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Chemotherapy is the only thing effective on TNBC

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LRM216 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote LRM216 Quote  Post ReplyReply Direct Link To This Post Posted: Jan 19 2010 at 12:11am
Latricia, I think you will find many of us on this board are also white and are triple neg.  In fact I have three black friends from work who also are breast cancer survivors and I am the only one of us with triple neg!!!!  I am 62 and postmenopausal as well, no cancer on either side of my family whatsoever.  Go figure!
 
Linda
Linda - diagnosed at age 62
Diag 2/23/09 IDC 1.2 cent. IDC right breast,Stage 1, Grade 3,0/1 nodes - Triple Neg
4 DD AC every two weeks, 1 Dd Taxol, then 3 Taxotere every three weeks - rads x 33
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Post Options Post Options   Thanks (0) Thanks(0)   Quote maryjahn Quote  Post ReplyReply Direct Link To This Post Posted: Jan 19 2010 at 1:54am
I don't think TNBC cares what color your skin is--I am 50, white, no breast cancer in my family, pre-menopausal, no lymph node involvement and I have 3 tumors, one which is attached to my chest wall.  I started out in September as stage 1, by my biopsy I was stage 2 and by my MRI I was stage 3, well differentiated tumors all.  I have just had my third treatment of chemo (Taxotere and Cytoxan) and they are shrinking rapidly.  I have my 4th chemo on the 1st, see the surgeon on the 4th right after my ultrasound, and they will do a skin saving mastectomy, radiation and eventually reconstruction.  TNBC is incredibly aggressive and my doctors are treating it agressively. 
 
By the way-The chemo has been bearable because I have been using complementary medicine--Most people tell me how great I look and would never know I had cancer.  Chemo scared the hell out of me and now, for me, it's like signing up for a bad flu once every three weeks.  I am glad I did it and incredibly grateful that it is working.
 
P.S. I had an incredibly stressful job and I was completely unable to handle the stress towards the end when I was diagnosed in late September, but I believe this was also hormonal and thyroid related.  My stress was so bad I thought I was going to have a nervous breakdown!  I hadn't slept in months and none of the doctors could figure out what was wrong with me until I found my first lump. 
 
 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote 123Donna Quote  Post ReplyReply Direct Link To This Post Posted: Jan 19 2010 at 7:57am
Latricia and Kelly,

At the Living Beyond Breast Cancer website, you can download a .pdf of the new brochure on Triple Negative Breast Cancer or order the brochure. 

http://lbbc.org/content/news/lbbc-releases-new-brochure-on-triple-negative-breast-cancer.asp

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 LRM216 Quote  Post ReplyReply Direct Link To This Post Posted: Jan 19 2010 at 11:28am
LOL! Sounds just like me - never stopped working (widow, raising my 14 yr.old grand-daughter - who could quit!) - no one could believe I was ill, much less going through chemo, Neulasta shots, shock, depression, etc., etc.  Good thing they couldn't see underneath the outer shell! My poor body never hurt so bad in my entire life as when I was going through chemo and those bloody Neulasta shots were even worse than the chemo!  I found bones and muscles I never knew I had!!! 
Linda - diagnosed at age 62
Diag 2/23/09 IDC 1.2 cent. IDC right breast,Stage 1, Grade 3,0/1 nodes - Triple Neg
4 DD AC every two weeks, 1 Dd Taxol, then 3 Taxotere every three weeks - rads x 33
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Post Options Post Options   Thanks (0) Thanks(0)   Quote dmwolf Quote  Post ReplyReply Direct Link To This Post Posted: Jan 19 2010 at 12:07pm
Latricia, most women with TNBC are white and over 50.   African american women diagnosed with cancer are still more likely to be ER+ than TN, but they are more likely to be TN (about 35%) than are white women (about 15%).  The same goes with youth.  Young women are more likely to have TN than older women, but women of any age are more likely to be ER+ than not.     So what you see is a skewing of the proportions as you move from cancer subtype to subtype, but still, since most US women with cancer are white and over 45, most TNs are white and middle aged or older too.  Does this make sense?   It's a common source of confusion here, the 'average' 50ish white BRCA-neg TN woman thinking she is an unusual case instead of typical.   Not that it matters, but we might as well get it straight.   Plus, we feel 'negatively chosen' enough in having cancer at all.  We might as well not add to that feeling by imagining rarer circumstances than actually exist.   The true outliers are extremely young women (under 35) of any color, with any type of breast cancer.  The rest of us are middle of the pack, no matter how we feel.

-Denise
DX 2/08@43 stg II IDC; gr2,0 nodes. Neoadj chemo, first ACx2 (fail) then CarboTaxotereX6(better). Lump, Rads done 11/08; Clodronate. False alarm queen: PetCT lung & TM marker. NED. PBM w/recon 9/10.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote kirby Quote  Post ReplyReply Direct Link To This Post Posted: Jan 19 2010 at 2:06pm
Denise,
 
You are so great and concise with your explanations. This has made "all those numbers" so much clearer. And really makes one aware of listening to the entirety, searching it all out, for the bigger picture often isn't given.


Edited by kirby - Jan 19 2010 at 2:07pm
kirby

dx Feb. 2001. Age 44
Lumpectomy

2cm. no nodes stage 1 grade 3

4 rnds AC, 35 rads
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Post Options Post Options   Thanks (0) Thanks(0)   Quote MsBliss Quote  Post ReplyReply Direct Link To This Post Posted: Jan 19 2010 at 4:32pm
Thank you Denise....still, every onc I went to see, and I met with 8 of them, even have one in my family, plus a family friend who is an onc, had only a handful of triple negative patients.  I realize that the moniker of tnbc is relatively new, but, I still felt isolated.  They all agreed on the recipe--no one wanted to use A on me, just TC, but, they had no "confidence" in any approach at all.  It was unnerving.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote kirby Quote  Post ReplyReply Direct Link To This Post Posted: Jan 19 2010 at 5:42pm
Miss Bliss,
 
Your experience wouldn't be far off the mark from Denise's explanation. Overall, TN makes up 10-15 % of dx breast cancer. Of those, that is were Denise gets her #'s. So overall. in the big picture, it still makes for smaller #'s. This is why most of us have felt isolated.This is were we could drive ourselves crazy with #'s and stats.
 
Thanks for this forum. It has made our world seem so much larger.
kirby

dx Feb. 2001. Age 44
Lumpectomy

2cm. no nodes stage 1 grade 3

4 rnds AC, 35 rads
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Post Options Post Options   Thanks (0) Thanks(0)   Quote unklez Quote  Post ReplyReply Direct Link To This Post Posted: Jan 20 2010 at 7:13pm
I will say that:

We are not a statistic.... and just because chemo is the only available systemic therapy available to us does not mean it is a bad thing. I'd much rather we had less options but even more effective and targeted ones.


Wife Dx: Jul/09. Age: 37. Size: 3cm. BRCA: -ve. Lumpectomy: Aug/09. Micromet 1/9 node. Chemo Start: Sep/09. E5103. DD ACB-> DD Abraxane (Taxol reaction). Zometa (S0307). Canadian Fraction Rads.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote latriciadawn Quote  Post ReplyReply Direct Link To This Post Posted: Jan 20 2010 at 10:53pm
Well said, Kirby.  This forum does make our world seem larger.  Thanks all of you for the info.  Do any of you know if chemotherapy is ever repeated after using it for those with TNBC?  If, recurrence happens, after remission, do they attempt chemo again, perhaps a different kind of medicine?  Just curious.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote dmwolf Quote  Post ReplyReply Direct Link To This Post Posted: Jan 20 2010 at 10:59pm
Oh yeah, big time.  Chemo after chemo, it's a real drag.  But we all want to live as long as possible as well as possible, so there you have it.
DX 2/08@43 stg II IDC; gr2,0 nodes. Neoadj chemo, first ACx2 (fail) then CarboTaxotereX6(better). Lump, Rads done 11/08; Clodronate. False alarm queen: PetCT lung & TM marker. NED. PBM w/recon 9/10.
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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 21 2010 at 9:15am

Denise,

I had a recurrence in the same area as my primary. Chemo was not recommened. Wonder why? Is it because the first round didn't do what it was supposed to do? If I get a met somewhere else, is that when you get another shot at chemo, like lungs, liver, etc?
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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Post Options Post Options   Thanks (0) Thanks(0)   Quote latriciadawn Quote  Post ReplyReply Direct Link To This Post Posted: Jan 21 2010 at 10:52am
Good question, Carol.  That's along the lines that I was thinking.  I have my surgery on Monday and I am shocked at how fast this cancer is growing.  It is the most discouraging thing to have gone through 8 chemo sessions  (last one was on the 28th of Dec.) thinking all is well, and then 2 weeks later me seeing the lump on my breast, not feeling it, and it has gotten much more painful as the days go by.  I made an appt. with my onc and saw him a couple of days ago.  He so "down-played" the whole thing.  All he would say is it is at least 50% smaller than the original lump.  He never would admit that he either, over-looked the lump, didn't know it was there, or that he was ignoring it, knowing surgery was coming up....
I am just praying it's not already threatening the chest wall.  The lump has grown from just two days ago when I saw the onc.  At that time he felt it was not threatening it.  I never knew I would be so anxious to have a dbl/ mast.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote maryjahn Quote  Post ReplyReply Direct Link To This Post Posted: Jan 21 2010 at 11:59am
My oncologist told me to schedule my surgery immediately following my last chemo--chemo the 1st, meet with surgeon on the 4th.  I know exactly how you feel.  It seems as if everytime I have chemo, 3 weeks go by and it starts to grow again only to be knocked out by the chemo again.  I just want the cancer out of me.  It's crazy making.  I just hope the radiation takes care of the lump attached to my chest wall.
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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 21 2010 at 12:25pm
Denise, Pam, Steve, Unklze, and many more do a lot of research.  They can usually answer most questions or send you to a link that can.
I had surgery first then chemo and rads. My tumor was relatively small (barely 2 cm.) I think larger ones are treated first then surgery and rads.
Latricia, when is surgery?
 
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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Post Options Post Options   Thanks (0) Thanks(0)   Quote latriciadawn Quote  Post ReplyReply Direct Link To This Post Posted: Jan 21 2010 at 12:37pm
My surgery is this Monday, the 25th.  I was stage III aggressive.  According to the way my onc. was responding to the examination each time before the treatment, I was never told by him that it was increasing in size.  Ever.  I have learned my lesson to never put my full trust in a doctor.  I personally had such an unnerving feeling whenever I felt my breast after my lump was first discovered.  I was foolish to have never examined my breast during my last 4 treatments.  Not that that would have mattered.  I am beginning to think, my onc was gonna do the protocol of 8 sessions regardless.  I never saw my tumor increase in size until two weeks after the last chemo, and it was protruding from my chest.  
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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 21 2010 at 12:48pm
Latricia Dear,
My prayers are with you now and Monday for sure. Like I said, I don't know much about chemo before surgery. I have learned, through this site, that you have to be your own advocate. I wish I had known what I know now before my treatments. But there was a period where I didn't want to know anything and that was foolish. As it turned out, there because of the Grace of God, I am doing good. NED as of yesterday when I got the results from my scans. God has a way with taking care of us when we can't take care of ourselves.
Love and Prayers,
Carol


Edited by Carol (Tenn) - Jan 21 2010 at 12:49pm
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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Post Options Post Options   Thanks (0) Thanks(0)   Quote latriciadawn Quote  Post ReplyReply Direct Link To This Post Posted: Jan 21 2010 at 12:50pm
Thank you, Carol.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote TNBC_in_NS Quote  Post ReplyReply Direct Link To This Post Posted: Jan 21 2010 at 3:07pm
Well said Carol!
 
Latricia there have been many on this site who have had chemo before surgery and I wish I had known that too! I had the surgery, then another surgery for staph infection, then chemo & radiation.  I am sure the others will respond to you soon.
 
I wish you well on your surgery monday and will keep you in my prayers. As Carol has said "God does take such good care of us, when we know not how".....
God Bless, Helen in NS
Diag@57TNBC04/092.5cm Lquad 05/09 TCx4Radsx30CT03/01/10 FU03/31/10ClearBRCA- 01/2011 RTNBC BMX 06/14/2011~2013 clear
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Post Options Post Options   Thanks (0) Thanks(0)   Quote beachgirl6 Quote  Post ReplyReply Direct Link To This Post Posted: Jan 21 2010 at 4:48pm
Leticia
 
There are many chemo cocktails out there to try.  I've done TAC (6 rounds) and was told that taxotere is more successful with TNBC than taxol although they are "cousin" drugs or "sibling" drugs whatever the saying is.  I have also done avastin and xeloda.  The avastin works on the blood vessels that feed the tumor cells.  I have just finished gemzar and carboplatin.  I've read alot of research on carboplatin that it appears to work well with TNBC.  I've also been told that TNBC works well with chemo and that chemo is our best bet.
 
Putting that aside I have also done radiation for 6 weeks due to my cancer being inflammatory BC.  Yup the studies do show a higher number of TNBC being African american but I think thats just old stats.  I seem to be meeting more and more triple negs everyday.  The one thing in common is all were on the younger side when intially diagnosed and all pre-menopausal although now we've all seemed to hit menopause with the dramatic entry of chemo in our lives.  Another thing that cancer destroys in the process. 
 
I've had the circulating tumor cell test multiple times.  It works for some and not for others.  I'm one of the ones it doesnt work with.  I had it Nov 08, Feb 09 and then again June 09.  All three times my score was 0 and the doctors raved about it.  Funny thing though my May 09 PET showed the cancer had returned to my supraclavicular node and the Sloan second opinion seemed to think that it was there just microscopic the whole time.  So although alot of good news on CTC tests its just one tool in the tool box and may not work for everyone.  Still in all, something I think should be done as one of many tests to predict what is going on in our bodies.
 
I have also had my biopsy sent to Precision Therapuetics for examination.  The idea was to grow the cells and then zap them with a variety of chemo cocktails to see what worked.  This is new and cutting edge.  It works for many people.  Of course, just my luck it did not work for me as they did not get enough of a sample to be able to grow it.  So is that good that the sample they got was so small there wasn't enough to do the test?  Was it good that it couldn't grow...maybe that says its not a grower.  No idea and it will be a long time before anyone will truly know the reasons why behind some of these tests and results.
 
The bottom line is something a friend said to convince me all was worth doing.  Its another arrow in the quiver to throw at the target.  I try to keep that in my thoughts.  Do all that is possible and there will be hope.  Hard to be hopeful all the time and there are many times that there is no hope to be found on a given day.  Still, at least at the end of the day you can say you tried all that was available at a given time. 
 
So my suggestion for what it is worth is find out if they can send some of the biiopsy tissue to precision ther to be grown.  Maybe it will work, maybe it won't but its worth a try if it can grow and they can find out what cocktail will work for you.  Get the CTC done in addition to the other tumor marker tests, Scans, etc.  Together they will present a picture.  Something has to work in the aresnal to give some guidance to what can help.
 
I wish you well.  This site is informative and the people all good intentions.  Sometimes you just need to vent and those fellow cancer patients can truly understand our frustrations as they have all been there done that.  Many are very informative.  At a minimum its a great sounding board for ideas and questions to ask the doctor.  Sometimes I can come out with questions the doc didn't think I would ask or even understand.  I ended up getting a super long consult with a doc at Sloan because I knew the terms and he could talk "medical" with me.  I walked away with alot of information and for a momeent felt in control.  I'd take a moment of control over any of this uncertainty that we live with.
 
Best wishes,
beachgirl
 
 
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