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Recurrence rate with triple negs

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ginnyappel View Drop Down
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    Posted: Dec 25 2007 at 1:48pm
I have triple negative bc, and haven't found direct information about recurrence rates/risks except that they are "higher with this form of cancer."  What are the actual rates?  I see lots of "general information" about what a triple negative is, but nothing in particular about the cancer other than what it is not (hormone neg).  Where is good info?
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sftfemme View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote sftfemme Quote  Post ReplyReply Direct Link To This Post Posted: Dec 25 2007 at 9:03pm
 I would like some better info also.  I have heard so many different things.  I had one person tell me that because I had node involvement (3/20) that with Chemo my chances of reoccur is about 50% IF I'm lucky and oh yea it will probably happen fairly quick.  Well, needless to say this kind of freaked me out! 
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Netterz View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Netterz Quote  Post ReplyReply Direct Link To This Post Posted: Dec 25 2007 at 11:43pm
 I feel the same way, and have not seen anything that says where a common site for it to strike after as well.  had 7/25 nodes still active with cancer. They said I prolly had about 6 yrs, maybe less, maybe more, but getting any good answers or info, is like banging your head on a brick wall.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote mgindler Quote  Post ReplyReply Direct Link To This Post Posted: Dec 26 2007 at 6:11am
I too would love to know about recurrence rates.  I had Stage I no node involvement and a year after treatment had a local recurrence, again no node involvement.

Edited by mgindler - Dec 26 2007 at 6:11am
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Post Options Post Options   Thanks (0) Thanks(0)   Quote trip2 Quote  Post ReplyReply Direct Link To This Post Posted: Dec 26 2007 at 8:12am
Hi Netterz,
 
Common sites for metastatic breast cancer can be lungs, liver or bones.
 
The problem with recurrence rates and statistics is that they are old information by the time they gather their facts.
 
 
Stage 2 2003
Stage 1 2007
BRCA 1+
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sftfemme View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote sftfemme Quote  Post ReplyReply Direct Link To This Post Posted: Dec 26 2007 at 9:48am
They told you 6 years?  6 years for what?  A reoccurance or just 6 years period? 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Netterz Quote  Post ReplyReply Direct Link To This Post Posted: Dec 26 2007 at 10:47am
That I had probably about 6 yrs to live, based on my former Oncologists decision not to remove it all right away, which was the plan, but she stopped it, saying that I needed to do the 8 wks of chemo first. Seems there is alot of diff opinions on whats  right/wrong a far as chemo first, surgery first,  but having the 7 of 25 nodes tht were removed that suposedly didnt respond to the chemo, actively spreading the aggressive type cancer that I have for the almost 3 mo. thru out my lymph system and organs during the chemo, it definately metz, but until it gains enough to form a detectable tumor somewhere, or I happen to chance across it myself, who knows.  I have an extremely high risk of  cancer genetically, have already had 34 polyps removed, and that was over 10 yrs ago. I naturally carry the gene quite strongly from my fathers side. Grandfather, father, and his 2 brothers all died of Colon Cancer, with metz to just about everywhere in there bodies. I also have had pre-cancerous cells show up in multiple paps, with questionable tumors that have been being watched.  At this point, I just turned 41 a couple wks ago, I have been mentally preparing myself for this for years. The tumor under my arm, in the axillary nodes, grew to the size of a deck of cards over night, so mine is extremely aggressive when it does strike. Not everyones is quite the same, nor nearly as aggressive, so please dont look at your own outcome as close to mine. I dont let it bother me really, because the way  see it, it might not be the cancer that gets me, I could get hit by a truck, or any number of ways to die, but when my # is up, its up. It has not caused me  to stop tryng to fight it, beat the odds, and prove the medical society wrong on my expectacy Big%20smile Personally, after going the rounds thru many doctors, specialists, and pathologists, I dont beleive they really know enough about this particular type to tell me much of anything. I just dont listen, and go about my life as if I dont have cancer at all. Attitude is EVERYTHING in this fight,  so sittin back in a corner waiting for it to come and get me again??? Aint happenin!!!!Evil%20Smile I have already looked death in the eye on a few occasions and beat it, broken back, broken neck, I worked at a prison as as officer on a unit full of criminally insane men, got a bunch of titainium parts in my body, I walk, talk, and even run, ride dirt bikes and snowmobiles, nothing keeps me down if I dont want to let it. Cancer/smancer......heh...its just a WORD to me, not a fatal threat. I am a tough ole broad, been thru and survived 2 divorces, and survived raising a daughter alone, (even the teen years!) so this, doesnt scare me. Just have to look at the other things you have accomplished and keep shovling thru life.
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Netterz View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Netterz Quote  Post ReplyReply Direct Link To This Post Posted: Dec 26 2007 at 10:58am
One thing I would suggest to anyone facing breast cancer, woud be to have ALL the testing done IMMEIDIATELY.  I strongly suggest that if you are trip-neg, then you opt for removing the tumor and lymph nodes, then chemo or radiation. Leaving mine in, and using the 'lets see if it works' method, probably cost me time.  The tested everything after it was removed. I would rather had to go thru another operation to get more tissue removed if needed, than fiding out 3 months later, that the nodes didnt respond, and it allowed it to spread.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote CarynRose Quote  Post ReplyReply Direct Link To This Post Posted: Dec 26 2007 at 5:28pm
Netterz,
 
Thank you for sharing your story.  Have you been tested for the BRCA mutation?  Given that your father's side has hx of colon cancer and you had early onset of TNBC, you might have the mutation.  If so, it's important for your daughter to know if you carry it, so that she can be proactive, and get tested herself in order to take steps to possibly prevent or at least mitigate BC.
 
Best wishes,
Caryn
Orig dx 6/03 - St.2a, IDC
gr.3,0 nodes, TNBC/BRCA1+
7/07 St 4 mets to nodes/lungs. PACA/Rads NED 11/07-10/08
Lepto mets 10/08
Rads for 4 brain tumors 4/10.
Leptomets return 6/10
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Barbie Quote  Post ReplyReply Direct Link To This Post Posted: Dec 26 2007 at 10:10pm
well this is not so great for us trp neg's...I asked my Dr what my stats were for my stage 2b...lump taken out...1 out of 11 removed nodes tested pos...currently in chemo ac/c , he took a few seconds and told me I have an 86 percent chance to live for tem years and that goes up 6-8 percent after chemo.  Yes I got a big PERIOD.  Ummmm WHAT!  I can not find any answers ANYWHERE.  What I do know is 25 percent of african american,18 percent latino and "younger" breast cancer patients get trip neg.  ya OK, right.  I feel better in knowing I am not the only one who doesn't know anything about this cancer.  I know chemo is our only hope.  I am sorry for everyone with cancer and I am sorry we can't find answers.  I am suppose to be sent to Stanford for trip neg research right after chemo.  I am 3 wks into a 20 week treatment.  So I Will post any and everything I find out.  One more thing I did read somewhere that stress levels have been shown to cause trip neg.  oh ya I am 39 and have a german background.......but I have always been a super stresser.  Hang in there.  you are not alone
 
Barbie
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Indi Quote  Post ReplyReply Direct Link To This Post Posted: Dec 26 2007 at 11:07pm
When begging for an MRI, after surgery 2 years ago, I was given the "run around" regarding recurrance, local recurrance, and  told I would have to have a digital mammogram of the surgery breast after radiation...time went by, and I was given the digital in April, 2007.  A nodule, cysts, calcifications, and dense breast tissue along with scar tissue left over from an enormous hematoma developed a week after surgery; the radiologist found a Nodule and a mass, which later was written off as a nodule that had been there prior to surgery, and had shunk in size.  After that, I continued to request the MRI, even though I'd had a PET Scan, CAT scans, etc.  I read that early detection of a local recurrance with "High Risk", Triple Negative Disease should be used in conjunction with these other tests, but that the MRI would likely spot a small recurrance accurately, as it views everything while the other tests will not pick up the tiny micro size of hidden breast cancer cells. 
 
Bilatteral Digital and Ultrasound, Pet Scan, Cat Scan of the Brain, but pain, under the breast, and in the surgical left breast and axillary area, rib cage and chest discomfort...still denied the MRI. 
 
When I asked the surgeon, he was in a hurry, and said that they (doctors) do NOT look for "local recurrance" in Triple Negative patients.  They only look for "Distant Mets" and it's a waiting game, as they wait for symptoms.  It can't be right, can it?  I know of many cases where multifocal cancers or new cancers recurr in Triple Negative patients. 
 
I had "clean nodes", but evidence of vascular, blood invasion.  Does that indicate I am a "lost cause"?
 
The Oncologist has scheduled an MRI for the end of Jan, 08.  I am also seeing a Pain Specialist for muscular/skeletal and peripheral neuropathy the first week of January. 
 
I really only want the facts.  What are the facts?  So tired of worrying about the "next step", and feeling lied to by everyone.  I am experiencing a great deal of fatigue, pain, headaches, and other side effects.  It is frighful, but what's even worse is this lack of information.  Should I be getting rid of things, putting my things in order, and preparing for the inevidable sooner than I expected?
 
Is it just me, or do others get the same "brush off" every time the subject is presented to these physicians and specialists?
 
Feeling extremely chemo-brainless and frustrated as I search for an answer to each question and am politely given "we'll see"...
 
Indi
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Darla Quote  Post ReplyReply Direct Link To This Post Posted: Dec 27 2007 at 6:16am
Hi All,
 
I don't have any answers but I just wanted to say that almost everyday I search the internet for TNBC recurrence rates. As someone else said all that's out there is "higher than for other BCs and highest duriing the first two years". It is frustrating.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote ginnyappel Quote  Post ReplyReply Direct Link To This Post Posted: Dec 27 2007 at 11:40am
The most encouraging news I have just gotten is a response from Y-ME.  They wrote me that although women with ER-/PR- breast cancer have a higher recurrence rate within the first five years, after that, they have a much lower recurrence rate than ER+/PR+ bc patients.  Also, ER-/PR- bc is more responsive to chemo, so that is a fact in our favor.  I quote from their email "Being triple negative actually is in your favor.  Having chemotherapy after surgery drastically lowers your chances of having a recurrence within the first 3 years and basically after that, your recurrence rate is lower anyway." 
Though no specifics about recurrence rates were given, at least it felt like a ray of hope next to all the "negatives" about triple negative BC I've read elsewhere.  I just had my second chemo today, so it sure makes me feel like chemo is worth it BIG TIME!  I may be hairless, brain "less" and tired, but I"M HERE and full of hope.  I'm to be given 4 treaments of Cytoxan/Taxotere, and hope it works!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote sftfemme Quote  Post ReplyReply Direct Link To This Post Posted: Dec 27 2007 at 12:33pm
I see the Onc tomorrow for treatment plan and I hope he can give me some info.  I plan on asking him how many trip negs he's seen because I think thats important too. 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote brookiecheryl Quote  Post ReplyReply Direct Link To This Post Posted: Dec 28 2007 at 6:00pm
Barbie,
All I can think is..."No ____! STRESS!"  Better meds and combos figured out all the time.   Good luck at Stanford when this chemo sched. through.  Thanks for keeping us learning as you learn. 
Hugs and prayers.
Brookiecheryl
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Broni Quote  Post ReplyReply Direct Link To This Post Posted: Dec 31 2007 at 9:27am
When I was diagnosed, my oncologist first told me I was lucky that TNBC was by far the most responsive BC to chemo, so after a string of negatives, that was a big tick. He told me I had a 40% chance of not getting a recurrence if I stuck with the surgery only option, but by having the chemo and rads then my chances of nonrecurrence rose to 60%...which leaves that 40% chance......and I would rather 40% than 60% anyday!!!
 
Granted, he did say that everyone was different, and there were no guarantees with the numbers.......
 
I figure that I already won the lottery in 2007, albeit the bad one, surely I can't be that lucky again, at least in the near future!!
 
Broni
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Post Options Post Options   Thanks (0) Thanks(0)   Quote cgraves3rv Quote  Post ReplyReply Direct Link To This Post Posted: Jan 05 2008 at 8:44pm

Barbie, what is ac/c?  I will be starting chemo after Jan. 10th and the oncologist has given be a couple of options.  I guess they want the patient to pick their poison.  My stats are like yours and I haven't really gotten a good answer to my questions because they don't have enough info.  At least now triple negative bc in being researched and there might be breakthroughs for better treatments.  I am so glad to find this site and the discussion board.  It's been a nightmare trying to learn about triple negative bc.  Good luck to all....Connie

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Shellie Quote  Post ReplyReply Direct Link To This Post Posted: Jan 06 2008 at 2:49pm

Hi,  I would like to find more about recurrence of 3neg.  Especially, anything that we can do to prevent it.  The wealth of research for 3neg. is not so great,  I guess our only defense is nurtrition, exercise and our emotional well-being.  Anyone have any new information on supplements or diets???? 

Shellie- @42 Diagnosed 6/22/06, Stage 3, triple neg. 6- AC, 11-taxol and 33 radiation treatments. Bi-lateral mastectomy.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Nancy Quote  Post ReplyReply Direct Link To This Post Posted: Jan 06 2008 at 3:30pm
Evening Shellie,
 
If you go to the memberlist and look at all the posts under "Ronda", you will find tons of info on diets and supplements. She has done her research and has such good advice. I would say Ronda is the "guru" on these subjects. She is our "Warrior Goddess".Clap
 
Welcome to the site. There are so many many wonderful ladies here, and they won't steer you wrong...trust me!
 
My daughter Lori walks, runs and bikes as much as she can, and did as much as she could the entire time she was on chemo. She is now going through rads, and is back to the fitness center, to try and regain the muscle mass she lost the past 6 months. The only thjing that she doesn't get much of is the "SUN". We live in Central PA, and for the next week, we will not have any sunOuch For almost 2 weeks we had about 15 minutes of sun. REALLY REALLY DEPRESSING!!!!
 
Hugs,
Nancy
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Shellie Quote  Post ReplyReply Direct Link To This Post Posted: Jan 07 2008 at 2:48pm
Thanks for the information.  I am right with you on the lack of sunshine.  Michigan weatherCry  I will check out Ronda's information.  Thanks again, Shellie
Shellie- @42 Diagnosed 6/22/06, Stage 3, triple neg. 6- AC, 11-taxol and 33 radiation treatments. Bi-lateral mastectomy.
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