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Topic: How are people with liver mets doing?

Forum: Stage IV/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. There is a separate forum For Family and Caregivers of People with a STAGE IV Diagnosis.

Posted on: Aug 16, 2013 07:02PM

blondie1 wrote:

I continue to be very scared once I found my liver mets progressed after having to go off doxil. I am hoping to find some support in alleviating my deep seated fears by hearing other stories of people living and dealing with liver mets. My onc says I have such a petite frame (105) that an enlarged liver will definitely cause me some pain until chemo takes care of it.

How are others doing and getting through this with a positive attitude?

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May 22, 2020 02:41AM BSandra wrote:

Dear Lumpie, your MO, what systemic treatment does he/she suggest? Is she/he more like "ehm, we have to try something" or "this should work and save you"? If the former, I would think of getting second opinion or changing MOs. I am always so mad at this situation: doctors are specialists but when it comes to decisions, we have to make them, we have to look for possibilities and to choose, and become overwhelmed:/ They are never responsible, they never give guarantees... what kind of scientific/practical field is that?

Since Dec 2019: NED. Feb 2019: local recurrence in left breast, IBC. May 2018-Feb 2019: NED. Jun 2018: Omega3:Omega6, Cp lowering, CBD/CBDA, DC/CIK. Aug 2017: stage IV de novo at age 33. Dx 8/4/2017, IDC, Left, 6cm+, Stage IV, metastasized to liver, Grade 2, ER-/PR-, HER2+ (IHC) Chemotherapy 8/26/2017 Taxotere (docetaxel) Targeted Therapy 8/27/2017 Perjeta (pertuzumab) Targeted Therapy 8/27/2017 Herceptin (trastuzumab) Chemotherapy 3/11/2019 Taxotere (docetaxel) Surgery 7/22/2019 Mastectomy: Left Radiation Therapy 9/8/2019 Whole-breast: Lymph nodes, Chest wall
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May 22, 2020 08:35AM BevJen wrote:

Saulius,

I truly think that that "we have to try something" docs use that as a sort of protective mechanism for themselves. The other day, my current oncologist, who is supposed to be one of the top 50 oncologists in the US, laid out all of the next options for me after Ibrance/faslodex. This was on a video visit, which we are using a lot right now in the US. Then she looked into the camera right at me and said "But which treatment should we try next?" She paused, as if she expected me to answer. Huh? Isn't that what she is paid to do -- suggest the best one among the options? I looked right back at her and said -- isn't that what you should be telling me? which is the next best treatment?

The video visit ended with no resolution of the matter.

Dx 11/2003, ILC, Left, Stage IIIC, ER+/PR+, HER2- Dx 6/2006, ILC, Stage IV, metastasized to other, ER+ Dx 5/2019, ILC, Stage IV, metastasized to liver, ER+/PR+, HER2- Surgery 7/5/2019 Targeted Therapy 8/1/2019 Ibrance (palbociclib) Hormonal Therapy Faslodex (fulvestrant) Hormonal Therapy Femara (letrozole) Surgery Lymph node removal; Mastectomy; Reconstruction (left): Pedicled TRAM flap; Reconstruction (right): Pedicled TRAM flap Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Radiation Therapy Chemotherapy TAC Surgery Lymph node removal: Left, Sentinel; Mastectomy: Left, Right; Reconstruction (left): Pedicled TRAM flap; Reconstruction (right): Pedicled TRAM flap
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May 22, 2020 08:26PM Bliss58 wrote:

Absolutely you are correct, BevJen. They are the experts and the ones we expect to advise us. Sorry for your bad encounter. Reminds me of my MO advising me to radiate my bone mets and I was onboard. However, I met with the RO expecting him to concur and when I asked him about it he said to me, "Well, if you want to, but it's up to you." I thought, "What? I'm looking to you to tell me about it!" I told my MO and that I didn't feel informed at all; she was furious at him. She said, "Yes, that's the plan. Where's he been?" The two mets were radiated and I'm still NED in bone. Decisiveness is exactly why I love my MO. She knows I research it all, but she always tells me what she thinks I need to do and why. I hope you get the resolution you want and need.

Dx 56, married, 1 DD. 4/20: "Here I go again & so it goes." Back on Letrozole + Tykerb 12/19; Dx liver mets 4/20. Orig. 6 rounds TCHP to 10/15. Zometa 11/15 qtrly ended 5/18. Started qtrly Xgeva 7/19. Quit Letrozole for Aromasin 1/18. Dx 6/1/2015, IDC, Left, 4cm, Stage IIIA, Grade 2, ER+/PR+, HER2+ (FISH) Dx 6/30/2015, Stage IV, metastasized to bone Radiation Therapy 12/16/2015 External: Bone Surgery 2/16/2016 Lymph node removal: Sentinel; Mastectomy: Left Radiation Therapy 5/8/2016 External: Lymph nodes, Chest wall Hormonal Therapy 2/1/2018 Aromasin (exemestane) Dx 4/2020, IDC, Stage IV, metastasized to liver, Grade 3, ER+/PR+, HER2+ (FISH)
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May 22, 2020 09:21PM BevJen wrote:

Bliss,

My MO knows that I research everything. I even send her articles that I think she might not have seen about lobular, because it's not her specialty. I think that actually scares her more, and she doesn't want to "cross" me -- but I do expect her expertise in decision making. Never easy!

Dx 11/2003, ILC, Left, Stage IIIC, ER+/PR+, HER2- Dx 6/2006, ILC, Stage IV, metastasized to other, ER+ Dx 5/2019, ILC, Stage IV, metastasized to liver, ER+/PR+, HER2- Surgery 7/5/2019 Targeted Therapy 8/1/2019 Ibrance (palbociclib) Hormonal Therapy Faslodex (fulvestrant) Hormonal Therapy Femara (letrozole) Surgery Lymph node removal; Mastectomy; Reconstruction (left): Pedicled TRAM flap; Reconstruction (right): Pedicled TRAM flap Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Radiation Therapy Chemotherapy TAC Surgery Lymph node removal: Left, Sentinel; Mastectomy: Left, Right; Reconstruction (left): Pedicled TRAM flap; Reconstruction (right): Pedicled TRAM flap
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May 22, 2020 09:53PM - edited May 22, 2020 09:56PM by ShetlandPony

If an oncologist is scared or threatened by patients who research, they are probably a bad match for those patients. I fired my first oncologist who would say, “It's up to you" whenever there was an important decision to make. Oh, excuse me while I go get a medical degree and board certification in oncology. I'll be right back. Also he basically refused to read and discuss my research. They are being paid for their expertise. Yes, I want to have input, but it is not fair for the oncologist to withhold advice. If they don’t know what to do they should say so and refer for a consult.

2011 Stage I ILC 1.5cm grade1 ITCs sn Lumpectomy,radiation,tamoxifen. 2014 Stage IV ILC mets breast,liver. TaxolNEAD. Ibrance+letrozole 2yrs. Fas+afinitor nope. XelodaNEAD 2yrs. Eribulin,Doxil nope. SUMMIT FaslodexHerceptinNeratinib for Her2mut NEAD
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May 22, 2020 10:26PM Bliss58 wrote:

Shetland, your comment is spot on and exactly my sentiments when it comes to the MO/patient relationship.

Dx 56, married, 1 DD. 4/20: "Here I go again & so it goes." Back on Letrozole + Tykerb 12/19; Dx liver mets 4/20. Orig. 6 rounds TCHP to 10/15. Zometa 11/15 qtrly ended 5/18. Started qtrly Xgeva 7/19. Quit Letrozole for Aromasin 1/18. Dx 6/1/2015, IDC, Left, 4cm, Stage IIIA, Grade 2, ER+/PR+, HER2+ (FISH) Dx 6/30/2015, Stage IV, metastasized to bone Radiation Therapy 12/16/2015 External: Bone Surgery 2/16/2016 Lymph node removal: Sentinel; Mastectomy: Left Radiation Therapy 5/8/2016 External: Lymph nodes, Chest wall Hormonal Therapy 2/1/2018 Aromasin (exemestane) Dx 4/2020, IDC, Stage IV, metastasized to liver, Grade 3, ER+/PR+, HER2+ (FISH)
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May 24, 2020 03:46PM NicoleRod wrote:

Wanted to let you all know...my Bilirubin on my on week of chemo, actually the day of... has been 3.2 and 2.9 and this past Thursday it was 1.2!!!!!!!!!!!!!! It has been running 1.2 on the week after/before chemo but not on the week/day of.... I was SOOO happy... while this is great because it means the Doxil is not stressing out my liver ...I am praying it also means it is working... !!!!!!!!!!!!


Dx 12/19/2014, DCIS, Right, Stage 0, Grade 3, ER+/PR+, HER2- (FISH) Dx 2/5/2019, IDC, Right, Stage IIA, Grade 3, ER+/PR-, HER2- Dx 3/2019, Stage IV, metastasized to bone/liver, Grade 3, ER+/PR-, HER2- Hormonal Therapy Dx 12/19/2014, DCIS, Right, Stage 0, Grade 3, ER+/PR+, HER2- (FISH) Dx 2/5/2019, IDC, Right, Stage IIA, Grade 3, ER+/PR-, HER2- Dx 3/2019, Stage IV, metastasized to bone/liver, Grade 3, ER+/PR-, HER2- Hormonal Therapy 4/29/2019
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May 24, 2020 04:20PM - edited May 24, 2020 04:20PM by SandiBeach57

Nicolerod, good news is always welcome. Happy for you.

(2006 and 2007 DCIS) Oct 2016 Stage IV, widespread liver mets with pulmonary tumor emboli syndrome, IDC, ER+PR-HER2-, Oct 2016 AC, Jan 2017 Ibrance Letrozole, NEAD. April 2020 Xeloda for progression liver mets, ER+,PR+(weak), HER2-, high grade..
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May 25, 2020 12:19AM JFL wrote:

Nicole, great news your bilirubin is going down! I hope Doxil is working too.

Chart your own course. Dx at 30. Dx with mets at 38 while pregnant - extensive liver & bone involvement. Currently on Gemzar, XGeva & COC Protocol. ER+/PR+, HER2 equivocal (IHC +2/FISH negative). Y90 liver radioembolization in 2018. Dx 9/2006, IDC, Right, 1cm, Stage IIB, Grade 3, 1/16 nodes, ER+/PR+, HER2- (FISH) Surgery 9/22/2006 Mastectomy: Left, Right Chemotherapy 11/5/2006 Adriamycin (doxorubicin), Cytoxan (cyclophosphamide), Taxotere (docetaxel) Hormonal Therapy 3/15/2007 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Dx 12/2014, IDC, Stage IV, metastasized to bone/liver/other, Grade 3, ER+/PR-, HER2- Surgery 12/26/2014 Prophylactic ovary removal Hormonal Therapy 12/26/2014 Aromasin (exemestane), Faslodex (fulvestrant) Targeted Therapy 6/18/2015 Ibrance (palbociclib) Chemotherapy 3/10/2016 Xeloda (capecitabine) Hormonal Therapy 5/13/2017 Aromasin (exemestane) Targeted Therapy 5/13/2017 Afinitor (everolimus) Chemotherapy 8/17/2017 Abraxane (albumin-bound or nab-paclitaxel) Chemotherapy 3/22/2018 Doxil (doxorubicin) Chemotherapy 4/25/2019 Navelbine (vinorelbine) Hormonal Therapy 4/25/2019 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Chemotherapy 11/26/2019 Gemzar (gemcitabine)
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May 25, 2020 01:43AM BSandra wrote:

Dear Nicole, when you say BIL is 1.2, what are the units? It is just interesting because in Europe we have totally different numbers, so it is difficult to understand/compare. Let's say, my wife's TBI (Bil total) was 8 last time (norm is 5-21 umol/l).

Now on the topic of doctors who protect themselves. This is crazy, and we met this several times with our new MO too. If I would be a MO (I am an engineer now), I cannot imagine letting someone leave without a solution and a definitive plan given. My patients and their worries would be my problem, and my headaches, and my sleepless nights. And it is not about the money. It is about your dignity as a human... How could I look into the eyes of someone and say "there's nothing I can do"? There's always something we can do if we try hard enough. Where are these devoted warriors who swore to fight for human life no matter what? Only these who fight for us as if they'd fight for themselves should be called real doctors.

Saulius

Since Dec 2019: NED. Feb 2019: local recurrence in left breast, IBC. May 2018-Feb 2019: NED. Jun 2018: Omega3:Omega6, Cp lowering, CBD/CBDA, DC/CIK. Aug 2017: stage IV de novo at age 33. Dx 8/4/2017, IDC, Left, 6cm+, Stage IV, metastasized to liver, Grade 2, ER-/PR-, HER2+ (IHC) Chemotherapy 8/26/2017 Taxotere (docetaxel) Targeted Therapy 8/27/2017 Perjeta (pertuzumab) Targeted Therapy 8/27/2017 Herceptin (trastuzumab) Chemotherapy 3/11/2019 Taxotere (docetaxel) Surgery 7/22/2019 Mastectomy: Left Radiation Therapy 9/8/2019 Whole-breast: Lymph nodes, Chest wall
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May 25, 2020 08:16AM candy-678 wrote:

Lumpie- You are in my thoughts.

Nicole- Woohoo on the lowering bili tests !!!!

I will get CT results tomorrow at MO visit. Had done last Wednesday. Nervous.

Found mets on CT for unrelated issue. I only had 2 treatments with IV chemo, then switched to hormone therapy/targeted therapy. Also using Xgeva injections for bone mets Dx 6/2017, ILC/IDC, Left, 3cm, Stage IIB, Grade 3, 0/1 nodes, ER+/PR+, HER2- Dx 9/2017, ILC/IDC, Stage IV, metastasized to bone/liver, 0/1 nodes, ER+/PR+, HER2- Targeted Therapy Ibrance (palbociclib) Hormonal Therapy Femara (letrozole), Zoladex (goserelin) Chemotherapy AC Surgery Lymph node removal: Sentinel; Mastectomy: Left
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May 25, 2020 10:45AM NicoleRod wrote:

Saulius...the range for bilirubin here is 0.1 - 1.2.... I am usually way over that...so for me to be 1.2 that is GREAT!!

Looks like this on the paper result:

Bilirubin, Total1.2 mg/dL0.1 - 1.2 mg/dL
Dx 12/19/2014, DCIS, Right, Stage 0, Grade 3, ER+/PR+, HER2- (FISH) Dx 2/5/2019, IDC, Right, Stage IIA, Grade 3, ER+/PR-, HER2- Dx 3/2019, Stage IV, metastasized to bone/liver, Grade 3, ER+/PR-, HER2- Hormonal Therapy Dx 12/19/2014, DCIS, Right, Stage 0, Grade 3, ER+/PR+, HER2- (FISH) Dx 2/5/2019, IDC, Right, Stage IIA, Grade 3, ER+/PR-, HER2- Dx 3/2019, Stage IV, metastasized to bone/liver, Grade 3, ER+/PR-, HER2- Hormonal Therapy 4/29/2019
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May 25, 2020 10:53AM NicoleRod wrote:

Candy lifted you up in prayer for peace while you wait for the CT results!!

Dx 12/19/2014, DCIS, Right, Stage 0, Grade 3, ER+/PR+, HER2- (FISH) Dx 2/5/2019, IDC, Right, Stage IIA, Grade 3, ER+/PR-, HER2- Dx 3/2019, Stage IV, metastasized to bone/liver, Grade 3, ER+/PR-, HER2- Hormonal Therapy Dx 12/19/2014, DCIS, Right, Stage 0, Grade 3, ER+/PR+, HER2- (FISH) Dx 2/5/2019, IDC, Right, Stage IIA, Grade 3, ER+/PR-, HER2- Dx 3/2019, Stage IV, metastasized to bone/liver, Grade 3, ER+/PR-, HER2- Hormonal Therapy 4/29/2019
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May 26, 2020 01:32AM BSandra wrote:

Dear Nicole, mg/dl - that's it, now I understand, thanks. I believe it will continue to decrease, as chemo is killing the bastards! Best luck for scan results for Candy too... Saulius

Since Dec 2019: NED. Feb 2019: local recurrence in left breast, IBC. May 2018-Feb 2019: NED. Jun 2018: Omega3:Omega6, Cp lowering, CBD/CBDA, DC/CIK. Aug 2017: stage IV de novo at age 33. Dx 8/4/2017, IDC, Left, 6cm+, Stage IV, metastasized to liver, Grade 2, ER-/PR-, HER2+ (IHC) Chemotherapy 8/26/2017 Taxotere (docetaxel) Targeted Therapy 8/27/2017 Perjeta (pertuzumab) Targeted Therapy 8/27/2017 Herceptin (trastuzumab) Chemotherapy 3/11/2019 Taxotere (docetaxel) Surgery 7/22/2019 Mastectomy: Left Radiation Therapy 9/8/2019 Whole-breast: Lymph nodes, Chest wall
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May 26, 2020 10:41AM candy-678 wrote:

Cross post.....

So I just signed off from my virtual MO visit. I wanted to post here how it went. Lasted about 10 minutes. MO said my scan "looks good" and no change in treatment. I told her I had not seen results yet and could she click for it to flow to patient portal. She said to give her till end of day to finish her in-box stuff. So I don't know specifics (size of liver met this time, etc). I will be looking for results so I can read them for myself- I read every word of the results and pick it to death, you all know what I mean. We discussed my upcoming dental appt and if I could have a cleaning. Yes to cleaning, but anything else would need to be off Xgeva for a period of time. No antibiotics before cleaning--doing on week off Ibrance. She did not say when I will "see" her next. So I need to verify next appt. I go to office this afternoon for blood draw, Lupron, and Port Flush.

Thanks for the well wishes for my scans.

Found mets on CT for unrelated issue. I only had 2 treatments with IV chemo, then switched to hormone therapy/targeted therapy. Also using Xgeva injections for bone mets Dx 6/2017, ILC/IDC, Left, 3cm, Stage IIB, Grade 3, 0/1 nodes, ER+/PR+, HER2- Dx 9/2017, ILC/IDC, Stage IV, metastasized to bone/liver, 0/1 nodes, ER+/PR+, HER2- Targeted Therapy Ibrance (palbociclib) Hormonal Therapy Femara (letrozole), Zoladex (goserelin) Chemotherapy AC Surgery Lymph node removal: Sentinel; Mastectomy: Left
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May 26, 2020 11:56AM SandiBeach57 wrote:

Candy! Yeah! No change in treatment is really good news.

(2006 and 2007 DCIS) Oct 2016 Stage IV, widespread liver mets with pulmonary tumor emboli syndrome, IDC, ER+PR-HER2-, Oct 2016 AC, Jan 2017 Ibrance Letrozole, NEAD. April 2020 Xeloda for progression liver mets, ER+,PR+(weak), HER2-, high grade..
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May 26, 2020 01:07PM Anewbreath wrote:

Wonderful news Candy and Nicolerod.....love to read that treatments are working For us!

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May 26, 2020 01:33PM NicoleRod wrote:

Saulius ..YES praying those little buggers are DYING!!!!!!

Candy WHOOO HOOOO YES!!!!!!!! I am so happy for you!! Thank you Father for answered prayers!

JFL- Also good news I know I said it in the Jane thread but it bears repeating...WHOOOO HOOOOO So BEYOND HAPPY FOR YOU and your FAMILY!!!! (((((HUGS)))))

You are my inspiration...my hope!!!


Dx 12/19/2014, DCIS, Right, Stage 0, Grade 3, ER+/PR+, HER2- (FISH) Dx 2/5/2019, IDC, Right, Stage IIA, Grade 3, ER+/PR-, HER2- Dx 3/2019, Stage IV, metastasized to bone/liver, Grade 3, ER+/PR-, HER2- Hormonal Therapy Dx 12/19/2014, DCIS, Right, Stage 0, Grade 3, ER+/PR+, HER2- (FISH) Dx 2/5/2019, IDC, Right, Stage IIA, Grade 3, ER+/PR-, HER2- Dx 3/2019, Stage IV, metastasized to bone/liver, Grade 3, ER+/PR-, HER2- Hormonal Therapy 4/29/2019
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20 hours ago BSandra wrote:

Nicole, sure they die, I personally have no doubt about it knowing your ki67 and grade... just the right chemo is needed and suckers will suffer a lot:>

Many good news in these forums. Shetland, JFL, Candy, Nicole, others... something good is happening, we just need time to understand what that is!

Saulius

Since Dec 2019: NED. Feb 2019: local recurrence in left breast, IBC. May 2018-Feb 2019: NED. Jun 2018: Omega3:Omega6, Cp lowering, CBD/CBDA, DC/CIK. Aug 2017: stage IV de novo at age 33. Dx 8/4/2017, IDC, Left, 6cm+, Stage IV, metastasized to liver, Grade 2, ER-/PR-, HER2+ (IHC) Chemotherapy 8/26/2017 Taxotere (docetaxel) Targeted Therapy 8/27/2017 Perjeta (pertuzumab) Targeted Therapy 8/27/2017 Herceptin (trastuzumab) Chemotherapy 3/11/2019 Taxotere (docetaxel) Surgery 7/22/2019 Mastectomy: Left Radiation Therapy 9/8/2019 Whole-breast: Lymph nodes, Chest wall
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19 hours ago arolsson wrote:

Hi all, glad to get back on this thread, especially to hear about your experiences with Y90 which my MO also pooh-poohed when I brought it up. I did find a radiologist that does it, mostly for liver cancer but was willing to look at my scans. So I am definitely going to follow up with that.

I find myself going back and forth between wanting to positively explore lots of options and wanting to just give up. There are implications for exploring all options both financially and emotionally. But we have a couple of rocky weeks aheas. the home care nurses that keep track of me (angels) have a supervising doctor who has been alarmed at my hypercalcemia (almost 4 when albumin corrected) and I have been on IV fluids and shots to try to get it down. The Doxil shut down my immune system in the meantime, we got it back up with those painful gut shots but I got a bacterial infection with high fever (luckily resolved with other bag to hand on the IV! They have tested my thyroid and parathyroid which have low values which is good because it means they are trying to compensate for the tumor related hypercalcemia. My liver values are all over the place, not least my GT so no painkillers for my constant pain. (Xanax helps). (Negative for COVID, wohoo!)

I shelled out two thousand dollars for the Foundation One genetic tests, finally got the pathologist to send over a tumor sample from my liver, heard through the grapevine (nice nurses who will read my chart to me) that there weren't enough tumor cells to make a determination. Also mumbles that they will do a new liver biopsy (ouch) and bone marrow biopsy (double ouch) and look at the new scan (taken tomorrow, but it usually takes 2 weeks for them to bother to look at it). Problem is that last visit I was already basically told I was out of options. caveat, if the new liver biopsy shows that I my tumor biology has changed again and I am now TNBC I may qualify for immunotherapy. Or maybe the gene tests will suggest a new international study.

Meanwhile two surly teenagers are finishing the school year, one of them finishes high school. My goal was to live long enough to be able to throw her a fun party but well, this freaking virus has taken that away. Plus any chance of seeing my family or friends in the USA.

Thanks for letting me rant. Love and hugs to you all, AMY

Dx 8/2017, IDC, Right, 6cm+, Stage IV, metastasized to bone/liver, 5/5 nodes, ER-/PR-, HER2+ Chemotherapy Halaven (eribulin) Surgery Lymph node removal: Left, Right, Sentinel, Underarm/Axillary; Mastectomy: Right; Reconstruction (right): Tissue expander placement
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13 hours ago AlabamaDee wrote:

arolsson- You are really going through a rough patch. Prayers for some effective treatment to keep you hopeful and going forward!

I understand some of what you are going through. After 2 Liquid biopsies showed nothing, I had to have a second Tissue biopsy to do the genomic testing because of lack of cells from the first one. It showed I had 5 mutations and only the esr1 gave us any actionable data that I was most likely AI resistant. Glad I did it though- eases my mind from the what if’s

Rejoicing in everyone’s good news here- I have some too. The only activity on my last PET was a smalllung lesion and I just got approved for SBRT to whack that one.

Hoping you all keep getting good reports And our lives return to some kind of normal.

Dee

Primary neuroendocrine breast cancer Dx 5/23/2013, Right, 1cm, Stage IIB, Grade 2, 1/22 nodes, ER+/PR+, HER2- (FISH) Chemotherapy 7/29/2013 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Dx 4/2019, Stage IV, metastasized to liver, ER+/PR+, HER2- Targeted Therapy Afinitor (everolimus) Hormonal Therapy Faslodex (fulvestrant) Chemotherapy Doxil (doxorubicin) Chemotherapy Xeloda (capecitabine) Targeted Therapy Verzenio Hormonal Therapy Faslodex (fulvestrant) Hormonal Therapy Arimidex (anastrozole), Aromasin (exemestane), Fareston (toremifene), Femara (letrozole)

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