TRIPLE POSITIVE GROUP

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Comments

  • Pbrain
    Pbrain Posts: 773

    Yay Linda!  You are a trooper!  I'm so glad you are getting through this and seeing the light at the end of the tunnel!

  • Pbrain..Ultrasound?  I mean just for shits and grins?  To my knowledge from patients I cared for and women I knew, ovarian cysts are often very painful.  Thinking of you...

    Fluff..you too...You'll be on my mind.

    Ashla, Special...Hi ya.

    Welcome to the knew girls

  • specialk
    specialk Posts: 9,299

    princess - hiya right back! 

    Pbrain - princess is right, get a US - I had an ovarian cyst rupture - it was worse than labor, lol!

    Oceansky - it is very important to look at the dates for what you read. This article is from six years ago and much has changed in treating early stage Her2+ patients. The article references patients with smaller masses vs patients with more advanced disease, and these patients are treated much more aggressively now than they were then.

  • Fluffqueen - any chance that the tenderness/lump in your axilla could be from an ingrown hair? It will be long days until the 30th - thinking of you

    PBrain - get it checked out - you probably are healthy as a horse now but it would be good to stay that way

    Yay, Goutlaw - congratulations on last Herceptin - you have come a long way!

  • we sister....pretty sure not. It's bigger than that. Or different. It has me pretty concerned. I'll call onto day to see if they have cencellatios

  • Fluffqueen - I hate the wait for answers - I sure hope that they can get you in earlier.

    Pbrain - I agree - get it checked out - you are going to make yourself sick wondering about it and then you will start googling and then ... well you know the rest LOL.  I supposedly have PCOS - at least I got diagnosed by my endo with that a couple of years ago but never had any pain or symptoms so can't help you with how an ovarian cyst feels.  My diagnosis came as a result of blood tests for two high hormones that I can't remember right now lol.  They ruled out other causes and said I had PCOS - I don't think I did/do though.  Btw my liver enzymes are still high as of Sept 2 and my GI doc thinks maybe I have sludge in my bile duct.  He is going to monitor it for a bit longer then do an MRI if they don't come down.  I don't know what they were for my preop bloodwork but I assume that they weren't high enough to cancel surgery.  I was afraid to ask and call attention to them LOL.  

  • Just wanted to pop in and say that Friday was my 3 year cancerversary! Woo hoo! 

  • go melster!  

  • Dear triples,

    I am new to your thread, glad to learn from you all. I am receiving neoadjuvant chemo and targeted therapy, Taxotere, herceptin and perjeta. Hope to see a tumor that shrinks, and no cancer cells active by the time my six treatments, three weeks apart, are completed. Tumor stretches from chest to nipple, so if I decide to have a lumpectomy, it will take the nipple. Doc said it is a good possibility that lumpectomy will be a good option, and my other breast can be tucked a bit so they match. (Is perky in my future?) We will see. Surgery seems so far away. Had my second treatment on 9/15. I appreciate reading about your various diagnoses, treatments, and practical ideas. Thank you!

    JeniE

  • lago
    lago Posts: 11,653

    vettegirl not everyone gets complete response who gets a lifetime of NED. Also those of us (like me) don't even know if the chemo worked on our tumor because we got chemo after surgery. At least you know it worked. I have a feeling those who get complete response get it because the tumor was growing at the time the chemo attached the cells. If the cells are not in the growing phase they may be left for surgery. Just a theory. I'm not scientist. 

    Geez Pbrain it's always something isn't it. 

    Hi JeniE

  • Congrats Melster!!

  • Hi Ladies. Have been tending to some winding roads-again-in my path. 

    PBrain. Have an ultrasound. Or something. I had cysts starting @ age 14 when I had an appy for a perfect appendix. Multiple cysts since. As have 3 of my 3 daughters. I (and they)--after the first one--didn't need anyone to tell us what it was. Hurts like a SOB on crack. And you also have winding roads. Let someone take a look see. 

    Anyone else wanting to avoid Pinktober? This will be my 3rd post BC. I used to enjoy-wore the shirts as often as I could, bought as many foods with pink stickers, walked the walks, and more. Now want to avoid. Recently a local woman had her head shaved "to honor" those suffering from BC. I kind of wanted to punch her. Clueless as to how her bald head honors anyone. She is old. Not in college as the St. Bald what ever it is that raises money. And I have the most wonderful friends who still bring me T-shirts and pins and sign my name on the pink fire trucks. I am honored and humbled by the continued support. Sick of feeling like crap, and hurting, and still having to deal with @$%^ ex-husband for property settlement. 

    Welcome to the newbies. Sorry you have to join use. Congrats to those finished. PBrain--get thee to someone. 

    Much love.

  • ashla
    ashla Posts: 1,566

    Morning everyone!

    To the newbies.....

    Just want to say that while this forum has given me more knowledge, friendship, inspiration and strength than I could ever have imagined and that I don't know how I would have managed without it, our PRIMARY sources of information are our doctors and the rest of the medical team. Always , always take your questions and even the smallest worrisome symptoms to  your doctor!

  • lago
    lago Posts: 11,653

    SusanHG I have realized Pinktober is really not for survivors. It has become more of an awareness campaign which does help with donations. 

    Sadly the message really isn't getting out. I have seen lots of pinktobers before diagnosis. I have donated to lots of friends who do walks, runs etc. I still didn't understand how pervasive this disease is. I didn't understand what they meant by "there is no cure." Had I known what I know today my disease would have been caught 3 years earlier by me. (Has some pain in the area when pressed but the mammo/us showed nothing a few months before and my PCP said it was connective tissue. He didn't feel any lump).

  • ashla
    ashla Posts: 1,566

    hi SusanHG! We've missed you ..

    PBrain

    Have it checked out. Delaying it ... Just as procrastinating  in anything ...doesn't make    it easier ... Just later ! And in the meantime you worry. 

    Camillelegal

    Miss you too:)

  • Hi gals!

    Wow, so much to catch up on. I hope you can get in soon fluffqueen. The waiting for answers is misery.  I'm sending good thoughts your way!

    Pbrain... go, go get it checked. And congrats on that weight loss!

    I have been out of touch as we had to move out of our house due to our neighbor's roof leaking into our shared wall (we're in an attached row home) so it had to be ripped out, treated for mold, dried, and replaced. Both first and second floors. Nothing like cancer, chemo, and having to move out of your house!!  Finally back home now with dehumidifiers drying out the last bit.

    Other stuff... I found my lump myself, age 39. Great shape, eat well, exercise, manage my stress.  I can relate to feeling blindsided in the sudden entrance into cancer world. Besides, I've always disliked pink. :)

    My tumor was 1.3 cm and no lymph node involvement. I have very dense breast tissue and opted for a bilateral mastectomy. I have TEs in and am looking forward to have them switched out in November. I'm in the T/H and TDM clinical trial run by Dana Farber, in the T/H group. If my WBC count can hang on, this week will be my last T/H (Number 12) and then I'll transition to Herceptin only every 3 wks through June 2015. For what it's worth, I won't be getting blood draws before my Herceptin infusions, per my MO.  

    I am really, really looking forward to the end of Taxol. While patience and grace was being handed out, I was in a different line... the one for big hair and big boobs. Now that I have neither, I sure could use a bit o'that patience and grace!

    I have found that light exercise is helpful. I was a runner, now I walk 6 days a week. It does help with the fatigue and nausea and depression...

    And I am looking forward to having hair again! I must comment on how unfair it is that I lost all the hair on my head but still have to shave my legs. Every. Day.

    Hope all of you are hanging in there. So happy to have found this group. When I'm feeling lonely, you all are always there. Thank you. 

    Oh-- and GO SEAHAWKS!  

  • specialk
    specialk Posts: 9,299

    marineswife - must just be us military wives that lost the hair on our heads and still had to shave the legs - you are the only other one I have heard that from - it was most unfair!  Sorry about the house repair - hope things are on the upswing.

    fluff - thinking about you - keep us posted.  I can't believe that we are on the last booster for the trial! 

    I was more angry about Pinktober right after diagnosis (on 9/27 - so everywhere I went, there it was!) but have become more focused on educating as many people as I can about why the "awareness" campaign is no longer the answer and that there needs to be a bigger push of money toward more research.  That is what will eventually bring better meds in the meantime, and hopefully a cure in the future.

  • Pbrain, I had right lower abdominal pain for over 12 months. It started as low level and increased until I couldn't function properly. I had an US and that showed nothing, had a PET and that showed nothing.

    I was getting to the stage that I knew something was horribly wrong, but no-one seemed to know what it was, and started dismissing me. I found a new dr who would listen to me and we finally sorted it out. 

    I have irritable bowel syndrome, and the first thing I cut out was lactose and the pain disappeared. Literally overnight. I went on a low FODMAP diet, and have found a lot of my triggers but for me lactose is the big one. If I have lactose now, I get that pain back.

    I had a pretty horrific time on Taxotere - and I understand you did too. My gastro specialist thinks my IBS is a result of the chemo. More and more people who struggle with Taxotere seem to come up with IBS later. Not proven - no clinical studies, but it seems to fit. My gastric system was totally trashed on T.

    You do need to have an US though to rule out ovarian cysts. But in the meantime, look up FODMAP and see if you can cut out what may irritate your bowel and see if it makes a difference.

    I still have issues, it's not an easy road, but I'm getting there.
    Trish

    xoxo 

  • Thank you Linda for sharing your experience at Moffitt.  Am very  glad for you that you're satisfied with your surgeon in Venice.  I've had a lot of surgeries (not breast) and it's always important to feel good about your surgeon.  

    JenE...Thank you for sharing your experience.  I'd like to hear more about your pre-surgery chemo!  I'm newly dx too and new to this forum and am guessing I'll be getting the same or similar pre surgery chemo?  Does anyone know if it's a fairly standard prescribed chemo cocktail or does it vary from person to person?  This may sound like a stupid question, but does herceptin and perjeta cause by GoPhoto.it V9.0" style="border: none !important; display: inline-block !important; text-indent: 0px !important; float: none !important; font-weight: bold !important; height: auto !important; margin: 0px !important; min-height: 0px !important; min-width: 0px !important; padding: 0px !important; text-transform: uppercase !important; text-decoration: underline !important; vertical-align: baseline !important; width: auto !important; background: transparent !important;">hair lossimage or is it only the post surgical chemo that causes hair loss?

    JenE...Hope your surgery works out well and that you can possibly keep the nipple.  I really would like to hear more about your pre-surgery chemo with herceptin and perjeta!  How many weeks and how you're handling it etc...

    Ashla, I couldn't agree more.  This forum has been a godsend for me, but I'll rely on the advice I get from the surgeon when I see her.  

    I have a breast MRI scheduled for tomorrow...They said they needed to make sure there were no tumors in the 'other' breast. Am guessing they're looking for very small tumors on the MRI?  Also, how does the surgeon use the MRI for surgical purposes?  Have heard of one person having a bad MRI and she felt it had a very negative impact on her surgery.

    Can anyone explain how surgeons use the breast MRI's.

    Also, the one general surgeon I saw locally and decided NOT to go with was nice though and shared some information that was interesting.  She said that in Europe and Scandinavian countries with Nationalized healthcare they rarely do mastectomies and almost always only do lumpectomies.  At big conventions they ask the American surgeons why they do so many mastectomies and the American surgeons answer 'because that's what the patients choose'.  The foreign surgeons respond 'Why do you let your patients decide what kind of surgery they get?'  The answer of course is 'This is the America'...

    I found that interesting!

    Best to all...

  • lago
    lago Posts: 11,653

    I have IBS too. My trigger is animal fat and stress. I can eat a little but if I eat too much I bloat and my colon shrinks. I had it before chemo. I have it controlled by diet.

  • I'm not a military wife but the hair on my legs continued to grow on chemo.  On AC, I could go a few days without shaving.  The hair was softer.  Now that I'm on weekly T/H/P, I really need to shave every day.  The hair texture has changed too.  I keep hoping the hair on my head will grow as fast!!  

  • Pbrain, just get it checked out.  No sense in worrying about it.

    Fluff, the 30th sure is a long time from now.  Hopefully they will have a cancellation.  I'll be thinking about you!

  •  Mommato...Can you tell me how often you get the T/H/P?  How many sessions and how often?   Thank you...  Also, how long does an infusion take?  Am guessing you don't loose the hair on your head then with this treatment!

    Probably not the forum to share, but for people who've just had surgery or want to treat themselves to something wonderfully soft and comfy, I'll share an item # from Overstock.  It's for a down alternative comforter.  It's white and exactly like the ones in nice hotels with the boxed panels.  This is the third one I've bought, and my husband and I call it 'the cloud'. Just ordered a new one so have this info handy.  Can't help but share something I've enjoyed sleeping under as much as I have this.

    Just a thought for ladies who have an upcoming surgery or just had surgery...Plus it's on sale for only 35.99 for a King.  LOVE this.  Item # 13831625.  960 reviews.  Have seen ones at Macy's for over 100.00 that I didn't like as much.  

    Thank you to anyone who can share info on the T/H/P protocol.  

    http://www.overstock.com/Bedding-Bath/All-season-Premier-Microfiber-Down-Alternative-Comforter/6178463/product.html?CID=228583

  • Ocean, I get Taxol weekly for 12 weeks.  The Herceptin/Perjeta is every 3 weeks until the Taxol portion ends.  Then it will be just Herceptin every 3 weeks for 9 additional months.  My first infusion was really long.  My appt with the NP was at 9 and I left at 4:30.  Now part of that was waiting for my blood work and then talking to the MO because my WBC was a little low.  The Herceptin was infused over 90 minutes.  I can't remember how long the Perjeta took but they made me wait an hour after the infusion before they started the Taxol.  The Taxol is given slowly for the first 15-18 mins to make sure I don't have a reaction.  Then they start it a little faster for another 15 mins or so then it's given at normal speed.  I get Benadryl and amend before each treatment.  My last Taxol only infusion was 3 hrs.  She said I can now get it at full speed because I haven't had any problems with it.  Taxol given weekly is a much lower dose so I was told my hair would slowly start growing back.  I'm super excited about that!!  

  • specialk
    specialk Posts: 9,299

    oceansky - surgeons sometimes like to get a pre-surgical MRI to potentially clarify size and location, and to look for any other things that may be present in the breast(s).  Breast imaging is imperfect - different patients image better with some modalities than others, so often breast surgeons use all three to get a composite, if you will.  An example - mammography did not show my greater than 2cm tumor, ultrasound did, and while the MRI did confirm the size and location of the cancerous mass, it did not show either the ADH or ALH in the non-cancerous breast, or the 2 positive nodes on the cancer side.  There are several potential chemo regimens that are used for Her2+ patients.  They combine Herceptin and chemotherapeutic agents, and some patients have been able to receive Perjeta.  There is hair loss associated with each regimen but it is caused by the chemo, not the Herceptin or Perjeta even though they are given simultaneously.  Some have used cold caps to prevent, or reduce, hair loss.  If you look at the signature lines below most of our posts you can see which drugs we had and the dates.

  • Thank you Mommato and SpecialK.  I appreciate the explanations.  Was dx only 10 days ago so my head still spins with all the data.

    I had to open the abbreviation list to understand your post SpecialK and your explanation of the different forms of imaging makes perfect sense.  Thank you for clarifying that.  I didn't realize an MRI could show lymph nodes?

    Also, thank you for explaining about the Herceptin and Perjeta.  So those two drugs are not considered chemotherapy?

    SpecialK, are you saying it's possible to actually prevent have hair loss completely with cold caps?

    Something that's odd to me is that  I have 2 sisters and I'm the youngest.  They've both had breast cancer, but we all three have very different forms.  Also, my mother is 95 and never had BC and is in perfect health.  Obviously we get half of our genes from each parent but I have many cousins on my fathers side and I don't know of any breast cancers amongst my female cousins nor the girl cousins on my mothers side for that matter.  My BC appears to be the most difficult of the three sisters but what strikes me is how we all have different forms.  I had the BRAC testing done after they were dx and I think it gave me a false sense of security. I missed my mammogram last year. 

    I have my MRI tomorrow and am obviously hoping for no more bad news.

    Am very, very grateful to the women on this forum for their kindness, patience and willingness to share and teach.  Thank you all.  It's been a blessing.

  • specialk
    specialk Posts: 9,299

    ocean sky - Herceptin and Perjeta are considered targeted therapy and they are not chemo agents - they are added to your chemo regimen to control the  overexpression of Her2.  Currently, for early stage breast cancer, Perjeta is FDA approved for some early stage patients, given before surgery, and combined with docetaxol (Taxotere) and Herceptin.  Your oncologist and surgeon may decide that neoadjuvent therapy is not right for you and do surgery first, and then give any one of a number of regimens, or recommend the neoadjuvent treatment just described.  Tumor size and physician philosophy will both help determine the most appropriate course for you as an individual.  As far as cold caps, they seem to work better with taxanes (Taxotere and Taxol), less so with anthracyclines (Adriamycin).  For some they have prevented complete hair loss, but I believe that most experience some thinning even when using them.  There are some threads here on BCO devoted to cold caps - type that into the search bar and you should find some more info - I did not use them so I can't tell you much.  Also, some physicians do not allow their use - this is something you would have to discuss with your oncologist.

  • Read on a news site that P&G is not donating pink mouth guards to NFL in October due to recent domestic violence cases. Instead is denoting $100,000 to the American Cancer Society for BC. Hoping others how promote pink will donate instead or donate more. 

  • OceanSky, Perjeta and Herceptin are targeted therapies for our type of cancer. Taxotere causes hair loss, as does perjeta. Herceptin does not. I am using penguin cold caps to try to keep some hair. So far so good, but I still have 4 more treatments. The caps make chemo treatments a very busy time!