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RISK OF RECURRENCE AFTER 2 YRS?

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denise07 View Drop Down
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    Posted: Jun 28 2010 at 5:23pm
Just wondering does anyone know the risk for recurrence for stage 2a tnbc breast cancer after 2 years?I heard after 3 years it drops greatly. Thanks!
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123Donna View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote 123Donna Quote  Post ReplyReply Direct Link To This Post Posted: Jun 28 2010 at 9:04pm
Hi Denise,

Sorry I don't know the specific answer to TNBC.  I remember seeing a graph of a study a while back showing how our risk of recurrence was the greatest in the first 3 years then dropped off significantly compared to ER+ bc. 

Donna
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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TNBC_in_NS View Drop Down
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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: Jun 28 2010 at 11:00pm
Yes, Donna you are right.  If we can make it to three years, we should be ok to make it to five.  This is why I am shy to say survivor until the three years is up.... I survived the treatment but not necessarily the cancer, yet...
 
Since there is not too much research on the tnbc, it is difficult to know where they are getting the stats.  Let's just pray for more research and more remissions...
 
Bless you, your sister on the journey, 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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123Donna View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote 123Donna Quote  Post ReplyReply Direct Link To This Post Posted: Jun 29 2010 at 1:04am
Denise,

This is the article I remembered showing the graphs between TNBC and nonTNBC.  Pam had posted it in the resource section.

http://www.abstracts2view.com/sabcs09/viewp.php?nu=p4044


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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Karen2006 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Karen2006 Quote  Post ReplyReply Direct Link To This Post Posted: Jun 29 2010 at 2:30am
Thank you so much for posting the graph.  I saw my oncologist last week and just had this discussion with him.  It helped to actually see it with my own eyes.  I know there is hope for those of us with TNBC.  I just reached my 4 year mark.  Life is good! Smile
Karen
Karen/AZ, Diag 06/20/06 Age 48, TNBC, 0/6 Nodes, 3cm, Stage2A, Gr3, BRCA1+ & BRCA2? Doxorubicin, Cyclophosphamide & Taxotere, Bilateral Mastectomies/Re-construction
11 Surgeries 07/20/06 - 03/05/08
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hummingbird10 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote hummingbird10 Quote  Post ReplyReply Direct Link To This Post Posted: Jun 29 2010 at 8:11am
I seems there is more "interest" now in NNN bc.  I'm still wondering how we really
get the follow up "treatment" after rads.  Many/most of the trials limit in so many
ways--neo-adj.--stage--  I understand, but for someone with stage IIIA it's also
discouraging.  My oncologist said not to bother to even dwell on the stage--claims
it makes little difference.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote dmwolf Quote  Post ReplyReply Direct Link To This Post Posted: Jun 29 2010 at 12:43pm
Here's how I think about risk:

The recurrence curve has its peak at around 2 years. That means that if we are going to recur, it will most likely be around then.  However, as you can see from the curves, about half the women who will eventually recur do so in the first couple of years.  This means that if you are 2 years and a couple of months out and have not yet recurred, you have already put about half the risk of recurrence behind you.  Which means that as a stage II your risk goes from about 40% to about 20%, most of which is concentrated over the next year.  If you make it to three years, your risk of ever recurring goes down to about 8%, and if you make it to 4 it goes down to about 5%.    

Women with higher stage disease (stage IIIs) have curves that I think are biased toward shorter recurrence times.  So if you were diagnosed stage IIIb, for instance, and have made it to 2.5 years without recurring, you are very likely to remain NED even though your overall risk was higher to begin with.   That said, I suspect that with very small tumors the curve shifts toward the right.  Recurrences might be a bit later, though one's risk for recurring is overall smaller.   The location of the peak marks the amount of time it takes disease to go from subclinical/sub-radiological to clinical/visible.  Since triple negatives are less likely to have dormancy after treatment, more cancer initially corresponds to less time it takes for it to become evident.   At least, this is the way I think it works (I could be wrong).

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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denise07 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote denise07 Quote  Post ReplyReply Direct Link To This Post Posted: Jun 29 2010 at 1:12pm
Thank you for this great information!
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hummingbird10 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote hummingbird10 Quote  Post ReplyReply Direct Link To This Post Posted: Jun 29 2010 at 1:35pm
Where is the Asan Medical Center?
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hummingbird10 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote hummingbird10 Quote  Post ReplyReply Direct Link To This Post Posted: Jun 29 2010 at 1:42pm
If you check out the breastcancer.org site you will see a very, very
interesting forum on breast "density" and how having dense breasts
can lead to vague and even inaccurate mammograms.  If I were a
scientist (which I am not) I would hypothesize that there may be
a high incidence of bc dxs in patients with dense breast tissue.
 
The comments on the forum are leading patients toward requesting an
ultrasound and/or MRI if they have "density" problems. 
 
I wonder how many people here on TNBC have density issues ?????   And,
more importantly WERE they ever told they were at higher risk
for breast cancer????
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hummingbird10 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote hummingbird10 Quote  Post ReplyReply Direct Link To This Post Posted: Jun 29 2010 at 1:43pm
Is anyone here on PARP Inhibitors??????????
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janinvan View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote janinvan Quote  Post ReplyReply Direct Link To This Post Posted: Jun 29 2010 at 1:44pm

Denise...In Canada--there is not as much emphasis on "stage"

I think I was 2B ...( I usually know these things)..-.but grade 3

With recurrence (AFTER 12 years)   -they didn't mention stage!...and I was too busy dealing with it

Yesterday I had a blood transfusion pre my chem ( low hemoglobin)--FIRST time ever!!--BUT I'm fine!!
...hope your dad is getting over his wife's passing....
Please erase your PMs.
I think WE are too concerned with some of these stats./%
HOW/WHO can publicize tnbc more?
Janice
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The Texas Woman View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote The Texas Woman Quote  Post ReplyReply Direct Link To This Post Posted: Jun 29 2010 at 1:59pm
Hummingbird10, I had been told MANY times that I had dense breasts but never that I was at a higher risk for breast cancer.

cher
Dx: 7/09 TN IDC Stage llB, T2, N1, Grade 3 and associated DCIS, BRCA Neg, Taxol x 12, FAC x 4, left mastectomy March 2010
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Post Options Post Options   Thanks (0) Thanks(0)   Quote 123Donna Quote  Post ReplyReply Direct Link To This Post Posted: Jun 29 2010 at 2:33pm
Hi Hummingbird,

I was always told I had dense breast (fibrocystic breasts).  As a result, my ob/gyn started routine mammograms when I was in my early 30's.  I'm glad he did because that's how I found my bc.  Besides having dense breasts I'd say I had no other risk factors, except being a woman!

Donna
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 nmunoz Quote  Post ReplyReply Direct Link To This Post Posted: Jun 29 2010 at 3:10pm
Hi,

I also wanted to know where ASAN center was located so I googled it and found it in South Korea. So the table and numbers shown reflect the follow up study made as to the women treated in that hospital. I'm not a doctor but from what I've read so far I understand that these numbers do change a little from one population to another (and I've seen cancer numbers behave differently between east and west ...). But, one thing I wanted you to know is that when I am worried about statistics I like to read an article written by Jay Gould, an influential evolutionary biologist, that gives a nice perspective on numbers and cancer. It makes me feel better and try to focus on how to make things better for myself. Here's the link:

http://cancerguide.org/median_not_msg.html

Best,

Natalia


Edited by nmunoz - Jun 29 2010 at 3:11pm
Natalia, 38 years

Dx TNBC 10/22/08, BRCA1+

Double Mx 11/20/08 with Recon.

3/37 nodes

Rads 7 weeks done 8/09

ACx4 every 2 weeks and Tx12 weeks. Avastin e/3 weeksx10 (Clinical Trial) Done Dec/09
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123Donna View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote 123Donna Quote  Post ReplyReply Direct Link To This Post Posted: Jun 29 2010 at 3:16pm
Natalia,

You bring up an excellent point.  I remember reading in the AntiCancer book by Dr. Schreiber that basically said the same thing.  With statistics, you want to be on the right side of the curve!

Donna
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 janinvan Quote  Post ReplyReply Direct Link To This Post Posted: Jun 29 2010 at 6:36pm
Donna....it's interesting that when I sometimes post on breastcancer.org--I usually get  helpful, interested replies!
On this site there are, I think, many PM communications  (some boxes are often full)
I wish everyone well.  Take care.
Janice
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Post Options Post Options   Thanks (0) Thanks(0)   Quote hummingbird10 Quote  Post ReplyReply Direct Link To This Post Posted: Jun 29 2010 at 7:23pm
Thanks, Natalie, on the ASAN Center info.  I think it's hard to interpret the graphs and as you
say East/West differences as well. 
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hummingbird10 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote hummingbird10 Quote  Post ReplyReply Direct Link To This Post Posted: Jun 29 2010 at 7:25pm
Hi Donna,
I was always told about having fibrocystic breasts as well.  Wonder how many Triples
here have that condition?  Maybe there should be some way to do preventative intervention
on the density (short of major surgery)---there is so much to know/do/research with this.
Take care,
Hummie
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Bonnie Quote  Post ReplyReply Direct Link To This Post Posted: Jun 29 2010 at 7:46pm
Hummingbird10:  Yes, my daughter, Ashley is on BSI-201 (Iniparib) being administered with Carboplatin and Gemzar.  Would be happy to try to answer any questions I can.
Bonnie
Bonnie - Daughter Ashley dx TN 8/09 @ 22; St3, BRCA1/2-; AC&Ixempra done 2/10; mets to lung 3/10; G/C 3/10; PARP 6/10; sternum mets 9/10; NK012 failed; mets to liver, spine, kidney; Avastin/Xeloda
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