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All TopicsForum: HER2+ (Positive) Breast Cancer → Topic: TRIPLE POSITIVE GROUP

Topic: TRIPLE POSITIVE GROUP

Forum: HER2+ (Positive) Breast Cancer —

Testing, treatment, side effects, and more.

Posted on: Jan 31, 2011 06:30AM - edited Dec 10, 2012 07:55AM by TonLee

TonLee wrote:

This is primarily for people who find themselves with THREE +'s by their diagnosis. 

If you are new to breast cancer, please click on the link below and read.  It is "What I Wish I Knew At the Beginning of Treatment."

http://community.breastcancer.org/forum/6/topic/797454



IDC, 2cm, Stage IIIa, Grade 2, 4/4 nodes, ER+/PR+/HER2+, Skin Sparing uni-MX with TE, TCH, Rads Dx 9/14/2010, IDC, 2cm, Stage IIIA, Grade 2, 4/4 nodes, ER+/PR+, HER2+
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Aug 16, 2017 08:11AM Cherry-sw wrote:

Congratulations HelenWNZ!

Dx 6/28/2017, IDC, Left, 1cm, Stage IA, Grade 3, 0/3 nodes, ER+/PR+, HER2+ Surgery 7/17/2017 Lumpectomy: Left Targeted Therapy 8/20/2017 Herceptin (trastuzumab) Chemotherapy 8/20/2017 Taxol (paclitaxel)
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Aug 16, 2017 08:28AM - edited Aug 16, 2017 10:18AM by Cherry-sw

moodyblues, I grew up in a family farm too, well until I was seven we lived with my paternal grandparents, then we moved to the city but I still spent every summer there when I was a child and also lived there when I went to university. I know what a hard work it is to keep ecological gardening. I love beans, me too, but cannot digest them very well, so I am trying not to eat those so much. I know I have been eating unhealthy as well, all this hidden sugar and obvious sugar, and even if you prepare your meal from scratch you always eat some popcorn, chips or ice cream time to time but still weekly, not to mention wine and drinks. I cut on those completely after my diagnosis but berate myself for not doing it earlier even if I tried to. Now when I stopped and never even had a dash of abstinence I just think that for not being an alcoholic I certainly did drink way more I should have. It was all just stress and life became more fun with a drink. I did exercised on a weekly basis too. I have some ideas of why I got bc but I think I will never know for sure, the doctors so far said that the only reason I got it is because I am a woman, some of us do. And now some food is not good for this particular bc, no one ever mentioned that anywhere. I have a book with anticancer recipes, they state 12 foods that are good to eat if you want to avoid cancer, beans, pomegranates, curcumin are among those. Go figure.

You are on your 4th round, wow, good luck. I have not even started yet, I will be meeting my oncologist tomorrow. Many of the chemo drugs come from the plants, at least I know Taxotere does. It does not make it healthier for that for sure. I do not think that you can be very picky about your diet during the treatment, some of us feel so bad that one will be lucky to eat just anything, and the body needs protein in order to build new cells otherwise it will start taking it from the muscles I red.

Dx 6/28/2017, IDC, Left, 1cm, Stage IA, Grade 3, 0/3 nodes, ER+/PR+, HER2+ Surgery 7/17/2017 Lumpectomy: Left Targeted Therapy 8/20/2017 Herceptin (trastuzumab) Chemotherapy 8/20/2017 Taxol (paclitaxel)
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Aug 16, 2017 10:03AM Cherry-sw wrote:

SpecialK, you are amazing, I believe it takes a certain personality to be able to provide help and comfort in the situations that can actually trigger a post-traumatic stress. But I promised myself that if I ever will find myself in a situation when someone else with the same/any diagnosis will need my help, no matter how stressed I will feel I will step in and be there for them, I know how stressful it could be, but one has to do it. I may come here afterwards and rant about my stress but without this kind of help a person can just go mad, I fully understand it. I do not have any experience of bc as I said. My paternal uncle died from colon cancer last year and he was over 65, my maternal aunt had a precancerous condition in her lady's part but it was excised so early that nothing besides the surgery was required. It was 10 years ago and she was in her 60-es. Otherwise I do not know many who had cancer before, some my friends knew maybe.

Thank you for the explanation on the ER and Herceptin, as always you just deliver. I will try not to think about it much, I am afraid to ask what happens to those who has primary resistance to Herceptin but I feel I need to ask my oncologist how they will be able to understand if a person does respond to the treatment. This all is just so confusing, the hormonal tumors have better prognosis but if Her2+ is added the hormonal status becomes a disadvantage because there will be some additional growth pathways when Her2 receptors are blocked. On the other hand if Herceptin successfully blocks and even helps to destroy the cells with excessive Her2 receptors, the AI and other anti-hormonal drugs shall be able to take care of the cells that do not have excessive Her2 receptors and grow primarily of ER and PR? Or did I get it all wrong? I do not know why I overthink things but this is just the way I am, there is a problem and in order to solve it (which I cannot solve myself but my mind wants me to do) I have to deconstruct it.

I know everybody have their own problems, my husband is telling me exactly the same thing. According to our own statistics in Sweden they say that one in three gets cancer during their lives, which basically means that everybody is affected. I believe for some reason since childhood we all have been protected, loved and felt omnipotent, thinking that we can never be one of those people who gets seriously ill. I always thought of that though when I tried to convince myself to live healthier in order not to get sick .. later in life. I absolutely did not expected to have such diagnosis in my age, still cannot believe it is happening to me, feel like someone please wake me up. Neither did anyone in my family so everybody is pretty shaken. I am so stressed, I thought how can one live like this, the only thing that keeps me going is that you who went through it before are saying it gets better with time, I do not know what I would have done without this kind of testimony, this is a silver lining for me in my current situation. I wish you all live until your are 100.

Dx 6/28/2017, IDC, Left, 1cm, Stage IA, Grade 3, 0/3 nodes, ER+/PR+, HER2+ Surgery 7/17/2017 Lumpectomy: Left Targeted Therapy 8/20/2017 Herceptin (trastuzumab) Chemotherapy 8/20/2017 Taxol (paclitaxel)
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Aug 16, 2017 10:36AM SpecialK wrote:

cherry - yes, chemo works on any residual cells left after surgery, Herceptin targets the Her2+ aspect, and anti-hormonals are considered systemic treatment as well, and will hopefully block, or suppress, estrogen fueling, depending on which medication is used.

BMX w/ TE 11/1/10, ALND 12/6/10. 15 additional surgeries. TCHx6 2/17-6/2/11. Herceptin until 1/19/12. Femara 8/1/11, Arimidex 6/20/12, back to Femara 6/18/13-present. Dx 9/27/2010, IDC, Right, 2cm, Stage IIB, Grade 3, 2/14 nodes, ER+/PR+, HER2+ (IHC) Dx 9/27/2010, DCIS, Stage 0, Grade 3
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Aug 16, 2017 01:04PM Cherry-sw wrote:

SpecialK, thank you, I hope I am ready to meet my oncologist tomorrow.


Dx 6/28/2017, IDC, Left, 1cm, Stage IA, Grade 3, 0/3 nodes, ER+/PR+, HER2+ Surgery 7/17/2017 Lumpectomy: Left Targeted Therapy 8/20/2017 Herceptin (trastuzumab) Chemotherapy 8/20/2017 Taxol (paclitaxel)
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Aug 16, 2017 03:16PM moodyblues wrote:

Cherry.  I was on the CombiPatch- lowest dose for hormonal issues for two years and I think it fed the cancer, I blame that but of course one will never know.  Maybe some day they will understand it all clearer but, not now.  We can't give up e.v.e.r.y.t.h.i.n.g., what would life be worth if we gave up a bowl of good chili or a glass of wine (for those who drink) on occasion....   We will just have to be diligent and splurge on occasion and enjoy this life we have been blessed with.  

Ladies, those who are close to my age, remember the movie the Warriors (street gang trying to get back to their turf).  Another gang taunted them and sang out "Warriors, come out to play", "WARRIORS, come out to play".  Well, we Warriors aren't playing, we will beat this!

Dx 2/2017, IDC, Left, 2cm, Stage IA, Grade 3, 0/4 nodes, ER+/PR+, HER2+ Surgery 3/31/2017 Lymph node removal: Sentinel; Mastectomy: Left; Reconstruction (left): Silicone implant Targeted Therapy Herceptin (trastuzumab) Chemotherapy Carboplatin (Paraplatin), Taxotere (docetaxel)
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Aug 16, 2017 10:48PM fluffqueen01 wrote:

Hi all!


Just had to check in after being off the board for several months. I skipped an awful lot of pages so I hope you are all doing well. I am on the hunt for another oncologist as my second one is having to take a reluctant early retirement due to a genetic eye disease. I am not lucky when it comes to oncologists!

At my last appointment, he told me that continuing on an AI offered a 2 percent benefit and that I should weigh my decision to continue against the other side effects. He said he was ok with either decision. So far I am getting the prescription but haven't yet popped the pill. I am feeling so much better without it. Decisions, decisions.

Other than that, I have not been working out like I should due to a crazy summer with all kinds of things and my 90 year old molther being hospitalized with an ecoli infection and then after rehab refusing to consider an assisted living place, continuing to live with my rarely working, drug abusing brother, whom she has enabled for the last 30 years. Beyond frustrating. I told my husband I better not have a recurrence over all this, lol. I am working on coming to terms with the fact that I haven't changed her to this point, so probably won't. The control freak in me hates that with a passion. But she's 90, pretty mentally with it, so I'm temporarily laying off the pressure for her to move.

We are trying to finish the last projects to get our house up for sale, three months later than we planned. It isn't critical but we are both ready to give city living a shot for a couple years, with no yard or big house responsibilities. I can't wait!

Hope you are all fine and I am going to log on a little more often. I miss hearing from you all.

BMX 2/10 w/TE Taxol 12 wkly/herceptin- 1 yr/ Tamoxifen now. TE’s fail/TE’s back in.  Implants 11/11- perky!" tatoo touchup remains. Be kind, for everyone you meet is fighting a hard battle. Plato Targeted Therapy 3/12/2011 Herceptin (trastuzumab)
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Aug 17, 2017 07:03AM - edited Aug 17, 2017 07:11AM by Cherry-sw

Hi everybody, I had a meeting with my oncologist now. They offer me weekly Taxol with Herceptin in 12 weeks, radiation one months after chemo, Herceptin for the rest of the year with antihormonal afterwards. How does it sound for my diagnosis? I am ER80%, PR60% and my Her2+ is 13.8 according to IHC. Isn't it very high? They do not usd FISH here. I do not have so many hospital choices, everything is centralised here and we basically have three clinics that collaborate with each other. You can always seek a second opinion but everything is so standard. We have general medical insurance that resembles the one they have in Canada. I asked him why he is not ordering Taxotere and he said that it is concidered to be too toxic for my case. AC is out of picture because they want to start with Herceptin at once. But still I am grade 3 and it is pretty aggressive. No scans until symptomatic, according to him they may as well not show anything that is visible. No CA 27-29 or any other tumor markers because they find those inconclusive. I tried to tell him that different testing and scanning are idely used in US but he told me they don't have higher survival rates in US do they? Overall I am so distressed because they cannot give any answers except that yes, the recurrence statistics is approx 25%, lymph mode negative is a good thing but it may spread through the blood. This is all I got. What do you think? I need every piece of advice, thank you in advance, Cherry

Dx 6/28/2017, IDC, Left, 1cm, Stage IA, Grade 3, 0/3 nodes, ER+/PR+, HER2+ Surgery 7/17/2017 Lumpectomy: Left Targeted Therapy 8/20/2017 Herceptin (trastuzumab) Chemotherapy 8/20/2017 Taxol (paclitaxel)
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Aug 17, 2017 08:59AM Cherry-sw wrote:

HapB, a lot of people get Taxotere, I only get Taxol and Herceptin

Dx 6/28/2017, IDC, Left, 1cm, Stage IA, Grade 3, 0/3 nodes, ER+/PR+, HER2+ Surgery 7/17/2017 Lumpectomy: Left Targeted Therapy 8/20/2017 Herceptin (trastuzumab) Chemotherapy 8/20/2017 Taxol (paclitaxel)
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Aug 17, 2017 09:57AM ElaineTherese wrote:

Hi fluffqueen!

Good to hear from you. I recently had to switch MOs, too. (Long story.) I now have the youngest MO in the practice; she seems OK. She has me pegged to doing AIs for 10 years. The day-to-day side effects are bearable, but after two years, I have full-blown osteoporosis. Yay. I'm now on Fosamax.

It sounds like your day-to-day side effects are less bearable. If I were diagnosed at Stages I or II, I'm not sure I'd do an AI for 10 years.

Ugh, yes, about the working out! Thankfully, my kids are back to school as of today. I got on the exercise bike this morning for the first time in weeks.

Good luck with selling your house! Yes, house responsibilities can be so onerous.

DX IDC June 28, 2014, 5 cm., 1 node tested positive (fine needle biopsy); 0/20 after neoadjuvant chemo + ALND; Grade 3; ER+ PR+ HER2+ Neoadjuvant chemotherapy starting 7/23/14 ACX 4, Taxol X 12, Perjeta X 4; Herceptin: one year Chemotherapy 7/22/2014 AC Targeted Therapy 9/16/2014 Perjeta (pertuzumab) Targeted Therapy 9/16/2014 Herceptin (trastuzumab) Chemotherapy 9/16/2014 Taxol (paclitaxel) Surgery 1/11/2015 Lumpectomy: Right; Lymph node removal: Right, Underarm/Axillary Hormonal Therapy 2/24/2015 Aromasin (exemestane), Zoladex (goserelin) Radiation Therapy 3/8/2015 Breast, Lymph nodes
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Aug 17, 2017 10:09AM - edited Aug 17, 2017 10:25AM by Lita19901

This Post was deleted by Lita19901.
Dx 6/24/2017, DCIS/IDC, Left, 1cm, Stage IA, Grade 2, 0/3 nodes, ER+/PR+, HER2+ (FISH) Surgery 7/21/2017 Lumpectomy: Left; Lymph node removal: Sentinel
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Aug 17, 2017 12:03PM PoseyGirl wrote:

Hi All,

Any of you notice blurry vision (like you want to rub your eyes)? I've noticed a drop in my eyes and am not sure if it's attributable to Femara (I think I've seen reference to ocular side effects) or Herceptin? I am going to get some eye drops today to see if that works. I'm noticing 'sores' in the corners of my mouth and my nose also goes through cycles of scabbing in the tip. Wondering if all this is related to dryness.

I had wondered if 10 years was the standard now for an AI...I had switched pretty quickly from Tamoxifen to Femara once my ovaries were out.

Radiation Therapy 1/11/2016 Whole-breast: Breast, Lymph nodes, Chest wall Dx 6/23/2016, IDC, Right, 6cm+, Stage IIIA, Grade 3, ER+/PR+, HER2+ (IHC) Chemotherapy 7/11/2016 AC + T (Taxol) Targeted Therapy 9/15/2016 Herceptin (trastuzumab) Surgery 11/29/2016 Lymph node removal: Right; Mastectomy: Right Hormonal Therapy 12/21/2016 Femara (letrozole)
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Aug 17, 2017 01:03PM AliceAgnes wrote:

On AI's and PRUNES:

For whatever it's worth, my oncologist said he will put me for life on an AI, probably Arimidex, once I get to that stage of treatment. Before that starts, however, I first must have surgery and then radiation. I just finished six TCHP treatments. I am 64.

Someone asked about the prune study. Basically, research has shown that eating 10 prunes a day has a dramatic effect on bone health. Ruthbru, a frequent poster on various message boards here, ate prunes daily after being prescribed Arimidex. Five years later, she posted that she had developed no osteoperosis while on Arimidex all that time.

Here is a link describing the prune study:

https://www.fsu.edu/news/2007/01/11/osteoporosis.study/

Dx 3/6/2017, IDC, Left, 1cm, Stage IIA, Grade 2, 3/20 nodes, ER+/PR+, HER2+ (FISH) Targeted Therapy 3/26/2017 Herceptin (trastuzumab) Targeted Therapy 3/26/2017 Perjeta (pertuzumab) Chemotherapy 3/27/2017 Carboplatin (Paraplatin), Taxotere (docetaxel) Surgery 8/27/2017 Lymph node removal: Left, Sentinel, Underarm/Axillary; Mastectomy: Left Radiation Therapy 10/4/2017 External: Lymph nodes, Chest wall Hormonal Therapy 10/23/2017 Arimidex (anastrozole)
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Aug 17, 2017 01:04PM - edited Aug 17, 2017 01:20PM by debiann

I am wondering, in cases where there is no node involvement and tumor is not near chest wall, why is lumpectomy and radiation considered a "less aggressive" treatment than mastectomy without rads? They are both treatments, one is not "less" or "more" aggressive than the other. To me, losing my breast is "less" aggressive than radiating my body. Why don't doctors always explain both options? Why do doctors think they should make these choices for us? Why aren't we always given all the options and encouraged to make the choice that is best for us?

I work with a woman who had DCIS 9 years ago. The only treatment recommended for her was lx and rads, which she did. She continued to have areas of concern throughout the years and finally asked if she could have a double mx since she was tired of all the scares and biopsies. She recently had the mx, but is having trouble with reconstruction on the side that was radiated, and this is nine years later. She said that at the time she had the lx, she wasn't told that she could skip rads if she had the mx. She said the mx was no big deal to her and she definitely would have opted for that over the lx with rads, had she been given that option.

I have talked to many women who went the lx/rads route without being told that an mx might spare them from needing rads. I think both options should be thoroughly explained and it is the patients right to choose.

"I live knowing it will be ok when I'm not." Dx 3/2014, IDC, 2cm, Stage IA, Grade 3, 0/2 nodes, ER+/PR+, HER2+ Surgery 4/2/2014 Lumpectomy: Left; Lymph node removal: Left, Sentinel Targeted Therapy 5/7/2014 Herceptin (trastuzumab) Chemotherapy 5/7/2014 Carboplatin (Paraplatin), Taxotere (docetaxel) Surgery 9/28/2014 Mastectomy: Left, Right; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Hormonal Therapy 11/4/2014 Arimidex (anastrozole)
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Aug 17, 2017 01:07PM BJI wrote:

PoseyGirl

I have noticed changes in my eyes, told me SE from taxol/herceptin. I started using eye drops morning and night (make sure they have no preservatives) also told me wait several months before having eye exam. I have lots of dryness in my nose also, using saline nasal spray and ayr gel at night. I just finished my taxol and start next week herceptin only, hoping the dryness gets better.

Bev Dx 4/11/2017, IDC, Right, 1cm, Stage IA, Grade 3, 0/1 nodes, ER+/PR+, HER2+ (FISH) Surgery 4/26/2017 Lumpectomy: Right Radiation Therapy 5/8/2017 Balloon-catheter: Breast Chemotherapy 5/30/2017 Taxol (paclitaxel) Targeted Therapy 5/30/2017 Herceptin (trastuzumab) Hormonal Therapy 9/13/2017 Arimidex (anastrozole)
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Aug 17, 2017 01:18PM PoseyGirl wrote:

Thanks, BJI...I was done chemo late October, but have still got 2 Herceptin treatments left. I noticed the eye blurring moreso over the past month.

I will try all the drops you mention - thanks!

Re: prunes...wow. That's a lot of prunes. If we buy the juice, I wonder how many cups that is? I don't mind drinking a glass a day...

Radiation Therapy 1/11/2016 Whole-breast: Breast, Lymph nodes, Chest wall Dx 6/23/2016, IDC, Right, 6cm+, Stage IIIA, Grade 3, ER+/PR+, HER2+ (IHC) Chemotherapy 7/11/2016 AC + T (Taxol) Targeted Therapy 9/15/2016 Herceptin (trastuzumab) Surgery 11/29/2016 Lymph node removal: Right; Mastectomy: Right Hormonal Therapy 12/21/2016 Femara (letrozole)
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Aug 17, 2017 01:21PM - edited Aug 17, 2017 01:22PM by ElaineTherese

debiann,

You're right that BMX OR LX + rads are both valid options. For me, LX + rads was less "aggressive" because I did not want reconstruction and the multiple surgeries that often accompany it. I wanted to keep my breasts and their sensation, even though my right breast would be (and is) a little smaller than my left breast. I also wanted a shorter recovery time from surgery. For me, reducing surgeries and recovery time were important because I was 46, working full-time, and caring for two special-needs sons. Fortunately, rads didn't really do much to my skin, and it was a part of treatment that was easy to incorporate in my life.

In some cases, it is difficult to tell breast cancer patients that BMX will reduce the likelihood of rads because the doctors do surgery + SLND first. Let's say they do the surgery, and find positive nodes (even if they didn't show up on imaging). Then, the patient might be recommended radiation, even if he/she has had a BMX.

I guess it boils down to whether or not the doctors are sure that the patient is node-negative. In your friend's case, she had DCIS, so it would have been virtually impossible for her to have positive nodes (unless there was an invasive component that the doctors missed). For her, yes, her doctor could have assured her that if she had a BMX, radiation would not be recommended.

DX IDC June 28, 2014, 5 cm., 1 node tested positive (fine needle biopsy); 0/20 after neoadjuvant chemo + ALND; Grade 3; ER+ PR+ HER2+ Neoadjuvant chemotherapy starting 7/23/14 ACX 4, Taxol X 12, Perjeta X 4; Herceptin: one year Chemotherapy 7/22/2014 AC Targeted Therapy 9/16/2014 Perjeta (pertuzumab) Targeted Therapy 9/16/2014 Herceptin (trastuzumab) Chemotherapy 9/16/2014 Taxol (paclitaxel) Surgery 1/11/2015 Lumpectomy: Right; Lymph node removal: Right, Underarm/Axillary Hormonal Therapy 2/24/2015 Aromasin (exemestane), Zoladex (goserelin) Radiation Therapy 3/8/2015 Breast, Lymph nodes
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Aug 17, 2017 02:35PM debiann wrote:

You are right, Elaine Therese, there is always a chance a positive node could be found and rads would be recommended anyway, but there are many instances when it is almost certain an mx would mean no rads, and that, I don't think, is properly presented to many patients.

I've heard too many women say "my doctor said I didn't need an mx, that would be too aggressive". That's what I have an issue with, the doctor making the decision. Perhaps, if they knew their options some would prefer to skip rads, for whatever personal reasons. For women who have no desire to reconstruct, in my opinion, the mx is the LESS aggressive treatment over lx/rads.

"I live knowing it will be ok when I'm not." Dx 3/2014, IDC, 2cm, Stage IA, Grade 3, 0/2 nodes, ER+/PR+, HER2+ Surgery 4/2/2014 Lumpectomy: Left; Lymph node removal: Left, Sentinel Targeted Therapy 5/7/2014 Herceptin (trastuzumab) Chemotherapy 5/7/2014 Carboplatin (Paraplatin), Taxotere (docetaxel) Surgery 9/28/2014 Mastectomy: Left, Right; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Hormonal Therapy 11/4/2014 Arimidex (anastrozole)
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Aug 17, 2017 03:30PM AliceAgnes wrote:

HappyAbout those 10 prunes:

Some suggest gradually working your way up to that many, starting with 3 one day, 4 the next and so on.

I find I can eat 5 in the morning with my usual breakfast without suffering any untoward results. I plan to work my way up to 10, though, by eating the other five later in the day, probably with supper. I'll post a warning if that experiment fails!

(I must admit that I don't mind the taste of prunes.)

Dx 3/6/2017, IDC, Left, 1cm, Stage IIA, Grade 2, 3/20 nodes, ER+/PR+, HER2+ (FISH) Targeted Therapy 3/26/2017 Herceptin (trastuzumab) Targeted Therapy 3/26/2017 Perjeta (pertuzumab) Chemotherapy 3/27/2017 Carboplatin (Paraplatin), Taxotere (docetaxel) Surgery 8/27/2017 Lymph node removal: Left, Sentinel, Underarm/Axillary; Mastectomy: Left Radiation Therapy 10/4/2017 External: Lymph nodes, Chest wall Hormonal Therapy 10/23/2017 Arimidex (anastrozole)
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Aug 17, 2017 03:36PM debiann wrote:

HapB,

Its my understanding that survival is the same, but the odds of having a recurrence or new primary are less if you have removed the breast tissue.

But that's not what I am talking about. While you feel there is no need to remove body parts if it is not necessary, others may feel that there is no need to subject the body to radiation if avoiding rads is as simple a removing an unnecessary body part. Some are less attached to their breasts than others. Read some of the posts from women who have life long damage from radiation, its not always a walk in the park. My friend is having issues nine years later. She wishes her doctor would have explained at time of dx that she could have an mx and skip rads. She did not know that was an option.

All options should be presented to the patient to make the decision. I believe insurance will cover a bmx, or lx/rads. I'm sure radiation isn't cheap, I can't imagine there is much difference in cost, particularly if the patient does not reconstruct.

"I live knowing it will be ok when I'm not." Dx 3/2014, IDC, 2cm, Stage IA, Grade 3, 0/2 nodes, ER+/PR+, HER2+ Surgery 4/2/2014 Lumpectomy: Left; Lymph node removal: Left, Sentinel Targeted Therapy 5/7/2014 Herceptin (trastuzumab) Chemotherapy 5/7/2014 Carboplatin (Paraplatin), Taxotere (docetaxel) Surgery 9/28/2014 Mastectomy: Left, Right; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Hormonal Therapy 11/4/2014 Arimidex (anastrozole)
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Aug 17, 2017 04:14PM Soxfan75 wrote:

Hi Ladies - I don't post that often but I was hoping to get your input. Six weeks ago, I finished six rounds of adjuvant TCHP. I'm scheduled to receive Herceptin for a year and my MO just called me and told me my insurance company approved continued infusions of Perjeta as well. I know this is not the norm and I'm wondering if anyone else has been offered this option. My MO said we would weigh the risk and benefits of Perjeta and if there are any issues, we can discontinue it. I'm not sure how to feel about this. On the one hand, I'm grateful my insurance company approved it because I want to throw everything at this cancer that I can, but I'm also apprehensive since it sounds like I may be a guinea pig. Thoughts?

Dx 1/13/2017, IDC, Right, 1cm, Grade 2, 2/4 nodes, ER+/PR+, HER2+ (IHC) Surgery 2/5/2017 Mastectomy: Right; Prophylactic mastectomy: Left; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy 3/22/2017 Carboplatin (Paraplatin), Taxotere (docetaxel) Targeted Therapy 3/23/2017 Perjeta (pertuzumab) Targeted Therapy 3/23/2017 Herceptin (trastuzumab) Radiation Therapy 8/13/2017 Whole-breast: Breast, Lymph nodes, Chest wall Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Aug 17, 2017 04:57PM - edited Aug 17, 2017 05:33PM by Cherry-sw

Thank you, HapB, I am reading a thread on this subject right now

Dx 6/28/2017, IDC, Left, 1cm, Stage IA, Grade 3, 0/3 nodes, ER+/PR+, HER2+ Surgery 7/17/2017 Lumpectomy: Left Targeted Therapy 8/20/2017 Herceptin (trastuzumab) Chemotherapy 8/20/2017 Taxol (paclitaxel)
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Aug 17, 2017 05:16PM FleurDeLis49 wrote:

Just wanted to say "thank you" to all of you who have posted here! You've been a great source of information & inspiration as I've started on this journey!

I had my lumpectomy & SNB on Tuesday, and the three nodes they took appeared to be clear. I'll get final pathology on Wednesday when I meet with my surgeon again. I have not met with an oncologist yet; I imagine that will be the next step.

Congrats to CoachVicky & HelenWNZ!

SpecialK, thanks so much for sharing your knowledge & experiences! If anyone has been given a difficult but important gift in life, it is you with your ability to coordinate so much information & break it down for those of us who are less technical and/or new to cancer. You truly are special!

HapB, am I correct in saying your course of treatment has not included chemo? Is that under a trial or the choice of you & your care team based on your particulars?

Dx 7/18/2017, IDC, Left, <1cm, Stage IA, Grade 2, 0/8 nodes, ER+/PR+, HER2+ (DUAL) Surgery 8/15/2017 Lumpectomy: Left; Lymph node removal: Left, Sentinel, Underarm/Axillary Chemotherapy Taxol (paclitaxel) Targeted Therapy Herceptin (trastuzumab)
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Aug 17, 2017 07:28PM LTWJ wrote:

soxfan75- I am on 4/6 TCHP chemo. I will have surgery, then radiation then every 3 week Hercepton/Perjeta infisions. That's what I have been told. My husband was confused too by having both but that's what they said. I'm having a terrible time with diarrhea so they are changing my chemo levels for the T and Perjeta because they both cause this. This may change the Perjeta part later then we'll have to see.

I had a question about the radiation too, in that my Breast dr has told me that even if tne tumor has shrunk after chemo I'll be looking at a mastectomy and radiation. She said that radiation is required to sterilize the remaining breast tissue, even after a mastectomy. I will have 30 sessions after my surgery :(

I had a 4 cm, no nodes, nothing anywhere else on my CT scan. It all just seems like overkill to me :( but I have to trust them

Dx 4/14/2017, ILC, Left, 3cm, Stage IIA, Grade 2, 0/1 nodes, ER+, HER2+ (FISH) Chemotherapy 5/31/2017 Chemotherapy 6/1/2017 Carboplatin (Paraplatin), Taxotere (docetaxel) Surgery 10/9/2017 Lumpectomy: Left Surgery 11/16/2017 Mastectomy: Left; Prophylactic mastectomy: Right; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Targeted Therapy 12/9/2017 Herceptin (trastuzumab) Hormonal Therapy Arimidex (anastrozole)
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Aug 17, 2017 08:01PM ElaineTherese wrote:

Hmm, HapB, I believe that survival rates are statistically the same for both populations. But, yes, those of us who chose lumpectomy + rads are slightly more at risk for a recurrence because we have more breast tissue left.

For me, a local recurrence in and of itself is not a problem. It's mets that kill, not cancer localized in the breast. Of course, no one wants to go through surgery, etc., again. But, my #1 fear is mets.

DX IDC June 28, 2014, 5 cm., 1 node tested positive (fine needle biopsy); 0/20 after neoadjuvant chemo + ALND; Grade 3; ER+ PR+ HER2+ Neoadjuvant chemotherapy starting 7/23/14 ACX 4, Taxol X 12, Perjeta X 4; Herceptin: one year Chemotherapy 7/22/2014 AC Targeted Therapy 9/16/2014 Perjeta (pertuzumab) Targeted Therapy 9/16/2014 Herceptin (trastuzumab) Chemotherapy 9/16/2014 Taxol (paclitaxel) Surgery 1/11/2015 Lumpectomy: Right; Lymph node removal: Right, Underarm/Axillary Hormonal Therapy 2/24/2015 Aromasin (exemestane), Zoladex (goserelin) Radiation Therapy 3/8/2015 Breast, Lymph nodes
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Aug 17, 2017 08:37PM - edited Aug 17, 2017 08:37PM by Lita19901

This Post was deleted by Lita19901.
Dx 6/24/2017, DCIS/IDC, Left, 1cm, Stage IA, Grade 2, 0/3 nodes, ER+/PR+, HER2+ (FISH) Surgery 7/21/2017 Lumpectomy: Left; Lymph node removal: Sentinel
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Aug 17, 2017 09:27PM Lita19901 wrote:

Just a piece of information regarding the recurrence rate of lumpectomy/rads vs. mastectomy:

Johns Hopkins statement concerning the relative recurrence rate of lumpectomy/rads vs. mastectomy

From the JH website:

"Will having a double mastectomy lower my chances of recurrence?

Regardless of whether you choose to have a lumpectomy or mastectomy, the recurrence rate remains at approximately 10 percent in the treated breast and about 0.5 percent per year in the breast that has not been treated. The risk of getting a different cancer is about 2 percent."

Dx 6/24/2017, DCIS/IDC, Left, 1cm, Stage IA, Grade 2, 0/3 nodes, ER+/PR+, HER2+ (FISH) Surgery 7/21/2017 Lumpectomy: Left; Lymph node removal: Sentinel
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Aug 17, 2017 09:29PM Tresjoli2 wrote:

My MO believed that I had postpartum breast cancer (PPBC) which is an aggressive cancer in women under 45 years of age who develop breast cancer within 5 years of having a baby. My daughter was only 2 when I was diagnosed, and I had two consecutive miscarriages prior to delivering my daughter full term. I was basically pregnant off and on from October of 2010 to May of 2012. The doctors think that, followed by estrogen BC pills, fueled the fire.

There is a lot of research currently being done on PPBC.

Diagnosed at age 40 after going for my baseline mammogram. Dx 4/21/2015, IDC, Left, <1cm, Stage IA, 0/2 nodes, ER+/PR+, HER2+ (FISH) Dx 4/21/2015, DCIS, Left, 4cm, Stage 0, Grade 3 Surgery 5/18/2015 Lumpectomy: Left; Lymph node removal: Sentinel Targeted Therapy 6/19/2015 Herceptin (trastuzumab) Chemotherapy 6/19/2015 Taxol (paclitaxel) Chemotherapy 8/7/2015 Abraxane (albumin-bound or nab-paclitaxel) Radiation Therapy 9/23/2015 Whole-breast: Breast Hormonal Therapy 10/11/2015 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Aug 17, 2017 10:33PM Taco1946 wrote:

Back to symptoms of Taxol and Herceptin. When I did both, I had bloody, snotty nose, significant eye changes (which haven't corrected), and some constipation which I learned to anticipate and get ahead of before each infusion. Insomnia the night of chemo from the steroids. I lost a toe nail on each foot but I had gel fingernails that held up the whole time. The SE which caused me to quit after 8 treatments was very painful neuropathy in both hands and feet. I felt good with just Herceptin. Joint pain with the AI but it's better now that I took the suggestion to ask for Teva. (By the way, Hap, my Medicare and my supplement has fully paid for treatment but I know I have a VERY good supplement.) Still have 5 months of Herceptin to go.

For now, I'm comfortable with the decision to do AI's but know I have the option to stop. For now, I am trying to think of my BC as a chronic illness that needs attention. I take medication for blood pressure and cholesterol too. I did switch from taking it in the evening to morning because I wasn't sleeping as well as I had been. I know many of you are more careful of your diet than I am but I have increased my exercise routine. Those too are choices we can make.

I had brachytherapy within 10 days of surgery which I highly recommend if you are a candidate. I had some breakthrough of the radiated site when I started chemo but that has healed nicely.

Sadly, it seems to me, that even after we look at all the statistics, some of us will have recurrences and some won't. Each of us has 100% and zero % we just don't know which is which. And we each have to make decisions about quality of life and longevity. My mother died at age 96 of senile dementia after having had melanoma 30 years earlier. I know I don't want to die like she did.

Sorry if I'm rambling tonight.


Dx 11/22/2016, IDC, Left, 1cm, Stage IA, Grade 2, 0/3 nodes, ER+/PR+, HER2+ Radiation Therapy 12/29/2016 Balloon-catheter: Breast Chemotherapy 2/3/2017 Taxol (paclitaxel) Targeted Therapy 2/3/2017 Herceptin (trastuzumab) Hormonal Therapy 12/4/2017 Femara (letrozole) Targeted Therapy Surgery Lumpectomy: Left; Lymph node removal: Sentinel, Underarm/Axillary
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Aug 17, 2017 11:23PM - edited Aug 17, 2017 11:34PM by debiann

My BS said the survival rate was the same for MX or LX/rads, but the risk for local recurrence or a new cancer is greater with lx because, obviously, there is breast tissue remaining.

I had an lx first, but had close margins and was going to need an lx redo, then rads.I believe about 25% ??? of lx's need to be redone, sometimes more than once, because of the margins, so even with lx multiple surgeries are sometimes required. During chemo, while reading this forum, I learned that since I knew I was node negative and the tumor was not near my chest wall, I would not need rads if I did an mx. I repeat - I read about that here on this forum - my BS did not discuss this option with me - that's what I have an issue with.

My MO (an Egyptian man),said he could understand getting a uni mx, but why did I want a double. He asked, "What does your husband think of this", lol. I responded that my husband thinks they are my breasts and I can do what I want with them.

My cardiologist was slightly concerned that the rads were going to be close to my heart, but didn't say I shouldn't do them. I felt Herceptin was going to be hard enough on my heart, so I was happy to skip rads.

But that's my personal decision, I'm not saying someone else shouldn't do rads. I'm saying doctors should explain the options better. My doctor - many doctors - never explain that with an mx there is a potential to skip rads.

Hap, I understand that lx with rads is the standard of care, so that's why doctors don't bother to explain there are other options, but why is it the standard of care? That is my point. Who has decided that saving a breast is that important? Someone like my MO who wanted to know about how my husband felt about my breast? Patients should decide what is important to them, doctors should just be giving all the facts.

My breasts were old and saggy, I didn't love them. They were not worth saving, especially if it meant I had to be radiated to keep them. Chemo was enough poison for me. I would have liked to have skipped that too.


"I live knowing it will be ok when I'm not." Dx 3/2014, IDC, 2cm, Stage IA, Grade 3, 0/2 nodes, ER+/PR+, HER2+ Surgery 4/2/2014 Lumpectomy: Left; Lymph node removal: Left, Sentinel Targeted Therapy 5/7/2014 Herceptin (trastuzumab) Chemotherapy 5/7/2014 Carboplatin (Paraplatin), Taxotere (docetaxel) Surgery 9/28/2014 Mastectomy: Left, Right; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Hormonal Therapy 11/4/2014 Arimidex (anastrozole)

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