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Topic: calling all t1A (> 1 mm but < 6 mm) sisters who are HER2+

Forum: HER2+ (Positive) Breast Cancer —

Testing, treatment, side effects, and more.

Posted on: Jan 31, 2012 09:59AM - edited Apr 24, 2014 06:29AM by dancetrancer

dancetrancer wrote:

I decided to start this thread to help others who may end up in this "grey" area and are struggling to make a decision about chemo/Herceptin or not.  Current national guidelines do not recommend treatment for our stage.  Treatment is only considered for 6 mm and up HER2+ sisters.  HOWEVER, some docs do still treat t1A sisters, which makes for a very confusing and stressful decision making process for t1A gals.  I thought we could run an ongoing list of sisters, sharing our decision making process, recommendations, etc.  I will be keeping an informal poll and will update it as we go along.  So far, here is what I found:

  • 6 had no treatment (no Herceptin; some had chemo without Herceptin) and recurred with METS (one dx 2004, one 2007, one 2009, two 2010; one 2012)
  • 7 had no treatment with dx ranging from 2007 to 2012.  One has had a local recurrence 3 years after diagnosis. All others have had no recurrence yet. 
  • 29 have had treatment or are currently undergoing tx; 1 had a local recurrence after tx (ranging 2008 to 2012) 

This is completely unscientific, I know, as there likely is bias b/c women who are more aggressive about treatment may be more likely to frequent these boards, but, I still find the data helpful.  

Of the treated group:
12 had taxol plus Herceptin
12 had TCH
1 refused chemo but doc agreed to Herceptin only

1 had chemo only recommended, no Herceptin

2 had AC-TH

1 had  FECX4 with Herceptin 

 If you reply, please share the size of your IDC, year you were diagnosed, your age (if you are ok with that), Grade of IDC, ER/PR status, recommendations you received from MD's, decision you made, and treatment (if tx'd) you had.  Also note if you have had a recurrence or not. Oh and also if you don't mind sharing, tell us if you are in the USA or another country.  I am interested in seeing if there is a trend for treatment or no treatment based upon country.  

Thank you, I will update the numbers as we move along.   

P.S.  Edited to add an important point made by Beesie in this thread, so that newbies don't freak out when they see whatever numbers happen to be above:   "those who have problems tend to stay on the board longer or return to the board or search out the board when they do have problems. For example, judging by the women here, one would think that the recurrence rate and rate of mets (generally, not just HER2+) is much higher than it actually is. There are thousands of women who've popped in here for a short while, completed their treatment and then, because they don't have a recurrence, are never seen again. It's generally only the women who have a recurrence who return. It makes sense, but it means that the numbers will be skewed to those who have a recurrence vs. those who've happily moved on with their lives and have no further problems." 

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.
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Oct 6, 2017 01:00PM dancetrancer wrote:

Thanks so much BarredOwl - I am SO happy you are here, staying current on the latest NCCN guidelines, and continuing to support new members!!!! It's a relief to me to know you are here helping us all stay current!

The tumor board suggestion is excellent! I had totally forgotten they had done that for my case. I think I obtained 4 opinions regarding chemo - even flying to see a specialist in small tumors at MD Anderson. I was so confused and distraught about what to do. It is such a hard decision. Multiple opinions are definitely in order when the recommendations say to "consider". It's not black and white, unfortunately.

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.
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Oct 12, 2017 03:14PM Denise-G wrote:

I had a woman write to me for advice. She was a friend of a friend who had small 5 mm tumor but was Her 2 Pos. I begged her to get a second opinion at an NCI designated cancer center as she was ready to start chemo and Herceptin. Finally, she did go for the second opinion. The new hospital re-checked the Her2 results and she was negative not positive. No chemo.

Hospital errors are really scary.


www.denise4health.wordpress.com my BC Blog with over 200 informative posts about all aspects of BC - stop by! Myself, my mom, and sister were all diagnosed with BC within 3 years. What a ride! Dx 10/10/2011, IDC, Left, 6cm+, Stage IIIA, Grade 2, 9/14 nodes, ER+/PR+, HER2+ (FISH) Surgery 11/22/2011 Lymph node removal: Left, Underarm/Axillary; Mastectomy: Left Chemotherapy 12/26/2011 AC + T (Taxol) Targeted Therapy 2/27/2012 Herceptin (trastuzumab) Hormonal Therapy 10/10/2012 Arimidex (anastrozole)
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Oct 12, 2017 06:33PM HeartdesiresLife wrote:

I received my tie breaker opinion at USC and oncologist there reiterated the recommendation of City of Hope, not enough benefit of Taxol/Herceptin to microinvasion which is 0.7mm. This time I did ask about Herceptin only and the response was for someone who was physically fragile and would have greater benefit of receiving something vs nothing, yes Herceptin only could be given. As for Perjeta, the short response was that this medication is indicated for those with metastatic HER2+ and my husband mentioned that Perjeta and Herceptin are made by the same manufacturer. I completely forgot about the tumor board suggestion!!! USC oncologist said she has given chemo for patients with tumors as small as 2mm, along with the fact that the patient was very focused on receiving treatment and she confirmed that UCLA pathology lab will do more cuts of the specimen than the typical standard. This USC oncologist is originally from UCLA. I am thinking about requesting an opinion from Dr. Michael Lagios and my husband suggested going to MDAnderson, Cleveland Clinic, or Sloan Kettering. I may still seek Dr. Lagio's opinion but I think I have neared my comfort level of believing that I am physically okay.

At the very least USC oncologist was willing to see me in 6 months and she even recommended seeing the breast surgeon on a regular basis. However no imaging studies or labs were recommended for monitoring purposes unless an issue arises.

On a very positive note a friend sent a Wall Street article about a metastatic breast cancer patient being cancer free due to immunotherapy little while ago...since it was Wall Street article, it wouldn't let me read the whole article without being a subscriber but below link is from an open source talking about the same topic.

https://www.msn.com/en-us/news/money/immunotherapy...

I will be posting the same info on the microinvasion HER2+ topic, so I apologize for the repeat information if you see my posting there too. Breastcancer.org was a bright light in my dark moments of diagnosis, so I hope to offer little bit of that insight to others who will find themselves here. Heartfelt thank you to dancetrancer and BarredOwl for their continuous support!!!

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Oct 12, 2017 07:13PM dancetrancer wrote:

So glad you received your 3rd opinion and are starting to feel comfortable with your decision! I know how hard this process is! Wishing all the best for you!!! Hug

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.
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Oct 13, 2017 12:41PM BarredOwl wrote:

Ditto!

BarredOwl

Stage IA IDC, 9/2013 BMX. Right: IDC (1.5 mm, grade 2) with DCIS (5+ cm), 0/4 nodes, pN0. Left: DCIS (5+ cm), 0/1 node, pN0(i+).
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Oct 17, 2017 11:24PM HeartdesiresLife wrote:

Just trying to see how to put in my correct diagnosis without using the preset MyProfile options...

_________________________________________________________________________

diagnosed at the age of 46, 7/7/17 left 7.5cm DCIS high grade

8/25/17 bilateral mastectomy with sentinel node biopsy

left 7.1cm DCIS, high grade with 0.7mm microinvasion - hormone receptors negative, HER2+

right 1.4cm DCIS, high grade

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Oct 25, 2017 01:47PM dacre wrote:

To Heartdesire......It's been quite a while since I've joined this group....but I think what you posted for your diagnosis is fine. Everyone will know what the "lingo" is....and if they don't...they'll politely ask.

ps. Happy that you have found this website.....sorry that you had to find this website.

BE STRONG!!!

Dx 8/29/2014, IDC, 2cm, Stage IA, Grade 1, 0/1 nodes, ER+/PR+, HER2- Surgery 9/18/2014 Lumpectomy: Right; Lymph node removal: Right, Sentinel
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Oct 29, 2017 12:12AM HeartdesiresLife wrote:

Dear Dacre - thank you very much for your encouragement!!!


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Nov 7, 2017 09:30PM - edited Nov 7, 2017 09:31PM by Nolagirl1126

BarredOwl....can't thank you enough for keeping up with most recent guidelines. After finding this thread almost 2 year a ago, I decided to go with TH...I also had a bilateral with diep flap reconstruction due to family history (although negative for brca.

Thank you and dancetrancer for your dedication to this thread with current information!

Dx 12/14/2015, DCIS/IDC, Left, <1cm, Stage IA, Grade 3, 0/10 nodes, ER+/PR+, HER2+ (FISH) Chemotherapy 2/22/2016 Taxol (paclitaxel) Targeted Therapy Herceptin (trastuzumab)
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Nov 9, 2017 03:09PM BarredOwl wrote:

Hi Nolagirl 1126:

Thanks for your note and update!

BarredOwl

Stage IA IDC, 9/2013 BMX. Right: IDC (1.5 mm, grade 2) with DCIS (5+ cm), 0/4 nodes, pN0. Left: DCIS (5+ cm), 0/1 node, pN0(i+).
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Mar 8, 2018 02:54PM Dejaboo wrote:

checking in. Yesterday was my 10th cancerversary! I just fit in this group. My tumor was tiny 1.2mm ER+/PR-, HER2+. I had a Bilateral mastectomy No RADS, No Chemo, No Herceptin (it was unheard of to have herceptin & No chemo when I was DX- as I asked- Insurance would not have covered it)

statistics are just a group of numbers looking for an argument Dx 3/7/2008, IDC, <1cm, Stage IA, Grade 1, 0/1 nodes, ER+/PR-, HER2+
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Mar 8, 2018 04:14PM dancetrancer wrote:

CONGRATULATIONS Dejaboo!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Love hearing this long-term survivor update!!!!

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.
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Mar 8, 2018 05:04PM Cwhitney wrote:

Dejaboo congrats! I always love hearing from long time survivors. I'll hit my two years in May. I am hoping I will be in your shoes in 8 years!

Dx 5/6/2016, DCIS/IDC, Right, <1cm, Stage IA, Grade 3, 0/16 nodes, ER+/PR+, HER2+ (FISH) Surgery 5/17/2016 Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement Targeted Therapy 7/10/2016 Herceptin (trastuzumab) Chemotherapy 7/10/2016 Taxotere (docetaxel)
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Mar 8, 2018 05:06PM Dejaboo wrote:

thank you Cwhitney! I hope you post the same in 8 years!


statistics are just a group of numbers looking for an argument Dx 3/7/2008, IDC, <1cm, Stage IA, Grade 1, 0/1 nodes, ER+/PR-, HER2+
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May 21, 2018 01:52PM Mntx wrote:

Hi Ladies. Just got my pathology report back after my surgery and confirmed that I’m HER+ With 5.5 MM (T1bN0, GRADE 3) Also had 4.6 CM DCIS GRADE 3. Meeting with oncologist next week at MD Anderson to see what treatment plan they recommend. Didn’t want chemo but maybe mine is still small that it won’t be required??? Thoughts anyone? Just want to get the appt over with.

Dx 3/23/2018, DCIS, Left, 4cm, Stage 0, Grade 3, 0/3 nodes, ER-/PR-, HER2+ (FISH) Surgery 5/8/2018 Lumpectomy: Left; Lymph node removal: Left, Sentinel; Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Dx 5/15/2018, IDC: Cribriform, Left, <1cm, Stage IB, Grade 3, 0/2 nodes, ER-/PR-, HER2+ (FISH)
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May 21, 2018 01:57PM dancetrancer wrote:

Welcome Mntx. I had a 3rd opinion with MD Anderson (they are awesome), and they recommended chemo with my tiny IDC (3 mm). So don't be surprised if they recommend chemo for you. Interested in seeing if they are still following the same protocol. Please keep us updated!

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.
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May 21, 2018 02:12PM Tresjoli2 wrote:

I had 1.5mm of IDC, and 4 CM of DCIS. I still was recommended for Chemo. Good luck and keep us posted on your regimine.

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 9/24/2015 Whole-breast: Breast Hormonal Therapy 10/11/2015 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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May 21, 2018 08:30PM PatinMN wrote:

Mntx, I had 5mm of IDC, HER2+ and 26% ER+. This was close to 6 years ago, so options may have changed, but my oncologist offered me 12 weekly taxol + herceptin, or said I could forgo the chemo and herceptin since I was just below the 6mm threshold for generally recommending that treatment. I went ahead with it, and I’m glad i did after having more time to read about it. I wished I could have had herceptin without the chemo - maybe that is a possibility now. I did save my hair by using cold caps (as did dancetrancer) if that is a concern for you. Good luck with your appointment

Dx 7/13/2012, IDC, <1cm, Stage IA, Grade 3, 0/2 nodes, ER+/PR-, HER2+ Surgery 8/1/2012 Lumpectomy: Left Targeted Therapy 9/20/2012 Herceptin (trastuzumab) Chemotherapy 9/20/2012 Taxol (paclitaxel) Radiation Therapy 1/8/2013 Breast Hormonal Therapy 4/1/2013
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May 21, 2018 10:20PM alliesmom15 wrote:

This month is my seven year canciversary. It just seems like a bad dream and have moved on with my life. I sometimes still get a little afraid it could come back but for the most part I am not too worried. Good to see you all and praying for all of you.

Jen Dx 5/21/2011, DCIS, Right, 1cm, Stage 0, Grade 3, 0/21 nodes, ER-/PR-, HER2+
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May 22, 2018 06:44AM Cwhitney wrote:

I had 6mm tumor and some dcis and was recommended chemo and Herceptin. I was actually relieved since I wanted to throw everything at it and wanted the miracle of Herceptin. Like some of the other ladies, I had 12 weeks of Taxol (along with Perjeta) and a year of Herceptin. I hit my 2 year cancer anniversary and I'm enjoying life. I too get a little scared but I don't think about it nearly as much as I did. Yes, it is like a bad dream. Chemo was doable and not as scary as I thought it would be. Alliesmom congrats on your 7 years! It was nice seeing some familiar names that got me through my diagnosis!

Dx 5/6/2016, DCIS/IDC, Right, <1cm, Stage IA, Grade 3, 0/16 nodes, ER+/PR+, HER2+ (FISH) Surgery 5/17/2016 Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement Targeted Therapy 7/10/2016 Herceptin (trastuzumab) Chemotherapy 7/10/2016 Taxotere (docetaxel)
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May 22, 2018 07:24AM dancetrancer wrote:

Congrats alliesmom on 7 years!!!!! I'm coming up on that this fall. It's definitely like a bad dream for me, too. So thankful.

For all you newbies, take heart - life does go on after treatment! You just gotta put your head down and push through - ya do what ya gotta do.

For all you "oldies" - thanks for staying on the thread and sharing to help! It's great to hear from you and also is inspiring to those recently diagnosed.

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.
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May 24, 2018 11:27PM Becca953 wrote:

Mntx - I had 6mm IDC and 4 cm DCIS in scattered pockets. Breast surgeon oncologist told me that they are trending toward treating smaller and smaller HER2+ tumors. I asked the question about Herceptin without chemo, and MO was firm. She said the Herceptin needs a chemo agent to get it started. After doing a ton of reading, this seems to be the norm with most targeted therapy. The dual combo is more effective. Herceptin is also effective alone but the chemo gives it a boost. There is a new study out of Germany supporting this.

Dx 12/20/2017, IDC, Right, <1cm, Grade 2, 0/3 nodes, ER+/PR-, HER2+ Dx 12/20/2017, DCIS, Right, 4cm, Stage 0, Grade 3, ER+/PR- Surgery 1/30/2018 Mastectomy: Right Chemotherapy 3/4/2018 Taxol (paclitaxel) Targeted Therapy 3/4/2018 Herceptin (trastuzumab)
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May 26, 2018 05:36PM TTW wrote:

this is such a helpful board. Thank you. My post op path lumpectomy report came in 3mm no lymph and clean margins and HER2+. SO my BS indicated she thought no chemo but MO would make decision or recommendation. Readying the MD Anderson IVC Algorithm done in Feb2018 looks like heceptin and chemo recommended or at least to be considered even smaller than 5mm size tumors because HER2+ ......I really hate the idea of SE chemo and long term issues. I am 64 good health and wondering what are the chances of recurrence if don’t do chemo.....as for local recurrence I am ok but obviously want to prevent distance spread. throughts? Would love to hear about chemo experiences and how you get through it

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May 27, 2018 08:16AM - edited May 27, 2018 08:17AM by dancetrancer

TTW as far as chances of recurrence I don't know the stat's (if they exist) on that, maybe someone else who is following the research lately can chime in.

My chemo experience with TCH (taxotere, carboplatin, herceptin) honestly sucked for me. I was pretty sick during it. However, everyone's experience is different, AND, most onc's are now doing Taxol X 12 + Herceptin for small tumors, IF they recommend chemo. That regimen is much gentler and easier to tolerate, from the experiences I have read about here.

You will need to see what your onc recommends. Every situation is different as they take into account your age and other medical history when determining if the risks of chemo+Herceptin are warranted. Keep us posted and best wishes!

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.
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May 27, 2018 11:25AM - edited May 27, 2018 05:22PM by Becca953

TTW - I think the risk for recurrence on the study at the 7 year standpoint was a 3% difference with Herceptin only, so adding the chemo gave a 3% boost. The study used mostly T1 tumor size patients and some T2. It was to aid in deciding treatment for elderly women who may have less tolerance for chemo. At 64 you are below the thresh hold. I think the age was 67 or 70. For smaller node negative tumors most algorithms give a 3% boost for chemo and Herceptin combo, with an added 1% for hormonal therapy if hormone positive. Taxol was relatively mild and doable, but there were unpleasant SEs including 50-60% hair loss (despite cold capping), some fatigue, mild neuropathy (despite icing), joint pain, some loss of taste, etc. A second opinion may help you make a decision with which you are comfortable.

Dx 12/20/2017, IDC, Right, <1cm, Grade 2, 0/3 nodes, ER+/PR-, HER2+ Dx 12/20/2017, DCIS, Right, 4cm, Stage 0, Grade 3, ER+/PR- Surgery 1/30/2018 Mastectomy: Right Chemotherapy 3/4/2018 Taxol (paclitaxel) Targeted Therapy 3/4/2018 Herceptin (trastuzumab)
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May 27, 2018 03:06PM - edited May 27, 2018 03:15PM by Mntx

Ladies-thank you for telling me your story. I feel it is more likely that I will get chemo than not. Just scared. I no longer live in Houston so ive been traveling back and forth. I was hoping to do all of this at MD Anderson but since I now understand that this is a very long treatment program I can't live there for year. Has anyone ever traveled every three weeks to get the treatment done and flown home

Dx 3/23/2018, DCIS, Left, 4cm, Stage 0, Grade 3, 0/3 nodes, ER-/PR-, HER2+ (FISH) Surgery 5/8/2018 Lumpectomy: Left; Lymph node removal: Left, Sentinel; Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Dx 5/15/2018, IDC: Cribriform, Left, <1cm, Stage IB, Grade 3, 0/2 nodes, ER-/PR-, HER2+ (FISH)
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May 31, 2018 11:54PM HeartdesiresLife wrote:

Dear Mntx,

Following my bilateral mastectomy last August, I was found to have <1mm microinvasion which tested HER2+ on the left and DCIS on the right. I saw an oncologist at UCLA, City of Hope, and USC. UCLA oncologist advised Herceptin/chemo but the other 2 oncologists recommended no further treatment. No further treatment is probably what I wanted to hear, so that is what I went with. But even few weeks before the mastectomy, I was having aches and occasional sharp pain here and there and it was such a burden to not to overreact but I ended up constantly thinking of these symptoms and second guessing whether I should have had He

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Jun 10, 2018 10:40AM - edited Jun 10, 2018 10:41AM by Rosamond

5 year initial diagnosis cancerversary today! A couple more months of tamoxifen and annual mammograms and checkups will be my future treatment. I never had radiation, chemo, or herceptin. There is light at the end of the tunnel and a future beyond BC. Fears of recurrence no longer dominate my life, and my doc visits seem routine. All the best to all!

Rosamond, my Calico cat, was a breast cancer survivor for 8 years. >^.^ Dx 6/10/2013, DCIS, 5cm, Grade 2, ER+/PR+ Dx 8/1/2013, IDC, <1cm, Stage IA, Grade 2, 0/4 nodes, ER+/PR+, HER2+ Surgery 8/7/2013 Lymph node removal: Right, Sentinel Surgery 8/14/2013 Mastectomy: Right; Reconstruction (right): Silicone implant Hormonal Therapy 9/4/2013 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 2/3/2014 Reconstruction (left); Reconstruction (right)
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Jun 10, 2018 01:27PM dancetrancer wrote:

Congratulations on 5 years Rosamond!!!!

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.
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Jun 10, 2018 07:39PM Blownaway wrote:

Rosamond why did you not have herceptin since you are +++

Dx 3/31/2014, DCIS/IDC, Left, <1cm, Stage IA, Grade 2, 0/2 nodes, ER+/PR+, HER2+ (FISH) Surgery 5/13/2014 Lumpectomy: Left; Lymph node removal: Left, Sentinel Surgery 6/3/2014 Lumpectomy: Left Chemotherapy 7/3/2014 Carboplatin (Paraplatin), Taxotere (docetaxel) Targeted Therapy 7/3/2014 Herceptin (trastuzumab) Radiation Therapy 10/7/2014 3DCRT: Breast Hormonal Therapy 1/10/2015 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Radiation Therapy Breast

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