
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Connecting With Others Who Have a Similar Diagnosis + Recurrence and Metastatic Disease, Created: Apr 29, 2008 12:20 pm
Bone Pain, arthritis or mets??The blood test is for uric acid. The crystals are uric acid crystals. gandl Dx 1/28/2008, ILC, <1cm, Stage Ia, 1/6 nodes, ER+/PR+, HER2- |
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Connecting With Others Who Have a Similar Diagnosis + Recurrence and Metastatic Disease, Created: Apr 29, 2008 12:11 pm
Bone scanI had a bone scan in Feb. 08 and it wasn't painful at all. There is an injection involved but the scan itself is painless. For me anxiety was an entirely different matter. I didn't know what to expect and that didn't help. The thing you lie on is narrow and has to move your entire body through the sensing area. You also need to be still, so they velcro your arms down and rubberband your feet together. The tech told me that most people are more comfortable if they keep their eyes shut. I wished I had paid attention to that advice after I opened my eyes. The solid metal area about 4 inches from my face was all that I could see. I started getting a suffocating feeling and panic attack and almost asked the tech to stop the test. I got through it by visualizing a shaft of air right above my head. I knew there was no real reason for me to short of air, it was really open on both ends, but I did have this reaction. I am having another scan on May 11 and plan to keep my eyes shut. I hope that helps. gandl Dx 1/28/2008, ILC, <1cm, Stage Ia, 1/6 nodes, ER+/PR+, HER2- |
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