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Chemotherapy is the only thing effective on TNBC

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latriciadawn View Drop Down
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Carol,
What happened after the lumpectomy?  Did they make you have radiation?  Does radiation even effect TNBC?  Did you need more chemo?
 
 
 
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Carol (Tenn) View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Carol (Tenn) Quote  Post ReplyReply Direct Link To This Post Posted: Jan 16 2010 at 11:22pm
I had more rads...now there are some on this site that say you can't have radiation again but my radiation onc reccomended it. The first time I had IMRT...which is kinda like 3D it zaps it from different angles on a largeer area...the second time I had Electron Beam which zaps a small designated area (where the 2nd lump was found.
The oncologist said that more chemo wouldn't do any good, since it didn't get it all the first time.
I think radiation is a vital part of treatment. It is meant to get all the lingering cells. But nothing is perfect...mine cells were allusive...and all it takes is one renegade.
Yesterday I went for a full body CT and bone scans. It's been 18 months since I was diagnosed and with my recurrence, my onc thought it a good idea to check further...I think so too, more for peace of mind than anything else.
Love and Prayers,
Carol
St 2 Gr 3, A/C/T, DD
Radiation x35
Rec chest wall 07/09
Radiation x28
NED 10/24/11
NED 10/5/12
NED 03/15/13
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[QUOTE=latriciadawn]

I believe this website would be more helpful if it were clearly stated that with TNBC all chemotherapy medicines are not necesssarily effective.  With me, the first 4 chemo treatments were the "red devil" (I'm sorry I don't know the technical names yet), and I saw a very significant shrinkage of the tumor.  Had I known this then, I would have been looking out for possible recurrence.  My oncologist always examined my breast with my bra on and sometimes even with a shirt on over the bra) and I never personally felt my breast those months.  I was told I must have a total of 8 sessions, 4 of the red devil and then 4 of the taxol because of "protocol".  I just am in dis-belief that my oncologist would have over-looked this lump.  Could it be he really knew it was there? 

 
  Latricia,    Being not very adept at computers I got your whole post instead of the first sentence in the quote.  Chemotherapy can be a crap shoot with any type of cancer. This is not soimething specific for just TNBC. What may work for one person and their specific cancer may not work for another with the same type of cancer.  This is the illusive problem with all cancers. Some cancers do target much better than others.
 

Edited by kirby - Jan 17 2010 at 1:57am
kirby

dx Feb. 2001. Age 44
Lumpectomy

2cm. no nodes stage 1 grade 3

4 rnds AC, 35 rads
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This has become a very convoluted thread...I am not quite sure where to start but I think I will go backwards...What remains, on my part, is a very strong belief that Bob's thoughts (as presented by Nancy courtesy of Maryjahn), Ms. Bliss's thoughts and Nancy's thoughts all belong in the Alternative Treatment Support section on this forum. This section is found under Support Groups under the heading Alternative Treatment Support. This section was inaugurated in October and I believe was in response to a lot of folks who are interested in alternate ideas to have a forum. To be honest, I went there for the first time tonight and found references to several books, many dietary tips, no radiation suggestions, no chemo suggestions, meditation techniques etc. etc. I have no problem with any of that. Everyone is entitled to deal with cancer as they see fit. As an example there were several studies presented at ASCO re: Vitamin D that were encouraging and perhaps some day it, as an example, will be considered 'standard of care' and who knows the work done by the Greeks and the Germans mentioned by Nancy and Suzanne Somers in her blog may also turn out to be beneficial to our community.

First of all I must say to Bob that my heart goes out to you and I admire the dedication you have for your wife's care. Ms. Bliss, Maryjahn, Nancy...my heart goes out to all of you and in fact to everyone here. And a special welcome to Latricia and good luck with your surgery on the 25th. I will try respond to your questions, and some of the answers unfortunately may be depressing, Latricia..

However, I have some major problems with some things that have been said on this thread..

Most troubling to me, if Bob is quoted correctly, is his statement.."The biggest problem with the status quo is false positives and unnecessary surgeries and treatments and I would suggest that you print out this email and keep it handy for yourself or someone you know before you or they get cut or fried." Pray tell, Bob, what would you recommend specifically for the women here and what are your medical credentials for such a recommendation? I find your recommendation, if followed by the women here extremely dangerous. We know that TNBC is a major problem with few ideal solutions but not treating the cancer with chemo, surgery and radiation could be a clear path to disaster much of the time. Bob, Nancy, Ms. Bliss, Maryjahn my questions remain--
-who is the MD Anderson doc who said this is a "huge success"?
-where is the statement from the Cleveland Clinic?
-where are published, peer-reviewed studies from these companies/labs?
-where are the blinded clinical trials to validate their work?

and some new ones-

-many TN women here do not have metastatic disease (that we know of)..no positive lymph nodes, early Stage TNBC..if there are no "circulating cancer cells" how would they be treated by the German/Greek labs?
-where is the evidence that examining a single cancer cell is equal to examining sections of a much larger tumor?
-Bob, where are the answers from Dr. Prix to your important questions?

The LEF that is shown as a reference is the Life Extension firm, selling what I would call an alternative approach to fighting cancer. They sell supplements etc. and again, anyone interested in their products should be free to look at them on the Alternative Treatment Forum (ATF).

By the way, I did some research on Bio-Focus and found

http://findarticles.com/p/articles/mi_m0ISW/is_277-278/ai_n16702337/pg_3/?tag=content;col1

Townsend Letter for Doctors and Patients, August-Sept, 2006 by Jonathan Collin

who was pro- BioFocus labs wrote in 2006...

"The cutting edge of alternative medicine and cancer treatment: the video every alternative practitioner should see"

Has Bio-Focus moved from "alternative" to "mainstream" in the last four years? where is the proof that they have?

I believe the Townsend Letter is an alternative publication..If they call BioFocus alternative I think that is what they are and again, the Alternative Treatment Support section of this forum is where the information belongs.

Dear Ms. Bliss,

I did not knock MammaPrint or Target Now or chemosensitivity, in general. Why did you infer that I did? What I am specifically questioning is what Nancy presented as fact...that two labs mentioned on Suzanne Somer's blog in October have proven techniques. I have asked questions that are unanswered. What I am 'knocking' is telling women here, on the main forum, that the standard of care this community lives under can be replaced...and yes, all here recognize that the current system is deeply inadequate. Scientists/researchers are working hard to improve things for our community and perhaps the work done at BioFocus and others will make important contributions but we need proof. I would actually welcome such proof. But telling women here to go to some clinic, under present circumstances, brings that advice to a different level...and it scares me.

Nancy wrote "There are two testing centers for chemosensitivity and it does not have to be trial and error when it comes to which chemotherapy agents will sucessfully treat your breast cancer." Nancy, where is the proof for this statement? A woman joins this forum facing surgery and is basically told "go to Greece or Germany because some unnamed doctor says it's wonderful and don't get cut and/or fried." Is that what this forum is all about? I pray that will never be the case.

TNBC is a very difficult cancer. I am totally convinced that many, many brilliant minds, like Drs. Winer and Carey and many others, are working on this problem. I spoke to about 25 oncologists at ASCO. They impressed me with their concern for our community and I believe are completely dedicated to treating TNBC more effectively. It is inconceivable to me that these physicians/researchers would let anyone block a major breakthrough such as a blood test that would determine which chemo would work. They recognize that a blood test, if accurate, would be a nice improvement to neoadjuvant therapy. I don't care how much money has been invested in various chemotherapies...if something vastly better is discovered it will see the light of day.

and that brings me to your questions Latricia...There is no precise, effective treatment that works for every case of TNBC. My daughter was diagnosed at age 36 and treated with surgery, and four monhts of AC + Taxol. She is cancer-free five years later. Others here have not been as fortunate while other have. Much work remains to be done. There is no guarantee with any of this. Do you have the ability, even at this late date, to get a second opinion from a medical oncologist regarding your treatment plan? I hope your surgery goes well and my prayers are with you.

I hope my thread does not start an unfortunate back and forth..we have had them here before (and they have not helped this forum in my opinion) and that is one reason why the ATF was initiated. I have spent several hours now trying to research the labs mentioned and in writing this reply..

I tried my best to write with the respect I have for everyone here and the love I have for TNBCF. If I have personally offended anyone that was not my intention and I apologize.

In an effort to avoid the back and forth I will no longer write on this topic. You are welcome to have the last word. I mean that in a positive way.

wishing you all the best,

Steve










what Nancy wrote-

"There are two testing centers for chemosensitivity and it does not have to be trial and error when it comes to which chemotherapy agents will sucessfully treat your breast cancer. I have been corresponding for some time now, with a gentleman whose wife was dx with TNBC many months ago, and they were trying to decide exactly which treatments, if any, would be of benefit for her. If the head director at MD Anderson states that this lab in Germany was a huge success with the testing, then why is not everyone being told to have this testing? I know that this is an out-of-the -pocket expense, and 2 women members here have had the testing.
 
I wish you well with your surgery, and whatever further treatments you may have to take.
 
Here are the addresses of the 2 labs.
Research Genetic Cancer Centre
     (R.G.C.C.)
P.O. 53070
Florina, Greece
+30-24630-42264
+30-24630-42265 (fax)
 
The other testing center is in Germany
 
Biofocus Institute for Laboratory Medicine
Dr. med Dipl. Chem. Doris Bachg
Dr. med Uwe Haselhorst
Berghauser Str. 295
45659 Recklinghausen, Germany
Contact: Dr. Lothar Prix
+49 2361-3000-130
+49 2361-3000-169 (fax)

I am a BRCA1+ grandson, son and father of women affected by breast/oc-my daughter inherited mutation from me, and at 36, was dx 2004 TNBC I am a volunteer patient advocate with SAGE Patient Advocates
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Post Options Post Options   Thanks (0) Thanks(0)   Quote MsBliss Quote  Post ReplyReply Direct Link To This Post Posted: Jan 17 2010 at 6:22am
Dear Steve,

I never inferred or attributed to you that you were "knocking" Mammaprint or Target Now.  I mentioned them primarily as information for the poster (Latricia) who was seeking info on chemo sensitivity testing. 

I think tissue testing is superior to serum cell testing.  CTC testing can produce a zero cell count at all stages of treatment and that is problematic, plus a circulating tumor cell may be a rogue or a stem cell and that would affect results.  That said, for some, it is all that is available if they cannot biopsy fresh tissue.  I feel it is anti-science for mainstream oncology to still be reluctant to proceed with this methodology.  The concept of chemo testing should have been instituted by now and there is no excuse for that.  Every day I see new posters who have been through the worst possible chemo and radiation protocols, only to find out it was not only for nothing, but may well have accelerated their disease.  This is medieval.

I appreciate your skepticism and your questions-- we must maintain a healthy skepticism about all approaches, but for me that also includes the current model.  There is something terribly wrong with it. 

But I don't think it is fair for you to suggest that this discussion belongs in the ATF.  Chemo sensitivity testing is not "Alternative" at all.  It is done at Cedar Sinai and at City of Hope, to name two major centers, for many types of cancer.   Also, the ATF on this site is in fact a single thread and not a forum.  A discussion like this would be too difficult to follow, and this is an important subject.

In the 10 months since I was diagnosed, I have learned a lot.  I made it my business to find out everything and to be proactive.  I also worked in oncology research for two different teams as an undergrad, and I know how to read the raw data.  What I learned was that oncology moves at a glacial speed.  Promising drugs are bought and shelved by the major pharma cos for various reasons.  For example, off the top of my head, there is a drug, Salinomycin, that has been around for decades.  It is off patent.  It also has a remarkable targeting ability to terminate breast cancer stem cells; tnbc is now thought to be a stem cell based and driven subtype.  How many of our tnbc sisters would have benefited from adjunct therapy with it?  Will it ever see the light of trial?  Have you heard of it at ASCO?  Did anyone, anywhere even bring it up?  It is curious.  It simply disappeared again.  It is also not patentable, and therefore, not a block busting money maker.  

So you see, it is difficult for me to put my total faith in this system.  I have seen far too many failures and it scares the juice out of me.  The alleged increase in breast cancer treatment success is a statistical relic--it is the result of factoring in the early DCIS cases that would never have fulminated to invasive cancer and would have gone undiagnosed but for aggressive screening endeavors.  That is why guidelines for bse and mammograms are being changed.  Except for the case with Herceptin, I don't really think we are succeeding with breast cancer in a way that we would like to think we are.
 
Dear Ms. Bliss,

I did not knock MammaPrint or Target Now or chemosensitivity, in general. Why did you infer that I did? What I am specifically questioning is what Nancy presented as fact...that two labs mentioned on Suzanne Somer's blog in October have proven techniques. I have asked questions that are unanswered. What I am 'knocking' is telling women here, on the main forum, that the standard of care this community lives under can be replaced...and yes, all here recognize that the current system is deeply inadequate. Scientists/researchers are working hard to improve things for our community and perhaps the work done at BioFocus and others will make important contributions but we need proof. I would actually welcome such proof. But telling women here to go to some clinic, under present circumstances, brings that advice to a different level...and it scares me.




Edited by MsBliss - Jan 17 2010 at 6:27am
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latriciadawn View Drop Down
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May God bless you, Steve, Ms. Bliss, Nancy, Carol, and others that are all encouraging me and definately making me feel like I am not alone in this or forgotten.  May God give each of you wisdom and insight in all of this.  Thank you, for your advice and prayers, Steve.  I hope to begin phone calls on Monday.  Unfortunately, I have Medicaid, and I fear that will be a hindrance.  It was suggested that get my second opinion at Vanderbilt (my daughter lives an hour or so away).  So, hopefully, they will listen to me (Medicaid insecurities here) and allow a 2nd opinion.  I would hope that I could get something going perhaps before my surgery on the 25th.  Some are saying they can't believe the breast wasn't taken off at the onset of the dx.  This has been a year now since I first saw a lump.  Why is it there are such vast differences of opinions regarding the timing of the chemo/rads to be done before surgery or after surgery?  Still just so unbelievable.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote SagePatientAdvocates Quote  Post ReplyReply Direct Link To This Post Posted: Jan 17 2010 at 2:29pm
Dear Latricia,

Thank you for your kind words. My heart goes out to you.

There are 21 outstanding cancer centers in this country. They comprise the National Comprehensive Cancer Network (NCCN). In order to get a NCCN designation there are very rigorous standards that must be met.

Vanderbilt is one of the centers. In an ideal world you would be able to get an opinion from them and possibly have your surgery there. I fully understand that Medicaid is not an ideal world.

http://www.nccn.com/vanderbilt-ingramcancer.aspx

If there is anyway that you can quickly get an opinion there I think you would get some clarity in your treatment path.

I was going to write the following last night but decided against it but I feel, today, that I must write you and hopefully you will take what I am writing as a supportive statement rather than an unhelpful statement. Your description of being examined through your shirt made me so upset. No competent breast exam is ever done that way. PLEASE try to go to Vanderbilt, even if it is just for a consultation. I know time is short. I would just like expert breast oncologists to give you their input. I recognize this may be mission impossible but if Medicaid says no maybe somehow your family can chip in?

Lartricia, in my opinion, this trip to Vanderbilt could be extremely important for you. I hope, somehow, someway, you can get it done.

I hope I have not written too strongly...

Your story has deeply touched my soul. I feel your agony....and at the end of the day there is no "perfect" in the TNBC world...but you may have a better result if you get good advice.

and we will always be here for you..

you are in my prayers.

in your corner,

Steve





I am a BRCA1+ grandson, son and father of women affected by breast/oc-my daughter inherited mutation from me, and at 36, was dx 2004 TNBC I am a volunteer patient advocate with SAGE Patient Advocates
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Hello everyone, Latricia,
 
I was dx 10/2009 @ 41 years old with IDC TNBC, Stage II, Grade 3, BRCA1+ primary right breast cancer and having treatment in London, UK. I am not from UK, so I needed to actually temporarly move here for the treatment and further surgery.
 
Since diagnosed, I am having Chemo AC x4 plus Taxol x4 on dense dose bi-weekly prior to surgery, like you Latricia as well. I had done already the AC x 4 and after these four doses, my tumors have shrinked from 3.1 cm (both tumors in right breast very close to each other) to 1.1 cm (all together). I have had the third Taxol last week, and, like you, I haven't been offered another ultrasound scan, which is quite dubious. The onc recommended double mastectomy because of my BRCA1+, and the surgeon said that as long as I am having double mastectomy anyway, another scan wouldn't really help at this point. I indeed disagree with him, and will soon do an ultrasound again to see if there is any progress. The surgeon said that we'll just have to see how the histology (or pathology) report comes out after surgery. My surgeon also is planning to do an immediate reconstruction of my both breasts with expanders in preparation for silicone implants, saying that if I'll need radioterapy after mastectomy, then this is also possible even if reconstruction was done. I have my doubts, but I'll just have to decide ...
 
What I can say from the last 5-6 weeks (when I was on Taxol), is that I don't feel any improvement in my lumps, and I can only feel hurting some time in the area, also under the armpit. In other words, I cannot say if Taxol works for me, but definetelly the AC did.
 
We are Latricia having the same treatment and we should talk more often.
 
This chemosensitivity testing seems logical, but does anyone know if they also do it in UK?
 
Good luck Latricia with your surgery end January.
 
Best,
Laura
 
dx. 10/2009 @41, IDC TNBC, Stage II, Grade 3, 3.1 cm lumps in right breast, lymph node affected, BRCA 1+, having Chemo prior to surgery AC x 4 plus Taxol x 4 dense dose bi-weekly (one more Taxol to go)
 
 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote mainsailset Quote  Post ReplyReply Direct Link To This Post Posted: Jan 17 2010 at 3:33pm
Not to upset the applecart here...but I oftentimes think we are all so passionate as we strive to find the elusive knowledge that will give us a cure, that we put the cart before the horse.
 
The horse in our instance is the research. The cart carries the burden of our disease. That said, what I see happening in this thread and others is we post information or opinions or even hearsay and there is a distinct lack of links that take the discussion back to the basics so that it is on a solid foundation for us to add our experiences and fears to.
 
So, respectfully (and I include myself here) it would seem helpful for all of us to make a bigger effort to find links to research and articles to back up what we post and then for members to make sure they read from the links.
 
It's a tough business this having cancer stuff and this site is extraordinary in its knowledge and support, perhaps a tweek or two on research can make us even better. Thanks everyone.
dx 7/08 TN 14x6.5x5.5 cm tumor

3 Lymph nodes involved, Taxol/Sunitab+AC, 5/09 dbl masectomy, path 2mm tumor removed, lymphs all clear, RAD 32 finished 9/11/09. 9/28 CT clear 10/18/10 CT clear
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Hi,
 
Just a quick thought on the MammaPrint test. My oncologist in the Netherlands was on the team that developped this test. If you have the test, the outcome is either "high risk" or "low risk" for metastatis or recurrence. She found that with TNBC the outcome was "high risk" in 96% of the cases.
 
She advised me to skip the test and added chemo to my treatment plan.
 
The Mammaprnt is now offered to women in 20 hospitals in the Netherlands (small country) and many other hospitals are working with it on a trial basis. It is fda approved.
 
 
Last year when i was diagnosed I e-mailed the agendia company and they arranged a consultation with a/m oncologist. I never took the test but they have been extremely helpfull to me finding the information I needed.
 
When it comes to alternative treatment, I still think that this topic deserves a seperate forum instead of a long thread in the support group section. Eventhough  I'm not very open minded to alternative treatment. But for those who are, there should be a better place to talk about it.
 
So just posting to share information and support.
Stay strong!
Hugs from Holland,
Caroline
 
lumpectomy 9/2/08 6mm TN tumor
38 rads, 13 boost
6xTAC finished 04/10. BRCA1+ bill. mastectomy, imm. reconstruction using tissue exp 01/10
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Just a quick note regarding MammaPrint....some of the 70 gene fragments or snips tested by MammaPrint reveal information, or clues as to tendencies within the subgroup.  I have met two patients who's oncologists accessed this info for treatment guidelines.  I don't know if it helped but I do know that one of the patients was directed to a trial as a result.

Originally posted by caro36 caro36 wrote:

Hi,
 
Just a quick thought on the MammaPrint test. My oncologist in the Netherlands was on the team that developped this test. If you have the test, the outcome is either "high risk" or "low risk" for metastatis or recurrence. She found that with TNBC the outcome was "high risk" in 96% of the cases.
 
She advised me to skip the test and added chemo to my treatment plan.
 
The Mammaprnt is now offered to women in 20 hospitals in the Netherlands (small country) and many other hospitals are working with it on a trial basis. It is fda approved.
 
 
Last year when i was diagnosed I e-mailed the agendia company and they arranged a consultation with a/m oncologist. I never took the test but they have been extremely helpfull to me finding the information I needed.
 
When it comes to alternative treatment, I still think that this topic deserves a seperate forum instead of a long thread in the support group section. Eventhough  I'm not very open minded to alternative treatment. But for those who are, there should be a better place to talk about it.
 
So just posting to share information and support.
Stay strong!
Hugs from Holland,
Caroline
 
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Hi to all,
 
Today is my first day to post anything about my Breast Cancer.  I was diagnosed with  Breast Cancer on November 11, 2009.   I had a lumpectomy on November 27th.  The results were Stage 1 Grade 3 invasive ductile Triple Negative Breast Cancer.  The tumor was <.5 with negative sentinel nodes.  My oncologist recommended radiation only.  He attended a BC conference and discussed my case.  There was a split decision on whether or not to do chemo.  I go for a second opinion on Monday the 18th.  I would appreciate any feedback on similiar cases.
 
Thank you,
 
Kerry OK
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Post Options Post Options   Thanks (0) Thanks(0)   Quote scared Quote  Post ReplyReply Direct Link To This Post Posted: Jan 17 2010 at 9:44pm
Hi Kerry,

I am so sorry for you and your breast cancer, I know what it is to walk the journey you are on because my wife has had breast cancer.  Being triple negative the traditional methods of fighting cancer are a combination of chemo, radiation, and surgery.  

Our case was more straight than yours, there was a unanimous decision on the course of action we should take that gave us the BEST survival rates so that is the path we took.  I would listen to the second opinion and go for the option that was best for you.

Stage one breast cancer survival rates are excellent as I recall it is about 95% at worse.  So, I would weigh what the percentage would drop to without chemotherapy and then with it.

If the percentage rates would still be over 90% then I would not do the chemotherapy.  If there were any doubts that without doing chemotherapy the cancer could return then I would do all I could do to eliminate it once and for all then not worry about it coming back because you did all you could do.

I know how harsh chemotherapy is since my wife did 27 weeks of it with three kinds of agents.  This is a tough question and please let us know what the second opinion says.  Our case is different than yours but we both have the same goals and that is to survive!

So, I wish you the best!

Dave
Wife diagnosed 7/08 stage 2B 4.78cm with 3 nodes. 15 weeks of Adriamycin and Cytoxin, Mastectomy, 12 weeks of Taxol, and 6.5 weeks of radiation.
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Hi Kelly,
 
So sorry for you. 
 
I think my case was similar to yours with a .6 mm tumor and negative nodes. My oncologist didn't think chemo was necessary. The 2nd opinion at a cancer clinic was different. Because it was TN combined with my age they though to fight this aggressively. I chose to do chemo.
 
I know it's a very hard decision to make.
 
Big Hug,
Caroline
lumpectomy 9/2/08 6mm TN tumor
38 rads, 13 boost
6xTAC finished 04/10. BRCA1+ bill. mastectomy, imm. reconstruction using tissue exp 01/10
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Hi Kerry,

welcome to TNBCF...it is a wonderful resource, in my opinion.

It is extremely difficult for the patient when oncologists disagree...There is no 'magic' here from my experience..just educated guesses, sometimes presented factually and forcefully but as you have seen there can be differences of opinions..

I have some questions (and do not feel obligated to answer them...just would help to know)

how old are you?
do you have a family maternal history of breast/ovarian cancer?..if not, any cancer on your dad's side?
has anyone mentioned genetic counseling/possible testing for the BRCA mutation to you?
did you have FISH testing, as part of your pathology report, done to determine if your HER2/neu was negative?
Is it possible for you to go to MD Anderson in Houston for a third opinion (if they are not the second)?

whatever path you take...I wish you luck and you shall be in my prayers..,

Steve
I am a BRCA1+ grandson, son and father of women affected by breast/oc-my daughter inherited mutation from me, and at 36, was dx 2004 TNBC I am a volunteer patient advocate with SAGE Patient Advocates
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Post Options Post Options   Thanks (0) Thanks(0)   Quote MsBliss Quote  Post ReplyReply Direct Link To This Post Posted: Jan 18 2010 at 1:26am
It might be helpful to use more info for your "tie breaker".  Some other features to reference are:
What was the location of your tumor--was it under or adjacent to the nipple, or very close to the axilla, or very close to the chest wall? (which would increase risk). 
Did your tumor have abundant lymphocytes, synctial sheets, or a well defined boundary?
(this would be favorable).
Have you had a Breast MRI to determine if there are any other masses or DCIS?


Originally posted by Kerry OK Kerry OK wrote:

Hi to all,
 
Today is my first day to post anything about my Breast Cancer.  I was diagnosed with  Breast Cancer on November 11, 2009.   I had a lumpectomy on November 27th.  The results were Stage 1 Grade 3 invasive ductile Triple Negative Breast Cancer.  The tumor was <.5 with negative sentinel nodes.  My oncologist recommended radiation only.  He attended a BC conference and discussed my case.  There was a split decision on whether or not to do chemo.  I go for a second opinion on Monday the 18th.  I would appreciate any feedback on similiar cases.
 
Thank you,
 
Kerry OK
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Kerry OK Quote  Post ReplyReply Direct Link To This Post Posted: Jan 18 2010 at 9:49pm
Thank you so much for responding to my post.  Since I am so new at this change in my life, I still don't know all of the terms people use--so bear with me.  Today I went for the second opinion.  He said to just do radiation since it was so small.  So I called my first oncologist back and talked to his nurse.  Then she said after doing more research on TNBC, he is leaning toward chemo and radiation both.  Now I really am all mixed up! 
Dave, do you know the magic formula to figure out the survival rate?  That would really help me.
Steve, I am a white woman 53 years old.  There is no cancer on my mom's side at all.  The only cancer on my dad's side is in my 80+ year old aunt, who did nothing about it and is still living.
Could you tell me what a FISH Test is?  I was HER2 negative also.  We are considering going to M.D. Anderson in Houston.  How do we go about doing that.  Does a doctor have to give a referral?
MsBliss, My tumor was very small and located way back in a milk duct (near my armpit).  It was barely even on the mammogram screen.  I did have a breast MRI and it showed me to be clear. 
I appreciate any and all information from you.
 
May God Bless you all,
 
Kerry
DX 11/11/09, IDC, <.5cm, 0-2 Nodes, Stage I, Grade 3 TNBC, Lumpectomy 11/27/09, Age 53 Treatment begins 2/5/10, 12 wkly doses Taxol, 4 doses every 2 wks of A C Then 6 wks Rads
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Post Options Post Options   Thanks (0) Thanks(0)   Quote 123Donna Quote  Post ReplyReply Direct Link To This Post Posted: Jan 18 2010 at 10:16pm
Kerry,

With your tumor being small, there may be no clear cut decision on treatment.  Some believe that any portion of tnbc that is invasive, no matter how small, should be treated with chemo.  It's good that you went for a second opinion.  I understand how confusing it is with getting different opinions from different doctors.    If you're willing, another opinion from MD Anderson may help you decide on your course of treatment.  Steve and/or Donna Z from this forum may be able to suggest an oncologist.  There also may be others who've received treatment from MD Anderson that will offer suggestions. 

Keep us posted on your treatment.

http://www.adjuvantonline.com/index.jsp
DX IDC TNBC 6/09 age 49, Stage 1,Grade 3, 1.5cm,0/5Nodes,KI-67 48%,BRCA-,6/09bi-mx, recon, T/C X4(9/09)
11/10 Recur IM node, Gem,Carb,Iniparib 12/10,MRI NED 2/11,IMRT Radsx40,CT NED11/13,MRI NED3/15

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Post Options Post Options   Thanks (0) Thanks(0)   Quote SagePatientAdvocates Quote  Post ReplyReply Direct Link To This Post Posted: Jan 18 2010 at 10:35pm
Dear Kerry,

My apologies for using abbrevations...

I attended a seminar a few months ago and Dr. Press (please see below) spoke about FISH. The main point he made was that 10-15% of the time a HER2/neu negative result is really HER2/neu positive which enables the woman to get the drug Herceptin which has helped many women. The extra test, from what I understand is expensive and many people are not aware of it. I introduced a woman whose tumor was determined to be HER2/neu negative, without FISH testing, to an oncologist I respect and he sent her slides to Dr. Press for a second opinion. Dr.Press's lab used FISH and the result was that she was HER2/neu+ enabling her to have Herceptin. She is now in remission and I have never forgotten that experience and mention it often on the board. Probably, too often for some Smile but I feel it's really important.

The following is from an article in Medical News

http://www.medicalnewstoday.com/articles/171736.php

"The debate on how to select patients who will respond best to costly drug treatments for aggressive breast cancer now favors fluorescence in situ hybridization (FISH) to measure the HER-2 receptor found in human breast tumors, according to a leading pathologist presenting at the Association for Molecular Pathology annual meeting.

Michael Press, M.D., Ph.D., pathologist and Harold E. Lee Chair in Cancer Research, Norris Comprehensive Cancer Center, University of Southern California, told a symposium audience that a growing body of research in recent years demonstrates that FISH technology is an accurate, reproducible and predictive diagnostic method for testing women with breast cancer who are candidates for drug treatments targeted to the HER-2 tumor receptor. The drugs are Herceptin® (trastuzumab) and lapatinib. His remarks were presented at a symposium sponsored by Abbott Molecular. "

Regarding M.D. Anderson, I believe you can self-refer.

http://https://www2.mdanderson.org/sapp/contact/selfreferral/index.cfm

Kerry, I would be happy to walk you through the form if you like. I am sending you a PM with my contact info if you would like to talk..I am happy to help you. Please recognize, though, that I am not a medical professional and will never give you medical advice.

good luck to you,

Steve











Edited by steve - Jan 18 2010 at 10:36pm
I am a BRCA1+ grandson, son and father of women affected by breast/oc-my daughter inherited mutation from me, and at 36, was dx 2004 TNBC I am a volunteer patient advocate with SAGE Patient Advocates
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Post Options Post Options   Thanks (0) Thanks(0)   Quote latriciadawn Quote  Post ReplyReply Direct Link To This Post Posted: Jan 18 2010 at 10:40pm
Hi Kerry,
I'm Latricia, and I too am a "newbie".  I was surprised to read that you were white and 53.  I too, am white and 53.  I wrote about my situation a few blogs before yours.  Our stories are different, but we do have the triple negative, in common.   I think it's interesting that they say the majority of TN people are African-American, young, and pre-menopause.  I have been post menopause for 11 years.  I have suspected that was part of my reason for Ca.  I had been on a bio identical cream with a small amount of estrogen for about a year before I was diagonosed with TNBC.  My theory was the estrogen.  I also have never handled stress well.  I have never smoked or drank, and I think, honestly, that may have been to my disadvantage.  Seriously! 
Well, may you have wisdom on the decisions you have to make.  God bless you, Latricia
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