TRIPLE POSITIVE GROUP

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  • Sorry--there was a typo in my first post. My larger tumor was 1.5 cms, the smaller was .9.

  • vballmom
    vballmom Posts: 153

    My MRI missed a positive node (4.5mm) and my areas of DCIS showed on nothing but were in the final pathology.

    I'm done!  Finished Herceptin today.

    I'm losing a fingernail which my MO says couldn't possibly be from Herceptin. Your thoughts?

  • Hi Ladies, 

    I am new to this thread but active on a couple others. Mainly the July 2012 chemo group. So far I have only had 20 weeks of my 52 of Herceptin-2 surgeries, stopped for dropping ejection fraction, low WBCs, etc. My EF started @ 66%. 5 weeks ago it was at 54 (a joyful number as I was able to have herceptin). Last week hit 35%. According to my MO am off forever. Called Genetech (manufactures the drug) they agreed). Have searched for a clinical trial of anything for HER2 besides herceptin without avail thus far. Have emailed and messaged medical centers. My MO is on the trail also. So-I am asking the leaders of BC research. Anyone know of a trial? So appreciate. 

  • Rhonda2
    Rhonda2 Posts: 99

    Hi Ladies,



    I had an MRI last Tuesday and they called me today to say that I have a suspicious 0.8 x 0.6 mass at 9 o'clock anterior depth in the same breast that I just had a Lumpectomy in. I had an ultrasound earlier today (and I saw it) which confirmed I'm on my way to a biopsy. I finished chemo May 9th and radiation early August so I'm really disappointed that this might be cancer, again. I feel like this is not going to end.

  • Pbrain
    Pbrain Posts: 773

    Susan and Rhonda, google Perjeta.  It just recieved accelerated FDA clearance (this week!) for non-metastaic (early, localized) breast cancer.  Susan, go on clinicaltrials.gov and see what you can find that might fit your situation.  You can put in search terms.  I know Genentech has an awful lot going on right now with non-stage IV breast cancer to support their 2 newer drugs.  Both are supposed to be used with herceptin, but there may be some feasibility trials for those who have failed herceptin.

    Rhonda, the mechanism of action with Perjeta is very different from herceptin, so used in combination, it seems to be able to stop the her2+ breast cancers that herceptin alone didn't stop.  I can explain the two mechanisms to you, but it is dry biochemistry, so let me know if you are interested.

  • Oh Rhonda2, that just sucks. But wait for your results before you assume (yeah right, I know...) I had my first post-diagnosis mamm last month and got called back for ultrasound too (but no biopsy, it was just tricky scar tissue) - waiting is the worst but all you can do is hope for the best. And I don't think it ever ends, sometimes you just get to forget about it for longer periods of time before it all comes back in your face again...

    Congrats on your last Herceptin vballmom! I am counting down to mine (6 more pokes!) I am not losing my fingernails but they seem to just shred and tear quite readily.

    Pbrain, thanks! I will look for the Curel anti-itch. I was also kind of wondering about more systemic things anyone has tried - my osteopath suggested fish oil to help with some of my digestive dryness but are there other hydrating supplements? Gallons of water?? Undecided

    Hutchins, you're the same age as me but I was diagnosed at Stage II. I'm currently on both Herceptin and Tamoxifen until January, then just the Tamox. My sister was diagnosed at age 33 and is now a five-year survivor so have hope.

    PatinMN, thanks. If my nails get any worse, I'll look into the rejuvacote. I'm just keeping them really short right now but one of them got a huge tear down the nailbed so I'm just hoping this is not a new trend.

    Bren, I hear you on the wig-weariness! Since my chemo was broken up (i.e. delayed by two months right in the middle while I had the baby), I felt like I was never going to get my hair back! My profile pic is from my sister's wedding in August and I was still debating wearing the wig. My peeps were so used to seeing me without it by then though that they convinced me I could still look decent in pictures (I was a bridesmaid so I wanted to look you know, NOT like a cancer-patient for the event). Your hair must be growing more slowly than mine because you are slightly ahead of me on the herceptin but I think I've got at least 2 inches on top. People say short hair suits me at least so I'm just going with it and I donated "Regan" (my wig) to the wigbank last month. Laughing

  • LeeA
    LeeA Posts: 1,092

    Congratulations on finishing up Herceptin, vballmom.  Plus, I love your new photo. 

    --

    Rhonda, I'm sorry to hear about the MRI results.  I hope the biopsy results are negative.  

  • LeeA
    LeeA Posts: 1,092

    camillegal, I read your post out loud to my husband today!  (re: it's a dry heat but so is an oven) 

    You're so funny!

  • Rhonda2
    Rhonda2 Posts: 99

    Thanks Pbrain, I'll check it out and hope my Onc is up on it. Of course I'm praying it will be benign because the thought of doing chemo again is awful, but I will if I have to.



    Marlene, I'm praying for all of us and will keep upbeat.

  • fluffqueen01
    fluffqueen01 Posts: 1,801

    Just sitting here watching the news, and what should come up, but one of our previous discussions....fecal transplants! I laughed out loud. Doc at the IU Med Center specializes in it, and a woman who had cdif said what a life changer it was for her.



    On nails, mine did not get bad until it was about 2/3rds of the way through herceptin. They were so thin and painful. Almost like little baby nails. They really still are not normal.



    Hutchins-My tumor was just under 1 cm. 25% of it was LCIS (multifocal) with the rest IDC. Not sure how that actually looked, if it was one or two. My BS kind of drew a picture , but I was numb then and when I look at it now, I can't figure it out.



    Rhonda-I am hoping the area is nothing. That does seem a decent size to have just appeared while while you were/are under all the treatments. Sending healing thoughts.

  • Hutchins2, I am on the Arimedex pill also and still get Herceptin & Perjeta chemo every 3 weeks.  My nails are absolutely horrible and I had no idea that Herceptin could be the cause of it.

  • moonflwr912
    moonflwr912 Posts: 5,945

    Vbal, congrats. Susan, I was pulled off H because of EF drop too. I had just 2 H only when I had to come off. Hoping that with the chemo it will be enough.

    For those whose nails seem to tear easily, look at your bails closely. Are there horizontal lines running across the nails? Those would be Beaus lines and they would correspond to each chemo tx you had. Your nails break off when the line reaches the part of your nail where it is loose on the side.they go away when the chemo is over and the last line reaches that spot. Sometimes its only on one or two fingers. It takes about 6 months for the last line to work its way up to the top of the nail. Infections can add lines too. If the nails are lifting up, it was probably the taxotere at fault. Much love to all.

  • camillegal
    camillegal Posts: 15,710

    I'm just poppin in ladies and Rhonda I feel awful for u, just the idea that u have this I certainly hope everything comes out clean.

    OK I've already forgotten 1/2 of what I read but someone asked about 2 separate tumores I had that and it was 2 different types of cancer somehow or different somethings-well everyone know that I didn't listen then nor did I ask for any reports I just go by memory and I didn't ask many questions-I figured I wouldn't understand the answers anyway.

    I'm also here to debunk all info on nails---I stopped all my chemo and finished all my herceptin at the end of 2010 OK? I am on aromasin and about a dozen other meds--one of my nails fell off last week, Hmmm I noticed when I looked at my finger and there was no nail polish on it cuz that came off with it, Now I have another nail lifting off of it's bed, apparently it's not comfortable there so I'll probably loose that one too. So again I spout there are no rules.

  • Annie54
    Annie54 Posts: 39

    I'm losing toenails now at 6 weeks pcf when I didn't lose any during chemo. I'm also on Herceptin but my RO says Taxotere is famous for "latent SE's" or side effects well past the finish of chemo. Takes awhile to get that stuff out of your system!

    Annie

  • Did anyone here ever have testing for p53 gene?  Curious, I have seen it out there in the literature and how it relates to breast cancer with HER2.

  • ashla
    ashla Posts: 1,566


    Hi everyone!


    I am hopelessly behind. Take me a while to get up to speed. Hello and welcome to the newbies and congrats to all including Vballmom who are finishing up the various treatments. See lots of mentions of perjeta. Gives me great hope .


    Welcome back Lee. Hope you are getting settled in your new home.


    On the issue of nails... I am nearly 2 years since dx and 20 mos Pfc and my nails are ridged, brittle and a 2 of my toenails are deformed. Think it was the taxol


    Hi Nicky in Ireland!

  • Pbrain
    Pbrain Posts: 773

    Girl, p53 is another gene that codes for a tumor suppressor protein.  Whacked out mutant p53 genes account for a lot of cancers including breast, pancreatic and colorectal.  The test looks for antibodies to the mutated protein since our bodies will recognize it as foreign.

     

    It isn't a test that is used in clinical medicine at this point, but it is being used in clinical trials (we have one going on right now).  It is also big in research.  So I suspect most people here haven't had it done.  However, the assumption is if you have breast cancer, you've very likely had cells with a mutation in p53.

     

    And Annie, I lost all my toenails ~5 months pfc.  It was bizarre to spend a summer without sandals and toe nail polish.  And even more bizarre was that it didn't hurt to lose them...weird...

  • Rhonda2
    Rhonda2 Posts: 99


    Ok ladies,


    The biopsy is scheduled for Tuesday, Oct 8th. I'm praying that it is not cancer, but if it is I'm getting a double Mastectomy.

  • MarisaC
    MarisaC Posts: 32


    girlstrong my geneticist recommended p53 testing after I tested negative for the BRCA gene (despite my strong family history). She thought I should be tested because of my family history of breast cancer and plus my mom had leukemia. Also, I was told that the p53 gene is linked to some childhood cancers and since I have two young boys, I decided to do the test. It too came back negative.

  • MarisaC
    MarisaC Posts: 32


    oh and good luck Rhonda. Sending positive thoughts your way :)


  • Pbrain: thanks for your insight on p53


    MarisaC: I too tested negative for BRCA but now am going to see a geneticist and will possibly have p53 testing pending my consult. I guess the reason I would like yo know is to help determine if I should have radiation or not. One MO told me that there is an increased risk of secondary cancers in those with the p53 gene who have radiation versus those who don't.


    Anyone had mastectomy plus rads?


    PS: hope no one minds me chiming in on this "triple positive group", I find myself here a lot because there is a lot of active discussion and great ladies :)

  • specialk
    specialk Posts: 9,299


    girlstrong - I am absolutely sure nobody minds! The purpose is to share info and support - even if you are 1/3 trip pos!

  • Shasha10
    Shasha10 Posts: 212


    Rhonda 2 Hoping the best for you. Will be thinking about you on Tuedsya

  • naiviv
    naiviv Posts: 308


    Rhonda, best of luck to you. Praying that it is not c.


    I just got pathology from second surgery. The culprit was pseudomona aurigenosa. It apparently entered through small hole in incision and made it to TE. It was caught super early. I now have Levaquin and Biaxin to take. I hear that this bacteria is everywhere. Including our drinking water. How the heck do I avoid it ? Im praying second surgery heals well and no incision holes.


    I see Onc on 10/11, but I am sure chemo is now going to be about 1 month out still. It took me about a month to heal fully on right side, still need port and bacteria has to be fully gone.


    Sorry ...just venting.


    I hope you all have a great weekend


    V

  • Pbrain
    Pbrain Posts: 773


    Rhonda, why didn't you have rads? I am so praying for you right now. Remember over 80% of breast biopsies are negative :-)


    It is important to keep in mind that a mutation is the p53 gene is not considered to be inherited like the BRCA gene (in other words, it isn't what we call an inherited mutation, but instead a somatic mutation) p53 genes will mutate over our lifetime due to environmental stressors. So we probably all have a mutated p53 gene in the cells that turned into breast cancer.


    Testing for that mutation does not mean your children may have it. It means we smoked, got exposed to carcinogens, ate too much junk food, hung out in a large city with smog, etc. That's why looking for the antibodies to a mutant p53 protein isn't that informative. Where my company is doing the research is looking at it as a cancer screen. It is mutated in so many cancers.


    Does that make sense? I can try to explain it better, but please don't think it is a test like BRCA 1 and 2, because it is definitely not. In other words, you have a mutation because of what you have done, where you have been, how you have lived. If your child is living differently, they likely won't get the mutation. This is why it isn't useful in genetic testing for a predisposition to BC or ovarian cancer like BRCA, but why it is a good screen for an existing cancer.

  • ashla
    ashla Posts: 1,566


    Rhonda,


    My thoughts will be with you .


    Pbrain


    Just read about your family saga. Sigh. Amazing still that those who were complete strangers a year ago ... As in this forum.. can treat us with more kindness & compassion than our own families. A lifelong source of pain & sadness for many of us.


  • Hi 3+++ Women! I had my 1st treatment in Boston yesterday. A very loooong day. ( it's a four hr dr one way) We were there about 7 hours... mind you, I live far away so when I get there, they have to draw blood and check everything. Had a little trouble accessing veins...I thought I was the picture of calm and composure...however they gave me an Ativan and said relax. I guess my veins were nervous...


    I got all three drugs. Abraxane, Perjeta, Herceptin, with an observation period after each. No problems! I drank a ton of water and continue to do so today. Day 1...Im achy, but nothing to note. I hope it continues.... I'm back there next Friday just for the Abraxane.


    Im thinking the first time is the most anxiety provoking because you are embarking on the the unknown. I will not be so nervous next Friday. I met such nice people and everyone was so kind.


    This was the 1st time they gave this regimen & combination for early bc, so everyone was excited.


    Sending out huge hugs and good wishes to all starting and fortitude & strength for those of us that have begun:)

  • ashla
    ashla Posts: 1,566


    icon nor2450


    Good morning! Great that all went well for you yesterday . I had an 8 hour day my first infusion too and I didn't have a new protocol. Had to come back the next morning for herceptin!


    You will be our trailblazer in the forum ! It is exciting and makes me very hopeful . We are fortunate indeed that This her2 pos dx has been at the forefront of BC treatment innovation.


    Keep track of your S/E s if any . Your med team will want to know.

  • Rhonda2
    Rhonda2 Posts: 99


    Hi everyone,


    Pbrain, I had 33 rounds of rads and TCH x 6. Chemo ended May 9th and rads ended the beginning of August so I was surprised this came about so quickly. I'm praying it will be benign and knowing what you said about 80% being benign helps. This particular mass demonstrates heterogenous enhancement and a rapid washout type curve. I do have bilateral benign cysts in both breasts with background glandular enhancement. I also know there are more weapons they can use if needed and I am comforted by that.


    How is your head Pbrain? I hope your feeling better after that fall. I'm also sending everyone well wishes and hoping we will live to see a cure.