TRIPLE POSITIVE GROUP
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Thank you Posey! Your birthday is Feb 14th, this is a nice coincidence in itself. I really hope I will have much better birthdays ahead of me and I will never ever take them for granted anymore. My last three I actually did enjoyed very much even though I was not in the mood for a couple of years.
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Thank you Paulette, KB870, deni19901!
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Trisha-Anne, thank you for advice. My tooth feels better today but I have 6 treatments left and in case it will get worse I will need to go to the dentist.
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Happy Birthday Cherry~
Congratulations Moody!
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Thank you, Kimberbir!
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Thank you Kimberbir!
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All- I know there's been a lot of talk about being able to search for side effects of drugs as they're reported by doctors and patients. Well, the FDA has made their FDA Adverse Event Reporting System (FAERS) available for searches. I'm not sure how long it's been available, but here's the link. https://www.fda.gov/drugs/guidancecomplianceregula...
I wasn't able to try it on my phone so I have no idea how easy it is to use. Hope this helps.
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Hi Ladies
I am new to the triple positive group. I didn't find out I was HER 2 +ve until I was 7 months into treatment after my lumpectomy results came back...the initial biopsy results were inconclusive.I've come to this site often to find relatable information and encouragement through neoadjuvant chemo, surgery, radiation ...figured it was about time I chimed in 🙂 I have been on Herceptin since August and doing well, surgery scars are healing and lymphedema is under control. For the most part I have been optimistic throughout treatment until recently.. I confess..I am an obsessive researcher and have recently been on some oncology treatment websites where oncologists talk to each other about recent studies and new treatments. Much of what I've read about triple positive, currently, has been sobering information and has created more fear in me than ever before. I am grateful to see many survivors here living long and without recurrence. I am hoping to live a long life despite the stats I've seen. Having breast cancer has changed me in so many ways. I've realized it's time to take care of me, although I was sorta forced into it. Lol.... I've had incredible support from people I least expected and very little from some of my family members which has been the hardest part of this experience. My husband has been incredible, understanding, and empathetic although this year has taken its toll on our family which I'm sure all of you can relate to. I look forward to hearing how you all are doing, which treatments are working and how you all are staying mentally strong 💕
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Hapb - You're right. The information that come out is only as good as the information that goes in.
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Welcome Jagger, so sorry you have joined us in BC. I can say that this group will encourage you, give you tips, high five you from miles and miles away, cry with you and pray for you. I researched as well without end at first, but only very reputable sites (no Dr. Google at all). I stayed here and Susan G Komen site and also the several spots that several ladies pointed us to. There are times I backed off in fear and stopped looking all together because of it being so overwhelming. There have been times I dumped every feeling I had right here on breastcancer.org, I cried and whined. EVERYTIME I was met with open arms and love.
Although this detour sucks, I have found so very many survivors here and it gives me hope.
((hugs)) Melanie
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Hi Jagger, I see you also didn't know you were her2 positive until after your surgery. That was the same as me. I was wondering if you had chemo prior to surgery? If so, did they give you additional chemo when they started herceptin?
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Welcome Jagger2015!
I believe most of us always thought "another woman" would end up in this club and not us. So welcome to the place you maybe thought you would never be.
This a GREAT group of loving and supportive women. I count them as my friends and as people who "showed up". I have been on here early mornings / late nights and found someone to lend a caring ear.
It is a surprise at who shows up and who does not. You will know at your journey's end who loved you. That is a gift most people will never have.
Your post reads that you are strong and doing well. It is wonderful that you have your husband's support. Please watch his stress level. Sometimes, they can hold too much inside. We get all the attention so I have found it important to give my husband some alone time. I scheduled regular massages and facials for him during the rough times of this journey. I can be a bit much 24/7.
As for the research, I am OCD about it. I limit my searches to breastcancer.org. I go to WebMD to get a definition of something. That is it! Otherwise, I'd be a basket case with all that is out there.
Let me know if there is anything I can do for you.
On a happy note to share with ALL ... I went pretty bra shopping at Victoria's Secret! I measured out a 32DDD. I thought that was my size but it sure was nice to get pretty bras that fit well and not just sports bras and cami tops. The new girls sit in the bras like coconuts! I was nervous with the salesperson. Come to find out she is in her last year of nursing school. Did I luck up or what?
Hugs to all. Have a great weekend.
Vicky
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Vicky...that is so hilarious; you have coconuts! And I have one raisin lol. Glad you got some pretty bras!!
Jagger, I tried writing you once before, but my message didn't complete. I have a similar diagnosis to you and live just 2 hours from you...I, like you, did a ton of research. I still do. May I ask what research you're referring to regarding oncologists communicating with one another about triple positive? I haven't seen anything like that as yet. It's my impression from all my reading that, while aggressive, triple positive is not the worst bc you can have. It's basically "the best" out of the aggressivecancers. The best bc anyone could hope for would be an indolent hormone positive cancer.
Is this the site you go to, Jagger? I found this panel discussing neratinib. I know several ladies here have talked to their doctors about this, and they say no to neratinib. Dr. Blackell is a top oncologist in the US, and suggests that for women with node positive Her2, who responded well to chemo and Herceptin, and who can tolerate the symptoms, she'd suggest neratinib because she'd rather over treat.
Here is the link:
http://www.onclive.com/publications/oncology-live/...
I feel like I need to pursue more info about Nerlynx
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Happy birthday Cherry. It's okay to let this birthday pass and plan to double-celebrate the next one! Sending you a virtual hug!
Congratulations Moody! Just love watching us all finish up chemo. Rest up this weekend!
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Jagger 2015, sorry you have to be here but this is the best place to be for support, understanding, information and friendship. I'm happy to hear you are doing well after treatment, you seem very positive which is so important to your recovery. And you have a good support network which is a bonus!
I found it interesting that you did not know you were HER2+++ until after surgery. I assumed testing for HER2 was automatic. Unfortunately this diagnosis does bring challenges but I'm finding through this group many long term survivors, strength and hope. I too can be obsessed about research (more so initially) but I now limit myself to breastcancer.org and sites relative to nutrition and wellness to keep cancer away.
I am curious - your profile doesn't mention chemo. Did you have chemo or just Herceptin? The reason I ask is that I did Herceptin and Perjeta, no chemo in a clinical trial. Just looking for others who have done the no chemo treatment; there isn't much info available about this approach for triple positive.
Best wishes, hugs 😊0 -
Coach Vicky, your post gave me a BIG smile! I can't wait to get out of these sports bras. I have my revision surgery Nov 30 to even things out, a little lift and a few tucks. My girls will be more the size of oranges but it will be nice to wear something pretty again.
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I think listening to Christ Beats Cancer is good regarding the diets but it sort of ends there for me personally. We are all different. We believe different things, some wants to know everything there is, some do not and so forth. Jagger, I can relate to your sudden fear, if I read too much I just think it is the end so trying to keep it to a minimum at this point. Saying that I still want to know your sources...:) and keep informed...it is such a double edge sword...knowing and not knowing...I keep in my head this is not going to recur. Period.
At work I try to keep it a "cancer free zone" never bringing it up so at least I have a space where I am too busy not to worry, knowing damn well it can happen any day, so just trying to enjoy the moment and "forgetting" about it at least part of the day. Sending love to all in this helpful group, the best I have found so far during this journey.
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Thank you, T-Sue, this birthday was sort of sad, the cat is ok though even though they shaved it around the tail, looks funny
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Jagger2015, welcome to this group, sorry you had to join it. I red everybody’s responses trying to add something new and realized there is nothing much to add. This group and the forum became my liveline, I feel guilty for pouring everything here but I was never waved off and was always met with comfort, understanding, competent answers to me questions and tons of compassion. I am so grateful for all this, sometimes when I think what if I had never found this forum and imagine going through the chemo all on my own, I keep telling myself I would have found it evetually. I know I write it all the time but this is just how I feel.
It is obvious we all would like to know what research you are referring to, even though I can only take it in portions, sometimes I just cannot take it anymore and sometimes I just have to know. I believe I am right now at this point where I realize that no one can give you any straight answers, because no oncologist knows for sure how an individual bc would behave. I am rather prepared to be over-treated but the oncologists I met told me that I mat already be, they just do not know. This knowledge resulted in me started to take anti-depressives but I felt that I hit the bottom and there was no other way but so far I am glad I did it. Never thought it was for me but extreme times call for extreme measures. If you need support, comfort, just a place to vent, this is a thread for you
Cherry
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coachvicky, you always make me smile, this is just so funny. I remember you wrote a similar thing to me about people’s color start showing, it was so true. I definitly am dissappointed in some people
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Thank you HapB!
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Thanks, SpecialK, for your posts.
I was just given the choice between Prolia or generic hospital infusion of bisphonate for my bone protection (borderline osteoporosis) and on anastrozole and Herceptin currently. You've helped me decide for Prolia, which I will hopefully receive after my Herceptin infusion this coming Tuesday. I am so glad to learn that your bone density has returned to normal. That's motivation for sure!
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After my experience with 2 generic Arimidex, I went with the brand name. I feel the same about the Prolia injection.
My sister-in-law (not a cancer survivor) takes the Prolia injection. She, too, has reversed her bone density lost.
My MO wanted me to wait 21 days after my last Hercepin before getting the Prolia injection. He is a one at a time guy. I bet he eats is food separately (meat, then beans, then potato ...). I don't know. I made that up about him. He just never wants do multiple things to me.
Vicky
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saje - glad to help!
coach - it is actually not a bad approach with Prolia because some can experience flu-like symptoms after the injection. I have not had this happen, and I just had my 12th injection. My MO had the same approach with separating all treatments to suss out side effects. Surgery, then a break, then chemo/targeted treatments, then a break, then rads, if needed. I had a break between chemo and letrozole, not sure how he would have approached rads and letrozole since I didn't need rads.
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Thanks SpecialK.
I did have flu like symptoms. I got the instructions AFTER the injection on how to deal with this. My MO wants me to double my calcium one week before injection and two weeks after injection. He said for some women it helps with the flu like symptoms.
I don't know if it was or was not the injection that caused the flu like symptoms. I think my body is just tried from all of this. When the Nurse brought the Prolia to the station I almost walked out and said forget it. I think emotionally I had enough at that point.
Why did I stay? This was the Nurse that always gave me my Neulasta injection. She has been kind, tender, listening every time I saw her. Her past demeanor with me was the only reason I stayed. It was early morning and I knew if I walked out, she'd have paper work to do about it. I didn't want her to have a crappy day.
Strange how that played out.
Vicky
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Does anyone have any information about the importance of CpR? I thought this was a very important factor in predicting recurrences but just heard the opposite making me confused. My onc explained only 20% of patients receive CpR and I was not one of those unfortunately but my tumor shrunk about 50-60% at least. He also said that hormon treatment might take care of the rest being 100% ER+. He seems to put more importance of the Ki65 percentage, mine was 6% after treatment, low but still not 0%.:( In my mind this means that any lingering cancer cells have half the strength and grow less quickly than before treatment, but thought I would ask you ladys if you have any updated information about the importance of CpR and what it really means. Also read somewhere that the PR+ factor also has some importance but not sure why at all.
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I too did not get my HER2+ status until after I had had my lumpectomy and finished brachytherapy. I don't know if no tests were done on the biopsy or that they just found it on the final path report. I remember my surgeon saying at my one week follow-up that the full report wasn't back yet (Surgery was Dec 22nd so don't image the lab was running fully staffed). I don't think the initial treatment would have changed but team did add chemo and herceptin much to my surprise because I went into my first appointment with my MO just thinking I would get AI's. Yes, the HER2 threw me too. Still have 4 months of herceptin and who knows how many years of AL's as the recommended time keep going up. Keep hanging around and these ladies will be there for you.
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Hi Kattis,
I know SpecialK can speak well to the PR thing (mine is very low), and she posted a link about it.
Re: Pcr, this has obsessed me since my pathology in December. I did receive pcr and everyone was happy about it. Then I read that it doesn't seem to have the prognostic value that pcr holds for other subtypes. It is still considered a positive thing and may make a little difference; the jury is still out on how much. But triple positive has other targeted therapies after the main treatments, so that is why there may not be a huge difference between pcr and no pcr - because there are more treatments after. I would love to have more input on this
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Posey, I would be thrilled about it if I were you. You are amongst the lucky 20%...:) I think it is important because you know the treatment has worked a 100%, how strong ER+ and PR+ are you? Do you know? Ok low PR but ER? I will try to find the link going back in the thread.
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Hi. On the subject of PCR, for triple positives, currently, a PCR is not necessarily an indicator of improved DFS or EFS. The science is not in yet. The article on breast cancer.org, "If Chemotherapy before Surgery..." does not cover triple positives specifically. It's a subset. Also, addition of perjeta is known to improve PCR; however, research has not supported the notion of improvement in DFS or EFS. The science is not in yet.
I wish I could properly post links from the iPad. Anyway, the following is a list of resources on the topic:
British Journal of Cancer (2016) 114 - Abstract of article: Pathological complete response and prognosis after neoadjuvant chemotherapy for HER2-positive breast cancers before and after trastuzumab era: results from a real-life cohort

Journal of Clinical Oncology volume 30, number 15, May 20, 2012 - Definition and impact of pathologic complete response on prognosis after neoadjuvant chemotherapy in various intrinsic breast cancer subtypes. - PubMed - NCBI
Clinical Advances in Hematolgy and Oncology Volume 14 Issue 7 July 2016 - Long-term Outcomes of Neoadjuvant Treatment of HER2-Positive Breast Cancer
After wading through the above and a Brazilian journal of medical research, the idea of pursuing nerlynx seemed to make more sense.

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