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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 04:30AM - edited Dec 10, 2012 05:55AM 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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Jul 22, 2017 04:06PM debiann wrote:

I've been on the same drug for almost 3 years. The first couple months were hard, but I can't say that all my symptoms were due to the arimidex as I had just finished taxotere and carboplatin (nasty stuff), was still on herceptin and had a 13 hour DIEP flap reconstruction right before starting the drug. Yes I had aches, pains and fatigue, but who wouldn't after all of that!


"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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Jul 22, 2017 04:19PM - edited Jul 22, 2017 04:22PM by HapB

debiann, thanks. You sure did endure a lot. Glad to hear you are doing so well. I am getting Herceptin and radiation and will be starting the AI. It is hard sometimes to figure out which treatments are causing Se's.

Debiann, do you mind if I ask why you had the MX after lumpectomy and chemo?

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Jul 22, 2017 04:24PM - edited Jul 22, 2017 04:25PM by ElaineTherese

Hi!

Re: aromotase inhibitors -- I'm on Aromasin (exemestane) -- it's OK. I've been on it since February 2015, and began it at age 47. I could live without the hot flashes, which are particularly nasty in the evening/night hours. Aromasin also made me moody, and has given me full-blown osteoporosis. To cope with the mood swings, I'm on Celexa. To address the osteoporosis, I'm on Fosamax. I feel fortunate that I've avoided the joint pain and stiffness that many other breast cancer patients have experienced on AIs.

I've always said that the best AI is the one you tolerate best! Hope you find one that works for you.

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 7/23/2014 AC Targeted Therapy 9/17/2014 Perjeta (pertuzumab) Targeted Therapy 9/17/2014 Herceptin (trastuzumab) Chemotherapy 9/17/2014 Taxol (paclitaxel) Surgery 1/12/2015 Lumpectomy: Right; Lymph node removal: Right, Underarm/Axillary Hormonal Therapy 2/25/2015 Aromasin (exemestane), Zoladex (goserelin) Radiation Therapy 3/9/2015 Breast, Lymph nodes
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Jul 22, 2017 04:42PM - edited Jul 22, 2017 05:26PM by debiann

HapB,

I had a lumpectomy first more because my husband thought it sounded easier. Deep down, I really wanted both breasts GONE. I had close margins - so after chemo I was going to need either another lumpectomy or a mastectomy. I had lots of time to research my options during chemo and saw a cardiologist for advice since the radiation would be on my left side near my heart and decided to do the mx (of course, even with mx there was a small chance that I could still need rads).

There are no easy choices with bc. We all chose the path that helps us avoid the things we fear most. Surgery was no picnic, and it has lots of risks, but I feared radiation more. It may not be a rationale or justified fear, but I was happy to skip rads. It is good that we have options.

"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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Jul 22, 2017 05:36PM HapB wrote:

debiann, I understand completely. When I was first dx, I told the surgeon I would just as soon have a mx and get it over with. She told me that it would not help me. I had been through chemo, radiation, andusrgery before for another cancer, and I did not want to go through it all again. She said no the mx. It is tough to make these decisions, but we do what we can

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Jul 23, 2017 06:16PM Lita19901 wrote:

Ho, hum. Just sitting here waiting to get my pathology report... and in trying to decipher all the little abbreviations under everyone's posts mean I have come to realize that some of you with relatively recent diagnosis are getting Perjeta and some are not, even with no nodes, etc. And so I'm wonderingly how come?

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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Jul 23, 2017 06:32PM - edited Jul 24, 2017 12:26AM by ElaineTherese

Hi Lita!

In the United States, the national guidelines recommend Perjeta for tumors larger than two centimeters in size, to be used during neoadjuvant (before surgery) chemo. Because of these guidelines, insurance companies are most likely to pay for Perjeta for those who who meet those criteria. However, some medical oncologists do prescribe Perjeta for adjuvant (after surgery) chemo, and insurance companies have been willing to pay for such treatment.

In Canada and other countries, it is sometimes more difficult to get Perjeta because it is relatively new (and there are fewer studies of its effectiveness) and expensive.

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 7/23/2014 AC Targeted Therapy 9/17/2014 Perjeta (pertuzumab) Targeted Therapy 9/17/2014 Herceptin (trastuzumab) Chemotherapy 9/17/2014 Taxol (paclitaxel) Surgery 1/12/2015 Lumpectomy: Right; Lymph node removal: Right, Underarm/Axillary Hormonal Therapy 2/25/2015 Aromasin (exemestane), Zoladex (goserelin) Radiation Therapy 3/9/2015 Breast, Lymph nodes
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Jul 23, 2017 08:50PM Lita19901 wrote:

ElaineThere - Thanks for the information! I'm wondering what makes one doctor throw everything out there at a Stage 1 BC while others choose not to. Most curious!

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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Jul 23, 2017 09:12PM HapB wrote:

hi Lita, I am pretty sure that triple positive BC has standards of care that doctors all recommend unless there are individual reasons that the standard surgery, chemo, radiation, and AI's are not feasible. The variance may have to do with stage of the cancer and whether a lumpectomy is doable. That is my take

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Jul 23, 2017 09:15PM Taco1946 wrote:

Hap - like Debiann, I take Anastrozole. After being on the AI thread, I asked for TEVA after my first 90 days were up. I do think my joint pain is better with that switch. Walgreens carries it - don't know about other pharmacies.

Just had my six month series of checks - echo good, mammogram clean, now breathe!


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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Jul 24, 2017 06:00AM ElaineTherese wrote:

Yay, Taco! I always feel better after I make it through my screenings. Yes, breathe!!!

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 7/23/2014 AC Targeted Therapy 9/17/2014 Perjeta (pertuzumab) Targeted Therapy 9/17/2014 Herceptin (trastuzumab) Chemotherapy 9/17/2014 Taxol (paclitaxel) Surgery 1/12/2015 Lumpectomy: Right; Lymph node removal: Right, Underarm/Axillary Hormonal Therapy 2/25/2015 Aromasin (exemestane), Zoladex (goserelin) Radiation Therapy 3/9/2015 Breast, Lymph nodes
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Jul 24, 2017 11:46AM - edited Jul 24, 2017 11:50AM by Kattis894

Thanks for the replies on my post. I have been so positive. It is funny but all of a sudden I just had a couple of really bad days. Worrying! I ended up on some posts on alternative methods looking for suggestions for vitamin supplements, diets etc and just found a lot how chemo etc just makes the cancer stronger when it comes back...I did decide to leave that forum but still feel so vulnerable...it is hard to accept that this illness just does not go away, I still carry it and it can pop up whenever..it is just something that is very hard to accept and live with even though I try my very best. The thought of a reaccurance just freezes me of fear. How would I handle that kind of message? I just refuse to think about it, perhaps that is why I haven´t been on these boards much but it just came back and hit me over the head like a hammer...:( I was hit with a very bad cold and an infection in my scares from my breast reduction on my healthy side (very happy about the result) and my thoughts went to my white blood cells fighting infection instead of the cancer cells...Is it very damaging getting other types of infections while on herceptin?

ER+100%,, PR+85%, Her2+++100%, Ki65 30% went down to 6%, Hormon treatment 10 years, Zometa every 6 months for 3 years Dx 7/7/2016, DCIS/IDC, Right, 6cm+, Stage IIB, Grade 2, 0/3 nodes, ER+/PR+, HER2+ (FISH) Chemotherapy 7/25/2016 Cytoxan (cyclophosphamide), Ellence (epirubicin), Fluorouracil (5-fluorouracil, 5-FU, Adrucil) Targeted Therapy 10/2/2016 Herceptin (trastuzumab) Chemotherapy 10/2/2016 Taxol (paclitaxel) Targeted Therapy 10/2/2016 Perjeta (pertuzumab) Surgery 12/18/2016 Mastectomy: Right Hormonal Therapy 1/2/2017 Femara (letrozole) Radiation Therapy 1/17/2017 Whole-breast: Breast, Chest wall Surgery 6/18/2017 Reconstruction (left)
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Jul 24, 2017 12:33PM - edited Jul 24, 2017 12:34PM by HapB

Kattis, there is no easy answer except to say live each day the way you want to live it, have faith, and surround yourself with people who love you. I have been living with different cancers. The truth of the matter is that no person on the face of the earth knows how long we have here. Nobody. I decided that I could not spend time worrying about dying, I need to worry about not living while I am here

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Jul 24, 2017 01:32PM ElaineTherese wrote:

Kattis,

You've done the best you could to prevent recurrence. And that's all you can do. That's all anyone can do. Think about doing some things you enjoy, now and in the future.

((Hugs)) It gets better as time passes.

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 7/23/2014 AC Targeted Therapy 9/17/2014 Perjeta (pertuzumab) Targeted Therapy 9/17/2014 Herceptin (trastuzumab) Chemotherapy 9/17/2014 Taxol (paclitaxel) Surgery 1/12/2015 Lumpectomy: Right; Lymph node removal: Right, Underarm/Axillary Hormonal Therapy 2/25/2015 Aromasin (exemestane), Zoladex (goserelin) Radiation Therapy 3/9/2015 Breast, Lymph nodes
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Jul 24, 2017 01:36PM wabals wrote:

Everyone has bad days. They will get to be less and less frequent. Have some fun. If you need Ned's for anxiety ask for them.

Hugs!

Dx 6/2015, IDC, Left, <1cm, Stage IA, Grade 2, 0/2 nodes, ER+/PR+, HER2+ (FISH) Hormonal Therapy Radiation Therapy Surgery Lumpectomy: Left Targeted Therapy Kadcyla (T-DM1, ado-trastuzumab)
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Jul 25, 2017 08:55AM meg2016 wrote:

How can one tell what brand of Exemestane you are on? know mine is a generic but not sure who makes it.

Diagnosed 3/4/16 at age 39; 2cm, Stage IIIA, Grade 3, 6/11 nodes, ER+/PR+, HER2+ , THP+AC, DMX with expander placement, Radiation, Aromasin
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Jul 25, 2017 09:02AM - edited Jul 25, 2017 09:04AM by SpecialK

meg - it should say on the label from your pharmacy, sometimes in tiny print - usually includes a description of the actual pill/capsule and the manufacturer's name. Another option is to investigate by the look of the med - with a pill identifier - which you can use by entering the identifying info from the pill itself, or by entering the drug name and it will show you images, like this link:

https://www.drugs.com/imprints.php

BMX w/ TE 11/1/10, ALND 12/6/10. 14 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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Jul 25, 2017 11:40AM - edited Jul 25, 2017 02:13PM by kae_md99

hi all,

gotmy pathology back.nodes negative for scarring and cancer, what is left is a tumor bed with only residual cancer cells.not exactly pcr but i am happy with the result.:). praise God!also the dcis in the lef which showed microinvasion in mri did not show any microinvasion in the final pathology.

kae, 1-10-17, IDC,2.5 cm, right,er,pr,her2 (+),grade 2;DCIS, left, er,per(+),grade 2; 2-17-17- Taxotere, Carboplatin ; 2-17-17- Herceptin , Perjeta; july 14,2017,BMX,TE's,SNB,0/3;8/2017,Zoladex;1/26/2018,Arimidex
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Jul 25, 2017 01:27PM ElaineTherese wrote:

Good news, kae!

Sounds like you had a good response to chemo. Hope you're recovering well from your BMX.

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 7/23/2014 AC Targeted Therapy 9/17/2014 Perjeta (pertuzumab) Targeted Therapy 9/17/2014 Herceptin (trastuzumab) Chemotherapy 9/17/2014 Taxol (paclitaxel) Surgery 1/12/2015 Lumpectomy: Right; Lymph node removal: Right, Underarm/Axillary Hormonal Therapy 2/25/2015 Aromasin (exemestane), Zoladex (goserelin) Radiation Therapy 3/9/2015 Breast, Lymph nodes
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Jul 25, 2017 01:40PM Soxfan75 wrote:

I posted last week about a lump in the lymph node above my collarbone that I had biopsied. The pathology report came back today and there were no cancer cells detected, just scar tissue. My cancer team is getting together on Thursday to discuss my case and try to determine what caused the scar tissue. It's possible that there were cancer cells in there but the chemo that I just finished killed them, and my body's reaction was to wrap the dead cancer cells in scar tissue. I'm praying there's another explanation because I believe cancer cells located in those lymph nodes put me at a stage IIIc.

All in all, they're the best results I could have hoped for so I can finally breathe a sigh of relief.

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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Jul 25, 2017 01:44PM ElaineTherese wrote:

Awesome, SoxFan75. Keep us posted!

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 7/23/2014 AC Targeted Therapy 9/17/2014 Perjeta (pertuzumab) Targeted Therapy 9/17/2014 Herceptin (trastuzumab) Chemotherapy 9/17/2014 Taxol (paclitaxel) Surgery 1/12/2015 Lumpectomy: Right; Lymph node removal: Right, Underarm/Axillary Hormonal Therapy 2/25/2015 Aromasin (exemestane), Zoladex (goserelin) Radiation Therapy 3/9/2015 Breast, Lymph nodes
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Jul 25, 2017 02:06PM HapB wrote:

soxfan, thank God! That is good news! Yay!

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Jul 25, 2017 02:47PM Lita19901 wrote:

Soxfan, what a relief! I've been wondering all day what you had learned -

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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Jul 25, 2017 03:31PM GlasgowGirl99 wrote:

soxfan & kae - great news! Keep positive 💕💕

Dx 2/23/2017, DCIS, Left, 1cm, Stage 0, Grade 3, 0/8 nodes, ER+/PR+, HER2+ Surgery 3/21/2017 Lumpectomy: Left; Lymph node removal: Left, Sentinel Surgery 4/4/2017 Lumpectomy: Left Chemotherapy 5/18/2017 Taxol (paclitaxel)
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Jul 25, 2017 04:27PM deni1661 wrote:

Kae 99 - Super great news about your pathology, I am so happy for you! Thank God. Sending prayers and hugs for continued healing my friend xoxo

Sox, I'm relieved to hear the good news about your biopsy! Thank God again

Taco1946 - congrats on the great check up, that's truly wonderful! Thank God once more

Kattis - nice to hear you are doing well these days! You are positive and forward thinking, good for you!

It is very inspirational and encouraging to see these updates, thanks for sharing!
Dx 7/25/2016, IDC, Left, 2cm, Stage IA, Grade 2, 0/2 nodes, ER+/PR+, HER2+ (FISH) Targeted Therapy 9/6/2016 Perjeta (pertuzumab) Hormonal Therapy 9/7/2016 Arimidex (anastrozole) Targeted Therapy 9/7/2016 Herceptin (trastuzumab) Surgery 4/27/2017 Lymph node removal: Sentinel; Mastectomy: Left Surgery 5/9/2017 Reconstruction (left): Stacked DIEP flap Hormonal Therapy 5/18/2017 Femara (letrozole) Surgery 11/30/2017 Reconstruction (left): Fat grafting, Nipple reconstruction
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Jul 25, 2017 04:46PM deni1661 wrote:

Hap - I was on Arimidix for 7 months and tolerated it well initially. My body aches got so bad I could barely move. Other SEs were constant runny nose, dry everything, thinning hair due to breakage, and severe fatigue. My MO switched me to Letrazole and so far the SEs are far less severe. My fatigue is not quite as bad and the only pain I have is in my tailbone. My naturopath put me on Bosswilla (sp), a natural herb for pain and fish oil for inflammation. I only have 2 HP infusions left so maybe the tailbone problem will go away when I'm done!

I asked my MO about going off the AI but he advised against it. The way I understand it from his explanation is the AI wipes out the hormones that the cancer needs to grow. For triple positive, the AI offers the best fight against recurrence- in his opinion for my particular diagnosis. I love that my MO always reminds me that every patient responds differently and what might work for one may not work for another. This could explain why there are so many variables to treatment!
Dx 7/25/2016, IDC, Left, 2cm, Stage IA, Grade 2, 0/2 nodes, ER+/PR+, HER2+ (FISH) Targeted Therapy 9/6/2016 Perjeta (pertuzumab) Hormonal Therapy 9/7/2016 Arimidex (anastrozole) Targeted Therapy 9/7/2016 Herceptin (trastuzumab) Surgery 4/27/2017 Lymph node removal: Sentinel; Mastectomy: Left Surgery 5/9/2017 Reconstruction (left): Stacked DIEP flap Hormonal Therapy 5/18/2017 Femara (letrozole) Surgery 11/30/2017 Reconstruction (left): Fat grafting, Nipple reconstruction
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Jul 25, 2017 06:01PM FleurDeLis49 wrote:

Hello, all! Newly diagnosed and having trouble finding information about being triple positive. Most of sites I'm finding don't even list it as an option, much less offer any insight as to how treatment might differ from others. Any suggestions on where I can get more information? Thanks in advance!

Dx 7/18/2017, IDC, Left, <1cm, Stage IA, Grade 2, 0/8 nodes, ER+/PR+, HER2+ (DUAL) Surgery 8/14/2017 Lumpectomy: Left; Lymph node removal: Left, Sentinel, Underarm/Axillary Chemotherapy Taxol (paclitaxel) Targeted Therapy Herceptin (trastuzumab)
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Jul 25, 2017 06:57PM ElaineTherese wrote:

Hi Fleur!

If you're interested in searching for more information about your diagnosis, you might be better off searching for information about HER2+ breast cancer.

See http://www.breastcancer.org/symptoms/diagnosis/her2

About 25% of breast cancer patients test positive for an overexpression of the protein HER2, which encourages the cancer cells to divide and divide and divide. That's why HER2+ breast cancer is typically Grade 2 or Grade 3 and is considered aggressive. About half of the breast cancer patients who test positive for an overexpression of HER2 also have cancer that is fed by hormones (ER+/PR+). Hence, triple positive BC patients typically get BOTH targeted therapy for the overexpression of HER2 (e.g., Herceptin) and hormonal therapy (Tamoxifen or an aromatase inhibitor) to starve the body of the estrogen that has been contributing to the development of cancer cells.

Your case is interesting because your cancer is apparently Grade 1. It is also small, less than one centimeter. May I ask, how small? That may impact whether or not your doctor recommends chemo.

((Hugs)) and best wishes!

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 7/23/2014 AC Targeted Therapy 9/17/2014 Perjeta (pertuzumab) Targeted Therapy 9/17/2014 Herceptin (trastuzumab) Chemotherapy 9/17/2014 Taxol (paclitaxel) Surgery 1/12/2015 Lumpectomy: Right; Lymph node removal: Right, Underarm/Axillary Hormonal Therapy 2/25/2015 Aromasin (exemestane), Zoladex (goserelin) Radiation Therapy 3/9/2015 Breast, Lymph nodes
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Jul 25, 2017 07:12PM T-Sue wrote:

Hi Fleur, Sorry your diagnosis has brought you here, but this is a great community. Elaine has described HER+ well and the link to the article on this site is a good one. My cancer is quite similar to yours small, triple + and State 1A. The difference is that I had two tumors, so a lumpectomy wasn't an option, we had to go with mastectomy (and at that point, why not get them both off!)

I think one of the main differences in treatment is that if you receive chemo, you will likely also get Herceptin which is specifically to target the HER+ protein. With my diagnosis, my oncologist recommended a low-dose of 12 weekly Taxols which has been more tolerable than some of the more aggressive chemo cocktails.

Good luck to you!

Dx 3/24/2017, DCIS/IDC, Right, <1cm, Stage IA, Grade 1, 0/2 nodes, ER+/PR+, HER2+ (FISH) Surgery 4/25/2017 Lymph node removal: Sentinel, Underarm/Axillary; Mastectomy: Right; Prophylactic mastectomy: Left; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Targeted Therapy 6/5/2017 Herceptin (trastuzumab) Chemotherapy 6/5/2017 Taxol (paclitaxel) Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Jul 25, 2017 07:13PM Taco1946 wrote:

11/22/2016, IDC, Left, 1cm, Stage IA, Grade 2, 0/3 nodes, ER+/PR+, HER2+ - that's me. Being treated for the triple positive. Taxol and brachytherapy (because of small tumor), and but now AI. Good info, Elaine.

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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