Calling all TNs

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  • HeidiToo
    HeidiToo Member Posts: 965
    edited July 2011

    Greetings!

    As many of you already know, I don't post too much in here on the actual subject of BC. I am almost two years out and prefer to leave the meat of the discussion to those going through the experience presently, with the support of those who are further along in their journey.

    I prefer to drop in from time to time, skim the posts and add a bit of diversion through funny pictures, written humor, or a peek into my personal life if I feel it may help to lighten the load from time to time.

    With that in mind, I have compiled a brief video (specifically for my friends in here) of my recent trip to NC with my horses. I sincerely hope that those choosing to view it will experience a little bit of the splendor behind my hobby/passion.

    It was an enjoyable but challenging experience. Trails were steep (with "sudden death" drop-offs), rocky and had many switchbacks my home bred & trained father/son pair had to negotiate. However, the scenery was lovely and the weather divine. The footage is taken by a small hand-held video camera my hubby holds as we mosey along, hence the possible need for Dramamine before viewing!

    Enjoy.

    http://albums.phanfare.com/isolated/y6k4TOiQ/1/5184411

  • Babs37
    Babs37 Member Posts: 320
    edited July 2011
    HeidiToo- Beautiful video. It just looks soooo peaceful............
  • navymom
    navymom Member Posts: 842
    edited July 2011

    Beautiful video, Heidi.  I admire your love for animals, horses in particular.  I liked the music, too.  Thanks so much for sharing.

    Navy

  • HeidiToo
    HeidiToo Member Posts: 965
    edited July 2011

    Babs37- It is peaceful.... if you don't mind the thought of encountering another carriage going in the opposite direction and falling off the mountain as you attempt to pass.... no, I'm not joking!

    BTW, I found that my achy joints were not as achy while we were up in that cool, dry atmosphere. Something to think about...

    I also bought a nice little tripod chair with backrest that is very portable and lightweight. I used it on some of our hikes for a little rest time along those arduous mountain paths. 

  • Suze35
    Suze35 Member Posts: 559
    edited July 2011

    Heidi - how beautiful!  And you set it to one of my absolute all-time favorite songs *heart.*  Horses are such wonderful, amazing animals, I'm sure you love being with yours and riding.  And yay on the joints!  I bet it was a combo of the air and doing what you loved :-).  Thank you for sharing.

    Kathrynn - glad you are able to get on the internet, kinda sorta Tongue out.  I too am living with my mother (she moved here to help us out) so I know what you mean, lol.  Sorry to hear about your hair though, that stinks!  Mine started to grow back on Taxol, although slowly...enjoy the shave party!  I'm doing more chemo in an attempt to prevent mets (I had a lot of disease left after surgery), although there is no scientific evidence to show it is effective.  There are several clinical trials that are looking at it though, and my MO agreed that I should throw whatever I have at this.  So back to the chair for me!  And bald again too, sigh...

    ~~~~

    I hope everyone has a wonderful 4th of July!  We are going down to Boston for the fireworks, and my oldest will stay down there with grandma and grandpa to go to a Sox game then the cape.  He's gonna have a blast!

  • pat57
    pat57 Member Posts: 6
    edited July 2011

    Thanks HeidiToo for the chuckle. :-))) Oh wow...do you ride horses and motorcycles? Way to go! I used to ride horses as a child and teenager...and road on the back of motorcycles...now, I want to learn to drive a motorcycle. My son thinks I've lost my mind...but, I think it's a great idea!

    I need to something fun...besidea just fishing...which is what my boyfriend wants to do all the time.

  • MBJ
    MBJ Member Posts: 3,671
    edited July 2011

    Heidi: Thank you so much for sharing-it felt like we were right there on the horses, too!  Beautiful countryside and your horses are just gorgeous.  I grew up riding, too, and really miss it. Happy 4th of July!

  • jenn3
    jenn3 Member Posts: 388
    edited July 2011

    Titan - thank you for the well wishes.........

    MBJ - great avatar!

    Just popping in to say hello and let you know that my scans were good.  I am currently on Gemzar/Carboplatin, week one and Gemzar, week two, off on week three.  Overall I'm doing okay, as we know there are good and bad days with chemo, but it's best to enjoy the good days and forget about the bad.

    Hope all of you are having a great 4th or weekend if you're not in the States.

  • Paintingmywaythru
    Paintingmywaythru Member Posts: 221
    edited July 2011

    Hi All,

    My daughter got married yeterday. It was the most wonderful time. So joyous and wonderful in every way possible. Got a second opinion at Mass General Hospital last week and came out woth same recommendation of taxatere and cytaxan 4 rounds. Has anyone had this?  Seems short for Triple neagative. Don't know. She said I could get AC with Taxol to follow but she would expect the same results as TC. Hard to feel confident. They will do a circulating tumor test prior to chemo. I am still sore form my lumpectomy that turned into 3 surgeries due to internal bleeding. Had an opening of my artwork in a group show today so was occupied nicely this weekend.Since my 3 surgeriesw were Jul8  June 8 and June 10th the surgeon said I shouldn't swim yet int he oceanand here we are at our Rhode Island home wiht eh water calling me.

    Happy 4th to all!

    I hope everyone can just breathe through the weekend.

    Inmate....can only say  triple explicative! I do think there is more than one treatment out there so please hang in there. We are all with you.

  • HeidiToo
    HeidiToo Member Posts: 965
    edited July 2011

    Paint- quite a few of us in here have had Cytoxan/Taxotere X4. Sloan-Kettering recommended AC-T as their first choice (12 tx, as I recall) but their second choice was CT.

    My local med onc said CT was enough for a node negative early stage BC. AC-T would be "like swatting a fly with a bazooka".

    Sounded reasonable. The "A" part really concerned me, with its potential SE of cardio toxicity. I was glad I could avoid it and still be given a Standard of Care regimen.

  • HeidiToo
    HeidiToo Member Posts: 965
    edited July 2011

    PS- congrats on your daughter's wedding!

    AND, the water will still be there in a few weeks. Last I heard the Sakkonet was still wet...Wink

  • Luah
    Luah Member Posts: 626
    edited July 2011

    jenn3: So nice to hear from you here! I'm glad to hear your scans are good, and hope that chemo combo keeps blasting those mets, with only gentle SEs. 

  • TifJ
    TifJ Member Posts: 804
    edited July 2011
    Paint- I too had TCx4. My onc thought A would be overkill. The worst was losing my hair, everything else was manageable. Hope all goes well for you.
  • mwilliams
    mwilliams Member Posts: 6
    edited July 2011

    I am glad to have found such supportive and informed group as my wife and I face these next scary months.  She had a 3cm tumor removed about a month ago.  At the time, the general surgeon described it as non-malignant because the margins looked clear.  Turns out, it was cancerous and the margins were NOT clear.

    We visited a BS and learned the tumor was TN and grade 3.  He examined her and found a suspect node, which he removed along with two others.  It turns out the suspect node contained a 1.8 cm tumor.  It looks like she is facing chemo and radiation (he obtained clean margins in breast).  However, the more I read about TN, the scarier it becomes.  

    So, in a months time, she has been diagnosed with a benign growth, then with stage 1 BC, and finally stage IIB BC.  However, it might be higher because they only removed three nodes.  

    To make sense of all of this, i have done tons of reading and have really studied the path reports.  However, I still have a few questions.  Would you all please help me with them?

    1.  The 1.8cm tumor scares me.  It seems to have spread very quickly and grown pretty fast.  To me, it means there are more hidden somewhere.  Does 1.8cm seem too large to be contained to just the nodes?  I am thinking about asking for an MRI before she receive treatment to hunt down any other tumors.

     2.  I have read that TN tumors respond well to chemo and radiation.  Then I read only microscopic tumor respond well.  Does this mean larger ones do not?  How large is a non-microscopic tumor?  If they respond so well to chemo, why do some many of those with TN experience a reoccurence? 

     3.  It her cancer considered metastatic since it has spread to the lymph nodes?   

     4.  Is it common for TN tumors to receive a grade of 3 with a 9 sub score?

    Thank you helping us through this time.  I have been my wife's conduit to information and support because she is just too frightened to read about her tumor.  Rather, she is relying on her friends and loved ones for support and me for information.  I am honest with her, but do not dwell on the negatives.  

  • Kimpossible69
    Kimpossible69 Member Posts: 2
    edited July 2011

    Hello everyone.  Joining in.  I am starting neo-adjuvant chemo on Tuesday.  I will have treatment every two weeks for 16 weeks.  The first four treatments will be Adriamycin/Cytoxan.  Can anyone tell me what I can expect?  Thanks so much in advance for the info and support!

  • FrancesC
    FrancesC Member Posts: 61
    edited July 2011

    Dear mwilliams I cannot answer your questions but it is of any help, my lymph node is 2.5 cm whilst my lump was only 1.8 cm.  I had 4 nodes +ve and they have been taken out.  Spreading to nodes does not mean it is metastatic as I have been informed and it is also common for TN to be aggressive, ie grade 3 with a 9 sub score.  What I did once I was dx was to change my diet immediately and I have since cut out all sugars (except for fruits, honey), kept to a low fat diet and for protein I eat mainly fish. I had undergone a lumpectomy last week and as it still hurts I could not jog but have taken to 2 km walks everyday.  

    Your love and support is crucial to your mrs now and please take it a step at a time, one day at a time.  Hope this helps.

    Kimberly69 - Unable to help as I am on TC and starting next week.  All the best for your treatments.

     

  • sylviaexmouthuk
    sylviaexmouthuk Member Posts: 7,943
    edited July 2011

    Hello Everyone

    I just wanted to send greetings your way from all of us TNBCs in the UK and to wish you all a very happy July 4th. Enjoy your day.

    I would also like to send belated greetings to all the Canadians on your thread for a happy Canada Day on July 1st.

    Good luck to all of you during your various stages of treatment.

    Best wishes

    Sylvia

  • mwilliams
    mwilliams Member Posts: 6
    edited July 2011

    FrancesC, thank you for that information, especially the node information.  It puts my mind at ease a bit.  My wife is pretty fit and has always been a very healthy eater (low fat, no soda -wish I could say the same), but is not terribly restrictive with her diet (deserts at night).  I'll look into the diet, but would you send me a link or some direction to help me understand the benefits of it?

     Thank you for your concern about me.  I am lucky to be able to do some daily re-energizing things for myself.  It gives me the energy to support her and our teenagers the rest of the day.   

  • HeidiToo
    HeidiToo Member Posts: 965
    edited July 2011

    MWILLIAMS wrote:

    1.  The 1.8cm tumor scares me.  It seems to have spread very quickly and grown pretty fast.  To me, it means there are more hidden somewhere.  Does 1.8cm seem too large to be contained to just the nodes?  I am thinking about asking for an MRI before she receive treatment to hunt down any other tumors.

    MRI ARE ALWAYS A GOOD IDEA AND MANY (BUT NOT ALL) ONCS DO THEM AUTOMATICALLY. A 1.8 CM IS NOT UNCOMMON FOR TNBC AND MANY OF US HAVE HAD LARGER WITH NO NODAL INVOLVEMENT... AND ARE DOING JUST FINE.

     2.  I have read that TN tumors respond well to chemo and radiation.  Then I read only microscopic tumor respond well.  Does this mean larger ones do not?  How large is a non-microscopic tumor?  If they respond so well to chemo, why do some many of those with TN experience a reoccurence? 

    IN THE NEOADJUVANT SETTING (BEFORE SURGERY) CHEMO OFTEN WORKS WELL ON THE SMALLER TUMORS. HOWEVER, MOST ONCS MONITOR THE TUMOR SHRINKAGE AND WILL MODIFY CHEMO IN ORDER TO GET THE BEST RESULT. RECURRENCE IS ALWAYS A CRAPSHOOT, AND NOT FULLY UNDERSTOOD BY THE MEDICAL COMMUNITY. CURRENT THINKING IS THAT TNBC HAS MANY SUBSETS STILL BEING DISCOVERED AT THE MICROSCOPIC LEVEL AND THAT IS WHY THESE OFTEN INEXPLICABLE "LUCK OF THE DRAW" RESULTS OCCUR. ALSO, IT HAS A POSSIBLY GREATER TENDENCY TO SPREAD THROUGH THE LVI & BLOODSTEAM THAN A ER/PR BC. THE BRCA GENE MAY ALSO BE A FACTOR---CONSIDER/ASK ABOUT GENETIC TESTING.

     3.  It her cancer considered metastatic since it has spread to the lymph nodes?  

    NO, I BELIEVE THE TERM IS CONSIDERED "LOCALLY ADVANCED"...*NOT* METASTATIC AND, AS SUCH, SHE WILL PROBABLY BE MONITORED VERY CLOSELY.

     4.  Is it common for TN tumors to receive a grade of 3 with a 9 sub score?

    ABSOLUTELY, AS ANOTHER POSTER HAS ALREADY POINTED OUT. TNBC IS TYPICALLY GRADE 3 AGGRESSIVE.

    You are wise to be the buffer between your wife nd the Internet. There is a sh*tload of scary stuff out there and most of us have read it. keep in mind though, that many of the "results" are based on  outdated studies. TNBC is the hot topic in BC. It is not a death sentence and there is plenty of reason to stay hopeful (albeit) frightened) throughout the journey. It will get better....somehow, we all learn to deal with our fears of recurrence and beyond. You will too.

    Keep breathing, and tell your wife to do the same.

  • HeidiToo
    HeidiToo Member Posts: 965
    edited July 2011

    WRT Diet- you will find several opinions on the subject. Personally, I was scared into a 20% low-fat, no sugar, all whole grains, etc. eating habit..... *for awhile*.

    Then, I got my balance back and said "f*ck it" (I am known for my "language" in here). The benefits of a diet are often the same as for anyone, with or without, cancer. Eating well, exercising, and maintaining a good weight are *always* going to be in a person's best interest. Don't let it scare you into turning your world upside-down.

    Many will offer opinions on a gazillion different supplements and health regimens that you may or may not find helpful. Try to maintain a perspective on all of it, and make the choices based on knowledge, not fear.There are no "miracle" herbs, cures, or food to make the beast go away. The best you can do is to learn to live with it so that it doesn't take over your life because then, it wins and will eat you alive and spit out the pieces. Don't let it.

    Stay focused, stay strong and before you know it you will be "on the other side looking back". 

    I hope this helps. Now, go have some barbecue...

  • Paintingmywaythru
    Paintingmywaythru Member Posts: 221
    edited July 2011

    Just for levity...I am watching hummingbirds, relishing in my daughters wedding and working on the garden.

    For a  peak at what I do when I am not at my day job go to www.susanmedyn.com

    I have several shows coming up in anyone is in RI, MA or Hoboken!

  • bak94
    bak94 Member Posts: 652
    edited July 2011

    Kimberly69, sorry you have to join us! AC can be rough but as most say, it is doable. I just had my 5 round out of 6. days 2-4 are the worst and then I start to feel better. Come on over to the chemo boards to get even more info that can help, all kinds of tips over there.

  • MBJ
    MBJ Member Posts: 3,671
    edited July 2011

    Painting:  I had 6 x TC and my onc also said AC was overkill for me.  I had started with a different BS who recommended 6 rounds but if I had gone to my BS that I ended up with, I would have had only 4 rounds and more did nothing to further shrink it-I just ended up with more SE's from chemo because of this.  My onc is pretty mad about me having any SE's and blames the direction of the first BS.  4 x TC is standard of care here for the most part and AC or ACT is used, too though there is more risk of heart damage.

  • MBJ
    MBJ Member Posts: 3,671
    edited July 2011

    I had to steal this from another thread and share with you: Happy 4th of July!!

     

  • mwilliams
    mwilliams Member Posts: 6
    edited July 2011

    Oh, thank-you HeidiToo. This is great information.  We will be spending the next two days meeting our "cancer team."  Having as much advanced knowledge is very helpful.  

     I, personally, find myself falling asleep thinking we are doom one night and very hopeful the other.  However, the more I learn, the more optimistic I become.

  • Paintingmywaythru
    Paintingmywaythru Member Posts: 221
    edited July 2011

    MJB...what were your side effects and when did they kick in...feeling in a foul mood...trying to get out of it by gardening but I am a mosquito magnet!

  • MBJ
    MBJ Member Posts: 3,671
    edited July 2011

    Painting:  My first round was really rough but I forgot to take my anti-nausea meds and threw up and I felt like crap for about 10 days.  I had horrible constipation every time so the following rounds I took something called Mag07 starting the same time that I took my steroids the night before and then tapering off for a week until I was normal again.  My SE's were the 4th day horrible and after the 6th day I was okay again.  The first two or three days I was high on steroids and felt mainly fine but tired.  I also bought Rebecca Katz's cookbook "The Cancer Fighting Kitchen".  Food tasted awful and her book has amazing recipes and tips to help you get through chemo and how to make food edible.  If you have someone to cook for you, this really helps!  I wasn't hungry the entire time, but my husband would put food down and I would wolf it even though I had no taste buds.  I even considered having food delivered during this time but my DH took care of me so it wasn't necessary.  Hope this helps!!!  Drink lots, and lots of water, too.

  • sugar77
    sugar77 Member Posts: 1,328
    edited July 2011

    Happy 4th of July ladies! We had a great Canada Day here on Friday the 1st.

    There are so many new posts and people. Welcome to all who are new to the thread.

    I just returned from my 6-month oncology follow up. He's happy with how I'm doing and it's always a relief when the appts are over and done with...'til the next one. Mammogram is in Sept.

    Take care everyone! 

  • MBJ
    MBJ Member Posts: 3,671
    edited July 2011

    Yay Sugar!!!!

  • HeidiToo
    HeidiToo Member Posts: 965
    edited July 2011

    MBJ- I'm calling the Chicken Police on you.... Bawbuck!