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Just found out triple neg - help pls.

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Jackie View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Jackie Quote  Post ReplyReply Direct Link To This Post Posted: Mar 20 2009 at 6:42am
Hi.
I was a young 58 when diagnosed in September of 2007. I was not even aware of triple-negative and when I my  BS said it was neg for estrogen, progesteren and HER2, I said "Great, I like negative!"  He was very quite and just told me to call his office the next week to make an appointment. He knew I was driving somewhere in the mountains alone returning from a business trip and didn't want to tell me. This was on a Friday. On Tuesday I was exploring the web and not sure what to do or who I wanted to treat me and found the triple negative. Up to that time (about 1.5 weeks) I had not even been concerned about this as I had heard most early stage BC was being cured.  I[I had put off talking with a doctor to go on a business trip that could have waited. I just didn't get it].
 
When I found out about TN,I felt just like you and I was devastated.  I was sort of out of it for a while and not able to cry or anything as I explained to my family that I had a different kind but it was okay. The hard part is most people don't know about these cancers and just brush it off by saying "oh they cure most breast cancers now". I would feel kind of out there by myself! [But I wasn't and neither are you!]
 
I interviewed many doctors and most  were straight about the difficulty but noted that chemotherapy is often very effective with these cancers if gotten early. [Except one onc at Duke told me she "might not even treat it".]
I had a mastectomy after finding out that it was TN. My surgeon said I was a "candidate" for a lumpectomy, but that it was my choice. When they performed the surgery, they found an additional 7 mm cancer that had grown in 5 weeks between my biopsy and surgery so I was glad about the mastectomy. TN grows so fast.  My limp nodes were clear. I was told that even though my lymph nodes were clear, I might have a few cells that got into my blood and were busy producing in  my liver, lungs, brain, or bones. So, chemo was required, but not radiation because of the breast tissue being removed and I had clear margins. 
 
The bad thing is that they cannot target any particular chemo especially for TN. I had taxatere and cytoxen and am doing fine. I finished my chemo January 19th 2008. Some residual side effects are noticable by me but not by anyone else. Now, a little over a year later many new treatments are being discovered and that gives me real hope for newly diagnosed patients and for my future if it were to metastasize.
 
You will get through this. Get a doctor that will talk to you and explain the treatment and her reasons. Ask questions, and take someone with you. I too thought about a double mastectomy...my daughter who is an attorney really wanted me to do this. One of her young friends had done so after being diagnosed at age 30.  I was assured that even though it may mean that I am at greater risk for other cancer in the other breast, this is not necessarily going to happen.
 
Hang in there and it will be over soon. I was amazed at how I managed to handle the pain and all the other stuff and you will be too.  A positive attitude is very important. I also read a lot of books on
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Nancy Quote  Post ReplyReply Direct Link To This Post Posted: Mar 20 2009 at 6:52am
Hi there Bev,
 
Welcome, and those 3 little words are very powerful indeed, and are a punch in the gut from the time they are spoken. You are not alone in not knowing your TNBC diganosis. Since TNBc is a very aggressive type of bc, and responds very well to chemo, many fight this very aggressively. By having the double mastectomy you just reduced the risk of another primary, and node negative is a good sign also.
 
You have definitelt come to the right place, as this is the only site dedicated to women dx with TNBC. When you go to the oncologist you need to tell her/him that you want to be tested for the BRCA gene mutation. This is a mutation which is inherited, and due to the fact that both your parents died from cancer, there is a strong possiblity that you have this mutation.
 
Now, I am going to send you a private message with my em ail so that I can send you information which I know will be beneficila as you begin this journey. Our resources will give you the info to ask all the right questions, and help with your decisions going forward.
 
You are now among the most intelligent, compassionate and loving women you will ever have the pleasure of meeting. There will not be a day that you post that someone does not respond, and they will be truthful also. No beating around the bush on this site. We are bound and determined to save women's lives...one by one.
 
Many hugs,
Nancy
Nancy
DD Lori dx TNBC June 13,2007
Lumpectomy due to incorrect dx of a cyst
mastectomy July 6 2007
chemo ACT all 3 every 3 weeks 6 tx Aug-Nov
28 rads ended Jan 2008
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Post Options Post Options   Thanks (0) Thanks(0)   Quote trip2 Quote  Post ReplyReply Direct Link To This Post Posted: Mar 20 2009 at 7:02am
Good morning Linda,
 
It is good to see you are feeling better. Smile
 
I saw the word "sister".  I am not sure if you have been told about genetic testing but I hope you will consider getting this done if we haven't mentioned it yet.  http://www.facingourrisk.org
Please consider genetic counseling, many triple negs although not all have a brca 1/2 mutation and if positive the family needs to know so that they can be tested.  Also your sister should be vamping up her vigilence with your diagnosis and sharing this info with her doctor.
 
You bet you have alot to live for and alot to do so you are doing the right thing, prepare for the upcoming surgery, line up some help, I hope you have good support around you.
 
We look forward to hearing from you afterwards to see how you are doing and you have our prayers for a quick recovery.
 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote trip2 Quote  Post ReplyReply Direct Link To This Post Posted: Mar 20 2009 at 7:19am
Hi Bev and a welcome hug for you  Hug.
 
I too have had alot of family history with cancer and it is unbearable really to see loved ones going thru this type of thing.  Especially when there is so little we can do other than love and support them.
 
I am so sorry you too have been diagnosed, yep those 3 words are a real punch to the tummy for sure and it takes awhile to pick one's self back up and get a breath but you can do it.
 
I do want to say with the swelling, your surgery was not that far away and it takes awhile to heal from a bilat but I would call your surgeon's office with any concerns, they need to know!  Is there any redness?
Any temp?  Signs of infection?
Soon after my bilat I came down with MRSA and had to have the drains put back in, you don't want that, watch out for infection!
I am amost 2 yrs out from my bilat and am still puffy and tender although think most of this is lympedema.
 
At the top right of this page you will see a link called Resources.  Click on that, then a drop down will appear, click on "questions to ask my doctor",  this will be handy for you.
 
Ask us anything we will be happy to help.  Good luck next week and let u know what you find out.
 
 
 
 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Yankeespie Quote  Post ReplyReply Direct Link To This Post Posted: Mar 20 2009 at 7:40am
I think I should just keep putting Ditto's under Linda's post! I am so happy to have found this site.... You are all angels and Thank you so much for the warm welcome and kind words! This is a much needed website!
 
Yes Pam as you well know....The hardest part thus far for me is having to tell my Family and Friends! I know just how they are feeling, and that breaks my heart! I'd rather been hit by Train, than to tell them I have Cancer. Cry
 
No redness, No fever,No signs of infection thus far.... And I will most definately keep you all informed.  Knowledge is Power!
 
OMG NO.... I don't want those dreaded bulbs back!! So sorry to hear you had to go threw that. 
 
I'm just curious, did they give you a MRSA test before surgery?  Here in Maine its mandatory?
 
Blankets of Hugs around all my new found friends,
Healing Blessings for all,
Bev
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Luv2sing Quote  Post ReplyReply Direct Link To This Post Posted: Mar 20 2009 at 9:34am
When I was first diagnosed I was terrified as well.  But as I began to read and chat with the women on this site, my fears decreased and I became more encouraged.  I've gotten myself to a point where I want to educate people when they ask about TNBC and I try to read as much information as  I can.  I have a friend who was diagnosed in 2005 and each PET scan was coming back with not so good news.  This past Wed. she had a last rad tx, did her PET scan and it finally came back with 'no abnormalities'.  We were both thrilled!
 
Just remember, you are not alone and there is always someone here for you to talk to, vent and share.
 
Hug
Raymon
Rejoice Everday!
Dx 1/23/2009, IDC, 3cm, Stage II, Grade 3, 1/7 nodes, ER-/PR-, HER2-
, BRCA-
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Post Options Post Options   Thanks (0) Thanks(0)   Quote sharon C Herber Quote  Post ReplyReply Direct Link To This Post Posted: Mar 20 2009 at 9:44am
Hi Linda and all--Linda, is there some reason you have not considered neo-adjuvant chemo before the lumpectomy? I know it's horrible to face another decision when you think you've got the treatment set, but the advantage to neo-adjuvant is they can actually tell if the chemo is working. It is always surprising to me how many of us go straight to surgery without consulting an onc. I think it's part of the surgeons' "god" complex.

anyhow, just a thought.

Sharon
dx 03/05 multi focal with lymph involvement, stage II/III 4 dense dose A/C, 4 taxol, bil mast 8/05, 38 rads, NED
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Post Options Post Options   Thanks (0) Thanks(0)   Quote LRM216 Quote  Post ReplyReply Direct Link To This Post Posted: Mar 20 2009 at 11:56am

Sharon:  How lucky you were to know about this.  I did not - at all  - and no, my surgeon never mentioned it.  However, in all fairness to her, up until only 2 days ago, we didn't even know what my Hormone receptors were or weren't.  Apparently my gyno did not check that off for testing by the pathologist when she was asked for the order for my biopsy - which was necessitated through my yearly mammo being read and my being called back for recheck of it.  I certainly thank you for mentioning it, but due to my lumpectomy being scheduled for the long-awaited 25th of March, I guess I will just have to see the onc as early as possible after same.

Linda

 



Edited by LRM216 - Mar 20 2009 at 11:58am
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 trip2 Quote  Post ReplyReply Direct Link To This Post Posted: Mar 20 2009 at 4:02pm
Luv2sing,
 
What wonderful news to read about your friend, finally having a good PET!
I am so happy for her!!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote trip2 Quote  Post ReplyReply Direct Link To This Post Posted: Mar 20 2009 at 4:05pm
Sharon, that is a good thought.  I don't know not having had this myself how this works really.
 
Is it just because you run into the surgeon who is on top of things or one who isn't?  We usually get sent to the surgeon first and with the stress of being diagnosed we rely on them to give us the best advice.  I know some go by the size of the tumor but do they all?
 
If they are not connected thru an Oncology hospital/clinic I wonder how many are passing on this information?
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Post Options Post Options   Thanks (0) Thanks(0)   Quote trip2 Quote  Post ReplyReply Direct Link To This Post Posted: Mar 20 2009 at 4:14pm
Thank you for the hugs Bev, I love hugs!
 
No I was not tested for MRSA, this was in 2007 and they may do it now.
I did learn recently my file now has a red flag with letters proclaiming to all in red I've had MRSA so they'll see me coming if I ever have to go back in there, sure hope not.
 
You are right, it is very difficult to tell your family you have cancer.   It isn't ever easy for anyone to have to share this news with their loved ones.
When you have had alot of cancer in the family it even gets more complex if that makes sense, the last thing you want to do is say is it's here, it's back and we certainly don't want to hear it.  I so hate this disease.
 
I just learned a couple of months ago that my only sibling, my sister has been diagnosed with CMK Leukemia.  I am the oldest then her than our children.  Our family has been demolished.
 
Let's hope and pray in our lifetime and especially even more so in our children's lifetime that they find an end to this horrible disease.
 
 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote LRM216 Quote  Post ReplyReply Direct Link To This Post Posted: Mar 20 2009 at 4:50pm
My surgeon is connected to oncologists, radiation, etc.  She is in a group of 5 women breast surgeons - large waiting list for each (Atlanta, GA), two female radiologists and they are all simply wonderful and have exemplary reps.  I am confident in that she would be on top of this; however, we only found out 2 days ago that I was triple neg. Had we found this out when the first Core needle path report came in (Feb. 23), she might have ventured into the territory Sharon speaks of.  THink I'm going to give my gyno, who I also love dearly, a call Monday and remind her on all future biopsy orders, that she doesn't omit checking off those so important boxes.  I would like to know this won't happen to the next gal she needs to write an order for.
 
Hugs,
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 Nancy Quote  Post ReplyReply Direct Link To This Post Posted: Mar 20 2009 at 4:54pm
Sharon,
 
You are so right. The surgeon "god complex" Let's see now...breast cancer....oncology....oncology....breast cancer. I do believe they go hand in hand. Looks like a no brainer to meBig%20smile
 
You should have a choice as to who you want to see first. If the oncologist is the one you will be seeing for many years after, she/he is the one I would choose. The surgeon...yeah she/he better get it right and get clean margins, but that onc is the one who will be determining which chemo will save your life.
 
Lori saw the breast surgeon for the mastectomy, and then she had a plastic surgeon, one who does reconstruction for women who had breast cancer. The med and rad onc...ongoing relationship for many years.
 
Lori's onc told a friend that the women should be having mastectomies, as he was seeing many return who had had lumpectomies.
 
As to the MRSA. A friend's father died a few months ago. He had knee replacement, 92 years old. Contracted MRSA when in the local hospital. That was not the cause of death, he had a heart attack. But...about a month ago she received a letter apologizing for the fact that her father had contracted MRSA while a patient in their hopital. Gee, they are finally admitting that they do not practice good infection control? What other revelations will we hear?
 
We know that Pam contracted MRSA while in the hospital. There is not another more germ/bacteria laden place to aquire it than in a hospital.
 
Ok....enough..hugs,Wink
Nancy
 
 
 
 
Nancy
DD Lori dx TNBC June 13,2007
Lumpectomy due to incorrect dx of a cyst
mastectomy July 6 2007
chemo ACT all 3 every 3 weeks 6 tx Aug-Nov
28 rads ended Jan 2008
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Post Options Post Options   Thanks (0) Thanks(0)   Quote trip2 Quote  Post ReplyReply Direct Link To This Post Posted: Mar 21 2009 at 7:00am
Nancy, I am very sorry to read about your friend's father passing.
I am very happy to hear the hospital's are finally owning up to the MRSA contact, atleast one is anyway, maybe more, that's a beginning. 
I wonder if the hospital I went to shouldn't be waving the red flag instead of me.Angry
 
 
I happened to get ahold of a very compassionate, good surgeon, good at his work, knew his job, loved his personality but when it came to him giving out bc info he was way behind times.  I had to learn this myself the hard way and I have read other women's posts here saying their surgeon tells them oh you have say a 95% survival rate of being cured!  Yes oh boy we sure do if and if and if and it isn't, do you know what I mean?
Everyone's cancer is different, we are individuals and for them to spit out a 95% cure rate which we will hang onto with all of our heart because we think we will be cured, well that isn't going to get it anymore.  Women are getting too smart and some of these docs need to go back to cancer 101.
 
 
Linda you sound like you are in a wonderful place and you are correct, they botched the pathology initially so therefore your info came later than it should have and you are wise to make sure this doesn't happen again.  Unfortunately we have to do alot of these types of things to try and keep those we count on from slipping up.  Yes they are human but we have been diagnosed with cancer and we want answers, yesterday!
 
 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote nanny Quote  Post ReplyReply Direct Link To This Post Posted: Mar 21 2009 at 10:12am
Hi, Linda: You will survive! Believe it.
I am another Linda who was diagnosed
with triple negative BC. I am 3.5 years clear now, and 63 years old. My tumor was 2.5, still early, so yours is very early.Did you know, that Triple negative responds very well to Chemo.
I moved from California to Texas to receive treatment at MD Anderson Cancer clinic in Houston. The best in the Nation. I do not regret for one minute having to relocate. I am healthy now and intend to stay that way.
I recommend a second and third opinion on treatment.
Treatment consisted of Neo adjuvant FAC chemotherapy, Segmental Mastectomy, then 30 Radiation treatments. The treatment was the hardest thing I have every done. But I did it.
You need the best Dr's you can find.
you will need support for all aspects of the treatment. You will survive! Never think otherwise. Embarrassed
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Post Options Post Options   Thanks (0) Thanks(0)   Quote LRM216 Quote  Post ReplyReply Direct Link To This Post Posted: Mar 21 2009 at 10:30am

Happy Saturday, my dear friends!

Pam:  Maybe it's better I just found out later- probably only would have been more despondent for the last 4 weeks, rather thanjust since the 18th!  But you all have helped pull me up from the bottom so much. 
 
Nanny:  God Bless and may every day for the next 50 years at least be a healthy one for you.  I needed to hear what you too had to say.  Just this morning I went to a local wig shop to pick out a wig in preparation for when my chemo begins (about 3 wks. I would guess) and there was another newbie in there who just had her first treatment of chemo.  She is ER/PR+, but 2her+ as well and is quite concerned, but still managed to say to me when I told her I was triple neg - Oh, God you are even worse off than me!  Don't you love it.  Where are people's brains - sometimes I think they have them up their arses! 
 
To you both - many hugs and kisses.
 
Love,
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 Nancy Quote  Post ReplyReply Direct Link To This Post Posted: Mar 21 2009 at 10:31am
Hi nanny,
 
To my friend Caroline fro The Netherlands...I am NannyBig%20smile 3.5 years from dx....whooppeeee!! That is music to our ears!! Nanny, I was under the impression that there were good cancer treatment centers in CA. Not?
 
I am sure you would not have relocated if you thought they were. I just sent a private message to AC and JC, husband posting for his wife, and told them that I thought CA had good treatments.We have a few members who live in Houston, and the surrounding area. Txhart...another Linda is one.
 
So glad that you have joined and now one more knowledgeable/intelligent/articulate TN gal to cheer all the new gals on.
 
Welcome and please post oftenWink
Hugs,
Nancy
Nancy
DD Lori dx TNBC June 13,2007
Lumpectomy due to incorrect dx of a cyst
mastectomy July 6 2007
chemo ACT all 3 every 3 weeks 6 tx Aug-Nov
28 rads ended Jan 2008
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Nancy Quote  Post ReplyReply Direct Link To This Post Posted: Mar 21 2009 at 11:03am
Linda,
 
Ahhh! Wait until you hear what others have to say. See, I don't give "those people" any slack whatsoever. Some say...well they mean well. Give me a breakUnhappy I don't think so!!!! Who raised these people? If they meant well, they would just give you a hug, tell you that they will be thinking of you, and then offer to come clean your toilet!
 
Their heads are where you say they areBig%20smile This woman I give plenty of slack...she too has been dx.
 
It's the ones who tell you "oh you will be fine....my aunt Ruthie had bc 20 years ago and she is fine". To which you reply...this is not your aunt Ruthie's or your grandmother's bc. Or the ones who tell you that all the treatments are over and you just have to forget about it and get on with your life. YEAH!  RIGHT!
 
Then you do a search for Connie by clicking on her "user name..."cg" and print out what she tells these people. You will be laughing for days Linda...that's a promise. Damn! Connie has the best replies ever! Some day I will take the time to search also and then I will type a document with not only her replies but everyone's replies. Instead of "Kids say the darndest things" it will be "Inconsiderate people say the stupidest things to people dx with cancer and your responses".
Hugs,
Nancy


Edited by Nancy - Mar 21 2009 at 11:04am
Nancy
DD Lori dx TNBC June 13,2007
Lumpectomy due to incorrect dx of a cyst
mastectomy July 6 2007
chemo ACT all 3 every 3 weeks 6 tx Aug-Nov
28 rads ended Jan 2008
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Post Options Post Options   Thanks (0) Thanks(0)   Quote trip2 Quote  Post ReplyReply Direct Link To This Post Posted: Mar 21 2009 at 11:38am
Hi Nanny ( Linda), it is so good to hear from you and yes, we love being reminded that there are alot of TNBC survivors out there, thank you for joining up and reminding us!  Congratulations to you.
 
You are so right also about the support all of the way around.  Also lots of help from family and friends can make a big difference.
 
 
 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote trip2 Quote  Post ReplyReply Direct Link To This Post Posted: Mar 21 2009 at 11:46am
Oh good grief Linda, what a thoughtless thing to say to someone!  Be prepared though, you will probably hear something again before it is over, there is occasionally that air brain lurking with a comment you could do without.
 
In our Resource section we should have a set of links for various headcover type things like wigs, caps, scarves.  I'll see if I can find it for you.
 
I do know http://www.headcovers.com has a large selection of alot of things, http://www.tlcdirect.com also has many things.
 
That is hard going for a wig.  The first time I was diagnosed I was like you and was so scared out of my wits and hubby told me he would buy me a wig.  I wouldn't go.  Eventually he talked me into going wig shopping, we found one and brought it home, I wore it once.  That was me.
 
Myself I found the caps more comfortable and would even go with a scarf if it were cotton.  Some love the wigs and boy they can sure make some that look just like real hair, it is amazing.  Summer is coming up so you may find it hot at times.  So you might consider picking up or ordering a couple of caps or scarves to wear even around the house and to bed if you like.
That's good that you are preparing ahead of time, it will help you in the future.
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