Join Us

We are 219,578 members in 84 forums discussing 161,577 topics.

Help with Abbreviations

Topic: < 5 mm HER2+ IDC...why NOT chemo???

Forum: HER2+ (Positive) Breast Cancer —

Testing, treatment, side effects, and more.

Posted on: Jan 27, 2012 08:57AM

dancetrancer wrote:

I've read thread after thread and all of the info, opinions are running together in my head.  I've only had since yesterday to absorb all of this (was up til 1 a.m reading).  I know this is a controversial topic, but I want to hear why you WOULDN'T recommend chemo for < 5 mm of IDC her2+ (mine is 3 mm).

I had my tests run at Emory (I was there for a 3rd opinion on radiation).  They found the IDC (3 other facilities missed it, including UAB) and tested it for Her2.  Transferred my results to UAB.  Found out I was HER2+ yesterday.

UAB told me yesterday afternoon, lets cancel your radiation, meet with onc to discuss chemo next week.  Go ahead and rip your rads stickers off.  So I did.

Today they call me and say, nope, we talked to the onc and they said chemo isn't warranted with your small cancer.  Come back in to get the marks drawn back on, b/c we want to start rads ASAP next week, you are already behind schedule.

So, I've got a call into Emory to see what their onc says.  WTF.  I'm so sick and tired of sleepless nights, changing opinions, thinking I'm going to die if I don't do chemo (OK, I know that's overreacting, but you all know how it goes) and convincing myself to do it, then I hear, nope, you don't need it.  I could do without this emotional rollercoaster, thank you very much.  Now I'm afraid to NOT have chemo and am paranoid about recurrence.

HELP talk me down off the ledge please!  (LOL, just kidding, but d*mn!) 

Cold caps work! coldcapphotos.shutterfly.com/p... TCH: 4/10 - 6/13/12; 33 rads; BMX w/fat grafting; DX: 7/29/11 @ age 43: Stage 1A on L (3 mm IDC w/ 6 cm DCIS, Gr 2 ER/PR+, HER2+) 0/3 nodes; Stage 0 on R (2 mm DCIS); see bio.
Log in to post a reply

Page 11 of 15 (431 results)

Posts 301 - 330 (431 total)

Log in to post a reply

Mar 29, 2012 01:20PM lago wrote:

I made a mistake. I checked my calendar. I had my port placement the day BEFORE chemo. I had my initial consult the week before chemo.

DONE!! goo.gl/IoaN6U • Tattoos 2.7.2012 • Nipples 10.6.2011 • Exchange 6.24.2011 • Chemo 1.18. 2011 • BMX 8.31.2010 Dx 7/13/2010, IDC, 5cm, Stage IIB, Grade 3, 0/14 nodes, ER+/PR+, HER2+
Log in to post a reply

Mar 29, 2012 06:07PM Moonflwr912 wrote:

My port was placed two days before my first tx, but they left th access in, so then it had a week to heal for the next weeks tx.

Sometimes life SUCKS! Sometimes it doesn't. I prefer when it doesn't! If you're ever bored, read my biography. Bring snacks..... LOL Monica Dx 11/11/2011, DCIS, Right, 1cm, Stage 0, Grade 3, 0/2 nodes, ER+/PR+, HER2+ (FISH) Surgery 12/7/2011 Mastectomy: Right; Prophylactic mastectomy: Left; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Dx 12/8/2011, IDC, 1cm, Stage IA, Grade 3, 0/2 nodes, ER+/PR+, HER2+ Surgery 1/16/2012 Reconstruction (left) Targeted Therapy 2/15/2012 Herceptin (trastuzumab) Chemotherapy 2/15/2012 Carboplatin (Paraplatin), Taxotere (docetaxel) Surgery 8/12/2012 Reconstruction (left): Tissue expander placement Hormonal Therapy 8/19/2012 Arimidex (anastrozole) Surgery 9/9/2012 Reconstruction (left) Surgery 8/13/2013 Reconstruction (left): Tissue expander placement Surgery 9/3/2013 Reconstruction (left) Surgery 12/12/2013 Reconstruction (left): Saline implant; Reconstruction (right): Saline implant
Log in to post a reply

Mar 29, 2012 09:00PM Minnshark wrote:

Well KC and Dancetracer I am scheduled for my exchange on 4/10. New things on going metal taste in my mouth. Weird, that's a known side effect of chemo -- I didn't get it. Oncologist wanted me to see dentist, he saw nothing. Gargle 2x day with Bioteene, that hasn't helped. Waiting for TEs to come out then it's off to see an ENT. I feel like a hypochondriac. Will I ever stop feeling that way?

Diagnosis: 11/29/2011, IDC, .4cm, Stage 1a, Grade 3, 0/2 nodes, ER-/PR-, HER2+
BMX: 12/14/2011
Log in to post a reply

Mar 30, 2012 06:13PM dancetrancer wrote:

I do think it gets better 4 most, w/time, minnshark.  i totally get where u r coming from!

Reposting 4 those who aren't on my other threads.

Had my port placed 2day. Typing w/one hand.

In the hospital - lung punctured during port surgery. Small pneumothorax. Pain drugs is good. 

Cold caps work! coldcapphotos.shutterfly.com/p... TCH: 4/10 - 6/13/12; 33 rads; BMX w/fat grafting; DX: 7/29/11 @ age 43: Stage 1A on L (3 mm IDC w/ 6 cm DCIS, Gr 2 ER/PR+, HER2+) 0/3 nodes; Stage 0 on R (2 mm DCIS); see bio.
Log in to post a reply

Mar 31, 2012 09:44AM AlaskaAngel wrote:

dancetrancer,

I am sorry to hear you have had the lung puncture and hospitalization for pneumothorax, but glad to see you. Your prior good health should be a big plus in managing your recovery. Does the port placement seem okay to you?  Placement differs somewhat depending on individual anatomy, and is more difficult for those who have little tissue to put it in.

Hope you are home soon,

A.A.

Dx 12/3/2001, DCIS/IDC, Left, 1cm, Stage IA, Grade 3, 0/1 nodes, ER+/PR+, HER2+ (IHC) Surgery 1/2/2002 Lumpectomy: Left; Lymph node removal: Left, Sentinel Chemotherapy 3/11/2002 Adriamycin (doxorubicin), Cytoxan (cyclophosphamide), Fluorouracil (5-fluorouracil, 5-FU, Adrucil) Radiation Therapy 9/9/2002 Breast Hormonal Therapy 11/14/2002 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
Log in to post a reply

Mar 31, 2012 09:52AM Sugar77 wrote:

Dancetrancer - oh dear, sorry to hear about the lung puncture. Thinking of you...

Surgery 9/24/2009 Lumpectomy: Right Dx 10/27/2009, IDC, Right, <1cm, Stage IA, Grade 3, 0/2 nodes, ER-/PR-, HER2- Chemotherapy 12/6/2009 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Dx 12/5/2019, IDC, Right, 3cm, Stage IIA, Grade 2, 0/3 nodes, ER+/PR+, HER2- Surgery 1/26/2020 Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy 4/2/2020 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Radiation Therapy Whole-breast: Breast Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
Log in to post a reply

Mar 31, 2012 10:10AM dancetrancer wrote:

thanks all! 50% improvement in lung 2day. Staying another night in hospital 2 be safe. looks like no chest tube if it continues along this path! have weird crackles in chest!

hard 2 tell bout port - too soon - sore 

Cold caps work! coldcapphotos.shutterfly.com/p... TCH: 4/10 - 6/13/12; 33 rads; BMX w/fat grafting; DX: 7/29/11 @ age 43: Stage 1A on L (3 mm IDC w/ 6 cm DCIS, Gr 2 ER/PR+, HER2+) 0/3 nodes; Stage 0 on R (2 mm DCIS); see bio.
Log in to post a reply

Mar 31, 2012 02:07PM lago wrote:

DanceT it took me at least a month to get used to the port… and several months not to notice it at all. Now of course only once in a while if I shrug and lift my arm I feel it but who does that?
DONE!! goo.gl/IoaN6U • Tattoos 2.7.2012 • Nipples 10.6.2011 • Exchange 6.24.2011 • Chemo 1.18. 2011 • BMX 8.31.2010 Dx 7/13/2010, IDC, 5cm, Stage IIB, Grade 3, 0/14 nodes, ER+/PR+, HER2+
Log in to post a reply

Mar 31, 2012 04:03PM - edited Mar 31, 2012 04:05PM by dancetrancer

ughh. thanks4 the heads up lago. i can tell this thing is gonna be sore 4 a while.  my skin is stretched really tight over it. long as it eventually goes away!

Cold caps work! coldcapphotos.shutterfly.com/p... TCH: 4/10 - 6/13/12; 33 rads; BMX w/fat grafting; DX: 7/29/11 @ age 43: Stage 1A on L (3 mm IDC w/ 6 cm DCIS, Gr 2 ER/PR+, HER2+) 0/3 nodes; Stage 0 on R (2 mm DCIS); see bio.
Log in to post a reply

Mar 31, 2012 04:45PM lago wrote:

I am one of those small gals with no fat on upper body that got a kiddy port too. I think that's why I felt it for so long.

DONE!! goo.gl/IoaN6U • Tattoos 2.7.2012 • Nipples 10.6.2011 • Exchange 6.24.2011 • Chemo 1.18. 2011 • BMX 8.31.2010 Dx 7/13/2010, IDC, 5cm, Stage IIB, Grade 3, 0/14 nodes, ER+/PR+, HER2+
Log in to post a reply

Mar 31, 2012 04:55PM LuvRVing wrote:

Funny - I got a kiddy port and had no problem at all.  Never felt it after a couple of days and it was hard to see unless you knew it was there.  I think the removal hurt more and longer than the insertion, to be honest.

Michelle - read my blog at www.mch-breastcancer.blogspot.com - Be kind to one another! Dx 6/15/2010, IDC, 1cm, Stage I, Grade 3, 0/4 nodes, ER-/PR-, HER2- Dx 3/29/2011, IDC, 4cm, Stage IIIB, Grade 3, 4/21 nodes, ER-/PR-, HER2- Dx 5/11/2012, IDC, Stage IV, Grade 3, mets, ER-/PR-, HER2-
Log in to post a reply

Mar 31, 2012 05:45PM lago wrote:

You can see mine

http://www.lauren3g.com/transfer/lagoport.jpg

DONE!! goo.gl/IoaN6U • Tattoos 2.7.2012 • Nipples 10.6.2011 • Exchange 6.24.2011 • Chemo 1.18. 2011 • BMX 8.31.2010 Dx 7/13/2010, IDC, 5cm, Stage IIB, Grade 3, 0/14 nodes, ER+/PR+, HER2+
Log in to post a reply

Mar 31, 2012 06:31PM dancetrancer wrote:

u sure can.  anxious 2 c mine!  well, not really.  lol! glad it's over!

Cold caps work! coldcapphotos.shutterfly.com/p... TCH: 4/10 - 6/13/12; 33 rads; BMX w/fat grafting; DX: 7/29/11 @ age 43: Stage 1A on L (3 mm IDC w/ 6 cm DCIS, Gr 2 ER/PR+, HER2+) 0/3 nodes; Stage 0 on R (2 mm DCIS); see bio.
Log in to post a reply

Mar 31, 2012 07:24PM suzieq60 wrote:

Lago - why haven't you had it removed yet? I got mine out 6 days after the last herceptin.

2nd diagnosis October 2010 - IDC 5.8mm node negative - missed on mammogram in October 2009 Dx 10/13/2009, ILC, 1cm, Stage I, Grade 3, 0/5 nodes, ER+/PR+, HER2+
Log in to post a reply

Apr 1, 2012 06:12AM lago wrote:

susieq my onc prefers her patients keep it in for a total of 3 years because that's the highest risk for recurrence. Where I am treated they will not put the port back in the same place because there is a higher risk of clotting. So I could get it out but I didn't want to jinx anything after she said that. I get it flushed every 3 months. Since I see my onc & BS once a year (appointments 6 months apart) I do it  then as well as  3 in between. It's only 2 extra visits.
DONE!! goo.gl/IoaN6U • Tattoos 2.7.2012 • Nipples 10.6.2011 • Exchange 6.24.2011 • Chemo 1.18. 2011 • BMX 8.31.2010 Dx 7/13/2010, IDC, 5cm, Stage IIB, Grade 3, 0/14 nodes, ER+/PR+, HER2+
Log in to post a reply

Apr 1, 2012 08:57AM dancetrancer wrote:

They said my x-ray looked a bit better this morning again, and agreed to send me home. I will be re-xrayed in just over a week. She said it takes time to resolve. Fingers crossed that it doesn't worsen. I am going to take it EASY. I'm still desaturating with walking, but got to about 250' today before the alarms went off.

Happy to be home!!!!

Cold caps work! coldcapphotos.shutterfly.com/p... TCH: 4/10 - 6/13/12; 33 rads; BMX w/fat grafting; DX: 7/29/11 @ age 43: Stage 1A on L (3 mm IDC w/ 6 cm DCIS, Gr 2 ER/PR+, HER2+) 0/3 nodes; Stage 0 on R (2 mm DCIS); see bio.
Log in to post a reply

Apr 1, 2012 06:15PM vjm wrote:

Dancetrancer - so sorry to hear of your encounters of the hospital kind!!! Where in this world are you anyways? Will keep your ongoing recovery in my prayers.... vjm xoxo

Dx 10/28/2011, IDC, <1cm, Stage IA, Grade 3, 0/2 nodes, ER+/PR+, HER2+ Surgery 11/29/2011 Lumpectomy: Right Surgery 12/28/2011 Lumpectomy: Right; Lymph node removal: Right, Sentinel Radiation Therapy 3/12/2012 Breast Targeted Therapy 4/13/2012 Herceptin (trastuzumab) Chemotherapy 4/13/2012 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Hormonal Therapy
Log in to post a reply

Apr 1, 2012 07:16PM dancetrancer wrote:

I'm in Alabama.  Continuing to gradually improve.  Thank you! 

Cold caps work! coldcapphotos.shutterfly.com/p... TCH: 4/10 - 6/13/12; 33 rads; BMX w/fat grafting; DX: 7/29/11 @ age 43: Stage 1A on L (3 mm IDC w/ 6 cm DCIS, Gr 2 ER/PR+, HER2+) 0/3 nodes; Stage 0 on R (2 mm DCIS); see bio.
Log in to post a reply

Apr 4, 2012 09:26AM vjm wrote:

Thinking of you on this day and hope you are feeling better!!! Had 18 of 20 rad tx's today; this afternoon 19 and tomorrow I will be done for the long weekend:) Chemo starts next Friday.... when is your starting date?

Dx 10/28/2011, IDC, <1cm, Stage IA, Grade 3, 0/2 nodes, ER+/PR+, HER2+ Surgery 11/29/2011 Lumpectomy: Right Surgery 12/28/2011 Lumpectomy: Right; Lymph node removal: Right, Sentinel Radiation Therapy 3/12/2012 Breast Targeted Therapy 4/13/2012 Herceptin (trastuzumab) Chemotherapy 4/13/2012 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Hormonal Therapy
Log in to post a reply

Apr 4, 2012 09:27AM vjm wrote:

Thinking of you on this day and hope you are feeling better!!! Had 18 of 20 rad tx's today; this afternoon 19 and tomorrow I will be done for the long weekend:) Chemo starts next Friday.... when is your starting date?

Dx 10/28/2011, IDC, <1cm, Stage IA, Grade 3, 0/2 nodes, ER+/PR+, HER2+ Surgery 11/29/2011 Lumpectomy: Right Surgery 12/28/2011 Lumpectomy: Right; Lymph node removal: Right, Sentinel Radiation Therapy 3/12/2012 Breast Targeted Therapy 4/13/2012 Herceptin (trastuzumab) Chemotherapy 4/13/2012 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Hormonal Therapy
Log in to post a reply

Apr 4, 2012 10:33AM dancetrancer wrote:

Hi vjm!  HUGE congrats on being almost done with rads!!!!  Tomorrow will definitely be "Friday eve" for you!  (Hubbie is always coming up with funny sayings!)

My chemo is set to start next Tuesday!  So we will be starting this journey together - how awesome is that?   Did you get your port yet?  Hope my experience didn't freak you out too much.  I am feeling MUCH better, few crackles in the lungs today and energy level much improved.  One thing I have learned since is that I wish I had requested it be done by interventional radiology and also to the internal jugular vein instead of the subclavian.  Mine was done by a surgeon with the location done by anatomical landmarks, not by guided fluoroscopy.  From what I have read, there is a lower chance of the lung being nicked if done via fluoroscopy and to the internal jugular.  

Cold caps work! coldcapphotos.shutterfly.com/p... TCH: 4/10 - 6/13/12; 33 rads; BMX w/fat grafting; DX: 7/29/11 @ age 43: Stage 1A on L (3 mm IDC w/ 6 cm DCIS, Gr 2 ER/PR+, HER2+) 0/3 nodes; Stage 0 on R (2 mm DCIS); see bio.
Log in to post a reply

Apr 6, 2012 04:08PM vjm wrote:

I will be thinking of you on Tuesday. Let me know how it goes for you and I will in like on Friday:) It's a beautiful sunny day in Victoria BC - but it would be too cool for a gal from Alabama!!  My breast is enjoying the coolness as I lay with it open to air - starting to break down despite all the supplements and lotions/potions/compresses!!!! Owie. Trust you are feeling better and stronger every day - I'm hoping to get my life force back for next Friday. Happy Easter... V.

Dx 10/28/2011, IDC, <1cm, Stage IA, Grade 3, 0/2 nodes, ER+/PR+, HER2+ Surgery 11/29/2011 Lumpectomy: Right Surgery 12/28/2011 Lumpectomy: Right; Lymph node removal: Right, Sentinel Radiation Therapy 3/12/2012 Breast Targeted Therapy 4/13/2012 Herceptin (trastuzumab) Chemotherapy 4/13/2012 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Hormonal Therapy
Log in to post a reply

Apr 6, 2012 04:50PM dancetrancer wrote:

Thank you vjm and huge congrats on being DONE with rads!!!!!!!!!!!!!!!!!!!  Wahoo do I ever remember that day!  Toasting to you with a virtual margarita!!! 

And yes, I'm feeling MUCH better.  Tolerated a 20 minute slow walk today w/no problem.  Here's good luck to both of us for next week - forward we march!   

Cold caps work! coldcapphotos.shutterfly.com/p... TCH: 4/10 - 6/13/12; 33 rads; BMX w/fat grafting; DX: 7/29/11 @ age 43: Stage 1A on L (3 mm IDC w/ 6 cm DCIS, Gr 2 ER/PR+, HER2+) 0/3 nodes; Stage 0 on R (2 mm DCIS); see bio.
Log in to post a reply

Apr 7, 2012 07:39PM chachamom wrote:

I don't know if this is the right thread for me or not...I was phoned by my surgeon after my right breast mastectomy that I have no lumph node involvement...yeah!!! And everyone is eccstatic....but I'm confused as to my treatment decisions. I'm t1a, grade 2, ER/PR+, and HER2+, 0/5 nodes. I see my surgeon on Wed...i'm 57 years old and otherwise very healthy.....what were the deal breakers for taking chemo plus herceptin vs just Herceptin alone with hormone supressors?

Jill. Age 59. "Life is a shipwreck, but we must not forget to sing in the lifeboats." - Voltaire. No chemo/herceptin and no radiation because the largest of multi focal tumors was 3mm Dx 3/12/2012, IDC, <1cm, Stage IA, Grade 2, 0/5 nodes, ER+/PR+, HER2+ Hormonal Therapy 5/30/2012
Log in to post a reply

Apr 7, 2012 09:43PM fluffqueen01 wrote:

Chacha....Not sure how big your tmor was. Mine was just under 1cm. In general, most oncs feel that herceptin works better if combined with chemo. So docs will do just herceptin, but they are harder to find.

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 3/13/2011 Herceptin (trastuzumab)
Log in to post a reply

Apr 7, 2012 10:04PM chachamom wrote:

Fluff queen..thanks for the response! I don't have my final written report yet, but my surgeon said I had "2-3 lesions" and that the largest was < 1/2 inch. So a little over 1cm? He. Said he would think I'm a "t-1a"....and may not need chemo, but I'd have to check with the oncologist once I get that referral.

Jill. Age 59. "Life is a shipwreck, but we must not forget to sing in the lifeboats." - Voltaire. No chemo/herceptin and no radiation because the largest of multi focal tumors was 3mm Dx 3/12/2012, IDC, <1cm, Stage IA, Grade 2, 0/5 nodes, ER+/PR+, HER2+ Hormonal Therapy 5/30/2012
Log in to post a reply

Apr 7, 2012 10:25PM camillegal wrote:

The more people I know the more I have learned that not everyone gets chemo--depending on Stage, type etc. So here's hoping that wil be for u, and if not-- it's all doable. So Good luck Chacha

Dx 2007, Stage IV, 24/38 nodes, HER2+
Log in to post a reply

Apr 8, 2012 06:35AM dancetrancer wrote:

Chacha - treatment for HER2+ tumors that are less than 6 mm is controversial.  Mine is 3 mm and after multiple consults including a final one at MD Anderson, chemo was recommended.   If your tumor is indeed 0.5 inches, which is 1.27 cm, there is no question that you will need chemo.  You would not be a t1a, although you would be Stage 1a (the "t" denotes the size of the tumor, and is different from the stage).  So, you need to definitively find out exactly the size of your tumor.  I would ask for a copy of your path report to confirm the size of the tumor.  Hope this helps! 

Cold caps work! coldcapphotos.shutterfly.com/p... TCH: 4/10 - 6/13/12; 33 rads; BMX w/fat grafting; DX: 7/29/11 @ age 43: Stage 1A on L (3 mm IDC w/ 6 cm DCIS, Gr 2 ER/PR+, HER2+) 0/3 nodes; Stage 0 on R (2 mm DCIS); see bio.
Log in to post a reply

Apr 8, 2012 06:50PM fluffqueen01 wrote:

Chacha....join the triple positive thread. Tons of info there and great people. If your doc says no chemo, get a second opinion before you decide. I interviewed three oncologists. Had intended on 4, but two of the most known ones had the same protocol, the third one had a protocol that was way more serious than I thought I needed, so I settled on the one closest to my house. He is wonderful and very spiritual, and turns out right next door to my very funny PS, so I had the best of both worlds.

Every single one of the people I interviewed said chemo with herceptin because it works better mixed. If I were not her2 positive, i probably would not have needed chemo, bas on the size of just under a cm.

I am t1b. Dancetrancer is right, get a copy of your path report. In fact, get copies of everything and start a binder. I couldnt just trust everything the doc said, so I spent hours researching and had pages of questions. Also, tape your discussions on suggested protocols as you will forget a lot. It helps.

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 3/13/2011 Herceptin (trastuzumab)
Log in to post a reply

Apr 9, 2012 09:49AM chachamom wrote:

Thank you everyone! I'm so glad I found this forum! I was so happy to hear my nodes were not involved that I didn't ask my surgeon the appropriate questions. I'll be seeing him on Wednesday though (hopefully to get my drain removed)! And I'll make sure to get a copy of the report then. That's a good idea to start a binder fluffqueen01! I'm feeling a bit out of control and organizing my paperwork should help. Thanks!

Jill. Age 59. "Life is a shipwreck, but we must not forget to sing in the lifeboats." - Voltaire. No chemo/herceptin and no radiation because the largest of multi focal tumors was 3mm Dx 3/12/2012, IDC, <1cm, Stage IA, Grade 2, 0/5 nodes, ER+/PR+, HER2+ Hormonal Therapy 5/30/2012

Page 11 of 15 (431 results)