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Dec 5, 2020 01:12PM
Dec 5, 2020 01:13PM
Yes, this seems normal considering there was progression on hormonal therapy and being HER2+. Standard protocol in this scenario is likely a taxane (taxotere or taxol) chemo with Herceptin and Perjeta. The taxane would typically be the usual corse of cycles for about 5 months, then continuing on Herceptin and Perjeta (H&P) every 3 weeks thereafter until it stops working or side effects become too much but H&P is well tolerated by many.
I had the same plan, chemo worked well and H&P has kept me stable in the body for 4 years now. HER2+ has a greater tendency to present in the brain, so a brain MRI should be done and symptoms of headaches, vision issues and possible new numbness should be mentioned to the doctor, if these come up. Cancer in the brain sounds scary but I've been dealing with it over 3 years and if caught early with few, small lesions, it is very treatable with many options.
Good luck to you and your mom.
Diagnosed at 41 Stage IV De Novo
11/16/2016, IDC, Left, 5cm, Stage IV, metastasized to bone, Grade 3, 3/13 nodes, ER+/PR-, HER2+ (IHC)
1/2/2017 Abraxane (albumin-bound or nab-paclitaxel)
1/2/2017 Herceptin (trastuzumab)
1/2/2017 Perjeta (pertuzumab)
6/26/2017 Lumpectomy: Left; Lymph node removal: Underarm/Axillary
8/10/2017 Breast, Lymph nodes
10/5/2017, IDC, Left, 5cm, Stage IV, metastasized to brain, Grade 3, 3/13 nodes, ER+, HER2+ (IHC)
10/20/2017 External: Brain
4/18/2018 External: Brain
5/23/2019 External: Brain
2/17/2020 External: Brain
7/20/2020 External: Bone
12/4/2020 External: Brain
Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)