TRIPLE POSITIVE GROUP

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  • fluffqueen01
    fluffqueen01 Posts: 1,801

    thanks, I'm not too worried about it. How big is the shot? I would rather have strong bones and honestly, I try to be religious about the calcium, but it's probably 70/30, so I wasn't stunned.  Bone scan was negative. Hip pain must just be from Arimidex, or something I did while walking in that boot for 8 weeks. 

    Onward and upward! Cymbalta must really be working....went to a yoga class tonight and made it through pain free! 

  • lago
    lago Posts: 11,653

    Fluff I had my flu shot  yesterday. Flu shot seemed to be a bigger needle. I think the Prolia is really tiny. I don't look. I find watching go in makes it hurt.

    Loopy

  • specialk
    specialk Posts: 9,299

    My Prolia comes in a cartridge with a small sub-q needle that looks just like the Neulasta injection.

  • amylsp
    amylsp Posts: 96

    New poster on the boards!  I just had my first chemo today, and so far so good.  Will be waiting to see how the SE's effect me over the next few weeks.  I'm triple positive, so will be on Herceptin infusions for the next year.  I'm looking forward to getting to know all of you in this thread, and the ladies in the November, 2014 Chemo thread as well. Smile

  • fluffqueen01
    fluffqueen01 Posts: 1,801

    amylsp-welcome to an unwelcome situation! Hope all goes well with your chemo. There is tons of info on the threads that were so helpful to me, and still continue to be.

    Lago-I have to look, lol. In fact, I focus on it while they do it. Just got my flu shot last week and that was a piece of cake so that's good. SpecialK-I never had neulasta. They said my side effects could be mild flulike symptoms and some joint pain. I was just sitting here thinking how stupid I was to schedule it for Monday if I might feel crummy all week. I'll just hope for the best. 

    Stuff I can't watch is taking out stitches. Just freaks me out, and I tried not to look at the expander injection needles, or when he drew out fluid. Kind of made me want to throw up.

  • lago
    lago Posts: 11,653

    Hi amylsp

    Fluff it was like Nuelasta but without the sting. I had it in my belly. I avoid the sticks and PB in arms when I can. Funny but yesterday when the tech took my BP on my ankle it was too high. Told my PCP that it always is too high, sometimes it's so high I should be having a stroke but that's because no one can do it properly. I let her do it on my 4 node arm. Sure enough my BP was totally normal.

  • CassieCat
    CassieCat Posts: 863

    Welcome amylsp.  I started chemo in August and am halfway through my fourth round. I will have surgery after my sixth round is done. Welcome to the group, though sorry you've had to find your way here.

  • fluff. Can you tell me about the cymbalta? I have a lot of joint/muscle pains. 

  • ashla
    ashla Posts: 1,566

    welcome amylsp!

    Just stopping by to say hi. Hope all of you.. especially those in active treatment... Are  doing well!

    Three years ago on Halloween had my sentinel node biopsy and had Pumpkin , my power port, inserted.

    Today I did yoga, went to gym and will do a mountain hike before greeting trick or treaters:) It does get better:) Hang in....

    Happy haunting & be safe everyone:)

  • rozem
    rozem Posts: 749

    Ashla nice to see you!

    fluff I had a bone scan for some rib pain that ended up being fine - im sure yours will be all good too!

    lago - have you always gotten flu shots?  I never have and wondering if we should after rx or have our immune systems bounced back?

    had my Lupron again yesterday...the evil shot!  anxiously awaiting the SOFT and TEXT trials to be released in December.  Even my husband asked me when the results were coming out...so proud of him because hes actually listening

    happy Halloween all!

  • TTfan
    TTfan Posts: 162

    Hi everyone, I'm another newbie!  I was diagnosed last month and feel like I ought to receive an honorary PhD in small triple pos tumors for all the research I've done!  It's how I've been coping with all the treatment uncertainty that comes with a (happily) small Her2 pos tumor. After a few MO visits all with different opinions, I got referred by Kaiser to UCSF  for a Dana Farber clinical trial of Kadcyla vs herceptin/taxol. It will be a couple weeks until I know which treatment I'll get, so I'm trying to enjoy this pre chemo time and not worry too much about the future. Easier said than done!  I'm delighted to have found this wonderful group of women to learn from and support!

  • lago
    lago Posts: 11,653

    Rozem I got my first flu shot at my 2nd chemo per my MO's orders. I have done a flu shot every year since. While I only would get the flu every 8 years, each year it was more intense. Last time I was dragging for months. Who the hell wants to deal with it. And now that I'm older it could be more serious. Get the flu shot. More people die of the flu in this country than Ebola yet everyone is worried about getting Ebola.

  • fluffqueen01
    fluffqueen01 Posts: 1,801

    princess....Cymbalta is actually an anti anxiety med. When I was diagnosed, I sent myself into a panic disorder,so the doc prescribed it. She chose it because I would be getting taxol, which causes joint pain, and a bonus to Cymbalta is it helps relieve joint pain. It also intersects with tamoxifen, so I had to stop when I started it. By that time, though, I really didn't need it.  I have noticed in the last several months that I feel stressed over little things and didn't feel like I was moving forward very well. Then, when my onc died, it was really hard. So I talked to my PCP who suggested that now I was on Arimidex, I could feel free to take it again. I didn't right away, but when I started to have all kinds of joint pain, everywhere, I decided it was time. The lack of joint pain has helped me feel so much more normal. 

    A note though....it is not fun to withdraw from. You have to do it slowly over a period of time. Gives you weird brain zaps.

    Lago....in the tummy? Ouch.

    I've done a flu shot for a lot of years. Haven't really had the flu.

    Happy Halloween from Dirty Harry and me!

    image

  • ashla
    ashla Posts: 1,566

    TTfan

    Welcome!

    You will be astonished at how much you will learn in the next few months... And years .. About a subject none of us ever wanted to learn about :)

    Very interesting on your clinical trial. Things are changing in the her2 pos arena  in the past year. So many of us had the traditional chemo regimes and full monte of treatments reserved for her 2 pos.

    Several ladies are on the perjeta regime now neo adjuvant & adjuvant too.

    I've read about kadcyla but didn't realize they might use it as a stand alone.

    You will be our eyes and ears on the new protocol.

    Good luck with your decision making . It seems that it all sort of works out one way or another. 

    We are all happy to help you if we are able.

  • CassieCat
    CassieCat Posts: 863

    TTfan, welcome.  I hadn't heard about Kadcyla before, so if you do end up on that protocol I will be very curious to follow your progress.  It sounds like a treatment that tries to hone in on just the HER2 cells without destroying everything else. That would be some real progress in the chemo world.

  • lago
    lago Posts: 11,653

    TTfan  that sounds like an awesome trial. Kadcyla was just recently approved for advanced stage HER2+ breast cancer. Once it has been approved for advanced stage then they start trials for early stage. You won't lose your hair with Kadcyla although if this is a double blind trial not sure how they are going to work that. It targets the cancer cells. Very very cool drug. It's like a smart Herceptin. 

    Are you from the Boston area? I grew up there.

  • Hello, I am new to this forum and just need to hear and speak to others going through this.  I was healthy 46 year old mom enjoying life.  Mammo's, paps every year.  This year the woman taking my mammogram asked me the normal questions (any pain, discharge or numbness in either breast?) and I mentioned, when I sleep on my right side, my breast hurts.  She decided to take a 3d image and that is when the found the 5.9cm tumor hiding under dense breast tissue.   Could not feel it and it had been missed for several years, my doctor told me with the size and spread, it's been there a good 4-5 years.  Great!  After biopsy, IDC diagnosis, I opted for a double mastectomy when my gene test came back positive for several mutated genes.  My double mast surgery was 9/29.  I've been diagnosed 3B Triple Positive.  Seven of the nine nodes taken were infected.  The first oncologist I went to said basically "here is your treatment plan, but even when you are through, there is only a 25 percent chance you will live for a year".  I was shocked.  Today I spent the day at Cancer Treatment Centers of America with my kids and husband and they feel they can help me.

    My concern is, advanced stage, triple positive. I'm not seeing many remission stories.   I've researched Herceptin since that seems to be the plan to try to stop the HER2.

    Anyone out there gone through the treatment for this advanced stage?

  • Tomboy
    Tomboy Posts: 2,700

    Yes, look around and you will find us! I think it was irresponsible of that first doc to tell you that, besides the fact that it is simply not true. Don't you have an NCCN designated treatment center you can go to? There is a  thread called, a place to greet and meet newbies to stage lll , I hope you will go there and meet us!  Sorry you are here, you will learn a lot, and you will be glad you found us.

  • ashla
    ashla Posts: 1,566

    Hi Annemarie85!

    I agree with kathec. Don't know the full details but what he/she said doesn't quite make sense. 

    I know women who are stage IV for more than 10 years!!!

    They are making great strides with her2 pos breast  cancer !

  • linda505
    linda505 Posts: 395

    Welcome TTfan and Annemarie - you have found a great source of information and help here and I know you will be glad you found this site and thread.  These women are the best.

    TTfan - how exciting about the trial that you will participate in - I am so grateful for those that participate in trials and I am very interested in how things go for you.  I hope you update us as it begins.  

    Annemarie - that is horrible what that doc said to you and wrong on so many levels.  I think you will find that there are many women that are stage 3 and doing fine!  There are so many weapons now for us HER+ girls and more in the pipeline.  I am glad that you are seeking another opinion but second kathec question on having an NCCN treatment center.  I got my 2nd opinion from Moffit which is NCCN but then did that treatment close to home.  My MO was fine with doing what they recommended. 

    My update - had my MRI yesterday to look at my liver to see if they can determine what is causing my liver enzymes to continue to range so high.  Everything in that is normal except for gallstones and some small cysts in my kidneys - which is very good and makes me happy but still a mystery on why - I am really leaning towards something with the herceptin and the preservatives cause it is the only thing that has continued this long - this all started with the first blood test after my first treatment back in April.   BUT - I am not stressed about it - I am getting better at handling this stuff lol.  Also my echo was fine this week. 

    Hope you all are doing good.  SpecialK - do you know when you are having your bone scan to look at your hip?  

  • bren58
    bren58 Posts: 688

    Welcome TTfan and Annemarie. As others have said this is a great place to get help and encouragement from others who have been there. There are a lot of wonderful ladies here!

  • lago
    lago Posts: 11,653

    Annemarie85022 are you sure the MO (medical oncologist) didn't mean you will have a 25% chance of recurrence if you do all the treatment (including chemo, herceptin and hormone blocking therapy)? OR you will only have 25% chance of survival if you don't do all the treatment? In my case I only had a 40% chance of survival if I didn't do treatment after surgery.

    They have more treatments now for HER2+ than they did when I was going through this 4 years ago. Perjeta is one of the newest that has been approved for early stage. They are also doing trials with Kadcyla. If your MO doesn't know about these drugs find a new one!

    I didn't go to an NCI treatment center but I did go to a teaching hospital that does research. My MO's research is in HER2+.

    I do know women that are stage IIIB triple positive that are alive. One is my neighbor who was diagnosed right after me so that makes her 4 years cancer free like me. We have the same team, same treatments although she got radiation I didn't. She had several tumors and a ton of nodes. I like you had a really big tumor hiding deep under dense breast tissue. It was 6.5cm with the non invasive part. Only 5.5cm was invasive. I like you complained of some slight pain when I pressed on my breast 4 years prior but the US and Mammo I had several months before said all clear. 

    You have to understand that a lot of the information online is old or not specific to your situation. 

  • Is there a risk of having less effectiveness of radiation with expanders in place?  I have asked to meet with radiation oncologist before my surgery, but wondering if others have info on this?

  • AnneMarie-I have not had my surgery yet but on MRI and US, my tumor is thought to be 8.4 cm.  My lymph nodes looked ok on US but I won't know for sure until surgery (12/17/14).  My local nor the Mayo oncologist that gave me a second opinion have never mentioned survival like that.  They both talked long range treatment.  I know it can be hard to do especially when all of this is being thrown at you, but try to stay positive and control the things you can control like exercise and diet so you can be as healthy as possible as your fight your fight!

  • I've been having this mild hip pain which I can't attribute to injury (other than extended periods of carrying a toddler on it) and I got myself all worked up last weekend. (You know - you convince yourself it's cancer and start planning your future accordingly. All night long...) Since I didn't get any sleep, I called my MO first thing the next day. Except she's on a 6-month leave so I end up talking with an alternate who assures me that my chance of relapse  is "slim to negative" and that I should contact my family doctor. Pre-cancer, a sore hip wouldn't have taken me to the doctor's office. So I went to a chiropractor that I like and he says it's mechanical, possibly an imbalance of muscle development from cycling (which keeps your leg moving on a single plane of motion). But he's not a cancer expert. I'm not feeling as anxious about it but should I take this more seriously and try to get some imaging done? Or wait and see how the adjustments go and if strengthening improves the situation? This hip also gave me trouble during pregnancy so it's possible it's just a weak area for me, and that could be compounded by my ESD (as Lago calls them) Tamoxifen. SpecialK, did you get any answers on your hip pain?

  • lago
    lago Posts: 11,653

    Marlene I'm just the opposite. When I have issues I first call my PCP. When I had my back/shoulder/neck pain I assumed it wasn't mets. I just thought it was age and sitting too much. It was the ESD but certainly not mets. What would scare me is if I had a headache that I couldn't get rid of. So far the few times I got one I take Excedrin and it's gone so I'm still good.

    Don't be afraid to discuss your mets concerns with your PCP though. 

  • efcjax
    efcjax Posts: 74

    Hi newbies, sorry you've had to go through this, but this forum has been extremely helpful to me throughout.  I'm now finished with chemo, finished radiation last Tuesday & started Tamoxifen yesterday.  Only major SE lately is joint pain, mostly in my hands.  Still experiencing my arms falling asleep at night, but the RO and MO both tell me it will pass.  I had asked the MO about whether I should get a flu shot and she said no.  Think maybe it's too soon past chemo.  Thanks to all those who've helped me get this far and given me a heads up on what to expect and questions to ask.

  • ashla
    ashla Posts: 1,566

    efcjax

    Congrats!!! You've come a long way ! I came out of rads as tired and worn as I'd ever been in my life. Sounds like you got through with less fatigue... 

    Amazing what we're capable of, isn't it? I found the herceptin only a breeze except for one speeded up infusion which knocked me for a loop. Celebrate !!!

  • Hi! I'm a newbie here. I am finishing up neoadjuvant chemo the first week of December. Then, we'll do some scans, and I'll have to decide on my surgery. I think the surgeon was hoping that my 5 cm lump would shrink enough to do a lumpectomy rather than a mastectomy. Well, after AC X 4 and Taxol/Herceptin/Perjeta, I can't really feel the lump anymore (but I'm assuming there's probably something small lingering around there). But, I'm wondering.... Yes, I'm triple positive and the lump was Grade 3 -- is a lumpectomy enough for a cancer that was "growing like kudzu in the lab" as MO put it? After surgery, I'd be doing rads and more Herceptin, then presumably hormone therapy (Tamoxifen -- I'm premenopausal). Just wondering what others think.

  • Tomboy
    Tomboy Posts: 2,700

    Hi, Elaine, welcome! i hope the scans show that you may do either, and that your onc agrees, too. hopefully you had a great response to neoadjuvant. Are you really going to do 12 taxols? I only had to do six, and a total of 17 herceptin. my tumor was small but the nodes were bigger, three of em especially! Crazy! And i did feel the one in my breast, but not really in my pit. a little. Hopefully, you can do what you want.