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Topic: Stage IV...mets to liver...triple negative...

Forum: Stage IV and Metastatic Breast Cancer ONLY — A place for those managing the ups & downs of a Stage IV/metastatic breast cancer diagnosis. Please respect that this forum is for Stage IV members only or those posting on behalf of a Stage IV patient. There is a separate forum for Stage IV Caregivers/Family in "Support and Community Connections".

Posted on: Sep 19, 2012 11:18AM

DayDreams wrote:

Hi ladies I have been lurking around the boards for about 6 months now and finally decided to register. Here is some of my background info:

I'm 53 years ago and was diagnosed with a stage IIa breast cancer in February 2012. Had a lumpectomy and the tumor was 3cm, ER+/PR+/HER-2-. The plan was for a lumpectomy followed by taxotere/cytoxan x 4 cycles, radiation, followed by arimidex for 5 years. After my surgery my surgeon and oncologist thought it was a clear cut case, I was cancer free and my prognosis was excellent.

So after my lumpectomy I started chemo and after the second round they switched the taxotere to arbraxane because of an allergic reaction. After the 4 rounds of chemo I started rads and while I was almost done I got a phone call from my oncologist. My CEA was elevated and he wanted to do a PET scan. We did the pet scan and it showed mets to my liver and enlarged lymph nodes in my chest. When I found out I was devastated. I never expected for the cancer to spread and I kept hearing and thinking I was cancer free and I beat cancer but i guess it's not that easy.

We did a biopsy on the Liver and confirmed it was the breast cancer that spread and turns out now I'm ER-/PR-/HER-2- (triple negative). So no hormonal therapy for me. I know being metastatic is one thing but metastatic AND triple negative?? I just don't know what to think anymore. My onc is recommending I start chemo on Ixempra every 3 weeks starting tomm. I havent seen much on this site about Ixempra - I was expecting something like xeloda, navelbine, gemzar, Halaven or adriamycin - but my onc says since those are used later in therapy and since I'm triple negative I should start this. I also asked about liver surgery but he doesn't think that's an option for me. I guess I'm starting chemo tomm.

I guess I was just looking to rant and for some words of encouragement or any advice from you ladies.

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Sep 19, 2012 11:37AM blainejennifer wrote:

You are in shock right now. I think we all were when we first got the news that we were Stage 4. As your treatment progresses and you get into the groove, you'll get your mojo back.

Here's what I've seen the ladies here recommend for a Stage 4 diagnosis: 1. A second opinion. Just to make double damn sure you are on the right track. Full disclosure - I didn't do that. I really trust my Onc. Plus, I'm in a small town; his practice is the only Oncology practice here. My second opinion would be one of the other Docs in the practice, and the tumor baord at the hospital makes sure my information is seen by many eyes.

2. Get support. You are on the right track by coming here. Sometimes you need the company of cancer veterans, when the cancerless just don't get it. Make sure your family knows what you are feeling and thinking. Remember, they are frightened too.

3. Make use of pharmaceuticals. Personally, I am on Concerta to address chemo fatigue (weekly Taxol, me), and I have Ativan handy for when I can't sleep, or my brain keeps sending me dark thoughts. Shut that down, darling. Also, pain meds are a good thing if you need them. It's amazing how pain can suck the fun out of your day.

4. If your veins are crappy, get a port. I never thought I'd say this, but I love my port. It makes chemo so much easier.

This is no fun, but we manage to have full, good lives while on treatment, and you can to.

Have fun (!) at chemo tomorrow. You've already gone through a few cycles, so you aren't a newbie.

ER/PR+, HER2- March 2012: Stage 4, bone lesions. July, 2014, starting Xeloda Dx 5/2006, IDC, 4cm, Stage IIB, Grade 3, 4/12 nodes, ER+/PR+, HER2- Dx 3/2012, IDC, Stage IV, 4/12 nodes, ER+/PR+, HER2- Chemotherapy 6/28/2012 Taxol (paclitaxel) Hormonal Therapy 6/5/2013 Faslodex (fulvestrant)
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Sep 19, 2012 12:22PM LuAnnH wrote:

Sorry to hear that you have had to join these boards.  I would highly recommend a 2nd opinion on the course of tx before you start on imprexa.  Seeing as how you are just dx stage IV I can't see why you have to jump right to imprexa from a taxane.

It is possible you have been stage IV from the start of this breast cancer.  Did they do a PET/CT, PET or CT scan when you were first dx with breast cancer?  If not then you could have been stage IV from the start and the chemo you have been doing could have been shrinking the liver mets all along.

If I understand correctly, your tumor in the breast was er/pr+, HER- and the liver is er/pr- , HER2-.  This is possible, cancer can morph and change status so I wouldn't fret about that.  But I would recommend keeping this in mind whenever you have any progressions.  It may be wise to have a biopsy if it is easy to do, it could be to your benefit.  You never know if you might turn up HER2+++ at some point and be eligible for herceptin.

Did they tell you the size of the liver tumors?  If they are not large there may be easier tx options to use.  It's possible that the abraxane was working if you had not been scanned before.  Being new to stage IV it is impossible to know if that change in TM's was really an idication of the liver mets growing or it could have been a large number of dead cancer cells in your blood.  It is also possible that the TM's are absolutely meaningless in your case.

If you are not in any pain and in danger of the liver mets killing you immediately I would seek a 2nd opinion before starting such a harsh chemo.

LuAnn -- Dx 7/2/2006, IDC, 2cm, Stage IV, mets, ER+/PR+, HER2+
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Sep 19, 2012 12:39PM bourscheid wrote:

I, too, am triple negative with mets to liver.  I was dx Stage IV from the beginning (Aug. 2008) with numerous mets to the liver and throughout the chest (mediastanal and supraclavical).  I agree with all of the above advice, however, I too am from a small area and my onc is part of a larger network with whom he consults frequently on my case so I didn't get a second opinion.  I couldn't have my liver mets biopsied as when they tried they were too close to the heart/lung area so too risky.  These past 4 years I have been NED twice (once for 15 months and once for 9 months) and am currently on a chemo break since 2 liver lesions are all that remain and are stable.  I have felt pretty good the whole time even though I have been on chemo continuously for 4 years until last week.  Started with Abraxane/avastin then Xeloda/Avastin which got me to NED then recurred in liver and bones so had carboplatin/taxotere which got me to NED again then recurred in liver, adrenal gland and near the heart...back on Abraxane which got me to where I am today...stable with 2 liver lesions and on a break.  So, take heart that this can be managed with a good quality of life.  I taught elementary school full time until this fall when I decided to take early retirement and get out and enjoy life more.  

Hope all goes well for you!

Hugs and blessings! 

Lori 

Lori Dx 8/18/2008, IDC, 6cm+, Stage IV, Grade 3, 27/29 nodes, mets, ER-/PR-, HER2- Surgery 8/18/2008 Mastectomy: Left Targeted Therapy 10/2/2008 Avastin (bevacizumab) Chemotherapy 10/2/2008 Abraxane (albumin-bound or nab-paclitaxel) Chemotherapy 1/9/2009 Xeloda (capecitabine) Chemotherapy 9/10/2010 Carboplatin (Paraplatin), Taxotere (docetaxel) Chemotherapy 1/18/2011 Xeloda (capecitabine) Chemotherapy 11/19/2011 Halaven (eribulin) Chemotherapy 4/24/2012 Abraxane (albumin-bound or nab-paclitaxel) Hormonal Therapy 1/10/2013 Faslodex (fulvestrant) Chemotherapy 1/10/2013 Doxil (doxorubicin) Chemotherapy 8/27/2014 AC
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Sep 19, 2012 01:07PM Cydz wrote:

I am also stage IV with mets to the liver and lungs. I was dx 3 years ago with stage II TN and had 4 rounds of a/c and 4 rounds of taxol, plus a mastectomy. 2.5 years later I was dx with mets to lungs and liver. That was one year ago. They have been managed very well and after 9 months of cisplatin, they have decreasesd in size dramatically. One lesion in my liver is gone altogether. I had a serious reaction to cisplatin as they started my 13th infusion so that was stopped and I have now started xeloda. So as Lori said, this can be managed with a good quality of life! I work, I travel I pretty much do what I want. I will keep you in my thoughts!!

Cindy 

BRCA1+ Recon with TE 5/28/10 Exchange surgery completed 9/1/10 dx with stage 1 melanoma 6/09 Prophylactic oophorectomy 12/10 Dx 4/13/2009, IDC, 3cm, Grade 3, 0/1 nodes, mets, ER-/PR-, HER2-
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Sep 19, 2012 01:37PM Bestbird wrote:

It's hard enough to be diagnosed with breast cancer, much less Stage IV so soon after the initial diagnosis.  My heart goes out to you.

I strongly agree about a getting second opinion.  Also, if your tumor is biopsy-able, you may want to send it for chemo sensitivity testing to a reputable firm such as Rational Therapeutics or Weisenthal to see what chemos/combos may work best.  This is still controversial and many doctors do not believe in it, but there seem to have been good results from it.   

Also, there may be other options for the liver than chemo: http://beatlivertumors.org/Liver_Directed_Therapies.html

Wishing you a good outcome!

Dx 10/6/2011, IDC, Left, Stage IV, ER+/PR+, HER2-
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Sep 19, 2012 02:39PM kayrnic wrote:

Sometimes chemo can shrink the tumors in the liver and you may be a candidate for liver surgery in the future! So don't give up. Sorry you're joining us, but we're hear for you every step of the way!

Kay ---bone mets Dx 11/14/2001, IDC, 2cm, Stage IIA, Grade 2, 0/9 nodes, ER+/PR+, HER2- Dx 3/9/2012, IDC, Stage IV, mets, ER+/PR+, HER2-
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Sep 19, 2012 03:49PM CoolBreeze wrote:

Sorry you have to be here.  I'm a liver metster too.  My mets were found pretty quickly after my initial therapy was over.  I don't respond to hormonals so although I am not Triple Neg, I don't have that in my arsenal.

I agree with a 2nd opinion, but for this reason: you want to go to a major, NCI designated cancer center, and see what they have to offer.  They do treatments that your local oncologist won't do.  I, for example, have only liver mets, and none anywhere else (to date).  I had a liver resection at UCSF, which is rare.  The left lobe of my liver was removed and a spot in the right lobe was ablated.  It appears that I am cancer-free, although I have another PET next Monday (my 8th) which will determine this.

There are other treatments out there for liver mets, such as the SIR spheres, or chemo embolization and other things that they are finding to be effective.  So, you will want to discuss these things with your oncologist.  My oncologist did the referral for the resection and he still delivers my chemo.  I sometimes drive to San Francisco for follow-ups at UCSF.  So you can have  several doctors following your care.

If a resection is a possiblity, and you are interested in it, the chemo won't hurt you.  They usually want to see if you will respond to chemo first anyway - there are better outcomes for people who do.  

Anyway, just a thought.  I know it's very scary and confusing at first but we are here to help you. 

Ann's cancer blog: www.butdoctorihatepink.com .....multicentric/multifocal IDC/ILC+DCIS/LCIS/ADH Official dx? "Your breast was a mess." ~UniMastectomy/Chemo/Herceptin/Tamoxifen/Recon Almost Done! Oh wait. mets to liver 5/21/11 Now Stage IV Dx 8/17/2009, IDC, 4cm, Stage IIA, Grade 3, 0/3 nodes, ER+/PR-, HER2+
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Sep 19, 2012 04:47PM banjobanjo wrote:

Welcome!  I'm also triple negative, Stage IV from first diagnosis.  It gets better, promise, just don't expect too much of yourself until you've got all the information and taken things in.  A day at a time is such a cliche but absolutely true.

Barbara 'And we are here as on a darkling plain, swept with confused alarms of struggle and flight, where ignorant armies clash by night. Dx 10/5/2011, DCIS, 1cm, Stage IV, Grade 3, 14/16 nodes, mets, ER-/PR-, HER2-
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Sep 19, 2012 05:40PM bottkota wrote:

Another triple neg girl....been at this almost 3 years....it is hard to wrap your mind around...but there are lots of good treatments out there that can help. I had mets in my liver and elsewhere and right now I am NED...still on chemo but that is to hopefully keep the beast away for a long while.

Cathi

Dx 11/2009, IDC, Stage IV, Grade 3, mets, ER-/PR-, HER2-
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Sep 19, 2012 11:43PM DayDreams wrote:

Thanks ladies, I'm starting to feel better already knowing I have all of your support and experience to help me! It is possible that I was stage IV from the beginning since there was no baseline PET/CAT scan done (my onc says that it is not standard of care to do these scans at baseline unless there is reason to suspect the cancer has spread).

 Also, the part that I didnt write in my original post was that I did get a second opinion at an NCI cancer institute (Fox chase cancer center in Philadelphia) and the onc that I am seeing is their triple negative breast cancer specialist.  Originally when my PET scan showed possible lesions in my liver my original onc ordered a biopsy and said that if it is metastatic and hormonal positive he would start me on arimidex, and if it was hormone negative he would start me on Xeloda. Turns out the first biopsy was a false negative (said there was no cancer on the liver). Thats when I decided to go for a second opinion at Fox chace and the set me up for a second biopsy that confirmed that the cancer did in fact spread and it was triple negative (I have about 2-6 lesions that are about 1 to 2 cm). My second onc recommended Imprexa and said that we could always add on Xeloda later. Both oncs seem to think that the spread occurred during the treatment and the taxotere and arbraxane were ineffective.

Coolbreeze - regaurding the liver resection - I do plan to meet with a liver specialist to discuss targeted treatments to the liver.

Banjobanjo and bottkota - what chemos did you have? 

Anyone out there with any experience on Ixempra?

Thanks 

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Sep 20, 2012 02:36AM LuAnnH wrote:

I believe there used to be a thread on Imprexa that everyone was sharing their s/e and solutions.  You many need to search the stage IV forum to find it.  That should give you alo of informaton.

LuAnn -- Dx 7/2/2006, IDC, 2cm, Stage IV, mets, ER+/PR+, HER2+
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Sep 20, 2012 04:35PM bottkota wrote:

I had ACT back in 2005 when I was first diagnosed.

When it came back on I was abraxane/Gemzar/avastin for about 9 months then the cancer moved to my liver.

Started carbo/Gemzar/iniparib (clinical trial) and have been on this since nov. 2010. Just dropped Gemzar because of crappy platelets.

Just had a CT scan..results on Monday. Praying for NED still....it will make one year of NED.

Cathi

Dx 11/2009, IDC, Stage IV, Grade 3, mets, ER-/PR-, HER2-
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Sep 20, 2012 04:43PM CoolBreeze wrote:

Sounds like you have it under control then.   Now it's just wrapping your head around it, which you will do. 

Ann's cancer blog: www.butdoctorihatepink.com .....multicentric/multifocal IDC/ILC+DCIS/LCIS/ADH Official dx? "Your breast was a mess." ~UniMastectomy/Chemo/Herceptin/Tamoxifen/Recon Almost Done! Oh wait. mets to liver 5/21/11 Now Stage IV Dx 8/17/2009, IDC, 4cm, Stage IIA, Grade 3, 0/3 nodes, ER+/PR-, HER2+
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Sep 21, 2012 01:32AM luckygirl1 wrote:

IF YOU DON'T HAVE THAT MANY LIVER TUMORS AND THEY ARE NOT TO BIG, ASK A SURGEON ABOUT REMOVING THEM OR GETTING THEM BURN'T OUT BY THIS HOT ROD TECHNIQUE AND NOW THEY EVEN FREEZE THEM.  I KNEW A GIRL THAT HAD THIS DONE AND THEY DID NOT COME BACK.  WHERE TO YOU LIVE AND GETTING TREATED.  I AM IN ST. LOUIS, MOSmile
Dx 11/27/2009, IDC, 3cm, Stage IV, Grade 2, 1/17 nodes, mets, ER+/PR-, HER2-
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Sep 21, 2012 01:32AM , edited Sep 21, 2012 01:34AM by luckygirl1

This Post was deleted by luckygirl1.
Dx 11/27/2009, IDC, 3cm, Stage IV, Grade 2, 1/17 nodes, mets, ER+/PR-, HER2-
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Sep 21, 2012 01:34AM , edited Sep 21, 2012 01:35AM by luckygirl1

This Post was deleted by luckygirl1.
Dx 11/27/2009, IDC, 3cm, Stage IV, Grade 2, 1/17 nodes, mets, ER+/PR-, HER2-
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Sep 25, 2012 07:34PM DayDreams wrote:

Hi I live in New Jersey and am getting treated at Fox Chase in Philadelphia. My onc says we can consider targeted liver therapy after a few cycles of chemo and see how it is working.

I started on Ixempra last week and have been feeling fine so far.

Thank all you ladies for welcoming me to the board. Your kind words/stories/advice have been very helpful.

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Oct 2, 2012 08:16PM OBXK wrote:

I was dx with liver mets today. This has been very helpful. I also had some chest nodes light up. Awaiting a plan...

Karen - DX 2003 IDC - LX, TAC X6 - rads 50.4 grays. DX. 12/10 TN - dbl mx , 5 rounds T/C. 10/12 Stage IV - PET/CT mets to chest and liver. 6 of Carbo/Gemar 12/12 CT lesion at L6 and lung nodule. 4/8 - Progression of liver tumors. Starting Xeloda
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Oct 3, 2012 02:18AM many wrote:

How elevated was CEA when u did a pet scan ?

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Oct 3, 2012 06:26PM OBXK wrote:

Had not had any markers drawn. Achy pain on right ab and right arm, were the reason for the scan. I will see my MO on Wed.

Karen - DX 2003 IDC - LX, TAC X6 - rads 50.4 grays. DX. 12/10 TN - dbl mx , 5 rounds T/C. 10/12 Stage IV - PET/CT mets to chest and liver. 6 of Carbo/Gemar 12/12 CT lesion at L6 and lung nodule. 4/8 - Progression of liver tumors. Starting Xeloda
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Oct 4, 2012 11:43AM , edited Oct 9, 2012 11:05AM by OBXK

Questions:

PET/CT picked up the innumerable liver masses SUV  of 11.1 - how accurate are PET/CT scans. I've been told there are many flase positives.

Some chest nodes had a SUV of 18.6

My CBC & CMP were normal as of 9/16

I see onco on 10/10 - Sooooo far away!

Do you think I'll have another scan or have a liver biopsy? What's a liver biopsy like?

I know - you can't really advise, but feel free to guess  ;)

Karen - DX 2003 IDC - LX, TAC X6 - rads 50.4 grays. DX. 12/10 TN - dbl mx , 5 rounds T/C. 10/12 Stage IV - PET/CT mets to chest and liver. 6 of Carbo/Gemar 12/12 CT lesion at L6 and lung nodule. 4/8 - Progression of liver tumors. Starting Xeloda
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Oct 9, 2012 12:30AM luckygirl1 wrote:

my doctor was going to put me on that chemo but chose navelbine and Xeolda chemo pills instead.  It is stabilizing my tumors and have very little side effects and I am not loosing my hair.

Dx 11/27/2009, IDC, 3cm, Stage IV, Grade 2, 1/17 nodes, mets, ER+/PR-, HER2-
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Oct 9, 2012 12:33AM luckygirl1 wrote:

Depending on how many liver tumors and how large they can do a treatment where they stick a hot rod or freeze your liver tumors.  I know a lady that had that done.  Also Cancer Treatment Ctrs of America do chemo right into the liver.  Know someone that is getting that done and doing very well.  

Dx 11/27/2009, IDC, 3cm, Stage IV, Grade 2, 1/17 nodes, mets, ER+/PR-, HER2-
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Mar 7, 2013 11:31PM CoachC wrote:

I just found this blog site tonight, after we just got the news today that my mom was stage 4 triple negative is back in the liver. They didn't give us much hope at all. We are at lost at where to go to give her the best treatment possible. We are from Kansas and we have tossed around MD Anderson and Cancer Center Treatment of America. Her local oncologist want to start her on Abraxane once a week... We just want to do what is best, and from I am reading from most of you, it would be better to get a second opinion first. We will TAKE ALLL THE ADVICE WE CAN GET! We are still shocked, heart broken, and lost on what to do. Thank you for your help. 

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Mar 8, 2013 08:51PM hydeskate wrote:

I was dx in 2008 with triple negative stage IV breast cancer with mets to liver and lungs.  Abraxane was my first chemo and it knocked out all the cancer execpt one spot, I was put on another chemo AC (red devil) and it knocked out the last spot.  If the chemo hadn't worked so good they where going to use the cyberknife to burn out the spot. Had a BMX followed by Rads than another round of Abraxane.  I have been lucky (also alot younger than ur mom) but I have been NED (no evidence of disease) for 4+ years. 

heidiy13.blogspot.com/ Chemotherapy 3/8/2008 Abraxane (albumin-bound or nab-paclitaxel) Chemotherapy 10/25/2008 Adriamycin (doxorubicin) Surgery 2/12/2009 Mastectomy: Left, Right; Lymph node removal: Left Radiation Therapy 7/1/2009 Breast, Lymph nodes Chemotherapy 8/4/2009 Abraxane (albumin-bound or nab-paclitaxel) Dx IDC, Both breasts, 1cm, Stage IV, Grade 3, 2/20 nodes, mets, ER-/PR-, HER2-
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Mar 9, 2013 11:05AM CoachC wrote:

Thank you hydeskate. Where did you get your treatment at? They are wanting to start with Abraxane and see if it works. My mom has excellent health (minus cancer :) She works out everyday, eats great, never drinks or smokes. We are hoping these things will benefit her. The doctor told us 2 days ago that she would be lucky to have 2 years of life left. This blew us away.  We were going to go to MD Anderson, but they can't get her even started for 3weeks-to a month. We think she needs treatment NOW. We are thinking of Cancer Treatment Center of America. Does anyone have a opinion on them?

Thank you!

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Mar 9, 2013 11:18AM , edited Mar 9, 2013 11:19AM by scuttlers

My opinion on CTCA is they are for profit and cherry pick their patients to achieve the posted results. (there was a news article regarding this last week).

MDA is totally awesome.

My favorite side effect of treatments is BEING ALIVE! Dx 2/4/2009, IBC, 6cm+, Stage IV, Grade 3, 11/17 nodes, mets, ER+/PR-, HER2+
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Mar 9, 2013 04:39PM hydeskate wrote:

I get treatment at UNC Lineberger Cancer Center, they specialize in Triple Negative and have one of the top doctor's/expert on TNBC Lisa Carey. She isn't my ONC but she has final say on my treatment.   Abraxane wasn't my orginial protocol but I had a severe allergic reaction to Taxol that forced the doctors to scrape there plans and go back to the drawing board.  I also lucked out and had no side effects on both Abraxane and AC except for sinus infections, stayed on antibotics the entire time.

Also I suggest going to the TNBC Forum (tnbcfoundation.org) for more information.  Second opinion wise I would not go to Cancer of America, I would find a research cancer hospital in your area who specializes in Triple Negative, like MDA.

heidiy13.blogspot.com/ Chemotherapy 3/8/2008 Abraxane (albumin-bound or nab-paclitaxel) Chemotherapy 10/25/2008 Adriamycin (doxorubicin) Surgery 2/12/2009 Mastectomy: Left, Right; Lymph node removal: Left Radiation Therapy 7/1/2009 Breast, Lymph nodes Chemotherapy 8/4/2009 Abraxane (albumin-bound or nab-paclitaxel) Dx IDC, Both breasts, 1cm, Stage IV, Grade 3, 2/20 nodes, mets, ER-/PR-, HER2-
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Aug 31, 2013 10:00AM Texas_Angel wrote:

My mom goes to cancer treatments center of America and it was the best decision we ever made. They are so quick to see the patient and offer so many free services I cannot even tell you . I had always heard about ctca but it always seemed to good to be true and but I will tell you everything they promise you is true. They are amazing to say the least! I would love to tell you more about them.

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Sep 2, 2013 10:47PM aaoaao wrote:

Their services aren't free.  CCTA over charges insurance for any and all services provided.  They just code it to make it look medical or has a medical purpose.  I'm glad your mother had a good experience.  But CCTA does cherry pick patients for their un-tested stats.  They also are strictly profit oriented and will not accept you or drop you if you don't have the right insurance or the insurance limits are reached.  They are quick to see you because they only make money if they get you in the door.  They spend a lot of money on those ads you see and need them to get patients.  MDA doesn't need to extensively advertise because their reputation gets people in the door.   Also MDA shares their research to help cancer treatment for everyone not just their patients.  However, CCTA refuses to share any new interventions they discover, if there are any because who knows since they are privately funded and don't have to have their treatments/outcomes reviewed by any oversight group.  Sorry but I find them disgusting in their treatment of people that they don't want to treat.  My personal story is when I was first dx my son, desparate for help, called them.  When he found out that they wouldn't accept our insurance he offered to self pay. (He said he would sell his home and business if necessary).  The "nice" lady there told him he would need to give them "money in the hundreds of thousands before they would even see me".  They didn't even know my dx, what I would need, nothing but they wanted huge sums of money in advance.  The "nice" lady then hung up on us.  Yes, their customer service is great if you're rich or heavily insured with a insurance policy they accept.  After doing research I told my son I wouldn't go to them if I had millions of dollars since they will do anything for money (even ordering tests and procedures not needed) and will drop you if funds run out.  This is my opinion (which seems to be backed up with articles about CCTA), and I'm sticking with it.

The article about CCTA is at this link: 

http://www.reuters.com/article/2013/03/06/us-usa-cancer-ctca-idUSBRE9250L820130306

Another CCTA article:

http://www.dailykos.com/story/2013/03/06/1192095/-Cancer-Treatment-Centers-of-America-Misleading-statistics-and-big-money-for-tea-party-groups

Still another CCTA article:

http://scienceblogs.com/insolence/2013/03/07/the-cancer-treatment-centers-of-america-cherry-picked/

I post this because people should know the true story of CCTA not the miracle commercials you see.  Buyer beware!  The sales pitch at CCTA is very similar to the sales pitch of a car dealer's sales pitch.  I'm sure the public relations firm they hired to do those ads used all the same features of all products they pitch.  Appeal to the desparation of people who've been dx with a scary disease, tell them they're there for you, and that they offer miracles no one else can.  Basically, snake oil salesman like in the olden days.

Brenda - I am not this hair, I am not this skin, I am the soul that lives within. (Rumi) Dx 11/28/2009, IDC, 4cm, Stage IIB, Grade 2, 1/9 nodes, ER+/PR+, HER2- Surgery 1/18/2010 Mastectomy: Left; Prophylactic mastectomy: Right Chemotherapy 5/25/2010 Abraxane (albumin-bound or nab-paclitaxel), Cytoxan (cyclophosphamide), Taxol (paclitaxel) Hormonal Therapy 9/8/2010 Dx 4/18/2013, IDC, Stage IV, ER+/PR+, HER2- Radiation Therapy 4/18/2013 Bone Chemotherapy 6/3/2013 Taxol (paclitaxel)

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