TRIPLE POSITIVE GROUP
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Hi Ladies I find out I had BC in Nov 7 2016 dcis I was 41 and had a bilateral mastectomy Dec 27, 2016 the final report came back was stage1A ER 30% PR 15% her2 positive. Ive seen 2 medical oncologist. I'm so confused of what to do!! They said my out come is good either way. My opinion with the first was tamoxifen, tamoxifen and herceptin, taxol + herceptin +tamoxifen or remove ovaries. One of my oncologist think chemo is overkill for me and other one is ify because I have IBS and had C diff being on antibiotics for two weeks after my surgery. I see some ladies like me have had everything, some done just the pill or just herceptin only and some no treatment just the surgery. I know I'm in a gray area. Love to know your guyses experience and decision? Thank you
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I sit right now receiving my last TCHP treatment. I am so happy to almost be done with the first hurdle if triple-positive breast cancer.
I will be seeing the plastic surgeon on March 16 about having the reconstruction immediately after my bilateral mastectomy. I am hoping I can get the implants right away instead of getting tissue expanders beforehand. I am somewhat large breasted and would like to get smaller implants. Has anybody ever gotten their implants right away?
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Robin - what was the size of your IDC? Mine was 5mm, which is just below the point at which (at the time) chemo and herceptin were commonly done - 6mm. I'm not sure if that has changed. It was a tough decision for me, but in the end I decided to do chemo and herceptin. I did 12 weekly taxol, and my decision was made easier when I learned that I could save my hair using cold caps. I think I would have done herceptin only if I could, but my MO would not authorize that. Again, that may have changed since 2012. I don't regret doing the taxol and herceptin - it wasn't bad at all, and after reading more about HER2 + I was glad to have done the chemo. I was 29% ER+, PR-, and strongly HER2 +. My MO told me that tamoxifen (and presumably aromatase inhibitors too) is not as effective on weaker ER and PR tumors like mine. Maybe there's more research on that topic available now - it seems like something that should be investigated. I ended up taking tamoxifen for only about a year; my MO told me that for my particular tumor the herceptin was the important thing. Good luck with your decision - I well remember all the anxiety as I was going through that process.
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HI PatinMN thank you for responding mine IDC was 2.5mm and on my 2nd opinion they found one more 1.5mm all widely clear margins. Hi Cjs9473 I had a bilateral mastectomy and I had reconstruction at the same time and my plastic surgeon put permanent plants in.
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Robin, my MO told me that normally a DCIS biopsy does not typically get tested for HER2 which really confused me; however, my DCIS was found secondarily on an MRI and later confirmed by a second biopsy. Since the original tumour was +++ HER2, I was being slated for Herceptin anyway. Everything I have read about HER2 has scared me greatly. I only want to do this once and will suffer through anything if it prevents metastatic disease later. Your situation is clearly been addressed much earlier. I hope you get more feedback or research tips from some other participants here. I have found this board to be very helpful, especially from those women who are further along in their recovery but have kept up with current protocol on all facets of HER2 positive BC. I hope you find peace and enough clarity to make a decision you are comfortable with. All the best
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Hi, Robin1234 - thanks for the response. It gives me hope the PS will be able to put the implants in immediately! I wish you well with whatever treatment you choose.
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I was very scared as I never had major surgery before but wow it was not bad at all. I never had to take any pain meds because I wasn't in any pain just sore I only took tylenol for 3 to 4 days. I healed very nicely never had any problems. The drains was very easy to take care of and when my plastic surgeon took the drains out never felt it. I wish you well and God bless
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Kattis894, I'm sending positive thoughts and prayers to you! I'm so sorry you are having this scare.
I was diagnosed on 1/20 and just began treatment 2/23. I first felt a lump which was removed by excisional biopsy. It came back Stage 11A (2cm) IDC and cancer was positive in the margins. My surgeon and oncologist agreed chemo/targeted (TCHP) therapy would give me amazing results. Oncologist feels this treatment will destroy what cancer was left in the margins and any that may have gotten into the nodes. My lymph nodes will not be biopsied until after treatment. I'm waiting until the genetic testing results come back to decide surgery options.
Before treatment began I had a breast MRI, abdomen and pelvic CT, chest x ray, and full body bone scan. All came back negative. I only had to wait a full day for results and I was an emotional wreck. I can't even begin to imagine how I'm going to handle the ongoing worry of a reoccurrance.
The first treatment went well. Then the Nuelasta hit me, then the nausea! I hurt all over for days. This is day 7 and I finally feel human. My WBC count is really high so I guess Nuelasta did it's job, and oncologist promises the first time is usually the worst.
I'm so thankful for you and this board. I gathered tons of information from you the past few weeks! You have given me strength and guidance. Given me lots of questions to ask the doctors and many hints on how to handle the side effects. I seem to be the odd man out in regards to hair loss though. I cut my hair short for the first time and feel so good. I am looking forward to showing off really cute scarves this spring!
I am receiving the same therapy as most, but see some are receiving Lupron during chemo. I am not and it hasn't even been mentioned (all hormone options after treatment have been discussed). Anyone know why there could be a difference in plans (I am premenopausal but don't have my uterus)?
Again ladies, Thank you for posting! I wish you all the very best.
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Robin - I am on a clinical trial doing Herceptin and Perjeta, no chemo. I'm at the 6 month point, cleared for surgery, then 6 more months HP. I had 2 tumors, one >2cm and other .5cm. Both are no longer visible on scans. Other ladies on trial seeing similar results. I feel the HP is a good thing, side effects minimal so far. I completely agree with Suburbs; this HER2 triple is scary and I only want to do this once as recurrence does not sound good. I am finding the experience and information shared in this group has been extremely helpful. Keep asking questions until you're comfortable with your decision! I wish you the bes
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Robin, thanks for sharing your surgery experience - all the info I received from the surgeon was overwhelming and I started to zone out after awhil. I feel better about it after reading your post
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Hi cjs9473 - my surgeon told me the implants could go in right away, one surgery. That gave me a sense of relief. I wish you the best
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Thank you so much ladies ( Suburbs and Deni1661 ) yes I want to treat the hormones ER and PR and I want to treat the hers2 too just didn't know if I could skipper the chemo or if you have to take the chemo for the herceptin to work.
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Kmjb - I really like your positive attitude! Sounds like you are off to a good start and staying strong. I believe positivity, faith and forward thinking is the key to complete recovery. And information! The ladies here and all the shared experiences has been very helpful for me. I wish you the best
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Thanks Elaine! Praying for good results on your upcoming mammogram
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kattis894 - I'm so sorry you're having a difficult time. This cancer business is scary and fear is always waiting in the wings. I started meditating to clear my mind and alleviate stress. You want to minimize stress as that gets your hormones churning. I use an app called "Calm" and I find it very helpful. The app is free or you can upgrade for additional sessions. I also find exercising to be a good distraction plus it helps with the pain I'm having from taking Arimidix. I limit my "cancer" reading to 30 minutes a day otherwise I get a headache. I'm sending you a hug and wish you the bes
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Hello knowledgeable ladies. My GP prescribed Cipro for a UTI, but upon reading the warnings I'm thinking it may not be so good for someone who already has neuropathy from chemo. Anyone else run into this problem? The side effects on this drug sound awful, I'm wishing she would have prescribed something else.
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If you look at people with recurrences most have had lumpectomy only. I did double mastectomy last May for my piece of mind. I only had ca in right breast. I had choice of lumpectomy vs mastectomy. You have to do what's best for your piece of mind. You can get new boobs but cannot get a new you. Jmo.
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amargoodwin, all the current evidence says lumpectomy + radiation is equal to mastectomy.
There are good reasons for each, but a survival advantage is not one of them. I've seen several women here with recurrances after mastectomy. The odds are equal.
Reconstruction is a long road for most people. I am happy to have had the good fortune of being able to choose between lx and mx. Being able to choose treatments helps make all this crap a little more bearable.
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Debiann,
I did Cipro for a UTI. It was prescribed by my MO, shortly after I had started my AI (and while still on Herceptin only). It did not have any impact on me, neuropathy-wise. I had developed mild neuropathy while on Taxol, and to this day, my fingertips are still a bit clumsy.
I didn't really suffer the SEs from Cipro. But, it did bring me UTI relief! Best wishes.
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Thanks deni1661! I'm hoping that's what I hear
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debiann - did they culture the urine sample to determine which antibiotic is needed for the strain of bacteria present? Most of the UTI I have had have been treated with Batrim successfully - which is a pretty side effect free drug other than some people are allergic to it, but a couple have needed a more specific antibiotic.
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Special K, they did a culture. Sulfa drugs would have been ok, but I have a sensitivity to those. Last time I gad a sulfa drug was over 30 years ago. I don't even remember what my reaction to the drug was, I just know my doctor at the time said to not take sulfa again so when asked I always say I'm allergic. I'm thinking however I may not be "allergic", just maybe get a bad tummy reaction. I could live with that. I think I may ask about trying it again.
For the weekend I'm drinking lots of fluids, taking probiotics, cranbery supplement and AZO for the pain. Hoping to maybe flush it out without antibiotics.
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Hey ladies. So yesterday I had my second round of chemo. This time they changed my regimen up. As I said before and I'm now on Perjeta, Herceptin, and Taxol. Along with all of the fabulous pre meds. I know it usually doesn't hit till day 2 or 3 for me after chemo, but as of right now I can happily report a mild tummy ache and fatigue and that's it. It's not like my first round where my mouth got burned and was so sick. Feeling like my prayers to God to help this go smoother this time around have been answered. Fingers crossed it stays this way
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Hang in there Beautifully...my prayers are with you!
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Beautifully,
I did the Taxol/Herceptin/Perjeta combo, too, and it was bearable. It did give me mild diarrhea, but Imodium took care of that. I also was pretty tired by week 12. But, I didn't feel as spacey or "out of it" as I did on my first combo (Adriamycin and Cytoxin). Hope you continue to feel pretty good!
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Hi all. I started my chemo last Monday 27th - weekly Taxol and Herceptin. No digestive problems thankfully but I feel achy in my muscles and have lost power generally throughout my body. I walk and do a small exercise routine every day but I feel really sore/stiff afterwards. Did anyone have this problem and is it from the Taxol or Herceptin. Is there anything I can ask them to do next Monday to make it better so I don't have more pain. I'm frightened its going to get worse.
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Beautifullybroken. That's the same as me. Are you every 3 weeks with that, and weekly Taxol?
Elizabeth7, i seem to feel more sore when I walk, I do stretches and some very light exercises. And only til my body feels tired. I don't push it.
My biggest problem is blurry vision and breaking out with pimples on my face.( talk about feeling like a teen again)
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Shelabela - I also broke out with pimples on my face durning chemo. Ask your MO to prescribe some antibiotic acne wipes. They will help.
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Beautifully- glad to hear round 2 was more bearable. Prayers and hugs to you. Hang in there!
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Hi Elizabeth7. I just finished round 5 of taxol/herceptin. I only had the sore achy body on round 2 (but everything was worse then). Because I am "old" and "arthritic" I do take arthritis tylenol (my spell check isn't working on these medical words) which may be helping with the chemo aches. Weather permitting I have been able to play 9 holes of golf 2 or 3 times a week and walk our dog with no discomfort. Are you drinking enough liquid? I started drinking the flavored selzer since I couldn't make myself drink enough water. I know there are real proponents of juicing more vegetables on these threads but I admit I haven't changed my diet much. And I was delighted to have the PA say I needed more protein when I was there Friday.
WE CAN DO THIS!
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