TRIPLE POSITIVE GROUP
Comments
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Beth, haven’t checked in in awhile but I read your news. I am so, so sorry to hear that. I can’t even imagine what you must be going through right now. ((hugs))
Goutlaw, having your ovaries removed is a big deal that has a lot of other health ramifications.
More promising reports -- always so educational to stop by!
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Glad to hear an MRI might be covered by insurance. My PS had mentioned 3 years as a followup. I see him in October, and I think I will hit him up for that.
Pbrain....on the immunities. Before we went to Thailand. Ny NP friend made me get bloodwork to see if I still had chicken pox immunity. I did. So maybe we keep them?
Geewhiz- I feel your pain. In the last two months, I have wiped out twice. Once, tripping up the top step of a staircase at Macys, totally messing up my left knee. I start the process of getting that checked further as it still hurts on the back. Then I slipped on a puddle of water I had spilled on my tile entryway. Went hurdling across the floor like ice and crashed to the ground. HIGHLY painful to my toes on the right foot. The big toe, which has hallux rigidus and was scheduled for surgery in January, is so painful yet. The ortho foot doctor got me in, things it is a sprain and that the whole joint tissue is inflamed. Put me in a boot to see if things will calm down. They have, but I still can't put on a shoe and it hurts to move it much. I am not having surgery before the holidays so I may be walking around in sandals in the snow.
Saw the ONC on Tuesday. Bloodwork all good...and when I asked him about testing when I see him next for my three year followup, he started laughing and asked me what I wanted. Told me if insurance will cover it, he will order it. Woo hoo! I feel better already.0 -
I did have a question I forgot to ask him. Maybe you all will have thoughts.
If there are latent micro metastases as Sledge referred too, doesn't it seem to make sense to do some kind of chemo/herceptin/perjeta boost at some point? Like five years. Maybe not a full blast dose, but enough to just pick up things that might be starting to wake up? Sort of like weed killing in the yard.0 -
More on Perjeta approval...looking good!
WASHINGTON -- Pertuzumab (Perjeta) helps patients with early stage breast cancer before surgery and could become the first agent to win such an indication from the FDA, agency reviewers said Tuesday.
A review of three midstage trials of patients who received pertuzumab in combination with other drugs before surgery fared better than those who didn't receive pertuzumab before surgery, the FDA told members of the Oncologic Drugs Advisory Committee.
"After a thorough review of the submitted data (including review of all the pathology reports),
the FDA review team believes that the totality of the data submitted ... supports the accelerated
approval of a neoadjuvant indication," agency reviewers said in briefing documents released
ahead of a Thursday meeting of the committee.
Biotech giant Genentech is seeking an expanded indication of neoadjuvant treatment for HER2-positive breast cancer in combination with trastuzumab (Herceptin) and docetaxel (Taxotere)."0 -
Chemo brain...
SAN FRANCISCO -- Hormonal therapy has emerged as a potentially significant contributor to decline in cognitive function among breast cancer patients, according to results from a small retrospective study.
Patients treated with hormonal therapy were five times more likely to exhibit cognitive decline as compared with a control group. Chemotherapy was not a significant predictor of cognitive decline.
Overall, about 30% of patients exhibited cognitive decline during a given measurement period, Hope Rugo, MD, of the University of California San Francisco, and colleagues reported here at the Breast Cancer Symposium.
"Decline in cognitive function is common in patients receiving adjuvant treatment for early-stage breast cancer," the investigators concluded in a poster presentation. "Predictors included hormone therapy alone or hormone therapy following chemotherapy but not other treatment- and patient-related factors.
"Ongoing hormone therapy appears to be a risk factor for worse cognitive function."
http://www.medpagetoday.com/MeetingCoverage/MBCS/414860 -
For all my sisters......
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Arlene, I'm glad to help. Tell your friend she doesn't have to give up her wine, maybe just simmer it down a bit.
Fluff, how low did your white count get? I read something yesterday that said the immune system is extremely flexible, but I had such a low white count, I wouldn't be surprised if I've lost some immunities...I'm going to ask at my next herceptin what the current thinking is.
And I do wish we could get a boost of herceptin here and there. I suspect that hasn't been researched because the studies would take so long.
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Pbrain...my counts consistently went lower but never out of the acceptable range. My last two taxol s were right on the edge. I did not have any kind of boosting shots.
Interestingly, with the vaccine study I am in, I receive an immune system booster at the minimum. I figured that can't hurt. Not sure how long one shot lasts, but any little bit should help.
Ashla...such good news on the treatment front.0 -
More good news!
http://www.digitaljournal.com/pr/1464598
MISSISSAUGA, ON, Sept. 12, 2013 /CNW/ - Roche today announced that Health Canada has approved KADCYLA (trastuzumab emtansine or T-DM1), under priority review, as a single agent for the treatment of people with HER2-positive metastatic breast cancer (mBC) who received both prior treatment with HERCEPTIN® (trastuzumab) and a taxane, separately or in combination. Patients should have either received prior therapy for metastatic disease, or developed disease recurrence during or within six months of completing adjuvant therapy.ii HER2-positive metastatic breast cancer is a particularly aggressive form of the disease. Women with HER2-positive mBC are at an increased risk of their disease worsening due to the cancer's hard-to-treat nature.iii
KADCYLA is a first in class antibody-drug conjugate (ADC) and is made up of three components, an approved monoclonal antibody known as HERCEPTIN (trastuzumab), a stable linker, and a potent cytotoxic agent known as DM1. KADCYLA targets cancer cells that overexpress the HER2 receptor and, via two distinct mechanisms, results in cell cycle arrest or death of cancer cells.ii"0 -
So heart & brain side effects. Wonderful.
I'm trying to keep positive for my wife. Having access to this info sometines is not helping. She's in treatment mode & taking supplements to assist. She is not really doing the research. She is relying on me for that and I'm ok with that. I'm good at stuff like that.0 -
Art123,
Sorry Art but these are the things we talk about here. This is the reality of our lives .
My breast surgeon informed me of the...at the time...current state of these issues from the git go. Not everyone wants to know.0 -
art123 - keep in mind that these side effects happen to some people, not all. I have never felt, nor does my husband, that I have any congnitive impairment. Cardiotoxic side effects do happen, and have happened to people who post on this thread, but they too affect the minority. Have you cleared all supplementation with your oncologist?
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Art: As SpecialK says, not everyone gets these side effects. They are rare. Now, I did have the EF drop and only made 10 of my 18 Herceptin treatments but I'm all back to normal. No brain issues either and I've been on Arimidex for over 2 years now. Just like chemo, some have bad side effects and some nothing - my SE's from chemo were very minimal. Your wife might want to consider coming on here - IMO, this 'blog' is better than a support group. We are like family here.
Try not to worry too much. Arlene
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Additionally ...there are nearly 3 million breast cancer survivors and growing in this country....all stages of breast cancer. With all these great new treatments and protocols we will live many, many years as survivors and a majority will not die of cancer. Survivorship issues are coming to the forefront of the disussion and imho..it is about time.
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Onc just told us to avoid antioxidants day of chemo. Sorry to vent. I know this information is helpful.
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Hey Ladies!
I just had my 2nd echo this morning {hoping all is well} and I am gearing up to start A/C tomorrow. I know my protocol was a bit backwards from most as I got my taxane+herceptin first and now will be starting A/C.
Anyway, I am SUPER nervous about starting A/C and also nervous about what my ultrasound will show tomorrow. I hope/ pray that it shows that the primary tumor/ nodes are still responding. I am just so nervous and could use a little bit of cheering on.
I did really well with the first round of meds, but I know this one will be hard and it makes me really sad to think about missing the Fall because of it. Of course, I know I am fighting cancer and obviously that's the most important thing, but I just really love the fall. I hate what this has taken from my sweet little family. Hopefully, while I am getting treatment I can still work on my boys' halloween costumes, it's important to me to still make their costumes while they are little and I can put them in whatever I want, haha. :~)
Thanks in advance!
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twinmama - don't assume that you will not do well - also, if you have side effects speak up to your onc. AC is known for GI issues but there are meds available for you - be the squeaky wheel if what they are giving you is not working! We all hope that your US will show good progress!
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Twinmama really u might do well on these and u do get steroids too right? If u do u'll have energy for 1 or 2 days that u actualy feel fine. Please don't dwell on fear it's very stressful just know this is something that has to be done and u really sound like u'r ready for it.
Art there are some do's and don't thru this whole thing but it just means it might interfere with something that's all. There are good things going for u'r wife, but how is she actually feeling?
And as was said, if u need help u don't have to wait for u'r next chemo call the Dr. They really try to make u as comfortable as they possibly can, they really care about that. So if needed call don't jst think about it, just call. And don't forget loads of water, there's water that is flavored if u don't like plain water.
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Art that's so good to hear for u and u'r family--just keep on letting us know OK.
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Thank you Chica, Special K and Bren for the radiation info. Makes me feel better about the doctor saying I don't need it. (WOO HOO!) Now just one more chemo then reconstruction...
Twinmama there's always good days and bad days... I'm hoping it's more good for you
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Twin, don't go into this thinking it will be bad. You should have seen my boss on TCH. Not one single issue except dry mouth and things tasted salty. You never know how you'll respond, so stay positive.
Art, I had raging chemo brain during the treatment process. I budged in line on the day before Christmas at a Philadelphia mall and had no idea I did it--my mother had to gently pull me out and guide me to the back of the line...I once "woke" up from a chemo brain trance and found I'd been staring at the trash can under my desk for ~ 15 minutes. I don't know why my company paid me to come in here during those months. Oh, I tried to vote with my grocery store discount card. The poor pollster kept saying "I can't use that" and I kept saying "why not?" duh. It was bad, but I'm perfectly normal now.
And do some reading--I think it is important to avoid antioxidants during chemo because a lot of the medicines rely on the redox reactions to kill cells. If you stop the generation of free radicals, you may lessen the benefit. I stopped all green tea (my favorite of beverages) and dark, leafy greens, brightly colored fruits, etc. It sounds weird, but you want the chemo to pack all the power it can. After that, back to the healthy stuff.
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PBrain of course u'r perfectly normal, or are you?
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Pbrain, I did not know, we have to avoid green tea, green leaf or bright color fruits. I thought those are good for you during chemo. When you say during chemo, how many day apart from chemo not to have antioxidant? Thank you!
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Very, very good news....
"FDA Advisory Committee Recommends Accelerated Approval of Genentech’s Perjeta for Neoadjuvant Use in HER2-Positive Early Stage Breast Cancer
The FDA Will Make a Final Decision by October 31
The Perjeta Regimen is the First Potential Treatment to be
Reviewed by the FDA for Neoadjuvant Use in Breast Cancer"0 -
Art123, my first Taxol/Herceptin infusion was exhausting for me . Total tx time was 5 hours didnt get home until 7PM , was a busy day ttoday due to holiday on saturday .
I was able to pick up and put dinner on the table , go over homework for my boys .
Im experiencing tachycardia HR 112 at rest , hope tomorrow will dissipate .
Health n Happiness to all !0 -
Cami, I knew you would rat me out. I haven't been normal a day in my life!
Soriya, search through Breastcancer.org and see if they have some idea of timelines on that. I had weekly taxols for 12 weeks, so I just stayed away from any fruit, vegetable, tea, etc that is known to have anti-oxidant properties the whole time. I stuck with proteins and carbs, nothing colorful. It is an interesting theory, but from the stand point that we are getting filled with toxic drugs to kill cells, I think it makes sense to allow them to work for that short period of time.
After I finished chemo, my green tea bags were soaking away daily in my 1970's sun tea pitcher :-)
And Ashla, I knew I was missing the Perjeta boat when I was diagnosed and that studies were in the works for early Her 2+ breast cancer. Hopefully I'll never need these biologics anymore, but it is good to know they are there.
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Did any of you have issues with your liver enzymes? During chemo, my numbers were fine, but since May (I finished chemo in Dec., and just finished herceptin last week), my AST and ALT numbers of the blood chemistry report have been steadily climbing. My MO wants me to have a liver CT scan, which I am having on Monday.
I should also say that when I was 15, I had a bad case of hepatitis A, which lasted almost 3 months. I am now 51, and thought I was fine until my MO became concerned about the numbers.
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cgesq - are you by any chance taking glucosamine and condroitin, or joint meds? I ask because my DH was prescribed a med and they did a panel before he was to start taking it because of the liver SE and his AST/ALT was off-the-charts high - it was from the joint supplements. He went off them and his numbers were normal three weeks later. It is a little known SE of joint supplements.
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Soriya, I did not take any supplements other than vitamin D and Acetyl l- arginine (supposed to help with joint pain from Taxol), however, I had smoothies with fresh kale or spinach and various fresh fruits every day. Doc was all for it, just said no to them in pill form
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