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cg---
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Posted: Feb 18 2010 at 8:55am |
Dearest Yulia,
The good thing is that you now know that the first chemotherapy was not as effective - which is a good thing...because there are many, many others. A second and a third opinion is a wonderful option. The more information you have the better able you are to make your decisions. It seems that Japan puts women on another chemotherapy after the initial course. Xeloda was used by a few of our members from Japan. Please ask your oncologists what they think of a maintenance chemotherapy.
I had AC for 4 courses and 4 courses of Taxol (stage IIb) in 2007.
If you have any questions, thoughts to share, opinions - please let us know.
I am the ONLY breast cancer in my family going back generations on both sides....You will find many women have the same story.
Love,
Connie
P.S. Do your oncologists recommend any supplements?
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Yulia
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Posted: Feb 18 2010 at 9:31am |
Dear Carol,
thank you for your support!!! No matter the age, every woman's journey through this is unique!
It really seems that the TNBC appears just from nowhere.  Which grade do you have?
Hi Connie!
Taxol is similar to what I am scheduled.
I have just received alternative opinion which states that 4 round of new Chemo will be better option for me. Just like I thought.  My goal now is to convince my regular oncologist to prescribe me this 4th round....
I can't say that the first Chemo wasn't effective at all but it showed only 1st stage of patomorphosis. But it is good I had Chemo before the operation, I agree!!!!
What do you mean by supplement?
I'm taking some medicines for liver as I have gepatitis C in addition.  Trying not to loose my sense of humour.
Did you make BRCA testing?
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Diagnosed with TNBC at age 26. Stage 2a,Grade 3, size 2.5x3 cm. 10 - 12/2009 4 CAF Chemo rounds. Radical resection 19/01. Started paclitaxel.
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Carol (Tenn)
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Posted: Feb 18 2010 at 9:44am |
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Yulia...my cancer is Grade 3 Stage 2A...
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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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Yulia
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Posted: Feb 18 2010 at 10:00am |
Oh, Carol, so you have exactly the same dx! It is ironic but it is good to know someone with the same agressive grade, same stage and same family history (with no breast cancer).
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Diagnosed with TNBC at age 26. Stage 2a,Grade 3, size 2.5x3 cm. 10 - 12/2009 4 CAF Chemo rounds. Radical resection 19/01. Started paclitaxel.
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Terje
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Posted: Feb 18 2010 at 2:51pm |
Yulia wrote:
What do you mean by supplement? |
Supplements are vitamins and minerals which are not medicines but help your body be healthier and stronger to help fight the cancer.
Many of the women here take vitamin D3 supplements because a lot of them seem to have low vitamin D levels.
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Kellyless
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Posted: Feb 18 2010 at 4:12pm |
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Yulia, it seems the majority of us here with TNBC have grade 3 aggressive cancers. Wasn't that the scariest thing in the world to hear for the first time? It was for me. Being around this big ole, smart, savy group of women that had the same thing I had is very calming and reassuring for me. I hope it is for you as well.
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IDC, 2.2 cm, Stage IIb,lumpectomy 1/30/09 ACx4,Tx4 36 rads 6/1/16 Local recurrence same breast, same spot 1.8cm Carb.4x every 3 wks, Taxol 12x once wk. Dbl Mast. PCR!! Reconstruction fail, NED!
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Carol (Tenn)
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Posted: Feb 18 2010 at 11:58pm |
Yulia,
I am almost 3 times older than you...mind boggling for me....I keep thinking I'm young.... 
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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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Yulia
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Posted: Feb 19 2010 at 1:47am |
yes, I'm taking Calcium together with D3 but I don't know if I'm in lack of it...
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Diagnosed with TNBC at age 26. Stage 2a,Grade 3, size 2.5x3 cm. 10 - 12/2009 4 CAF Chemo rounds. Radical resection 19/01. Started paclitaxel.
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Yulia
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Posted: Feb 19 2010 at 1:51am |
Carol (Tenn) wrote:
Yulia,
I am almost 3 times older than you...mind boggling for me....I keep thinking I'm young....  |
 That's good!!! My grandmom is 77 years old and practices some yoga! She's got more energy than I do!!! Only you can judge how old you really are. 
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Diagnosed with TNBC at age 26. Stage 2a,Grade 3, size 2.5x3 cm. 10 - 12/2009 4 CAF Chemo rounds. Radical resection 19/01. Started paclitaxel.
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SagePatientAdvocates
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Posted: Feb 19 2010 at 2:12am |
Hello Yulia, I was 66 a few years ago so I am slightly older than you as well...  I have been at MD Anderson hospital all this week for various tests. I am BRCA1+. I hope your results come back negative. This is the story Komen published on their website. I am in their Advocates in Science Program. http://ww5.komen.org/breastcancer/SteveK.htmlI wanted you to read my story because sometimes the cancer can be hidden on the father's side. I do not have cancer, yet I passed the BRCA mutation on to my daughter. She was diagnosed with TNBC, at age 36. I am not a medical professional but I am very committed to my volunteer advocacy work which has focused mainly on trying to help women with breast cancer and also several friends with melanoma and colorectal cancer. Please do not be offended by my question but is there any chance you could go to London or the U.S. for your medical care; at least for a second opinion? I understand if there is no chance but if there is please send me a PM. I will give you some suggestions. My grandmother was born in Odessa in 1899..who knows maybe somehow we are related? good luck to you..whatever you decide.. all the best, Steve
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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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Julianna
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Posted: Feb 19 2010 at 7:48am |
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Yulia, Medicine probably has not yet figured out all the genes that may be "markers" for cancer risk. Much work is being done in this area. BRCA is the one we understand best, but there seem to be others that are as yet unidentified. We are moving in the direction of tailoring treatment based on the specific characteristics of the tumor and gene expression, but this is evolving as we go along. Julie
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Senior Research RN with special interest in triple negative breast cancer
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Yulia
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Posted: Feb 19 2010 at 7:58am |
steve wrote:
Hello Yulia,
I was 66 a few years ago so I am slightly older than you as well...
I have been at MD Anderson hospital all this week for various tests. I am BRCA1+. I hope your results come back negative.
This is the story Komen published on their website. I am in their Advocates in Science Program.
http://ww5.komen.org/breastcancer/SteveK.html
I wanted you to read my story because sometimes the cancer can be hidden on the father's side. I do not have cancer, yet I passed the BRCA mutation on to my daughter. She was diagnosed with TNBC, at age 36.
I am not a medical professional but I am very committed to my volunteer advocacy work which has focused mainly on trying to help women with breast cancer and also several friends with melanoma and colorectal cancer.
Please do not be offended by my question but is there any chance you could go to London or the U.S. for your medical care; at least for a second opinion? I understand if there is no chance but if there is please send me a PM. I will give you some suggestions.
My grandmother was born in Odessa in 1899..who knows maybe somehow we are related?
good luck to you..whatever you decide..
all the best,
Steve
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Thank you, Steve but I don't consider it nessesary going to UK, USA or any other country at the moment. There are plenty of professional oncologists here in Moscow, so I can get an alternative opinion anyway. 
Let's wait when my BRCA resulty return. 
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Diagnosed with TNBC at age 26. Stage 2a,Grade 3, size 2.5x3 cm. 10 - 12/2009 4 CAF Chemo rounds. Radical resection 19/01. Started paclitaxel.
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cg---
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Posted: Feb 19 2010 at 9:04am |
Dear Yulia,
I sense you are an intelligent and resourceful young woman with very much insight into your very new and unexpected condition.
I was diagnosed as stage IIB (with 3 positive nodes) at the age of 53...after doing the standard and conventional (at the time evidence-based research - I did dose dense (every two weeks AC/ followed by Taxol every two weeks) for a total of 8 cycles.
Then, my work began. Surprisingly when the results of a long-term food study was released...there is less chance of recurrence in triple negative breast cancers if women eat a low-fat diet of 30 g a day. Interestingly, they discovered that women with low vitamin D3 levels had more recurrences. If you will look in the archives you will see that from the University of Toronto - Dr. Pamela Goodwin found that 2 tablespoons of ground flaxseed a day reduced the circulating breast cancer cells....also if you check the archives on the forum you will find some very interesting research being done in the scientific community (M.D. Anderson, University of Michigan and other researchers regarding curcumin (turmeric) and triple negative.
Of course, your oncologist may be well aware of these studies (some are very enlightened and supportive)....and alas, others are not.
Green tea is another interesting compound.
Brassica products (broccosprouts) - developed by breast cancer researcher at Johns Hopkins Dr. Jean Talay (compound found in broccoli - that is another food fighter against breast cancer cells).
I suggest these because I believe you have quite advanced research skills already and may find these very interesting.
Hungary has a product developed by the University of Hungary called Avemar.
And lest I forget the all important 30 minutes of exercise 5 times a week.
There seems to be some interest in maintenance chemotherapy after chemotherapy in some medical communities. There are two women from Japan who had Xeloda as maintenance for one year after they had finished their initial chemotherapy.
We have a long term survivor on this forum diagnosed 23 years ago with 22 positive nodes who had a weekly regimen of chemotherapy for one year.
Thank you for joining our community and sharing your experience and exchanging ideas and practices.
Love,
Connie
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123Donna
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Posted: Feb 19 2010 at 11:04am |
Yulia wrote:
yes, I'm taking Calcium together with D3 but I don't know if I'm in lack of it...
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Yulia, I like your picture! The only way to tell your D3 level is through a blood test. Maybe next time you visit with your onc, you can ask for the test. Most of us with bc have very low levels. Mine was 19 after chemo. After taking 5,000 iu of D3 for several months, the levels are up to 47.
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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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Yulia
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Posted: Feb 19 2010 at 11:19am |
Dear Connie!!!
Thank you soooo much for this information! I heard about exercises which is what I'm already doing but wasn't aware of other researches!!! Will read them for sure. 
I will get 4 Taxanes as well but every three weeks. When did you finish your Chemo?
30 g is interesting. I wonder how much is that? One piece of fish a day and a lot of vegetables and fruits?
Donna, thank you!! I like my no hair too. 
I will do the test. Do you think it's better to do it during the Chemo or afterwards?
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Diagnosed with TNBC at age 26. Stage 2a,Grade 3, size 2.5x3 cm. 10 - 12/2009 4 CAF Chemo rounds. Radical resection 19/01. Started paclitaxel.
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123Donna
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Posted: Feb 19 2010 at 11:28am |
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Yulia,
You might ask your onc if you can have the D3 test while going through chemo. My onc never discussed it and I had to ask her about it so it was a couple of months after finishing chem that she checked my blood. I remember other women who've posted saying they were checked at diagnosis.
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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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Terje
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Posted: Feb 19 2010 at 1:22pm |
Yulia wrote:
30 g is interesting. I wonder how much is that? One piece of fish a day and a lot of vegetables and fruits? |
Sugar is bad.
1. Aggressive tumor cells feed on sugar.
2. Sugar raises insulin levels which is a hormone that stimulates cell growth which causes your tumors to grow faster.
Exercise is good.
1. Exercise burns up all your sugar.
2. Burning up all your sugar reduces your body's need to produce insulin and therefor reduces your insulin levels.
3. Exercise increases muscle mass which increases your body's ability to burn sugar.
I've heard a lot of people talking about fat being unhealthy and bad for you and that a high fat diet leads to increased cancer rates, but I haven't seen any conclusive studies that have proven this to be true.
I have seen several studies that have measured blood sugar and/or insulin levels and it seems that reducing sugar in your diet doesn't prevent or delay the occurrence of cancer, but it does slow the growth and aggressiveness of the tumors that are already there.
I have not seen any studies showing that the same is true for fat. If anyone finds any, please explain your thoughts and post links.
I have even seen that there is a clinical trial in Germany that is trying to fight cancer with a low carb high fat diet, and I've read to papers where they tested this on mice. The results of the mice experiments weren't as promising as I had hoped, but this is due to the fact that our bodies can and have to make it's own sugar if we don't eat any.
Anyway, you can find more information in this thread.
http://forum.tnbcfoundation.org/diet-exercise_topic5685_post48588.html
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123Donna
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Posted: Feb 19 2010 at 1:28pm |
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Terje,
Have you seen any studies about BMI?
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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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Lillie
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Posted: Feb 19 2010 at 4:15pm |
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Hi Yulia,
So sorry you are having to fight this cancer at such a young age. I am older than Carol and Steve. I just turned 69, but have trouble thinking that 69 is old. I was diagnosed at age 65. My grade, stage, size and treatment are similar to what you are having. I just recently had my vitamin D level checked, three years after treatment ended. It was 17.5. My doctor has me on 5,000 IU per week. He wants it up to 60 and says it could take a year.
As far as what caused my cancer, I probably will never know. I am BRCA- and have no family history on either side, that I am aware of.
By the way, how did you, Donna and Pam get your pictures on the site. It really is nice to see your lovely faces.
Love in Christ,
Lillie
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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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Terje
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Posted: Feb 19 2010 at 4:43pm |
123Donna wrote:
Terje,Have you seen any studies about BMI? |
You're talking about Body Mass Index, right?
I haven't happened upon any studies talking about BMI and it's relationship to cancer, but I haven't specifically searched for any either. I have specifically searched for sugar, carbohydrate, and fat.
I do know that there are two types of diabetes. One is caused by your body not being able to make any insulin and the other is caused by your body not being able to produce enough.
For the type where your body can't produce enough, most of the time those inflicted are overweight. For those who are overweight, they can, "cure" their diabetes by losing weight.
This gives me the idea that an increase in body fat increases one's requirement for insulin, and therefor it makes sense that an increase in body fat would increase the aggressiveness of a tumor. However, this would be called a, "hypothesis" and to know if it's true or not one would have to do or find a study that shows that it's true. I'd be willing to guess that there are a few already out there that do exactly this.
That being said, what percentage of fat, sugar, or carbohydrates in your diet does not always mean that someone will be overweight. There are many people with very unhealthy diets who are not overweight and because they are slim and look healthy they are under the false impression that they are healthy and therefor they make no effort to eat healthy. Nonetheless, they do have less body fat and therefor a lower requirement for insulin and as a result may have lower insulin levels and maybe their cancers would turn out to be less aggressive (again another hypothesis/guess).
So it makes sense to me that there would be a correlation between BMI and cancer, but that doesn't in any way suggest that a high fat diet increases your risk of being diagnosed with cancer.
What else makes sense to me is that since high fat diets have been considered for a long time to be unhealthy, if you were to do a study to see if there's a correlation between fat intake and fitness, you'll probably find a higher percentage of people who eat less fat are fit. Does that mean that a low fat diet causes you to be more fit? Or does it mean that people who care more about being fit are more likely to have a low fat diet?
I saw all the articles about the nurses who took Aspirin having lower incidence of breast cancer. Does that mean that Aspirin lowers one's risk of breast cancer or does it mean that people who care about their health are at lower risk and that they're also more likely to take Aspirin daily? You can't tell from the information I saw. Maybe people who care more about their health are more likely to exercise, keep their BMI low, and take Aspirin. Who knows which one of those three things reduces their risk or even if it's one of those things at all?
The only way to know these things is through studies.
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