Oct 3, 2019 05:57PM Jkeet wrote:
Hey ladies, how do most womenhandle radiation? What are some of the major side effects?
Testing, treatment, side effects, and more.
Posted on: Jan 31, 2011 07:30AM - edited Dec 10, 2012 08:55AM by TonLee
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."
Posts 38011 - 38035 (38,035 total)
Oct 3, 2019 05:57PM Jkeet wrote:
Hey ladies, how do most womenhandle radiation? What are some of the major side effects?
Oct 3, 2019 06:43PM AngelsGal57 wrote:
I was terrified of doing the radiation. A friend at church's mom had terrible burns. So being the worry wart I am I was convinced it was going to be awful. I went into the first appt praying that I wouldnt freak out. Laying on the table was kind of like being on an altar and I remember someone on this board saying to me in a post that it is an issue about surrendering your will. So I just laid there and surrendered to the treatment and prayed every day that I could handle the next one and the next one until the treatment was over. I did the Calendula cream and the Aloe Vera Gel and I had no negative side effects at all. No burning or sunburn or even pink skin. Two weeks after treatment was over I was still waiting for the negative side effects to show up and they never did. It was as if I hadnt even done the treatment at all.
The only that I can think of that may have made the difference besides praying my guts out every day was that I was taking Immunocal a whey protein shake that builds the cells glutathione, a detoxifying antioxident our body makes in our cells. I had to stop all other supplements, vitamins until the treatment was over.
Oct 3, 2019 10:34PM - edited Oct 3, 2019 10:34PM by Paloma1211
Jkeet - I finished my rads 2 weeks ago. I had 2 serious burns: one near my clavicle and one where my breast and underarm meet. I'm a full figured woman with big breasts. The burns happened where the skin folded as I laid back on the table.
My burns really blossomed after the 4th week of treatment. I finally got some prescription silvadene cream, and that helped me heal. I was pretty well healed up by last week
Treatment itself is generally easy, if tedious. I just wanted the 30 treatments to be over!
Oct 4, 2019 07:56AM Ingerp wrote:
Jkeet--I just kept slathering on a variety of creams--calendula, Aquaphor, Desitin, . . . and only had minimal skin impacts. I did end up with a few days of fatigue both times--not regularly, and really only a couple of days. It seemed to be tied to when I'd had a really active day the day before. (During my first rads we were getting the house/property ready to host a wedding--aiyiyi!!) The treatments do go really quickly and the techs are wonderful people. You'll likely check in with your RO once a week, but the daily schedule makes it all go really quickly--every week you have five more behind you!
Oct 4, 2019 09:37AM hapa wrote:
Jkeet - I had fatigue and the center of my chest was pretty meaty looking by the end. It didn't hurt but it itched like crazy and went away a couple weeks after the end of treatment. I'm almost a year out now. The pec was tight for a long time and I had to do PT exercises every day but it is a lot better now, I started a light weight lifting program and that did wonders for the tightness, which is counter-intuitive to me. I've had some capuslar contracture in my implant, which I wanted replaced anyway, and since replacement it is much better but the rads side still sits a little higher than the other. The skin on that side is still thicker, darker, tougher and apparently thinner compared to the other side. All that being said, if there was one treatment I wish I could have skipped, it is rads. Chemo was it's own beast, but I have no lingering side effects from that.
Oct 4, 2019 01:38PM Margun wrote:
my doc prescribed me letrizole. I am so worried about side effect that I read that I bought the original (fenara) and not the generic. The price of the original is more than four times higher than the price of generic. Anyone had generic letrozole and is there difference in anything between the two?
Oct 4, 2019 01:41PM Margun wrote:
my doc prescribed me letrizole. I am so worried about side effects I read about that I bought the original (fenara) and not the generic. The price of the original is more than four times higher than the price of thegeneric. Anyone had generic letrozole and is there difference in anything between the two?
Oct 4, 2019 02:13PM - edited Oct 4, 2019 03:56PM by SpecialK
margun - I think the majority of us have taken the generics since most insurance will not cover the name brand of aromatase inhibitors unless there is a compelling reason the generic can't be taken. I have been on several manufacturers of both generic Femara (letrozole), and generic Arimidex (anastrazolr), and had varying side effects but nothing that prevented continuing to take them. My insurance would not cover brand name Femara when I asked, at $800 per month it was not something I was willing to pay for. The difference between the generic formulation and brand is usually the fillers and additives, which can cause issues for some, but not all. All you can do is try and see, then either change manufacturers, or drugs, until you find the right fit. People don't usually experience all of the listed side effects, so try to go into taking this important part of your treatment with an open mind, expecting to do well.
Oct 4, 2019 02:26PM - edited Oct 4, 2019 02:29PM by laolson18
Hello, it has been awhile since I have posted in this group about my Mom. She will be an 8 year breast cancer survivor triple positive Stage 1 come January. She went for her annual oncology apt. and her tumor marker was at 57.6, up 11 points from a year ago. She has had ranges from 33-50 since 2015 (that is all I can see for results online). She had an Endoscopy 10 days before her annual visit. I have been told this can skew the results of her tumor marker test. She plans to have it tested again 2 months from now. She also recently had a CT-scan with contrast of her abdomen to prepare for the Endoscopy and all was clear. She has not experienced any symptoms except what caused her to have an initial Endoscopy back in April, which they determined was gall stones caught in her bile duct. The most recent Endoscopy was to remove the stent and clean out any remaining gallstones. Has anyone else had an experience with the TM numbers jumping after a surgery? TIA! Laura
Oct 4, 2019 02:46PM Ingerp wrote:
Margun--keep in mind you'll likely have some SEs because of losing your estrogen. They would happen regardless of the fillers used in your particular brand of Letrozole.
Oct 4, 2019 04:03PM SpecialK wrote:
laolsen - my tumors have risen above the top end of the range on several occasions. I am particularly sensitive to any type of inflammation where the CA27/29 is concerned - after time passed, or the situation causing the inflammation was remedied the marker numbers returned to the middle of the range. My oncologist checked over the course of several months, much as seems to be the plan for your mom - hoping this is your mom’s experience as well.
Oct 4, 2019 05:30PM laolson18 wrote:
SpecialK- thank you for sharing. She has been sensitive in the past, so I have no doubt the episode with her gallstones has caused the elevation. It just drives us nuts when their standard protocol is to order a battery of diagnostic tests if they see the slightest blip in numbers vs looking at her history and trends over the past
Oct 5, 2019 09:57PM 1207262 wrote:
Hello everyone, I hope you’re enjoying your weekend! I have a question- hoping someone might be able to give some insight.
What is the significance of the “percentage” of ER and PR expression?
For instance, someone with a 30% ER and 20% PR vs someone with a 95% ER and 80% PR?
Does having a strong expression or weak expression alter anything regarding treatment, prognosis, or responses? Even irrespective to HER2 status (also respective to- curious) does this mean much?
Oct 6, 2019 12:09AM SpecialK wrote:
By significance do you mean how is the percentage arrived at? If so, the percentage represents the number of breast cells looked at by the pathologist after biopsy or surgical excision, out of 100, that contain a receptor. The pathologist looks at those cells under the microscope and counts the ones with receptors. If 30 receptors are seen in those 100 cells your percentage is 30% - 30 out of 100, same process for ER and PR. However, cancer tumors are not homogenous, any slide of 100 cells may contain differing numbers of receptors. For those with a high percentage of ER it is assumed that estrogen is fueling the cancer, less is known about PR other than high ER, low PR tumors may be more aggressive. Her2+ is measured similarly in terms of the testing platforms indicating strength of overexpression, as Her2+ is a part of cell growth and regulation in other parts of the body naturally. Generally higher expression of ER may mean that anti-hormonals can be more effective, or that chemo can be potentially less so. This is one reason why treatment is a multi-pronged approach. These aspects of each person's situation are unique and any two patients with similar percentages, or arrangements of ER/PR/Her2 may have different outcomes - it is difficult to make comparisons or draw absolute conclusions based on percentages alone.
Oct 6, 2019 07:20AM Ingerp wrote:
Somebody correct me if I'm wrong but my guess is the probability of recurrence for someone with a higher ER+ percentage is lower (assuming she completes the recommended course of anti-hormonal).
Oct 6, 2019 05:33PM - edited Oct 6, 2019 05:45PM by SpecialK
Here is some info from BCO regarding recurrence risk for ER+ early stage patients, and also the original quoted published info. This info doesn't break out recurrence risk by percentage of estrogen receptors, but rather the pathological stage - tumor size and nodal status.
Here is a study that addresses percentage of ER+ and survival and essentially states higher ER+ is associated with lower rate of death from recurrence due to responsiveness to anti-hormonal therapy, as ingerp said above. Read the part after figure 4 for that info specifically.
1206262 - oopherectomy would eliminate the ovarian source of estrogen, and aromatase inhibitors would be available to be used to control the remaining estrogen made by the body's conversion of androgens. It would be worth discussing with your mom's oncologist his/her preference of drug type to be used with your mom's clinical features, and whether there is enough risk reduction to warrant additional surgery and the potential side effects (elevated cholesterol, bone loss, etc.) that may occur with surgical menopause.
FWIW - I developed a 96% ER+ tumor nine years after a total hysterectomy/oopherectomy.
Oct 7, 2019 09:56AM countca04 wrote:
I did 30 rounds of radiation and just finished early Sept 2019. Surgery (mastectomy r/s was in June).
It went pretty good. I had little peeling of skin and it was after the 30th round. I thought it was quite tolerable. I will say I used tons of lotion (AVEENO) daily 3 or 4 times a day, right before radiation and afterwards. Just lots to keep skin moist.
I was feeling very fatigued though during and even weeks after. I'm on another treatment Kadclya so now the fatigue probably from that drug too now.
take care and you will get through!
Oct 9, 2019 02:19PM - edited Oct 9, 2019 04:30PM by 1207262
I just got back from an appointment with my mom and two oncologists at major cancer hospitals agreed on the same treatment plan. They cited this study: https://www.cancernetwork.com/her2-positive-breast-cancer/seven-year-follow-results-can-help-her2-breast-cancer-patients-avoid-overtreatment and said they will be doing adjuvant herceptin + Paclitaxel treatment, not neo-adjuvant because of the smaller tumor size. They called it "chemo lite" initially, which freaked my mother out that it might be an undertreatment, but the two oncologists both reassured her that it was excellent care.
Even though her tumor is small and the oncologists predict that her lymph nodes are clear, the tumor is located on the nipple, so it is recommended she get a mastectomy. She prefers it, regardless. Unless the mastectomy shows positive margins or lymph nodes, this will be the plan.
I asked the oncologist about cross talk and he said that he does not believe it is a significant issue in patients he's treated and that he targets both HER2 through Herceptin and hormones through endocrine treatment, because we are not yet at the stage where it can be distinguished which receptor is driving the cancer, and he's seen excellent results since the advent of Herceptin.
Just wanted to give an update and see if anyone had a similar treatment plan and how it all went for you, ladies (or gentlemen). Feeling more comfortable after speaking to the doctors!
Thanks! Hope everyone is doing well.
Oct 9, 2019 03:32PM FTM wrote:
Hi 1207262. I have a similar treatment plan to your mom. I’m not sure why my MO decided on adjuvant chemotherapy rather than neoadjuvant because my initial imaging showed a larger tumour (4,8cm) but anyhow I had my surgery first and then chemo. In my case the receptor status from the initial biopsy was completely different to my initial biopsy so I am glad that I had the surgery first even though I sometimes wish I had some measure of whether chemo is actually doing anything. I’m doing TCH chemo but that is probably because I have a high risk of recurrence. Wishing your mom all the best with her treatment
Oct 9, 2019 06:24PM Ingerp wrote:
I think if you look at signatures you’ll find that Taxol + Herceptin is what most of us had. I’d done enough research here on BCO to know that’s what would be recommended for me before I ever met my MO.
Oct 9, 2019 06:30PM 1207262 wrote:
Thank you Ingerp and FTM! I think we too will wonder about how effective the treatment is, but this method is recommended by the oncologists and backed-up by some very good stats, so we will have to take it at their words and pray for the best!
For those with the Taxol+Herceptin what were your side effects like? And, did you receive the taxol with the Herceptin for the whole twelve months, or does the taxol end before the end of the Herceptin?
Oct 9, 2019 10:19PM Taco1946 wrote:
1207262 - We've talked before and that is pretty standard treatment for small tumors with no known lymph node involvement (which they often don't know until surgery). Yes, taxol is often called "chemo lite", not because it doesn't work, but because it is used when there is early detection. Sharing with others on my "starting chemo" group as well as other forums, taxol/herceptin does seem to have fewer SE's that other treatment protocols. It's usually done weekly for the prescribed number of weeks - mine was 12 - and then Herceptin is given every three weeks. My last Herceptin was exactly 11 months after I started.
Early on, my biggest problem was the constipation/diaherra cycle which I learned to manage by always making certain I went into taxol day pretty cleaned out. Miralax was my friend. Many have increased fatigue, especially the third day. Chemo is given with a starter "cocktail" which usually includes some benedryl, steroids, anti-nausea medication etc. Your MO will tell you exactly which he/she uses. The steroids will keep you awake the night of chemo and the fatigue catches up. If Mom is still working and has any control over her infusion day (I didn't unless I wanted to travel farther), Wednesdays or Thursdays are good (I think that's what Ingar did). Taxol will make her lose her hair.
I stopped taxol after 8 weeks because of very painful neuropathy in my feet. MO said she would have pushed me harder for the 12 if I had had lymph node involvement. I had no SE's from Herceptin alone, even with a 30 minute drip. I was glad I had a port but others will tell you about their experiences without one. I had it taken out right after my first mammo after the last infusion. If Mom is getting a port, try to allow 7-10 days between port insertion and first chemo so the insertion site is healed. My MO started AI's about 6 weeks after the last taxol, in other words, while I was still getting Herceptin.
From what I've read, the discovery of HER2 and Herceptin has been a game changer. Sounds like you and Mom have had some good discussions with her doctors.
I'm coming up on my 3 year diagnosis anniversary and my life has settled into a comfortable place. I play golf, bridge, and read lots. I just got elected chair of my local food bank board. I'm 3 years older and have the aches and pains of a women approaching 75 (I think that's the first time I've actually acknowledged that). I was very open about my diagnosis and actually liked my bald look although in AZ one really needs to cover it.
Being triple positive is a marathon rather than a sprint but life on the other side is good.
Oct 10, 2019 07:48AM Ingerp wrote:
You can read up on SEs on the "Weekly Taxol" thread. Your mom will have 12 weeks of weekly Taxol and Herceptin, and then Herceptin only every three weeks for the balance of a year.
Oct 10, 2019 08:58AM Bird-of-light wrote:
My side effects were similar to Taco’s. Except, I wore ice gloves and booties that slowed the flow of blood in my hands and feet so less chemo lingered there. I have no neuropathy. It was freezing, so I also had a heating blanket on my body. I ate sugar free popsicles and ice to protect my mouth.