RISK OF RECURRENCE AFTER 2 YRS?
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URL: http://forum.tnbcfoundation.org/forum_posts.asp?TID=6657
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Topic: RISK OF RECURRENCE AFTER 2 YRS?
Posted By: denise07
Subject: RISK OF RECURRENCE AFTER 2 YRS?
Date Posted: Jun 28 2010 at 5:23pm
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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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Replies:
Posted By: 123Donna
Date 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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Posted By: TNBC_in_NS
Date Posted: Jun 28 2010 at 11:00pm
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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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Posted By: 123Donna
Date 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 - 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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Posted By: Karen2006
Date 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!
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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Posted By: hummingbird10
Date Posted: Jun 29 2010 at 8:11am
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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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Posted By: dmwolf
Date 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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Posted By: denise07
Date Posted: Jun 29 2010 at 1:12pm
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Thank you for this great information!
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Posted By: hummingbird10
Date Posted: Jun 29 2010 at 1:35pm
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Where is the Asan Medical Center?
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Posted By: hummingbird10
Date Posted: Jun 29 2010 at 1:42pm
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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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Posted By: hummingbird10
Date Posted: Jun 29 2010 at 1:43pm
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Is anyone here on PARP Inhibitors??????????
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Posted By: janinvan
Date Posted: Jun 29 2010 at 1:44pm
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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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Posted By: The Texas Woman
Date 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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Posted By: 123Donna
Date 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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Posted By: nmunoz
Date 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 - http://cancerguide.org/median_not_msg.html
Best,
Natalia
------------- 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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Posted By: 123Donna
Date 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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Posted By: janinvan
Date Posted: Jun 29 2010 at 6:36pm
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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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Posted By: hummingbird10
Date Posted: Jun 29 2010 at 7:23pm
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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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Posted By: hummingbird10
Date Posted: Jun 29 2010 at 7:25pm
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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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Posted By: Bonnie
Date Posted: Jun 29 2010 at 7:46pm
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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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Posted By: mamawof4
Date Posted: Jun 29 2010 at 9:00pm
When do you start counting? After surgery or chemo. I get so confused.
------------- dx 4/9/09 with stage 2a grade 3,one node cancerous, lumpectony,10 radiation treats via mamma site,8 chemo treat with 4 a/c and 4 iexempra thur clinical trial finished 11/25/09 PALB2 gene+
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Posted By: 123Donna
Date Posted: Jun 29 2010 at 9:04pm
We've had this discussion before and I don't think there's a general consensus. I count the day of surgery. Some people count the day of dx, but to me the bc was still in me and the surgery date was when it was removed. Just my opinion.
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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Posted By: denise07
Date Posted: Jun 29 2010 at 9:10pm
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My onc told me to start counting from the day of surgery.
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Posted By: mamawof4
Date Posted: Jun 29 2010 at 9:53pm
Thanks now I know how to count it. I had my surgery May 15, 2009. And so far so go.
------------- dx 4/9/09 with stage 2a grade 3,one node cancerous, lumpectony,10 radiation treats via mamma site,8 chemo treat with 4 a/c and 4 iexempra thur clinical trial finished 11/25/09 PALB2 gene+
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Posted By: hummingbird10
Date Posted: Jun 29 2010 at 10:22pm
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Hi Bonnie,
Thanks for offering the info on the parp inhibitors. I would be very interested in knowing
if your daughter is in a clinical trial and which one. From what I have read and heard at
the onc's office the parp meds seem to be what the excitement is about for us. If the
pharmaceutical companies would just hurry up and get it to market.
Good luck to Ashley in her treatment.
Hummie
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Posted By: SagePatientAdvocates
Date Posted: Jun 30 2010 at 1:25am
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I personally think the day of diagnosis should be the starting date..and if others feel differently that is totally fine with me.
more and more women are getting neoadjuvant therapy....they are dx with TNBC...normally a large tumor and then they have treatment to see if the chemo works and shrinks the tumor...hopefully pCR...if that is e.g a two month process that starts one month after diagnosis that's three months since treatment started and 9 months later (either post-lumpectomy or mastecomy/ies) you are one year out...
anyhow that's how one oncologist explained and again the printed word on a message board can be taken the wrong way..Donna and all, I mean no harm...just one way to look at things...
hugs,
------------- 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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Posted By: Bonnie
Date Posted: Jun 30 2010 at 7:59am
Hummie: Ashley is not in a clinical trial, but was blessed and fortunate enough to receive the BSI-201 PARP Inhibitor (Iniparib) from Bi-Par on a compassionate care basis. Ashley has had to miss multiple chemo treatments due to low platelets and low WBC counts, but the onc said it is just as important to get the PARP into her. She's able to get the parp on those days, just not chemo. I too hope that the FDA gets the PARP Inhibitors approved quickly so all those in need can get it.
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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Posted By: 123Donna
Date Posted: Jun 30 2010 at 8:11am
Steve,
I agree with your point also. Some of us have surgery first and others neoadjuvant treatment. We're all survivors!
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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Posted By: hummingbird10
Date Posted: Jun 30 2010 at 10:24am
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Bonnie,
Thank you very much for sharing with me Ashley's message. Please tell her I am
rooting her on, and that the PARPs are THE best from everything I've read and
from one of the docs I've discussed it with a lot. Good for her and good for
Bi-Par!!!!!!!!!!! Tell Ashley we have some things in common, also: stage III,
nodes involved. I haven't started chemo yet, go for the mediport tomorrow and
them shortly will start ACT. But, as I believe strongly PARPS are the way for us!!!!
God bless Bonnie and Ashley.
Love,
Hummie
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Posted By: scared
Date Posted: Jun 30 2010 at 10:30am
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Sorry I have not been around for awhile, but I'll add my two cents in in regards to when time starts counting for the anniversary date of cancer. I asked this of our oncologist and she said it should be counted from the time of diagnosis.
Why would you do it from the surgery date, not everyone gets surgery...right?
------------- Wife diagnosed 7/08 stage 2B 4.78cm with 3 nodes. 15 weeks of Adriamycin and Cytoxin, Mastectomy, 12 weeks of Taxol, and 6.5 weeks of radiation.
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Posted By: hummingbird10
Date Posted: Jun 30 2010 at 10:31am
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Steve,
I agree with you. The day of diagnosis.
My onc briefly mentionned 3 months of neo-adjuvant and then surgery
OR mastectomy in 2 weeks. You can guess what I chose. I was
totally scared---I jumped at the total surgery--I wanted to take
no chances at a breast (that had "failed" me)---that's not everyone's
decision, but it worked for me. I couldn't sit around for 3 more mos.
thinking about this tumor growing bigger inside me even with neo-adj.
The tumor ended up to be 3 INCHES! I think I made the right decision.
The did get clean margins so that was one good thing. Ax. dissection with
nodes involved and 17 total removed----that has been the most painful part.
Hummie
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Posted By: LauraT
Date Posted: Jun 30 2010 at 11:43am
I was told that I had dense breast tissue for years. I was never told that I had a higher risk of cancer, but was told that it would be more difficult to detect by mammogram. I found my tumor in July after having a normal mammogram in March.
Laura
------------- DX 10/09 @44, Stage I IDC tnbc, DCIS other side, Neoadjuvant TCx4, Bilateral Mastectomy w/Recon 1/10, 1.2cm 0/7 Nodes, 5/11 Mets to Lungs/Lymph Nodes, Avastin/Taxol, 10/11 Bone Mets, Xgeva
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Posted By: hummingbird10
Date Posted: Jun 30 2010 at 10:00pm
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Bonnie,
Did Ashley get her treatment in Florida (saw you are in St. Augustine)?
Was the parp part of it put in the IV ?
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Posted By: Frenchie
Date Posted: Jul 01 2010 at 4:04am
Guys, is this 2 years from finishing chemo, or 2 years from diagnosis?
------------- Age 39 Dx Nov 2008 2cm 2/13 nodes - 4 x AC 4 x Taxol 2 Weekly - 25 rads. Avastin (trial).
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Posted By: SagePatientAdvocates
Date Posted: Jul 01 2010 at 4:10am
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Hello Frenchie,
2 years from diagnosis, in my opinion...
please send me a PM or email to let me know how you are doing...
my apologies for not writing...was at a loss for words..
all the best,
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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Posted By: Bonnie
Date Posted: Jul 01 2010 at 7:04am
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Hummie: Yes. We live in St. Augustine, but Ashley is getting all of her treatments in Jacksonville, FL. And yes, the parp was administered via IV.
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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Posted By: Carol (Tenn)
Date Posted: Jul 01 2010 at 8:58am
Okay, my two cents worth...I agree with Steve...count from diagnosis...which is what I do...now what happens when you have a recurrence? I guess I'm still surviving ...I guess I answered my own question.
Also, the dense breast issue....I have fribrocystic breasts...oops...breast and my surgeon told me that my tumor was so in-bedded that I wouldn't have noticed it myself until it got much much bigger. So thank you mammogram!
------------- 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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Posted By: dmwolf
Date Posted: Jul 01 2010 at 10:01am
Carol, when someone has a local recurrence, her clock starts over. So you would count starting 7/09. (not that it matters!) love, Denise **btw research shows that women with dense breasts are more likely to get bc. I think these results are fairly recent.
------------- 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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Posted By: 123Donna
Date Posted: Jul 01 2010 at 11:28am
Denise,
Both me and my friend had dense breasts and we both got tnbc. Interesting and the fact we grew up together and we both got this horrible disease within 14 months of each other. Makes me wonder about the environmental connection.
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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Posted By: The Texas Woman
Date Posted: Jul 07 2010 at 6:41pm
I just got through with my six weeks of radiation at MDAnderson yesterday and I asked my med onc, my surgeon, and my rad onc when to start counting. They ALL said from the date of surgery. Now if you didn't have surgery, who knows but they were all in agreement. Wish it was date of diagnosis because Friday is my cancerversary and I'd be a year out instead of 3 1/2 months!
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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Posted By: hummingbird10
Date Posted: Jul 07 2010 at 9:45pm
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Bonnie,
I did ask about the parp in one of the trials but was told that even with a
couple of nodes involved, the bc I have is not considered "mets." So, I don't
qualify for the open label trial with parp.
Tell Ashley I am rooting her on. She can do it. Go Ashley!!!!!!!!
Best,
Hummie
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Posted By: hummingbird10
Date Posted: Jul 08 2010 at 10:32am
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Hi all,
Here's a ques. to anyone who'd like to respond.
I know "we" are a "rare" group, but when you
do for chemo/appts. has anyone met another
triple negative patient to talk to? I haven't, and I
go to a fairly large center.
Thanks and best to all,
Hummie
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Posted By: denise07
Date Posted: Jul 08 2010 at 10:39am
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I have a friend who had tnbc she is 8 years out, and another women I know is almost 2 years out!
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Posted By: The Texas Woman
Date Posted: Jul 08 2010 at 10:48am
Hummie, In the radiation waiting room at MDA this past month I met two: one young, black, but BRCA -, and the other young, Hispanic, BRCA +with mets to brain and liver (getting whole brain radiation, with chemo to follow after rads). Both were upbeat and doing very well. Those two were the only ones talking about it, at least. Of course one mostly sees the same people every day so who knows how many were there when I wasn't.
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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Posted By: 123Donna
Date Posted: Jul 08 2010 at 11:30am
Hi Hummie,
I never met another tnbc woman in the infusion room but then I didn't always ask others about their type of bc. We mostly talked about "light" subjects and tried to find some humor in the day.
My bf from 7th grade was dx with tnbc about 14 months ahead of me. She's the only other tnbc person that I've known personally.
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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Posted By: Genie
Date Posted: Jul 08 2010 at 2:18pm
Hummie,
Like Donna, I never met any other tnbc's in the infusion room. However. my sister & my niece both are tnbc.
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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Posted By: TNBC_in_NS
Date Posted: Jul 08 2010 at 2:35pm
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Hi ladies, your question regarding meeting other tnbc patients for me is no other than this site and someday it is my wish that we all meet at a central location to celebrate how far we have come and brainstorm for the cure! Although, my sources at the hospital tell me that there are one-two a week diagnosed.!!!! They are more than happy to have the information I provided i.e. the brochures, FORCE, LLBC, etc. What is going on with this subtype of cancer??? When will we have the cure???
So many are not making it, too many newly diagnosed. Who do we need to talk to put this research on the hot burner?? (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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Posted By: TNBC_in_NS
Date Posted: Jul 30 2010 at 11:19pm
Just an update about knowing other tn's! My daughter's husbands' sister age 56 was just diagnosed last week with tnbc IDC. The shock is just setting in so when I hear more, I will keep you posted. Please keep her in your prayers. Thanks, h.
------------- 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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Posted By: 123Donna
Date Posted: Jul 31 2010 at 2:24am
Oh Helen, I am so sorry. When is this ever going to end? To many women. . . It just makes me so sad. We need more research and a cure!
------------- 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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Posted By: hummingbird10
Date Posted: Jul 31 2010 at 8:10am
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Thank you ALL for answering my question about meeting other TNBC patients. So far I have
not met one. My request to the NCI to have someone with it call me has not happened.
(probably multiple reasons I imagine).
I firmly AGREE with our sister in NS---- what do we need to do to RAISE awareness?????!!!!
They (FDA) take our "Avastin" now what do we have? It's time (pasttime) to organize,
picket, legislate, meet, whatever it takes.
I had thought earlier that we could start with T-shirts and caps with the Triple Ribbons
and something like----"where's the research/where's the cure"---our sisters have waited LONG
ENOUGH. I thought about wearing something like this to the chemo sessions----what do you
think. Is this too "in your face" ?
Sorry for the caps, but frustration/anger is brewing in this "bird"
Hummie/Hummingbird10 in Ohio
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Posted By: hummingbird10
Date Posted: Jul 31 2010 at 8:13am
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Helen,
I am sorry to hear your family member recently diagnosed. We here are all sad/
and MAD! Where's the cure? Millions spent on research, come on USA we can
do better!
One mad "Hummie"---and you know how lethal hummingbirds are with
their "beaks"---look out "we're coming"
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Posted By: kimm
Date Posted: Jul 31 2010 at 9:10am
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Dear Hummingbird,
I do Ultrasound for a living and do Sonograms every day on women who have "dense breasts".
From what I understand, dense breast tissue is essentially a normal finding on the majority of women in 30's and 40's. After that the dense breast tissue begins to be replaced with "fatty" breast tissue.
Having dense breast tissue in itself does not mean you are at higher risk for bc. What it does mean is the Radiation used to image your breasts in a Mammogram has difficulty penetrating that kind of tissue. If the Radiation does not penetrate all the way through, masses will not show up.
I found a lump (3cm) at age 44. I had a normal Mammogram 6 months earlier but did have dense breast tissue. The MD's agree that that the cancer was undoubtedly there at the time but was unable to be visualized due to the dense nature of my breast tissue.
Where I work, the Radiologists automatically recommend an Ultrasound or MRI as an alternative if the patient has dense breasts. Unfortunately where I had my Mammo, they did not.
Best wishes,
Kim
------------- Diag 2/14/07
3cm Lt Breast grade III, stage III. Bilat Mastectomy
A/C x4. Taxol x12
Rad x6 wks.
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Posted By: suzannek
Date Posted: Jul 31 2010 at 10:30am
|
Concerning breast density and breast cancer: Dr. Susan Love addresses this issue in her book. There is a strong association with dense breasts (especially after menopause) and BC. Dense breasts are associated with higher estrogen levels and higher estrogen levels are associated with breast cancer. She warns if you take replacement hormones and your breasts get denser, watch out! However I don't think that is true for TNBC as our cancers don't respond to estrogen.
Also I always thought dense breasts were 'good' in that they weren't saggy and thin. But they mean 'radiographically dense' which makes it hard to tell breast tissue from tumors.
In one of the many papers Pam posted, the median time to recurrence for TNBC independent of stage is 18 months. I didn't see that paper about Stage 2a being 24 months but I find that interesting as I was Stage 2a and it has been almost 23 months. No sign of recurrence so far but I am only checked for local recurrences. But as DMWolf pointed out, the longer you go, the more your risk drops.
------------- Sue Age 56
Stage 2A, no nodes 3 cm, TNBC,Grade 3
Lumps removed 10-07-08, 10-27-08
nodes clean:
Began chemo 12-2-08
4xAC, 4xT dose dense
3 weeks radiation
http://suzannekesten2.blogspot.com/
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Posted By: Lorene
Date Posted: Jul 31 2010 at 11:16am
|
Dear all,
I have a neice who had tnbc 1 year before myself. She is now almost 10 years out, I'm almost 9 with no recurrene for either of us. Praise the Lord! I was 59 yrs old at time of Dx, she was 42. We're different in our approach to prevention. I'm very nutrition-minded, health-oriented, avoiding preservatives, additives of any kind. Also, avoid chemicals in any products I use etc. She is not,but focuses on enjoying life to the fullest.
Apparently, there is no one answer.
Lorene
------------- dx10/01@age59,IDC TNBC, St.IIB,Gr3,2.5cm,3+nodes, epirubicin,5FU,cytoxan,33Rads,No recurrence, 2018
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Posted By: trip2
Date Posted: Jul 31 2010 at 1:45pm
|
Dear Helen,
I am so very sorry to read about your sil's sister being diagnosed with TNBC. She will be fortunate to have you close by to help inform and support her. Bless her heart.
------------- Stage 2 2003
Stage 1 2007
BRCA 1+
|
Posted By: trip2
Date Posted: Jul 31 2010 at 1:47pm
|
Lorene, thank you for sharing..
It is so encouraging to read how long you guys have been out from treatment!
No at this point I don't think there is any one answer. We all have to do what we feel
is best.
------------- Stage 2 2003
Stage 1 2007
BRCA 1+
|
Posted By: trip2
Date Posted: Jul 31 2010 at 1:56pm
|
Hi Hummie, we feel your frustration believe me! No I do not think wearing a t-shirt like that would be to "in your face". We need to get this out in everyone's face so that they will understand how nasty TNBC can be.
Thank heavens for this Foundation forming and increasing awareness, research, etc., to help us, it is a huge huge gift.
The TNBCF does have a link near the top where you can shop for items with their logo. I have bought a shirt and hoodie, both of which have been very nice.
I bought another shirt one time, it expressed my feelings about Cancer in two words. I have become less shy after going thru all of this nightmare. I decided to get red with white letters and proudly wear it. I want people to read my shirt. Nothing profane in the words just loud and clear!
------------- Stage 2 2003
Stage 1 2007
BRCA 1+
|
Posted By: hummingbird10
Date Posted: Jul 31 2010 at 2:16pm
|
Kim, I think your situation and mine have a lot in common. I strongly believe that the radiation
did not see the mass in my left breast. I do remember asking for an ultrasound or MRI for
people with density and was told it wasn't necessary---that was a lie in my opinion. I did
call my "former" ob's office and gave the nurse an update of what has happened to me since.
They need to be educated from patients sometimes as well. This was also the dr. who put we
on HRT since I had had a hysterectomy, etc. It was an HRT compounded based on "spit test"
results. Who knows if this caused any of this? We will never know.
Hummie
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Posted By: hummingbird10
Date Posted: Jul 31 2010 at 2:20pm
|
Hi Pam,
Thanks for the permission to wear the message. I think I know the two words that
you wear---excellent!!!! Yes, we need to support the TNBCF and the hoodie is definately
very cute. With fall coming up, that's a good idea.
Pam, where did you get your "letters" for the shirt?
Thanks,
Hummie on the Cure Path
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Posted By: hummingbird10
Date Posted: Jul 31 2010 at 2:25pm
|
Lorene,
Thank you very much for sharing the good news of out of treatment and feeling good.
It is inspiring.
Can you tell us more about where you shop or what to buy to avoid additives and preservatives?
Would that be all "organic"?
Thanks,
Hummie
|
Posted By: hummingbird10
Date Posted: Jul 31 2010 at 2:28pm
|
Sue,
Interesting info on breast density. Congrats on maintaining the 23-24 mos. of everything
going well. Are you eating a special diet of somekind? more fruits and veggies? anything
in particular?
Thanks,
Hummie
|
Posted By: trip2
Date Posted: Jul 31 2010 at 5:29pm
|
Hummie,
I ordered the shirt already pre-printed online, I didn't do it myself. The first word begins with a C and the second with a S.
If you decide you want to take supplements you will have to discuss this with your Onc first. They usually don't want you taking them while doing chemo.
There are some threads around here discussing diet and supplements. Try using the Search feature, play with the words a bit and you should pull up some things previously said.
------------- Stage 2 2003
Stage 1 2007
BRCA 1+
|
Posted By: Lorene
Date Posted: Jul 31 2010 at 6:16pm
|
Dear Hummie,
I eat foods in their natural state as much as possible, which eliminates the preservative problems. I do buy some organic canned pintos at Krogers, which has only water and a litttle salt. I don't buy much organic fresh fruits & vegetables, but do use a fruit & vegetable wash for all the produce. I eat very little animal protein, but when I do, I buy the hormone-free, pesticide-free beef at Publix under the brand name Greenwise. They also have a Greenwise section in the store with a variety of foods. I basically eat what is now called an anti-inflammatory diet, including good fats, very little sugar, if any at all. I also try to eliminate pesticides or toxins in all areas. . .personal products I use, skin care, and household cleaners. I hope this will be helpful to you, and if I can help further, let me know.
Healthy Journeying,
Lorene
------------- dx10/01@age59,IDC TNBC, St.IIB,Gr3,2.5cm,3+nodes, epirubicin,5FU,cytoxan,33Rads,No recurrence, 2018
|
Posted By: hummingbird10
Date Posted: Jul 31 2010 at 8:47pm
|
Hi Lorene,
I shop at Krogers, will be looking for the pintos.
I believe they carry the hormone-free beef also.
What is the fruit and vegetable wash for produce? I've never heard/seen this.
How long have you been on this eating regime? all 9 yrs. since dx ?
Thank you very much,
Hummie
PS: Would oatmeal and cream of wheat count?
|
Posted By: Autumn10182001
Date Posted: Jul 31 2010 at 9:52pm
|
Lorene, I eat similiar to you, at least since treatment which ended last October. i was told to avoid beans and grains because they are acidic ? do you eat those. I eat about 70% organic, and only multigrain or sprouted grains when I eat those. I went from 3-4 cups of coffee a day to 3 or 4 a week. I do eat some dairy, I just can't give up the cheese, and I eat Tuna steaks and chicken breast.. mostly. Red meat once a week.
I eat lots of veggies, raw and cooked, and fruit, and try to eat the fruit with low glycemic index... I track every thing I eat, for July, I had 192 servings of fruits and veggies, I did have dessert twice, but of course the serving size of any dessert now is a sliver, compared to what used to be a two piece side, and today, for the first time in months, I treated my self to a root beer soda.. I have 29 yrs sober today, and really wanted a root beer.. so... I did..
------------- DX2/99 Stg I,ER+PR+ Chemo lumpectomy - Neg nodes,rads, tamox,femara. DX4/09, Stg IIB /III, TNBC IDC, Grade III, 2.5CM, mastectomy. 4AC DD,12 wkly taxol,BRAC1&2Neg, Right Mast 11/25/09
|
Posted By: mainsailset
Date Posted: Jul 31 2010 at 9:54pm
Ladies are you aware that canned goods use BPA in their lining? THe same BPA that we has all of us up in arms from the plastic water bottles? I now only buy things in jars and for hte pinto beans I buy them dried and cook them up myself, it's pretty much a no brainer to do it so I figure why not.
------------- dx 7/08 TN 14x6.5x5.5 cm tumor
3 Lymph nodes involved, Taxol/Sunitab+AC, 5/09 dbl masectomy, path 2mm tumor removed, lymphs all clear, RAD 32 finished 9/11/09. 9/28 CT clear 10/18/10 CT clear
|
Posted By: 123Donna
Date Posted: Jul 31 2010 at 10:41pm
Mainy,
My son did a paper in college about BPA and he told me it's in the can lining also. I posted a link about how it's on the cash register receipts also. It seems like it's in everything we touch. Pretty scary stuff!
------------- 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
|
Posted By: Lorene
Date Posted: Aug 01 2010 at 12:09am
|
Hummie,
I use Veggie Wash I usually find in the Produce dept, or a Health Food store. My intention for a healthy diet was with me when I was first diagnosed, but the actual diet has evolved over time and I'm always open to changing something if it will be better. Note the 2 posts about the canned pinto beans. The dried pintos would certainly be the better choice. And I do eat oatmeal and cream of wheat, especially like them with fresh blueberries. Dr. Andrew Weil has a book entitled "Healthy Aging" that includes what type foods to include in each food group for the Anti-inflammatory Diet. I have a small paperback.
I hope this helps.
Lorene
------------- dx10/01@age59,IDC TNBC, St.IIB,Gr3,2.5cm,3+nodes, epirubicin,5FU,cytoxan,33Rads,No recurrence, 2018
|
Posted By: bjoangtx
Date Posted: Aug 01 2010 at 12:25am
|
My understanding is that all the studies date OS and PFS from date of dx. So all the statistic, charts and graphs I see represent counting survival from the date of DX. Given the variations in tx it seems to be the only consistent way to track for research purposes.
I'm curious about the incredibly wide variations I have seen with the CA 27/29 tumor markers. They range from the 20's to over 500 sometimes 1000. With such wide variations how is this a reliable indicator of anything? But it's the blood test my soon to be former onc chooses to run. I don't see why. I figure Steve has the info on this.
Thanks.
------------- St 2 Gr 3 2/5 nodes dx 8/9 age 56 Neoadj ACT @ x 6 @3wks bi mst. 12/09 Infect expander 12/31 remvd, replcd 1/27. 28 rads 4/10 Brkn rib 5/10 PET 6/10 NED Recon 9/17 & 12/10 Ki67 85% basal
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Posted By: Eileen
Date Posted: Aug 01 2010 at 8:47am
I too have a concern over tumor markers, maybe Steve has the answers. I am over 2 years out and my CEA level keeps creeping up (1.7, 2.1 and now 2.8) still within normal I also live with a smoker. Is this something I should persue or am I being over sensitive. My mammos, physical and I feel fine. Had colonscopy last sept. and all clear. Does stress have any play, My mom has been real sick lately. Thanks for any help Eileen
------------- DX:2/08,3/08 lumpectomy with SNB, clear margins, no lymph node involvement, 4 cycles A/C (dose dense) every 2 weeks, 4 cycles Taxol (dose dense) every 2 weeks, 33 rads finished 9/08, BRCA 1 and 2 neg
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Posted By: 123Donna
Date Posted: Aug 01 2010 at 9:22am
Eileen,
What is a CEA level?
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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Posted By: SagePatientAdvocates
Date Posted: Aug 01 2010 at 9:34am
|
Dear Donna,
http://www.labtestsonline.org/understanding/analytes/cea/test.html - http://www.labtestsonline.org/understanding/analytes/cea/test.html
hugs,
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
|
Posted By: suzannek
Date Posted: Aug 01 2010 at 11:15am
|
Dear Hummie
No special diet. I try to eat as much fruits and vegetables as possible and take Vitamin D. I also take a baby aspirin. A study came out this year with 4000 nurses who had breast cancer. Of the nurses who had taken aspirin (no unified dosage or reason why they were taking aspirin), their recurrence rate was 70% lower than the nurses who didn't take aspirin. Even though this study wasn't controlled and I am sure someone somewhere will do a controlled study, it was enough evidence for me to start taking the aspirin. It can't hurt much, right? and plus there is a lower risk of heart attacks. The downside, hard on my Adriamycin shredded stomach lining.
There is evidence that there is a lower recurrence rate among TNBC ladies who are not overweight. Despite exercising quite a bit and trying to eat healthily, I am still overweight though I am losing a little.
The Wellness Center in my community has a Cancer Survivor cooking class which I go to and learn healthy recipes.
------------- Sue Age 56
Stage 2A, no nodes 3 cm, TNBC,Grade 3
Lumps removed 10-07-08, 10-27-08
nodes clean:
Began chemo 12-2-08
4xAC, 4xT dose dense
3 weeks radiation
http://suzannekesten2.blogspot.com/
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Posted By: Lorene
Date Posted: Aug 01 2010 at 2:25pm
|
Dear Autumn,
It sounds like you're into a healthy organic diet with multi-grain & sprouted grains, fish & chicken. I eat cheese too (low-fat) & yogurt & don't think the anti-inflammatory diet excludes dairy. I do drink soy milk, tho'. I do eat beans (pinto, great northern, black-eye peas, etc.) & don't know about the acid issue. I'll have to look into that. Your raw veggies important too.
Personally, I don't think an occasional indulgence is harmful. I keep on hand Lindz's dark chocolate squares (70 or 85% cacoa) & have 1 small square occasionally. It's enough to satisfy. I actually have a distaste for most of the highly seasoned, high fat dishes that seem to have diluted its taste, but I crave the taste of the simple, natural foods with its flavor intact.
Thanks for sharing. Did you go 10 years between diagnoses?
Lorene
------------- dx10/01@age59,IDC TNBC, St.IIB,Gr3,2.5cm,3+nodes, epirubicin,5FU,cytoxan,33Rads,No recurrence, 2018
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Posted By: trip2
Date Posted: Aug 01 2010 at 3:12pm
|
bjoangtx,
My soon to be ex-Onc, well her PA, actually told me a couple of weeks ago that they don't do marker testing. Said they were too unreliable.
http://www.cancer.org/Treatment/UnderstandingYourDiagnosis/ExamsandTestDescriptions/TumorMarkers/index?sitearea=PED - http://www.cancer.org/Treatment/UnderstandingYourDiagnosis/ExamsandTestDescriptions/TumorMarkers/index?sitearea=PED
http://breastcancer.about.com/od/tumormarkers/f/ca27-29.htm - http://breastcancer.about.com/od/tumormarkers/f/ca27-29.htm
http://www.mayomedicallaboratories.com/test-catalog/print.php?unit_code=81413 - http://www.mayomedicallaboratories.com/test-catalog/print.php?unit_code=81413
------------- Stage 2 2003
Stage 1 2007
BRCA 1+
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Posted By: Messall
Date Posted: Aug 01 2010 at 9:18pm
|
Hummingbird I met one thqt got it at 33 years old and they did wrong chemo. she was 38 years old with not good outcome. But of all the people I met she was the only one and I went to a big facility too.
Messall
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Posted By: hummingbird10
Date Posted: Aug 01 2010 at 9:46pm
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Suzanne,
I agree that a baby aspirin shouldn't do harm. I used to take full size ones pretty frequently
before this diagnosis. I need to work on the weight issue. If we eat healthy during chemo,
why do they say not to lose weight during it? It's actually easier to lose weight, and I've got
some serious weight to lose. It makes me mad, too, because I come from a long line of skinny
family members on both sides, especially my mother's side. She weighs 87 lbs. and my
grandmother and aunt were the same maybe no higher than 100 or so. I finally did get on
thyroid awhile ago. It does help.
I need to find a wellness center close to here.
Thank you,
Hummie
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Posted By: hummingbird10
Date Posted: Aug 01 2010 at 9:51pm
|
Hi Messall,
I just don't think there are many of them out there. I'm going to ask to be introduced to one
at my next chemo treatment or carry a sign "If you're TNBC too, tell me!"
I do like the idea of somehow all getting together. Maybe we should go to Congress and
address it about the concerns for Triples and needed research, especially when the FDA is
taking away Avastin. I'm not much as a speaker, but I'd sure go there if a group could get
in to speak about the need for research for our subtype.
Hummie/Hummingbird
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Posted By: hummingbird10
Date Posted: Aug 01 2010 at 9:57pm
|
Pam,
Are you considering going to the Mayo for the testing (from your link above)?
Thank you very much for posting that link. It's good info.
If you get the marker testing, based on the results, what kinds of treatment
are available?
This is very interesting info.
Hummie
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Posted By: 123Donna
Date Posted: Aug 01 2010 at 10:11pm
Hummie,
I've posted this before, but my best friend since 7th grade was dx with tnbc a little over a year prior to me. How weird is that? Makes me believe there is a strong environmental factor to this disease.
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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Posted By: zoomommy2
Date Posted: Aug 01 2010 at 10:14pm
|
Pam,
That's what my oncologist said. He said he's seen too many false positives and false negatives to do them. He doesn't want to give people good or bad news when it isn't warranted. I still wish he'd do something besides having me wait for symptoms.
Lee in Denver
------------- dx6/09,stageII,gr3,(L)mastectomy 7/09,ACx4,Taxolx7,Avastin study,gall bladder surgery 1/10,4/11 Stage 4, mets to lung, 4/11 Started Taxotere and Xeloda, 5/11 Taxotere stopped, off Xeloda
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Posted By: Autumn10182001
Date Posted: Aug 01 2010 at 11:06pm
Yes i was 10 years in between dx's. my firs BC dx was ER+ and PR+, the 2nd one is TN.... both in the same breast, but two different BC's.
------------- DX2/99 Stg I,ER+PR+ Chemo lumpectomy - Neg nodes,rads, tamox,femara. DX4/09, Stg IIB /III, TNBC IDC, Grade III, 2.5CM, mastectomy. 4AC DD,12 wkly taxol,BRAC1&2Neg, Right Mast 11/25/09
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Posted By: Julia
Date Posted: Aug 02 2010 at 4:26am
I've met one other TNBCer - at a Look Good Feel Better event. She came up to me and said "I hear you've got triple-negative, too. You don't meet many of us - we're all dead!" Fortunately we both found that hilarious and had a great time together.
------------- Diag. 3/09 TNBC, IBC, 55mm.
4 rounds AC, 4 weekly Paclitaxol.
Mastectomy & axillary clearance 8/09. No nodal involvement. 25 doses rads.
2 more rounds of A/C, 6 months low-dose CMF.
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Posted By: hummingbird10
Date Posted: Aug 02 2010 at 10:18am
|
Donna,
It is very strange your friend would get it also within a short period of time.
I, too, believe "environment" has a lot to do with it. There is so much to
do in that arena it's hard to know where to start. We can continue to
stay as close to natural foods and products and avoid any for of
contaminant is my guess.
Take care  ---Hummingbirds on the attack of TNBC
Hummie
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Posted By: hummingbird10
Date Posted: Aug 02 2010 at 10:22am
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Julia,
I'm scheduled for one of those event soon. I'll see it I meet anyone.
Great comment!
Will let you know if I ever find one. Should I wear a sign on my back?
Hummie
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Posted By: Carol (Tenn)
Date Posted: Aug 02 2010 at 11:22am
I live in a small town and I asked both my surgeon and onc if they had any other TNbc patients. They both said yes, but couldn't divulge their identity due to privacy concerns...but I like the idea of the sign on your back..
------------- 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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Posted By: trip2
Date Posted: Aug 02 2010 at 11:32am
I vote for the sign, you just may make someone's day!
------------- Stage 2 2003
Stage 1 2007
BRCA 1+
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Posted By: trip2
Date Posted: Aug 02 2010 at 11:44am
|
Hummie,
It is more common to have the marker's done when one has metastatic disease to see how they are doing according to one of those links I gave you.
No I don't plan on going to Mayo, too far away.
Weight and chemo.. http://www.chemocare.com/managing/weight_changes.asp - http://www.chemocare.com/managing/weight_changes.asp
http://www.amoena.com/tbcs/InTreatment/Chemotherapy/WeightGain.htm - http://www.amoena.com/tbcs/InTreatment/Chemotherapy/WeightGain.htm
Have a good one,
------------- Stage 2 2003
Stage 1 2007
BRCA 1+
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Posted By: SagePatientAdvocates
Date Posted: Aug 02 2010 at 12:18pm
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Dear Eileen and bjoangtx,
I am not a doctor so please don't rely on anything I say..this is a conversation with your oncologist and just as oncologists may recommend various chemo protocols that also have different views on markers...
In general, I think it is clear that no marker is perfect and some are very imperfect..Nevertheless, it is my impression that most oncologists/physicians doing surveillance still recommend using them because at times, they work especially if there is a profound upward trend..but, again, even with that trend, at times, the markers are still not efficient...very frustrating..I personally am doing surveillance for pancreatic cancer and use the CA19-9 marker...again, often inaccurate I have been told but especially if it goes crazy on the up side it would perhaps dictate diagnostic tests. my daughter is still doing surveillance, six years after her breast surgery...it is now done on an annual basis but markers are still used..markers for gynecologic cancer as well even thogh she had surgery...she is still at risk for primary peritoneal cancer and even though CA-125 is a lousy marker most doctors are still using it..if anyone is doing surveillance for ovarian cancer recurrence you might ask your gynecologist or gyn/oncologist about HE4 test..Steve
http://www.genomeweb.com/blog/fda-approves-abbotts-he4-ovarian-cancer-monitoring-assay - http://www.genomeweb.com/blog/fda-approves-abbotts-he4-ovarian-cancer-monitoring-assay
------------- 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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Posted By: trip2
Date Posted: Aug 02 2010 at 12:25pm
Steve I want to congratulate your daughter, 6 years, how wonderful!
------------- Stage 2 2003
Stage 1 2007
BRCA 1+
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Posted By: SagePatientAdvocates
Date Posted: Aug 02 2010 at 12:29pm
|
Dear Pam,
thank you so much, dear friend...I will be seeing her in NY next week...can't wait..
hugs,
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
|
Posted By: Lorene
Date Posted: Aug 02 2010 at 12:34pm
|
zoomommy2,
I guess I missed previous discussions, but what tests was your onc. speaking of there being too many false positives and false negatives? I don't remember your story. What symptoms are you watching out for? I'm waiting to have a post-mammogram a month after my core needle biopsy. Reading about the mistakes Drs. make raises the anxiety level!
Lorene
------------- dx10/01@age59,IDC TNBC, St.IIB,Gr3,2.5cm,3+nodes, epirubicin,5FU,cytoxan,33Rads,No recurrence, 2018
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Posted By: 123Donna
Date Posted: Aug 02 2010 at 2:29pm
Steve,
My onc agrees with what you said. Tumor markers aren't perfect but they will show a trend. She monitors mine and last November when the CA 27.29 spiked, they did a CT scan. It's not perfect but does give a trend and if the numbers change drastically, it may mean more surveillance and testing.
My df, who had tnbc, now has peritonneal cancer. Her new onc is monitoring the effectiveness of the chemo treatment with the tumor marker, CA 125.
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
|
Posted By: hummingbird10
Date Posted: Aug 02 2010 at 7:17pm
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Hi All,
I have my sign ready for tomorrow. Can't wait to wear it--
pink with bold lettering ----will let you guys know if anyone
says they are a "triple."
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Posted By: zoomommy2
Date Posted: Aug 03 2010 at 2:23pm
|
Lorene,
My oncologist doesn't do tumor markers for breast cancer because he has seen too many false positives and false negatives to have too much faith in them. He said he doesn't want to give women the wrong information based on them. I don't really know what "symptoms" I'm supposed to wait for. I felt fine before I discovered a golf ball size tumor in my left breast. Of course I do breast exams myself and every doctor that sees me does, too. I try not to concern myself about the everyday aches and pains since chemo. I see the onc every 3 months for 2 years. It disturbed me when he said that once you've had a mastectomy and chemo that your relapse rate isn't all that different from non TNBC!
Lee in Denver
------------- dx6/09,stageII,gr3,(L)mastectomy 7/09,ACx4,Taxolx7,Avastin study,gall bladder surgery 1/10,4/11 Stage 4, mets to lung, 4/11 Started Taxotere and Xeloda, 5/11 Taxotere stopped, off Xeloda
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Posted By: hummingbird10
Date Posted: Aug 03 2010 at 3:27pm
|
Hi all,
The sign WORKED!! Met TWO triples, can you believe it!!!
It was great. I think they were as amazed as I was.
More later. Just came back from chemo.
Hummingbird10
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Posted By: zoomommy2
Date Posted: Aug 03 2010 at 5:56pm
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Hummingbird,
I'm sure they were as excited to find you as you found them!
Lee in Denver
------------- dx6/09,stageII,gr3,(L)mastectomy 7/09,ACx4,Taxolx7,Avastin study,gall bladder surgery 1/10,4/11 Stage 4, mets to lung, 4/11 Started Taxotere and Xeloda, 5/11 Taxotere stopped, off Xeloda
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Posted By: The Texas Woman
Date Posted: Aug 03 2010 at 6:35pm
The mother of a friend of my daughter's has just been diagnosed with inflammatory TNBC.
In June we even had an obit where TNBC was mentioned. It was shocking to see in that context for my family and me but it does get the word out about how deadly this disease is and how badly we need a cure.
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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Posted By: outnumbered
Date Posted: Aug 03 2010 at 7:28pm
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I was just involved in a photoshoot for my local Komen Affiliate which is on billboards at trainstations and I made a point of mentioning my TN status. That has been my soap box for the last 18 months, and I will not step off of it. Heres the link if you are interested, I am at the end (alphabetical by first name).
http://www.komencsnj.org/site/PageServer?pagename=SupportYourLocalBreasts - http://www.komencsnj.org/site/PageServer?pagename=SupportYourLocalBreasts
I was dx a week after a neighbor and within the last 2 years there have been 12 of us dx in my neighborhood and another close neighborhood. We are all under 50, 4 of us are TN. 2 of us are BRCA+. Very creepy.
I also have always been told I had dense fibrocystic breasts, but never that it caused any risk other than its difficult to see anything on a mammo.
Aside from the CA 125 (because of my BRCA+ status) I have never had a tumor marker test. I see my onc every 6 months and she tells me all my aches are not cancer related, and that is it for me. They tell me pain would need to be "persistant, profound, and worsening" before they will be alarmed. So I try to use that guide to keep myself sane. I am not always successful.
Best wishes to everyone.
XO
------------- ~Sara
DX @ age 40 6/24/08 Stage 1 Grade 3 BRCA1+ 187delAG
BMX (nipple-areola-sparing) 8/5/08
Redo BMX (remove nipple and areola) w/ Lat Flap 7/6/09
BSO 9/3/09
NED since 08/05/2008
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Posted By: trip2
Date Posted: Aug 05 2010 at 7:37pm
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Hummie, you are kidding, two? That is awesome, how exciting for the 3 of you.
The sign worked!
Take it easy and listen to your body. If you feel tired be sure and lay down and drink
plenty of water.
Hope you do well after you infusion.
------------- Stage 2 2003
Stage 1 2007
BRCA 1+
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