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"Elderly" TNBC Women

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Nana Mimi View Drop Down
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    Posted: Jul 04 2013 at 10:26am
Hello,
 
Can't find a thread for this so I'll start one!
 
I'm looking meet TNBC women who were diagnosed after age 60.  I'm 65 and as I learn more about this type of BC I'm beginning to feel like the ugly step sister or horrible mother-in-law in the family of TNBC women!
 
Who was daignosed with TNBC after age 60?
Has anyone diagnosed with TNBC after age 60 been found to have the BRCA gene(s)?
What is the more significant factor in regards to treatment and survival rates: being TN or having the gene(s)?
 
I finally decided to go ahead with the testing even though I don't meet the criteria needed for Medicare or my secondary insurance to cover the cost ($3,340).  You have to have 2 of 3 fo the following:
1.) TNBC.  2.) under the age of 60.  3.) have 2 or more relatives with breast or ovarian cancer.
I'm TN but 65 and an adoptee.  However my oncologist feels that having the testing would be important in deternming my treatment options going forward.  So I finally decided to do it and then file an appeal or hold a bake sale or something! 
 
I'd love to hear from anyone who's in the same boat as me!
We could start a whole new sisterhood!
 
Thanks. 
Nana Mimi
65 yrs old. Dx 5/13. IDCIS. TNBC. Lumpectomy 1.1cm clean margins. SNB 0/3. Stage 1. Grade 2. 4/4 rnds TC. Rad X 33. Done!
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Charlene View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Charlene Quote  Post ReplyReply Direct Link To This Post Posted: Jul 04 2013 at 11:20am
Hi, Nana Mimi,
There is a thread here somewhere called TNBC after age 55.  I was 59 1/2, so I'm close to your criteria.  I think another way to divide things is pre or post menopausal, regardless of actual age.  I can't really answer your question about the most significant factor.  From what I know, they are both important in addition to tumor size, lymph node involvement, and tumor grade.  I also believe that advanced age is a slightly positive factor when it comes to prognosis.  Hope your genetic testing comes back negative!
Charlene
DX 3/10 @59 ILC/TNBC
Stage 1, Grade 2, Multifocal; Lumpectomy/re-excision
SNB 0/4 nodes, BRCA-; Taxotere/Cytoxan X4, 30 rads
3/14:NED
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Grateful for today View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Grateful for today Quote  Post ReplyReply Direct Link To This Post Posted: Jul 04 2013 at 1:47pm
Hi Nana Mimi,

Think the thread Charlene was referring to is: TNBC over 55 with currently 6 pages of posts.
http://forum.tnbcfoundation.org/tnbc-over-55_topic8543_page6.html

What is "Elderly" or "Older" when referred to in bresat cancer informatlion/articles?
Some seem to put the dividing line at 60, others at 65 and others at 70 (? other dividing lines).
With research articles, in the past there seemed to have been a scarcity of older TNBC participants.
This could make one question how reliable the info is for the "older" patient. One also needs to
check a study/info as to whether it rrefers to all breast cancer or specifically to TNBC.
As noted above, some articles/studies use the dividing criteria of pre vs post menopausal.

If one is adopted, wondering if an insurance company or Medicare would make an exception or
approve under Individual Consideration if one had TNBC and did not know family history due to
adoption.



With caring and positive thoughts,
Grateful for today..........Judy
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Lillie View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Lillie Quote  Post ReplyReply Direct Link To This Post Posted: Jul 04 2013 at 1:47pm
Hi Nana Mimi,
Thanks for starting this thread.  I, like Charlene, believe that advanced age does give us a slight advantage; but there are so many contributing factors that it is hard to sort it out. 
 
My Sister-in-law was diagnosed at 68 with Stage IIIc, Grade 3, 13 cancerous lymph nodes.  She had a left mastectomy with axillary dissection.  She was treated with 6 rounds of cytoxin/taxatere every 3rd week.  This was followed by several weeks of radiation.   Her story is long and complex.  She now has bone mets that were not controlled by 5 rounds of Xeloda.  The thinking of myself and my oncologist is that her initial chemo was not agressive enough for the stage of cancer she had.  She turned 70 in March and is now getting a break after the Xeloda.   She says she will not get any more scans or chemo.   I believe that my SIL is one of the cases that makes it hard to wrap us "Little Ole' Ladies" into a neat category.
 
There are many of us here, age 70 and above who are still NED and ticking right along.
 
Love and God Bless,
Lillie
Dx 6/06 age 65,IDC-TNBC
Stage IIb,Gr3,2cm,BRCA-
6/06 L/Mast/w/SNB,1of3 Nodes+
6/06 Axl. 9 nodes-
8/8 thru 11/15 Chemo (Clin-Trial) DD A/Cx4 -- DD taxol+gemzar x4
No Rads.
No RECON - 11/2018-12 yrs NED
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Post Options Post Options   Thanks (0) Thanks(0)   Quote bookish Quote  Post ReplyReply Direct Link To This Post Posted: Jul 04 2013 at 4:21pm
I was 67 at TNBC diagnosis in 9/2012, Stage 1, Grade 3, had lumpectomy of 1.5 cm tumor w/ clear margins and no lumph involvement, did 4 rounds of C+T and 33 rads, finishing in 3/2013. Am scheduled for 6-month mammo in August. Oncologist did not recommend BRAC testing b/c of my age and no previous breast cancer in family; I rather wanted it for my daughter's sake, but have instead advised her to be extra-vigilant.

I welcome this thread and hope other women in this age group post so we can all learn from each other.

Ann
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wildabandon View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote wildabandon Quote  Post ReplyReply Direct Link To This Post Posted: Jul 04 2013 at 4:40pm
Hi, Nana Mimi,   I'm a newbie like you.  Diagnosed on April 29th with TNBC that is also metaplastic sarcomatoid; double whammy.  Turned 60 in February of this year.  I never had the BRCA testing and don't know much about it other than what I read about Angelina Jolie.  What are the advantages of having the test?  
IDC/level3/triple negative
4 nodes-negative/
metaplastic sarcomatoid carcinoma
5/15/13 left lumpectomy
06/04/13 begin A/C 6 rnds
Taxol 9wks
33 rads
NED 02/28/2014
Mets in both lungs & chest June 2014
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Post Options Post Options   Thanks (0) Thanks(0)   Quote SagePatientAdvocates Quote  Post ReplyReply Direct Link To This Post Posted: Jul 04 2013 at 4:51pm
Dear Nana Mimi,

sorry, I know you want to talk to women, on this thread, but I wanted to let you know that with the recent Supreme Court decision you can get your BRCA testing done less expensively. One company Ambry will do it for $2000, it is my understanding. If it is not too late, wanted to try to save you a few $.

and now I will bow out. 

and good luck to you!!!!

warmly,

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 SagePatientAdvocates Quote  Post ReplyReply Direct Link To This Post Posted: Jul 04 2013 at 4:59pm
Dear wildabandon,

the advantages of having the BRCA test is that it may be informative to your treatment plan and also it could be extremely important to your family members.

The best person to explain all of this to you is a Certified Genetic Counselor (CGC).

Depending on where you live I may know someone who might be able to see you sooner than later. After Angelina Jolie's announcement all the CGCs, I know, are extremely busy. 

I am sending you my contact info if you would like to talk. I have the BRCA mutation and passed it on to my daughter who was diagnosed with TNBC at the age of 36, nine years ago and she is fine.

I am a volunteer patient advocate and also am in the Komen Advocates in Science program. Komen kindly published our story on their website. Men can carry the BRCA mutation, too, and pass it on to their children, or not. 50-50 chance. My eldest daughter is BRCA+ and my youngest is BRCA-.

http://ww5.komen.org/breastcancer/SteveK.html

welcome to our TNBC family and sorry you have need to be here.

warmly,

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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wildabandon View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote wildabandon Quote  Post ReplyReply Direct Link To This Post Posted: Jul 04 2013 at 5:08pm
Hi, Steve,  We have 'met' before; you welcomed me when I first joined this site and told me about MD Andersen.  I've been gone for a few weeks; round one of chemo was so rough I could hardly get out of bed.  They've changed my cocktail for round two; will have A/C now but not the Taxotere.  After I am done with A/C  (four more rounds every three weeks) they will give me Taxotere separately in smaller doses weekly for nine additional weeks.  Radiation will follow that.  My oncologist is currently conferring with a top oncologist at Duke to make sure this is the regime I should be doing for TNBC that is also metaplastic sarcomatoid.   Thank you for all you do here as you definitely gave me a great deal of valuable information when I first joined.  You're our guardian angel.
IDC/level3/triple negative
4 nodes-negative/
metaplastic sarcomatoid carcinoma
5/15/13 left lumpectomy
06/04/13 begin A/C 6 rnds
Taxol 9wks
33 rads
NED 02/28/2014
Mets in both lungs & chest June 2014
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Post Options Post Options   Thanks (0) Thanks(0)   Quote wildabandon Quote  Post ReplyReply Direct Link To This Post Posted: Jul 04 2013 at 5:09pm
p.s.  tried to put a photo of me for an avatar, but they were all too many pixels. 

IDC/level3/triple negative
4 nodes-negative/
metaplastic sarcomatoid carcinoma
5/15/13 left lumpectomy
06/04/13 begin A/C 6 rnds
Taxol 9wks
33 rads
NED 02/28/2014
Mets in both lungs & chest June 2014
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Genie Quote  Post ReplyReply Direct Link To This Post Posted: Jul 04 2013 at 6:50pm
Hi Nana Mimi,

I was diagnosed with TNBC at age 67. I am the 3rd in my family with TN. My sister who is 2 years older was 60 when she was diagnosed and her youngest daughter was 38. My sister and I both had the BRCA test and are both BRCA-.

 I have one daughter, age 40, whose only mammogram shows she has multiple calcifications over a 6 cm area. It was recommended that she have a partial mastectomy to remove that area because the biopsy also showed some cells that are usually associated with cancer. Unfortunately, she has no insurance and was recently dropped from a plan offered by the University Health System here that would have helped her pay for the surgery. I am very concerned for her because of the strong family history of breast cancer. If I could afford to pay for the surgery I would but I live on a fixed income. She doesn't want to try MD Anderson in Houston because she can't afford to be off work to make that trip.

TNBC is no respecter of age but I do think that us older ones have a better chance of it not recurring. My heart goes out to all these younger women who have recurrences.

Hugs from Texas,
Genie
DX 3/10/08 at age 67, IDC. Stage 1, Grade 3, 1.5 cm.
KI-67 99% at MX . Bilateral mastectomy 4/1/08 Node-, BRCA 1/2-,BARD1+, TX:Cytoxan/Taxotere x4,3 in family with TNBC
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Charlene Quote  Post ReplyReply Direct Link To This Post Posted: Jul 04 2013 at 7:56pm
Wildabandon,
 
If you will send a message to Donna123, she will tell you how to shrink your picture.  I can't find the directions she sent me at the moment.
 
Charlene
DX 3/10 @59 ILC/TNBC
Stage 1, Grade 2, Multifocal; Lumpectomy/re-excision
SNB 0/4 nodes, BRCA-; Taxotere/Cytoxan X4, 30 rads
3/14:NED
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Post Options Post Options   Thanks (0) Thanks(0)   Quote LRM216 Quote  Post ReplyReply Direct Link To This Post Posted: Jul 04 2013 at 11:58pm
Hi NanaMimi:

I was diagnosed one week after my 62nd birthday (nice present, huh?).  Mine was found by my yearly mammo.  Never even had a call back prior to this mammo, so it really took the wind out of my sails.  It was 1.2 cm, no nodes, no vascular and in my right breast 11 o'clock and 5 cms. below the nipple (reason I could never feel it).  I had 4 DD A/C, one taxol (terrible neuropathy right away) followed by three DD Taxotere - then on to 33 rads.  Only one on both sides of my family to ever have cancer, so I too did not meet the insurance company's criteria for BRCA testing.  It was 4 years from diagnose for me last February and am thankful for each and every day I have been given, as I thought for sure I was going to die when originally diagnosed.  Never having heard of TN breast cancer prior to my diagnose, I naturally googled and read all the horribly depressing old info that was offered up on google - and, as all of us here experienced - felt doomed, totally doomed.  It's gotten a lot easier over time, but I don't think I will ever again be able to experience a cramp, an arthritis ache, a cough, etc. without automatically fearing it's found me again.  

I wish you nothing but the best,

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 123Donna Quote  Post ReplyReply Direct Link To This Post Posted: Jul 05 2013 at 12:51am
Wildabandon,

Try this to get your pic for your Avatar:

Go to the upper left side of the screen and click on Member Control Panel. Click on Edit Profile. Scroll down until you see Select Avatar. You can use a predefined one listed or upload your own. If you upload a picture, the forum requirements are no bigger than 64 x 64 pixels. There is a good website you can use to shrink a picture to meet these requirements.
        http://www.shrinkpictures.com/create-avatar/
If you go to this website's link, you can choose a picture from your pc, change the file size to 64 pixels and then resize the picture, creating your new avatar. Once you've done this step, click on the blue Avatar Upload link and find the avatar you created and upload it. You can Preview your upload, then go to the bottom of the page and click on Update Profile.
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 wildabandon Quote  Post ReplyReply Direct Link To This Post Posted: Jul 05 2013 at 6:49am
Thank you! Will give that a try.

IDC/level3/triple negative
4 nodes-negative/
metaplastic sarcomatoid carcinoma
5/15/13 left lumpectomy
06/04/13 begin A/C 6 rnds
Taxol 9wks
33 rads
NED 02/28/2014
Mets in both lungs & chest June 2014
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Post Options Post Options   Thanks (0) Thanks(0)   Quote wildabandon Quote  Post ReplyReply Direct Link To This Post Posted: Jul 05 2013 at 6:53am
My computer blocked access to the shrinkpictures.com telling me it is a known malware site and my computer would become infected if I visited that page.  Will try another avenue as I did find some other sites on the internet.
IDC/level3/triple negative
4 nodes-negative/
metaplastic sarcomatoid carcinoma
5/15/13 left lumpectomy
06/04/13 begin A/C 6 rnds
Taxol 9wks
33 rads
NED 02/28/2014
Mets in both lungs & chest June 2014
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Post Options Post Options   Thanks (0) Thanks(0)   Quote nonna1642 Quote  Post ReplyReply Direct Link To This Post Posted: Jul 05 2013 at 8:09pm
Dear NanaMimi,
 
I was diagnosed @ age 69 with TNBC left mastectomy @ 70 and I did not get the BRCA testing done.  I have decided to talk with a genetic counselor to see if I would be a candidate for this testing.  The only family history is a cousin on my paternal side who had breast cancer about 5 or 6 years before me & whose cancer came back to her abdominal area last year & she passed away from that.  Her sister my other cousin had lung cancer & died from that & my dad's cousin had lung cancer and died.  My brother had prostrate cancer but died from a massive heart attack the year before I came down with my cancer.
 
I had a history of microcalcifications in both breasts & a needle localization biopsy in 1992 at age 52 showed a suspicious stellate shaped nodule in my left breast at the 2:00 o'clock position was a failure as what they took out was benign  but did not look anything like the mammogram & was considered a failure & the worrisome nodule may have been missed.  After that biopsy all my mammograms came out abnormal.  Another suspicious area less then 7 mm showed up in 2007 in the 6:00 o'clock & an ultrasound said it was a benign cyst.  Needless to say with all these abnormal mammograms & my brothers sudden unexpected death in 2009 I missed my mammograms in 2008 & 2009  In 2010 I was having a nuclear stress test @ my cardiologist office & this cancer showed up in the 6:00 o'clock position by that time it had grown to more then 5 - 7 cm.  Thank God for that Nuclear stress test & my excellent doctors I am still here today.
 
I am beginning to think that they should do more testing & research into microcalcifications.  Maybe we would find more cancers a lot earlier.  Needless to say I don't have that much faith in mammograms anymore yet I will continue to get them  I do not know how they can tell if microcalcifications are in a rapidly dividing cell.  Anyone have an answer on this?
Dx: age 70 IDC TNBC Grade 3 5/10 left mastectomy Stage IIB 5.1 cm no reconstruction followed by chemo of Taxotore & Cytoxin then radiation
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Post Options Post Options   Thanks (0) Thanks(0)   Quote LRM216 Quote  Post ReplyReply Direct Link To This Post Posted: Jul 05 2013 at 9:33pm
Nonna,

While I have no info to add to the microcalcifications, I just wanted to say hi, and to tell you how glad I am that you had that stress test!  Thank goodness it was finally found and dealt with.  I wish you all the best and that you never have to be concerned with it again.

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 CJWatson Quote  Post ReplyReply Direct Link To This Post Posted: Jul 05 2013 at 10:48pm
Nana Mimi, I was 64 when I was diagnosed last fall.  In a lot of ways, being older has been an advantage in my cancer treatment.
64 at DX
10/5/2012, IDC, 2 lumps total 5cm, Stage IIIa, Grade 3, 1 node positive, ER-/PR- HER2
10/16/2012 Chemo: AC x 4
04/08/2013 Lumpectomy- 3mm residual, clear margins, SNB clear
6/10/13 rads
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Nana Mimi Quote  Post ReplyReply Direct Link To This Post Posted: Jul 05 2013 at 11:45pm
Hello Nonna, LRM & CJ,  Thanks for your replies.  I'm off on vacation for a week with the kids and grand-kids.  It's a great time to be bald -so cool!  I'll check back to see if anyone else has joined our merry crew!

Nana Mimi
65 yrs old. Dx 5/13. IDCIS. TNBC. Lumpectomy 1.1cm clean margins. SNB 0/3. Stage 1. Grade 2. 4/4 rnds TC. Rad X 33. Done!
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