TRIPLE POSITIVE GROUP

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  • specialk
    specialk Posts: 9,299

    moon - I know, right?  I am having a surreal feeling of deja vu!  Things look less red and more healing-ish today but I used a magnifying mirror and see that there are a bunch of sort of tiny scabbed areas.  I really, really can't stand the thought of losing the implant at this point, what a horrific step backward that would be.

  • goutlaw
    goutlaw Posts: 268

    So Lago my MRI report came back from T-Spine :) T-2 showed a non-cancerous growth or swelling/tumor

    & Other herniated Disc & generative disc Disease!!!! So nothing cancereous showed in Spine!!!


    PRAISE GOD THE ALMIGHTY!!!!!! THANK YOU LORD!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!:)))

  • moonflwr912
    moonflwr912 Posts: 5,945

    goutlaw! Yay. So happy for you. 

  • ang7894
    ang7894 Posts: 427

    Great news goutlawHappy

  • bren58
    bren58 Posts: 688

    awesome goutlaw!

  • soriya123
    soriya123 Posts: 383

    yay!!!!goutlaw i am so happy for you and your g ood results :) 

  • So happy for you, goutlaw!

    Now, just to get those non-cancerous things cleared up or helped to the point that you don't have pain!

  • wonderful news goutlaw

  • camillegal
    camillegal Posts: 15,710

    Great news outlaw!!!!

    SpecialK I pray for good healing for you, I always think of u as being so strong and u'r attitude too so healing will come to you in the right way.

    Ashla  I love to see u'r pretty face here.

  • linda505
    linda505 Posts: 395

    Good morning all - I have a question - I asked my BS about oncotype and she said that since I was HER2+ that there really wasn't a reason to do it as my course of treatment will be the same no matter what my number was and that makes sense to me as I know that i will be having chemo etc.  I will see my MO for the first time today and will also ask him about this but curious if you all had oncotyping done and if so why?  Does it give them any other info that is useful in my treatment?

    Also so happy for you goutlaw - was checking in every couple hours hoping to hear good news on your MRI.  And SpecialK I have special prayers sent for your healing!

  • camillegal
    camillegal Posts: 15,710

    Linda I can't help I have no idea but being deboobed too I just thought it didn't matter, I never heard about it til I came here. But someone will answer u--just wishing u good luck.

  • bren58
    bren58 Posts: 688

    SpecialK, praying that your surgery site is looking better today and that you heal well and don't lose that implant!

  • fluffqueen01
    fluffqueen01 Posts: 1,801

    linda505, there are a lot of docs that say the oncotyping will come back high automatically, but I was thinking someone mentioned that newer tests reflect the positivity more accurate.

    But, you are correct that if you are going to do herceptin, the current thought is that it works better with chemo.

     I had 12 weekly taxols, a little less common at the time, but now, it is being touted as one of the best treatments with early stagers. The chemo has fewer bad side effects. I had very few and they only lasted for a couple days.  You might ask you doc.

  • specialk
    specialk Posts: 9,299

    Thank you everyone!  I'm eating protein and being good!

    goutlaw - yay!

    linda - the purpose of the Oncotype Dx test is to determine whether chemo is beneficial when added to hormonal therapy for those with a ER+ tumor.  This test is expensive and your insurance company might balk at doing it when they will know that you will already be having chemo and Herceptin.  There are a couple of other tests that are genetic assay tests, also expensive, but if your goal in having the test done is to have tumor genetics on record for the future you might consider Mammaprint.  It tests a wider range of genes than Oncotype Dx and is not confined to ER+ tumors.  These tests are the intellectual property of one lab so the price is steep - Mammaprint is about $5,000, I think Oncotype is about $3,000 - so if you are considering this make sure it is covered.

  • linda505
    linda505 Posts: 395

    Thanks fluffqueen - I have printed this article out to take with me today!

  • linda505
    linda505 Posts: 395

    Thanks SpecialK - I will give my insurance company a call.  I don't know if I really care on the oncotype test, if I have it or not, but was curious if any of you all had it being her2+ and if you saw any benefit from it.

  • specialk
    specialk Posts: 9,299

    linda - I doubt it - only because of the insurance dollars - the Her2+ result comes back before any of that testing is done, and chemo/Herceptin is a bit of a given.  I actually did have Mammaprint done on one of my biopsy samples because my BS is doing a study with them.  My insurance company refused payment, and the BS office did not get a pre-treatment authorization in advance.  Insurance considered it an "experimental" test and didn't cover it - that is how I know the cost!  I did not sign anything saying I would be responsible for it and I had no idea the BS ordered it.  The lab ate the cost, all they got from my insurance was the transportation fee of $61. I like having access to the genetic material, but it is no surprise that my recurrence risk came back as "high" due to the Her2 status.  Not too far in the future the genetic information will allow more tailored treatments to be used but I don't think we are there yet.

  • lago
    lago Posts: 11,653

    goutlaw that's awesome! I just had a feeling it wasn't cancer. You must be so relieved.

    Linda505 they don't do oncotype if you are HER2+ because you will be getting chemo anyway. It's an expensive test. I too had no nodes but didn't to the oncotype test.

  • linda505
    linda505 Posts: 395

    thanks all - I appreciate the info - so glad you are all here to provide these answers to my odd questions.   I am one of those people like like to know things - it makes me feel more in control - even if I am not LOL.  When I found out I was type II diabetic - I went on a mission to learn all i could and it empowered me and made me less afraid - so I am trying to apply that tactic to this also.   Just very grateful to have found this site and this particular forum.

  • lago
    lago Posts: 11,653

    Linda it's the lack of not know that is what scares most of us at the start. So many of us here are just like you. You have now entered Breast Cancer University.

  • ashla
    ashla Posts: 1,566

    Linda505

    Ditto Special K. Also had Mammaprint  and didn't pay a penny. Was told BC I was in their clinical trial They would absorb  cost. Think my bs knew that all along.

    I am grateful my bs ordered it though. Happy to know the genetics of the tumor are on file. They are refining the diagnoses and hopefully this will help.

    Also came back recurrence risk high.

    ERBB2- type

  • specialk
    specialk Posts: 9,299

    ashla - I actually got the bill because the insurance denied the claim submitted by Agendia.  My BS is not part of an overarching trial - this is his personal trial, and the test was done on a biopsy sample, not a surgical sample.  That is how I know how much the bill was!  Needless to say I was a bit upset - already in the shell shocked mode of new diagnosis and then I get an unplanned $5,000 bill for something I was not told about.  I made a few phone calls and the bulldog aspect of my personality came out - I called Agendia and requested an AOB form, signed it and faxed it back to them.  The form says they will accept what insurance pays - so they got the $61 and that was it.  I'm pretty sure my BS office also called them to tell them not to try to collect the balance from me because they had no signed documents saying I would be responsible. It was a good lesson to learn early in the process - be very careful what you sign and know all the plans!  Every aspect of treatment I receive requires advance authorization from my insurance - it is due to the type of plan I have through the military - so all who treat me know this - Mammoprint slipped through the cracks at the BS office.  The auth for the plastic surgeon did as well, so the person who is responsible for both of those things is not on my list of favorites, as I had to do her job and get a stat auth less than a week before my BMX - I could not see the PS until I had the auth so did not meet him until Fri, surgery was the following Mon.  He had been specifically selected by the BS for the type of procedure I was having so I really wanted him - he was nice enough to make time to come into the office on a surgery day to see me.

  • moonflwr912
    moonflwr912 Posts: 5,945

    Welcome Linda. What Specialk and everyone else said! I will add I am a type 2 as well and you will have to ask your PCP how he wants to handle the steroid spikes. Your blood sugars will rise when you get the steroids for 3 days around your treatment days. Some give insulin on those days. Others say it's only a couple of days and double meds. But you need to know. My fasting numbers were over 400 on day 3! So it's something to ask about. Oh. Also if you are on an anti inflammatory,  that could react to chemo. If you are pm me and I'll tell you what I was on and what happened. If you are aren't on that then no prob! LOL.  Not trying to scare you, but letting you know there might be a few traps out there for your situation. Much love

  • princessrn
    princessrn Posts: 270

    goutlaw.... Yay!

    Linda505.... Her2+ known as aggressive and treated so no need for oncotype apparently. 

  • ashla
    ashla Posts: 1,566

    Special K 

    Sounds like you have a forward thinking md. 

    I was dx' d after you. Don't think my md even submitted it to insurance because they never denied it. I got a letter from Agendia @ some point showing the cost and saying essentially they were absorbing it.

    At the time... Think it has changed... The sample was also taken from my original biopsy, frozen and sent within 36 hrs to Agendia. After that it would have been useless. 

    The trial I am in is only for neo adjuvant treatment. They are watching us  for at least 5 years to see how we do with response  to treatment ,recurrence,LTS ,OS etc

  • ashla
    ashla Posts: 1,566

    forgot ... Welcome Linda505 and all the newbies!

    Lago... Good one Breast Cancer University. #sadbuttrue

  • linda505
    linda505 Posts: 395

    Thanks again for the welcomes and information and I think I have some great professors here at BCU LOL.  And moonflwr  - I sent you a private message ref diabetes.  Thanks

  • cypher
    cypher Posts: 447

    Goutlaw, congratulations!  you must be so relieved.

    SK, ashla, I wonder about the mammaprint because i keep reading studies linking various new discoveries to subtypes of cancer that I have never heard of.  does it give you that kind of info?

    Ok MO said he wasn't concerned (he is always very reassuring) but that he would order a bone scan.  He said oh it should not be a long wait to get that.  surprise, two more weeks.  Ok, not surprised....  Which is why I asked him to put it in ahead of time, then Icould probably have gotten it next friday.  oh well.

    Linda, I think a lot of the women on this thread are like that!  I know I am.  I had to do a bit of my own research to come to peace with having to do chemo, but I did come to peace with it.  For me it is helpful if i understand why something is really necessary....

  • specialk
    specialk Posts: 9,299

    cypher - I did get a printout of my Mammaprint - it does classify the subtype, and lists the 70 genes looked at.  I am not sure they are at the point of tailoring and treatment based on this info, nor am I sure that any of the results imply any chemo sensitivity, but that is not far off in the world of treatment.  I am mostly happy to have it in the event of a recurrence, and if some treatment comes down the line in which it would be useful.  This is the basis of the study my BS is involved in.