CT scan this morning
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Topic: CT scan this morning
Posted By: btstark2003
Subject: CT scan this morning
Date Posted: Jan 24 2012 at 7:08am
All,
Most of you have been in my place before, trying to manage your anxiety before a scan of some sort.
I am up before dawn so I can suck down 2 cups of coffee prior to the 4 hrs of no food/liquids leading up to a CT scan scheduled for 9:20 am this morning. I also have a lot of work to get done and these early morning hours are quiet and productive ones.
The results of this CT scan will determine whether I can have surgery to remove what is remaining of the subclavicular tumor that we found in early August. So it's a big day. My surgeon will give us the results around 11 am this morning, and if all looks OK then we will plan the surgery.
The last scan in early Nov. showed substantial shrinkage of that little monster thanks to the gem/carbo regimen, and it feels a even a little smaller to me now after 5 more treatments and there is no evidence of any mets anywhere else. So I am choosing to believe that all will be well and I can have my surgery.
Isn't it weird to be PRAYING for a surgery that is going to disfigure you for life? But I am so far past worrying about the aesthetics - I just want to live! I will embrace my hollowed out right chest and missing chunks of pectoral muscle and happily say bye-bye to the implant (surgeon says it all needs to go) and will be grateful for it all if I can just have this chance to clear my body of the wretched cancer and live to help raise my daughters.
When I was discussing the upcoming CAT scan with my mother a few days ago and my precious 9 yr old daughter, Kaci, who is pretty knowledgeable about all of this diagnostic terminology by now, heard the worry in my voice Kaci said, "Well I sure hope they don't find any cats!" She is my constant beam of sunshine and can always make me laugh! So now if my thoughts wander to a dark place, I just think about the cats. Thank God for Kaci.
Beth
------------- 2008 Stg1 TNBC, LX, FEC+T, rads 2010 2.5cm tumor BRCA-, BMX,CMF 2011 LN mets, Gem/Carbo, surgery, rads 2012 lung mets, PI3Ki/taxo 2013 anti-PD-1 2014/15 Xeloda, IMMU-132, eribulin Aug 2015 Keytruda
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Replies:
Posted By: 123Donna
Date Posted: Jan 24 2012 at 8:06am
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Beth,< ="text/" ="" ="/B1D671CF-E532-4481-99AA-19F420D90332etdefender/huidhui.js?0=0&0=0&0=0">
I just wanted you to know that I'm thinking of you and praying for a good scan. I totally understand the anxiety you are going through right now, but at least you'll get your results right away. I have my fingers crossed that you'll get fantastic news and hopefully they'll find "no cats", lol. Your daughter sounds precious and able to find the joy in life. I think sometimes we need to find some humor in all of this.
Hugs, 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: ann u
Date Posted: Jan 24 2012 at 9:26am
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Thoughts, prayers, and finger-crossing for a good scan!
Ann
------------- 8/06: IDC 1cm, 0/9 lymph nodes, lumpectomy, Mammosite radiation, 4 x A/C
5/07: BRCA1+ (5382insC)
11/09: IDC 3mm, double mastectomy w/reconstruction
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Posted By: Charlene
Date Posted: Jan 24 2012 at 9:31am
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Beth,
I'm praying for you to have a good scan, successful surgery, and NED for a long, long time to come.
Charlene
------------- DX 3/10 @59 ILC/TNBC Stage 1, Grade 2, Multifocal; Lumpectomy/re-excision SNB 0/4 nodes, BRCA-; Taxotere/Cytoxan X4, 30 rads 3/14:NED
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Posted By: janet c.
Date Posted: Jan 24 2012 at 10:09am
Beth,
I wish you luck on your CAT Scan today. Your daughter sounds precious. I hope you live a very long, happy, healthy life. Good wishes sent your way.
Janet
------------- dx 12/08 @47yrs.old TNBC stage 2a grade 3, 2.1cm. partial mastectomy sentinal node negative BRACA negative Cytocan/Taxatere x4 radiation 36 or 38rounds
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Posted By: sue
Date Posted: Jan 24 2012 at 10:28am
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Thinking of you and prayers being sent your way for good news.
Love and Peace, Sue
------------- Dx 7/10, age 53. TNBC left breast, stage I, grade 3, IDC 0.5 cm, DCI 2.5 cm, 0/8 lymph nodes neg. BRCA-. T/C x4 finished 2/09/11, rads x34 finished 4/21/11.
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Posted By: Tonya98
Date Posted: Jan 24 2012 at 11:53am
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Praying that all is well and you can move onto surgery.
------------- 2/1/07 -IDC 2.5cm node positive her2+ ACT&herceptin.
1/8/08 recurrence to skin -triple negative. 07/23/10 -chest wall. Parp trial 9/10 - present. Iniparib ending November 2015 Stable 9/19/2016
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Posted By: LRM216
Date Posted: Jan 24 2012 at 10:33pm
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Praying for you and sending all good thoughts that scan is good and you can proceed as you have planned. I so commiserate with you on the scan "waiting." Just had a bone scan today to investigate a small sclerotic lesion on my T12. I hate what this disease does to us. Wishing you all good things,
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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Posted By: Allison
Date Posted: Jan 24 2012 at 11:16pm
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Beth,
Fingers, toes and everything else is crossed for you!! and I think I'll throw in a couple of "meows" in just for good measure!!!!
Keeping you in my thoughts, Allison
------------- 9/07 IDC, trip neg, BRAC-, Lumpectomy with SNB (all clear) 10/07, FEC & Taxatere 11/07 - 2/08, 32 rads, 3/08 - 5/08.
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Posted By: dmwolf
Date Posted: Jan 25 2012 at 7:07pm
Beth, I'm sending out all my best beams of magic. Good luck, sweetie. love, d
------------- 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: Jan 25 2012 at 7:19pm
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Beth,
How did this scan go? Did you meet with your surgeon? I hope the news was good.
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: btstark2003
Date Posted: Jan 26 2012 at 12:05pm
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Hi all,
Thanks for your kind wishes and prayers. CT scan was pretty good (tumor is stable but still 2 cm) and no other mets showing up outside of the subclavicular lymph nodes, so we will proceed to surgery! Last gem/carbo treatment was yesterday and surgery on Feb 20. Both implants are coming out and I really don't mind because they are uncomfortable and don't look that great anyway.
So now we are just hoping for good results from the pathology report in late February/early March - praying for clean margins. The plan is to do more radiation tx post-surgery and maybe even brachytherapy starting 4-5 days after surgery - a radioactive wire inserted directly to the surgery site.
Hugs to all, Beth
------------- 2008 Stg1 TNBC, LX, FEC+T, rads 2010 2.5cm tumor BRCA-, BMX,CMF 2011 LN mets, Gem/Carbo, surgery, rads 2012 lung mets, PI3Ki/taxo 2013 anti-PD-1 2014/15 Xeloda, IMMU-132, eribulin Aug 2015 Keytruda
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Posted By: 123Donna
Date Posted: Jan 26 2012 at 12:18pm
Beth,
I know you were probably hoping for no signs of the tumor, but you had a 60% reduction in the tumor! I pray that the surgery is a success and that the radiation zaps anything left.
Hugs, 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: btstark2003
Date Posted: Jan 26 2012 at 1:18pm
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Donna,
At least it's operable now and I can get all the axillary and subclav. LN removed which should really help prevent another recurrence in my particular case. So I'm happy and greatly relieved for now.
Beth
------------- 2008 Stg1 TNBC, LX, FEC+T, rads 2010 2.5cm tumor BRCA-, BMX,CMF 2011 LN mets, Gem/Carbo, surgery, rads 2012 lung mets, PI3Ki/taxo 2013 anti-PD-1 2014/15 Xeloda, IMMU-132, eribulin Aug 2015 Keytruda
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Posted By: dmwolf
Date Posted: Jan 26 2012 at 2:15pm
Beth, wow, this is great news!! NED here you come! love, d
------------- 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: Charlene
Date Posted: Jan 26 2012 at 2:30pm
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Beth, so glad to hear that your surgery is on and that things are looking UP!
Charlene
------------- DX 3/10 @59 ILC/TNBC Stage 1, Grade 2, Multifocal; Lumpectomy/re-excision SNB 0/4 nodes, BRCA-; Taxotere/Cytoxan X4, 30 rads 3/14:NED
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Posted By: denise07
Date Posted: Jan 28 2012 at 2:00pm
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Beth,
So glad you are going to have surgery soon. Praying for the best,NED is on it's way!!!!
------------- DX Idc 10/07,st2,gr3,2/6 lymphnodes
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Posted By: christina1961
Date Posted: Jan 28 2012 at 2:36pm
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Beth, I am so happy that you are going to be able to have the surgery. It sounds like you are in very good hands with your team. Wishing you a rapid recovery!
------------- 2.5 cm TNBC, BRCA-, diag. 2/11, neoadj chemotherapy, uni MX, y2cm,2/16 nodes, RCBII, tumor retested 5-10%ER+,PR-,Her2-, rads, clin trial eribulin 10/11-2/12, tamox.
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Posted By: faithful
Date Posted: Jan 28 2012 at 3:32pm
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I'm so Happy for you that your scans were good. I will pray for a safe surgical recovery.
Meow!!!
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Posted By: katem2010
Date Posted: Jan 31 2012 at 2:10pm
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Beth, I am so happy with your news. It seems to be offering you such a big chance for NED. During my mastectomy, I had some deeper chest muscle/tissue removed. I did not have reconstruction/ implants. I don't regret it. It was a good choice for me because my measurements have changed: forst due to the swelling and then secondly because I built up what muscle was still there by exercising. I still have a dent in my chest but let me pass on something about our new physique. "Women, forever, have done ridiculous tings to their bodies in the name of fashion. Just the other day I read where women are having their toes clipped in order to fit into "classy' "high end ". Not sure what this really does -afterall how classy does your "end" get and exactly how high? The thing we forget about is the story of women who fight hard, learn lessons most of us don't have to and still think life is fun. Its time to recognize that the fashion of the day is honor and courage. And what is more honorable and courageous than going thru something difficult to ease the life of a child? You are a courageous and honorable human being, Beth, and I wish for you the very best. I wish also that your daughter has someone who can tell her just how courageous and fashionable her Mom is. Love ya, Kate
------------- Metastatic to lungs 1/2011,Original dx 10/2009,6cm
R mastectomy, radiation, ACplus taxol, navelbine, gemcitibine, now in phase two trial for abraxane tigatuzumab combo
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Posted By: btstark2003
Date Posted: Feb 19 2012 at 10:41pm
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Kate and all,
I hope you are all doing ok and your cancer is staying under control. Your posts have meant so much to me! After all the sad news of our dear TNBC sisters Kim and Caryn and Barbi and Jloon (Jackie) of the past few weeks I needed to read something uplifting so I read your notes above again.
My surgery is in just a few days (postponed to 2/22 due to surgeon's schedule). I am actually looking forward to it because I so desperately want this tumor cut out of my body. I have been living with it since early August and I HATE IT. It's not me - it's a mutated form of me and I want it gone.
The deaths of our dear sisters makes my heart ache for their motherless children. But I am also reminded of just how fortunate I am that my disease is still operable and I still have a fighting chance. And the courageous fights that Kim and Caryn and Barbi and Jacki waged are an inspiration - I can make it through this surgery, and then through the brachytherapy and then through another 6-7 weeks of radiation and maybe by early May I will be NED and regaining my strenghth.
I am blessed that both of my sets of parents and my youngest sister (a nurse) are coming to town to support me and my husband and girls for the surgery. All the love and prayers that everyone sends really do help, don't they?
Love to all,
Beth
------------- 2008 Stg1 TNBC, LX, FEC+T, rads 2010 2.5cm tumor BRCA-, BMX,CMF 2011 LN mets, Gem/Carbo, surgery, rads 2012 lung mets, PI3Ki/taxo 2013 anti-PD-1 2014/15 Xeloda, IMMU-132, eribulin Aug 2015 Keytruda
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Posted By: suec
Date Posted: Feb 20 2012 at 8:28am
Beth, thinking of you and hoping for clear margins and quick recovery. suec
------------- tnbc 3b: partial mas 5/06; 6 rounds FEC; 36 rad; 05/09-mets to bone; xeloda, avastin, zometa; gemzar & avastin; rads to hips; 8 mo on methotrexate+5fu; 5/11 mets to liver/lung; halevan fails;carb&Abrx
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Posted By: Charlene
Date Posted: Feb 20 2012 at 8:34am
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Beth,
It's good to see your post. I'll be praying for your full and fast recovery from surgery and from this disease. How wonderful that you have your family for support during this time.
Charlene
------------- DX 3/10 @59 ILC/TNBC Stage 1, Grade 2, Multifocal; Lumpectomy/re-excision SNB 0/4 nodes, BRCA-; Taxotere/Cytoxan X4, 30 rads 3/14:NED
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Posted By: 123Donna
Date Posted: Feb 20 2012 at 12:15pm
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Beth,
I'm thinking only positive thoughts for you as you approach surgery. Dr. M is a gifted surgeon. It will be so helpful having the parents, sister, your husband and girls around to help you recover.
Hugs,
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: LRM216
Date Posted: Feb 20 2012 at 9:10pm
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Beth:
Sending you love and hugs, and best wishes that this will all be over soon for you and onto a speedy uneventful recovery. We'll be there with you, hang in there!
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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Posted By: katem2010
Date Posted: Feb 27 2012 at 7:15pm
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Beth, I have been a bit out of touch but I am hoping all is going well for you. This is a puzzling and difficult time for all of us but it has also been such a period of grace for me. I have met so many wonderfully strong and supportive people just here on these forums. It has meant the world to me. May you also find the same. I long-distantly pour all my love and all my hope towards you and your family. Kate
------------- Metastatic to lungs 1/2011,Original dx 10/2009,6cm
R mastectomy, radiation, ACplus taxol, navelbine, gemcitibine, now in phase two trial for abraxane tigatuzumab combo
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Posted By: SagePatientAdvocates
Date Posted: Feb 27 2012 at 7:37pm
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Dear Beth,
some how, with apologies, I believe I missed this entire thread.
Just would like you to know that you are in my prayers,
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: 123Donna
Date Posted: Feb 27 2012 at 7:46pm
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Beth,
Please post and give us an update on your surgery and how you're doing. Thinking of you dear friend.
Hugs,
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: LRM216
Date Posted: Feb 28 2012 at 8:24am
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My sentiments are as Donna's. Sending you all the best and look forward to hearing from you when you are able.
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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Posted By: 123Donna
Date Posted: Feb 28 2012 at 8:41am
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Beth sent me a message that she was doing great. Hopefully she'll feel up to it soon to post in more detail. We love you Beth and sending healing thoughts and hugs your way.
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: LRM216
Date Posted: Feb 28 2012 at 8:51am
Thanks, Donna and to Beth - a speedy and good recovery!
------------- 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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Posted By: TNBC_in_NS
Date Posted: Feb 28 2012 at 5:20pm
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Beth:
I must have missed this thread too?! So glad you had your surgery and hopefully it went GREAT!
Thanks for updating us via Donna! Keep the faith and know we are praying for you too! Family is awesome as are our sisters & bro's here on the site!
We are supporting you as well, take care.
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: dmwolf
Date Posted: Feb 28 2012 at 6:19pm
Hugs, Beth. I'm so glad to hear that your surgery went well and you are on the mend. Love, 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: btstark2003
Date Posted: Mar 02 2012 at 5:39pm
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Hello precious friends!
All your messages of support mean so much to me! It has now been 10 days since my surgery and I am doing great. The pathology report showed satisfactory margins (fabulous news) and I will learn more on Tues when I see my surgeon. I just completed the final brachytherapy treatment this afternoon (2x per day for 4 days in a row) and had the 5 brachytherapy cannulas removed from my upper chest so that is a relief. My brachytherapy treament team at the Siteman Cancer Center here in St. Louis was amazing, and except for the discomfort of the cannulas implanted in my chest, brachytherapy was a breeze.
On Tuesday I will have the drain tubes from surgery removed and then I will be ready for action again. Can't wait to start exercising more! I will be off work for the entire month of March to really focus on my recovery.
Love and strength to all, Beth
------------- 2008 Stg1 TNBC, LX, FEC+T, rads 2010 2.5cm tumor BRCA-, BMX,CMF 2011 LN mets, Gem/Carbo, surgery, rads 2012 lung mets, PI3Ki/taxo 2013 anti-PD-1 2014/15 Xeloda, IMMU-132, eribulin Aug 2015 Keytruda
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Posted By: TNBC_in_NS
Date Posted: Mar 02 2012 at 7:51pm
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Beth, bless you! So happy to hear you are handling surgery and brachytherapy so well! You are a trooper! Keep going girl you can do this. Remember it is just blip in the road to total wellness.... Thanks for the update and take it easy this month....There is lots of time for exercise.... Hugs, 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: Charlene
Date Posted: Mar 02 2012 at 8:04pm
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Beth,
So happy to read your post and to know that you are doing well. My prayers for you continue.
Charlene
------------- DX 3/10 @59 ILC/TNBC Stage 1, Grade 2, Multifocal; Lumpectomy/re-excision SNB 0/4 nodes, BRCA-; Taxotere/Cytoxan X4, 30 rads 3/14:NED
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Posted By: 123Donna
Date Posted: Mar 23 2012 at 7:44am
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Beth,
How are you doing friend? I hope you are relaxing and getting plenty of rest as you recover.
Hugs, 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: katem2010
Date Posted: Mar 23 2012 at 11:35am
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Hello friends, it is good to hear from all of you. Beth, it sounds like your fairing all this pretty well. I hope so.
I have finished 15 rounds of whole brain radiation for the three tumors in my brain. They are in three seperate ares. On in the left temporal lobe, one in the parietal/occipital junction and one in the cerebellum. Over the course of the next month they wil shrink. They have me on very high doses of dexamethasone to keep the swelling down around the tumors. It is causing steroid core and trunk myopathy and some spasticity. The tumor in the cerebellum has caused some damage, so my gait is off and I have right side weakness. I now walk with a cane and still sometimes I have stumbled and fallen.We are in the process of having a deck with a ramp put on the front of the house as steps are just awful. I have collapsed three times trying to get in our house. but, the positive side is: we've always wanted a front porch so we are looking at this as another surprise gift. My kids are all grown ups and have been very good about helping out. Over- night I kind of went from independent to having to have someone with me 24/7 and so we have had to also start using some home care I believe in the power of live music to help reorder the brain and reduce stress. I myself used to sit and play my harp for patients and also at a local nursing home. I used to also play in the special ed classrooms of our public school. I actually had totally non=communicative autistic children speak their first words while touching my harp as I was playing, so I am taking my own medicine and working with a music therapist every week.. My therapist has offered to record my music so I can leave a legacy CD for my family and friends. I am so delighted and so WOWED!!!!! because he has decided my music is worthy of the University of Michigan School of Music's professional Studio! Again, how can I not feel appreciative of the opportunity that is mine as a result of my tumors? I know its not how everyone thinks but this journey has been so full of wonderful experiences, I just can't seem to see this as a blessing. I have always been a very spiritual person and have sought out the understanding of God - and now I have a tumor that brings a heightened sense of the mystic and spiritual. How do you explain that? There have just been so many of those types of things, I am much at peace.
I hope you all are finding peace with this journey. I do not discount that it is difficult but look at us. WE are all finding out how strong we are. How adaptable we are. How inquisitive we are. How beautiful we are. For whatever it is that our cancer has taken away, we seem to have gained and are so much more than we ever were before. God bless you , my friends. BE at peace. I am. Kate
------------- Metastatic to lungs 1/2011,Original dx 10/2009,6cm
R mastectomy, radiation, ACplus taxol, navelbine, gemcitibine, now in phase two trial for abraxane tigatuzumab combo
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Posted By: katem2010
Date Posted: Mar 23 2012 at 11:38am
*oops! let me correct that.. I can't help but see this as a blessing.
------------- Metastatic to lungs 1/2011,Original dx 10/2009,6cm
R mastectomy, radiation, ACplus taxol, navelbine, gemcitibine, now in phase two trial for abraxane tigatuzumab combo
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Posted By: SagePatientAdvocates
Date Posted: Mar 23 2012 at 12:02pm
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Dear Kate,
what an absolutely beautiful post. Thank you for sharing your thoughts.
I worked very closely with a woman, who only posted on this board I think twice so no one really ‘knew’ her. Unfortunately her TNBC was chemo resistant and all the treatment failed her. She made a decision to keep fighting and resisted ‘home hospice’ until two days before she passed. The home hospice folks brought in music therapists who came with a guitar, a ukelele, a harmonica and one other instrument I fogret. My friend loved music and played the guitar and sang and also was in her church choir for many years.
Her best friend told me that after the music therapist left after a 2.5 hour session in which my friend sang the whole time...Incredible because she had lung and brain mets, but the music transported her, I feel...she said “I wish I had listened to Steve before..this was the best time I have had in the last two years.” Of course, that is an over-simplification of what I suggested to her and she was not a candidate for home hospice when I first met her but her statement speaks volumes about how powerful music can be for some. How much it can add to your quality of life and how it can be a legacy for your family. I think it is beautiful that you are doing your legacy recording and that UM is providing the studio. That’s really wonderful.
Kate, thank you again for sharing. You sound like an extraordinary person and please use your walker. Don’t want to read about a broken hip.
warmly,
Steve
------------- I am a BRCA1+ grandson, son and father of women affected by breast/oc-my daughter inherited mutation from me, and at 36, was dx 2004 TNBC I am a volunteer patient advocate with SAGE Patient Advocates
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Posted By: LRM216
Date Posted: Mar 23 2012 at 12:38pm
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Kate:
Sending you all good thoughts and thank you for your wonderful and beautifully uplifting post, as youself are enduring so very much. I truly can feel your peace throughout the sentences you wrote. How wonderful of you to give so many the pleasure of your musical talent. I don't think there is any instrument more soothing and mind/soul embracing as the harp. Continued prayers will go out to you for more strength each and every day. God bless,
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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Posted By: suec
Date Posted: Mar 23 2012 at 2:34pm
bless you, kate
------------- tnbc 3b: partial mas 5/06; 6 rounds FEC; 36 rad; 05/09-mets to bone; xeloda, avastin, zometa; gemzar & avastin; rads to hips; 8 mo on methotrexate+5fu; 5/11 mets to liver/lung; halevan fails;carb&Abrx
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Posted By: btstark2003
Date Posted: Mar 28 2012 at 12:50am
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Kate,
Thanks so much for sharing. I can literally feel positive energy emitting from my computer screen when I ready your radiant words.
I would love to get a copy of a CD with your harp music! I play piano (though not well enough to record) and agree that it's very therapeutic to both listen to and play an instrument. Please keep us posted. Your beautiful message is a reminder to me to make more of an effort to treasure the gift of music together with my family -my daughter is learning to play piano and I need to get her to play for me more often.
Beth
------------- 2008 Stg1 TNBC, LX, FEC+T, rads 2010 2.5cm tumor BRCA-, BMX,CMF 2011 LN mets, Gem/Carbo, surgery, rads 2012 lung mets, PI3Ki/taxo 2013 anti-PD-1 2014/15 Xeloda, IMMU-132, eribulin Aug 2015 Keytruda
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Posted By: btstark2003
Date Posted: Mar 28 2012 at 1:38am
Donna, Linda, Steve and all,
I have enjoyed reading all your lovely posts. I have recovered nicely from the surgery - my energy level is good and I will return to work next week. I have used the time off work to read books, exercise, garden, meet friends for lunch and do fun things with my family and it has been such a privilege not to have to rush back to work. But now I'm ready to get back to normal life.
After hearing my surgeon's description of the operation, I feel very grateful to have this chance now of being cancer free, and I can't be too surprised or upset that I have some mild lymphedema in my arm and lingering tightness and mild pain in the whole shoulder/chest area. It's a small price to pay! It was a very close call - it turns out that the entire chain of subclavicular lymph nodes and most of the remaining axillary nodes on my right side ( previously had 10 axillary nodes removed during the bilat. mastectomy in Feb 2010 as a precautionary measure) were all matted together in a long tumorous mass. You couldn't really see that in the CT scans. The biggest part of the mass was sandwiched in between the pectoral muscles just below my right collarbone and on top of two major blood vessels leading to the heart. It was very difficult to remove, but miraculously, the tumor had not penetrated into the blood vessels or into the muscles, so Dr. Margenthaler was able to remove it cleanly. In the hands of a less talented surgeon, I might not have been so fortunate.
I will start external beam radiation (~25 treatments) on the right side tomorrow, with an extended field of radiation that includes the supraclavicular and internal mammary nodes. I am a little concerned because in the past week I have had some supraclavicular lymph nodes swell up, but hopefully it's just part of the lymphedema side effects of the surgery. It feels squishy and fluid-filled, rather than firm and hard like a tumor. Has anyone else experienced this? My rad onc will have a look tomorrow and if he thinks it's suspicious I will have my surgeon take a look.
Keep fighting the good fight everybody!
Love to all, Beth
------------- 2008 Stg1 TNBC, LX, FEC+T, rads 2010 2.5cm tumor BRCA-, BMX,CMF 2011 LN mets, Gem/Carbo, surgery, rads 2012 lung mets, PI3Ki/taxo 2013 anti-PD-1 2014/15 Xeloda, IMMU-132, eribulin Aug 2015 Keytruda
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Posted By: SagePatientAdvocates
Date Posted: Mar 28 2012 at 4:43am
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Dear Beth,
thank you for sharing with us and prayers that all will be well..
please ask to see a lymphedema specialist, who can go over exercises that you should start doing asap.
warmly,
Steve
------------- I am a BRCA1+ grandson, son and father of women affected by breast/oc-my daughter inherited mutation from me, and at 36, was dx 2004 TNBC I am a volunteer patient advocate with SAGE Patient Advocates
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Posted By: Charlene
Date Posted: Mar 28 2012 at 7:16am
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Beth,
So good to hear from you and to know that you are doing well! Getting back to "normal" is a real blessing sometimes, isn't it? Prayers for your continued good health!
Charlene
------------- DX 3/10 @59 ILC/TNBC Stage 1, Grade 2, Multifocal; Lumpectomy/re-excision SNB 0/4 nodes, BRCA-; Taxotere/Cytoxan X4, 30 rads 3/14:NED
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Posted By: 123Donna
Date Posted: Mar 28 2012 at 8:43am
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Beth,
So good to hear from you and see you posting! Definitely check out lymphedema therapy since you'll be getting rads tx. I found the rads to cause problems with my lymphedema.
It sounds like you really enjoying your time off. I hope it was a truly good healing, both physically and emotionally, experience. I have a CD from the lady in St. Louis (Amy, I think) that plays harp music. I can give it to you the next time we see each other.
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: LRM216
Date Posted: Mar 28 2012 at 9:15am
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Beth:
I am so happy you are "up and running." Seems that God was assisting your surgeon and I am happy for that! I hope your radiation is very gentle on you. You are in my thoughts,
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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Posted By: btstark2003
Date Posted: Mar 30 2012 at 3:14pm
Hi all,Saw my rad onc on Wed and my surgeon yesterday morning and they were both concerned about the swollen area above my collarbone. My surgeon ordered an ultrasound right away, which showed no fluid accumulation but rather an enlarged supraclavicular lymph node filled with tissue (hopefully lymph tissue), not fluid. This could be due to more cancer, but she said that all of the other treatment I've had lately (chemo, surgery, brachytherapy) could also have caused the lymph node to become "reactive", so we need to think positive! She got me in for a biopsy yesterday afternoon and we should have results by Tuesday. Further rads are on hold until we find out the cause of the enlarged node.
I have decided that I cannot freak out every time something like this happens because after nearly 4 years of dealing with this TNBC, I know that these new symptom and diagnostic follow-ups are likely to be a permanent part of my life. So, I will stay calm, be prepared in case the news is bad, but assume the news will be good and enjoy this beautiful spring weekend with my husband and girls! And I guess the other good news is that my docs say I don't actualy have any lymphedema at this point :)
Hugs to all, Beth
------------- 2008 Stg1 TNBC, LX, FEC+T, rads 2010 2.5cm tumor BRCA-, BMX,CMF 2011 LN mets, Gem/Carbo, surgery, rads 2012 lung mets, PI3Ki/taxo 2013 anti-PD-1 2014/15 Xeloda, IMMU-132, eribulin Aug 2015 Keytruda
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Posted By: Charlene
Date Posted: Mar 30 2012 at 3:22pm
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Beth,
I admire your attitude about not freaking out so very much! You're in my prayers. Have a wonderful weekend with your family!
Charlene
------------- DX 3/10 @59 ILC/TNBC Stage 1, Grade 2, Multifocal; Lumpectomy/re-excision SNB 0/4 nodes, BRCA-; Taxotere/Cytoxan X4, 30 rads 3/14:NED
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Posted By: 123Donna
Date Posted: Mar 30 2012 at 3:23pm
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Beth,
I'll be hoping for the best too! Love your outlook, stay positive.
Hugs,
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: Mar 30 2012 at 6:33pm
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Beth, You have the right attitude! Stay positive and enjoy each moment with your family. The results will not be any different if we freak out or remain calm so I am glad you choose calm. Take care and keep us posted. Keeping you in my prayers always, 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: btstark2003
Date Posted: Apr 03 2012 at 11:31am
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Dear friends,
Sigh. The pathology report from the fine needle aspiration biopsy of my enlarged supraclavicular node said it contained breast cancer cells. Next step is a PET/CT scan tomorrow - the diagnostic rollercoaster continues.
My med onc is Matt Ellis, who is head of the breast med onc dept at the Siteman Cancer Center at Washington U Med School in St. Louis, and he is a respected clinical researcher and very good. But I am thinking of going back to Lisa Carey at UNC, who I saw 2 years ago, for second opinion/consultation. It is so hard to think about the possibility of starting chemo again. I have already been through 3 full chemo regimens in the past 4 years.
I haven't been doing the full EDGE CAM supplement regimen but I will discuss starting it with Dr Ellis when I see him tomorrow. Feeling kind of low at present but I'm sure I will rebound soon, especially if PET scan results show no spread outside of lymph node :)
Beth
------------- 2008 Stg1 TNBC, LX, FEC+T, rads 2010 2.5cm tumor BRCA-, BMX,CMF 2011 LN mets, Gem/Carbo, surgery, rads 2012 lung mets, PI3Ki/taxo 2013 anti-PD-1 2014/15 Xeloda, IMMU-132, eribulin Aug 2015 Keytruda
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Posted By: SagePatientAdvocates
Date Posted: Apr 03 2012 at 12:31pm
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Dear Beth,
very sorry to hear the news. hopefully rest of your scan will be clear.
good luck to you,
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: 123Donna
Date Posted: Apr 03 2012 at 1:11pm
Beth,
I hate that you've received this news. I was so hoping the chemo and surgery had gotten it all. I know Dr. Ellis is absolutely brilliant and you're lucky to have him as your onc. With that being said, I'm a firm believer of second opinions and I'd go see Dr. Carey again just to make sure you're making the best treatment decision for your situation.
Hugs friend. Try to stay upbeat but I know this sucks. Hoping the PET/CT scan tomorrow gives you good results.
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: Natalie
Date Posted: Apr 03 2012 at 1:23pm
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Beth,
I cringe when I open one of these pages and see this. You have been through too much, that being said I hope you do have a scan clear of spread. I can only imagine how hard it is to stay upbeat and positive in the face of fighting YET AGAIN.
Positive thoughts,
Natalie
------------- TNBC stage1 size 1.8, grade3 no nodes 4/11 Lumpectomy 5/11 4cycles DD A/C 4cycles DD Taxol. Double Mastectomy 12/11 BRCA all neg
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Posted By: debB
Date Posted: Apr 03 2012 at 2:55pm
Beth,
Some things are just not fair, and you are a veteran by now! We will just keep thinking that this is a localized thing and once again, chemo and surgery are going to do the trick. Best of luck with the scan. And a second opinion never hurts!
Deb
------------- Dx 4/29/11, 46 yrs old, 3.9 cm tumor, Stg 2 Grade 3 chemo 4 rounds DD AC, 12 weekly taxol, finish. Lumpectomy, 2mm residual tumor. 37 rounds rads completed. Cisplatin/PARP trial
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Posted By: Charlene
Date Posted: Apr 03 2012 at 3:30pm
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Beth,
I am so sorry that you received the news that you did. I will be hoping and praying that your scan will be clear and that a successful treatment will be found.
Charlene
------------- DX 3/10 @59 ILC/TNBC Stage 1, Grade 2, Multifocal; Lumpectomy/re-excision SNB 0/4 nodes, BRCA-; Taxotere/Cytoxan X4, 30 rads 3/14:NED
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Posted By: turtle
Date Posted: Apr 03 2012 at 3:47pm
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Beth,
I'm joining everyone else in sending you positive thoughts. The rollercoaster is just the worst.
------------- DX IDC TNBC 1/15/12 @ 46; MRI 2.4cm gr3 BRCA2+ 6174delT; LMX 1/31/12 2.5cm, pT2pNO(i)pMX, lymphovascular invasion present; 2/20/12 TAC X 6; 7/2/12 Rad X 25; 9/27/2012 2nd mastectomy & BSO surgery
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Posted By: LRM216
Date Posted: Apr 03 2012 at 5:45pm
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Beth:
I too am one of many that hope this remains localized in the node. I so hate that you have to go through this troublesome time and await even more test results. It's so very hard on us emotionally and physically. I am praying and keeping everything crossed for no new findings. Keeping you close to my heart,
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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Posted By: dmwolf
Date Posted: Apr 03 2012 at 6:12pm
Beth, what lousy news. The rollercoaster rolls on, unfortunately. Hopefully it'll stop with this node, but no matter what it does I hope you'll be able to hang on to a sense of peace and joy in daily life. I imagine fear and exhaustion will come and go as it does for all of us. There's no avoiding that. But I suppose we can strive to have it occupy as small a space as possible in an otherwise wonderful life. Much love, 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: Neal
Date Posted: Apr 03 2012 at 8:43pm
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Beth, I am so sorry to hear you are dealing with a reoccurance. Know that all of us on this site are thinking of you. I live near CH and have a son starting school there in the fall. I like you, would consult with Lisa Carey for a reoccurance. She has expertise with TN. Please let me know if you decide to come to CH and need anything. I will be there a lot in the future and can certainly understand what you are going thru. Neal
------------- DX 09/29/2008 Tn Grade 3 2A 2M/Lumpt. 10/08 SN Negative
ACT/Avastin Trial Placebo/Rad. NED Age 53---2 Sons
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Posted By: Allison
Date Posted: Apr 03 2012 at 9:56pm
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Beth,
Keeping you in my thoughts and prayers. Hang in there!
Allison
------------- 9/07 IDC, trip neg, BRAC-, Lumpectomy with SNB (all clear) 10/07, FEC & Taxatere 11/07 - 2/08, 32 rads, 3/08 - 5/08.
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Posted By: Wade
Date Posted: Apr 03 2012 at 10:00pm
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Hi Beth,
I hope your scan tomorrow brings good news. We will be thinking of you!
Best regards, Wade
------------- Wife DX 5/2011@52 2.5x3.1cm;6/2011 DD A/C 4x,Abraxane 4x; Lumpectomy, SN biopsy 10/2011; 10/27/2011 NED; Rads start 11-22-2011, Rads fin 1-11-2012; 10-2013 NED; 07-18-2014 NED; November 2018 NED
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Posted By: Lillie
Date Posted: Apr 03 2012 at 10:14pm
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Hi Beth,
I have been following your posts on this thread. I am sorry that NED is being so elusive for you. I will pray that whatever path you take, Lisa Carey or someone else, will lead to better days ahead.
You are in my prayers. You certainly are an inspiration to all of us.
God Bless,
Lillie
------------- Dx 6/06 age 65,IDC-TNBC Stage IIb,Gr3,2cm,BRCA- 6/06 L/Mast/w/SNB,1of3 Nodes+ 6/06 Axl. 9 nodes- 8/8 thru 11/15 Chemo (Clin-Trial) DD A/Cx4 -- DD taxol+gemzar x4 No Rads. No RECON - 11/2018-12 yrs NED
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Posted By: btstark2003
Date Posted: Apr 10 2012 at 7:22am
Hi all,
The PET/CT scan showed only the one little spot of cancer in the LN at the base of my neck - nothing anywhere else. Hooray! My docs think rad tx is the best way to treat at this time. Hopefully can restart daily rads on Wednesday - docs are "reworking" the rads plan to give higher targeted dose to the LN area (i had one rad treatment about 10 days ago before it was put on hold to investigate the enlarged node)
I am feeling great and am back at work and so happy to resume mostly normal life! The hospital where i do the rad tx is only 10 min drive from work, so its just an hour out of my day to go zap the cancer:-)
Love to all,
Beth
------------- 2008 Stg1 TNBC, LX, FEC+T, rads 2010 2.5cm tumor BRCA-, BMX,CMF 2011 LN mets, Gem/Carbo, surgery, rads 2012 lung mets, PI3Ki/taxo 2013 anti-PD-1 2014/15 Xeloda, IMMU-132, eribulin Aug 2015 Keytruda
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Posted By: SagePatientAdvocates
Date Posted: Apr 10 2012 at 7:29am
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Dear Beth,
Your attitude is fantastic and I sincerely wish you the very best of luck in this battle.
warmly,
Steve
------------- I am a BRCA1+ grandson, son and father of women affected by breast/oc-my daughter inherited mutation from me, and at 36, was dx 2004 TNBC I am a volunteer patient advocate with SAGE Patient Advocates
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Posted By: Charlene
Date Posted: Apr 10 2012 at 7:34am
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Beth,
I am so glad to hear the good results of your scan! I wish you the best with the rest of your radiation treatment and pray for you to get to NED and stay there!
Charlene
------------- DX 3/10 @59 ILC/TNBC Stage 1, Grade 2, Multifocal; Lumpectomy/re-excision SNB 0/4 nodes, BRCA-; Taxotere/Cytoxan X4, 30 rads 3/14:NED
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Posted By: 123Donna
Date Posted: Apr 10 2012 at 7:56am
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Beth,
I love your attitude. I too hope these rads zap any remaining cells and you can hear those words: NED.
Hugs,
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: LRM216
Date Posted: Apr 10 2012 at 8:42am
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Beth -
You are amazing! God bless, and, as always, wishing you nothing but the best!
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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Posted By: Grateful for today
Date Posted: Apr 18 2012 at 1:14am
Hi Beth,
Thinking you probably have re-started (or will soon re-start) the radiation treatments.
May all the radiation rays be healing energy.
Sending lots of caring and positive thoughts,
Grateful for today..............Judy
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Posted By: btstark2003
Date Posted: Apr 18 2012 at 7:19am
Hi Judy, Yes I restarted rad tx last Wed, so 5 treatments down and only about 33 to go. Having rads to entire right chest and neck area. Hopefully in a week or so we will start to see this 1.5 cm lump at the base of my neck start to shrink. They will do a quick CT scan right on the rad tx table every Wednesday to check progress. Some minor side effects. Ut not bad so far. Thanks for checking on me! Love to you and all, beth
------------- 2008 Stg1 TNBC, LX, FEC+T, rads 2010 2.5cm tumor BRCA-, BMX,CMF 2011 LN mets, Gem/Carbo, surgery, rads 2012 lung mets, PI3Ki/taxo 2013 anti-PD-1 2014/15 Xeloda, IMMU-132, eribulin Aug 2015 Keytruda
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Posted By: Grateful for today
Date Posted: May 03 2012 at 9:20pm
Beth,
Thinking you are around half way thru radiation.
Hoping your daughter is playing some nice piano music for you......if she is still taking lesions and
still interested in the piano as their interests can change quickly sometimes.
Just want to send some caring and positive thoughts,
Grateful for today...............Judy
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Posted By: btstark2003
Date Posted: May 03 2012 at 11:47pm
Thank you Judy! Yes, close to halfway through it. . 17 down and 21 to go. And the tumor is nearly gone!!!!
Side effects are getting more serious. Damage to my throat making it very sore and some difficulty swallowing Skin on chest is bAdly burnt. But ALL WORTH IT since we are killing the cancer cells!
Docs, nurses and techs are all so great and really helping with meds etc to alleviate all the discomfort. And I stay so busy at work that I barely think about the throat and skin all day.
I am planning to be disease free by June 4 :-)
Love to all,
Beth
------------- 2008 Stg1 TNBC, LX, FEC+T, rads 2010 2.5cm tumor BRCA-, BMX,CMF 2011 LN mets, Gem/Carbo, surgery, rads 2012 lung mets, PI3Ki/taxo 2013 anti-PD-1 2014/15 Xeloda, IMMU-132, eribulin Aug 2015 Keytruda
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Posted By: TNBC_in_NS
Date Posted: May 04 2012 at 12:07am
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Dear Beth, It is so good to see your latest post! Life is really worth the effort of all we do to get there, for sure. So good you are able to return to work so soon! I think if we can do it, then it is easier to manage these treatments. I am finally back to full time work but have some tiredness to deal with. Here's to a complete response to these radiation tx.... Take care, Hugs from 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: Grateful for today
Date Posted: May 04 2012 at 12:29am
Hi Beth,
Thanks for the update. Good to hear your treatment team is really working to alleviate your discomfort.
Love your plan for June 4!
You are a superwoman to be able to work thru all of this. How do you do it!
Hope you will be able to decrease your work schedule if needed.
Hope the weekends give your skin and throat and YOU the rest needed to continue the next week.
Lots of caring and positive thoughts,
Grateful for today.............Judy
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Posted By: 123Donna
Date Posted: May 04 2012 at 7:40am
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Beth,
We'll be celebrating with you on June 4th!
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: LRM216
Date Posted: May 04 2012 at 8:31am
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Beth:
Half way thru! Yeah! I too will be eagerly awaiting June 4th for you.
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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Posted By: Grateful for today
Date Posted: May 21 2012 at 10:47pm
Beth,
Lots of good thoughts and prayers continue for you and your plan for June 4.
With love and cyper-hugs,
Grateful for today.............Judy
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Posted By: Grateful for today
Date Posted: Jun 20 2012 at 11:24pm
Hi Beth,
They do say: Better late then never.
Had wanted to remember to send you some greetings around the time you finished your
radiation............think the original plan would have had you finishing up around June 4.
Just wanted to say.... thinking of you and sending love and cyberhugs,
Grateful for today...............Judy
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Posted By: Allison
Date Posted: Jun 21 2012 at 1:16am
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Hey Beth,
Just thinking about you - so hope you achieved your June 4th goal. Can't wait to see you at our next get together!!! You are a true inspiration!
Allison
------------- 9/07 IDC, trip neg, BRAC-, Lumpectomy with SNB (all clear) 10/07, FEC & Taxatere 11/07 - 2/08, 32 rads, 3/08 - 5/08.
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Posted By: 123Donna
Date Posted: Jun 21 2012 at 2:26am
Beth,
I hope you are doing well and recovering from radiation. We need to plan another dinner soon!
Hugs,
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: btstark2003
Date Posted: Jun 21 2012 at 5:24pm
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Judy, Allison, Donna and all:
Thanks for all your good wishes - I did finish up radiation treatment on June 4. The new supraclavicular LN mass that popped up post-surgery in early April really does seem to be completely gone - no evidence on CT scan and not palpable. Yay! By the end of the 38 rads (that's 7.5 weeks of M-F daily treatments) to my right chest and neck, I had a touch of pneumonia and radiation-induced pneumonitis (inflamed lung) - the symptoms were fatigue, bad cough and intermittant fever. So I took a course of Zithromax, and then a 1-week course of prednisone and now i am feeling great!
Dr Ellis thinks that a low-dose "maintenance" chemotherapy may be a good idea for me now. The premise is that because of all the recurrences I have had, it's likely there are still some cancer cells floating around in my body somewhere, and a low-dose general cytoxic chemo agent could perhaps keep this cancer cell population under control (for awhile anyway). We will be talking about options for what I could take when I see him next week.
Does anybody have experience with maintenance chemo for recurrent TNBC when there is no evidence of active disease?
Other news: I got results from the sequencing of a 28-gene tumor panel on my tumor sample at the Siteman Cancer Center/Washington University Med recently. It showed that I have many mutations in the p53 gene, a well-known tumor suppressor gene. There are some drugs in development that target this problem of a non-functional p53 protein, so possibly a targeted treatment option for me in the future (if I have another recurrence.)
Beth
------------- 2008 Stg1 TNBC, LX, FEC+T, rads 2010 2.5cm tumor BRCA-, BMX,CMF 2011 LN mets, Gem/Carbo, surgery, rads 2012 lung mets, PI3Ki/taxo 2013 anti-PD-1 2014/15 Xeloda, IMMU-132, eribulin Aug 2015 Keytruda
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Posted By: Allison
Date Posted: Jun 21 2012 at 5:44pm
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Beth,
So glad to hear that you are back on your feet and feeling great! Hope that Ellis is able to figure out some low dose magic to keep the lumps away forever! I am celebrating in my heart for you today!
Allison
------------- 9/07 IDC, trip neg, BRAC-, Lumpectomy with SNB (all clear) 10/07, FEC & Taxatere 11/07 - 2/08, 32 rads, 3/08 - 5/08.
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Posted By: btstark2003
Date Posted: Jun 21 2012 at 6:03pm
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P.S. Donna - I am up for a celebration dinner with the St Louis ladies! Will send you a PM to plan.
------------- 2008 Stg1 TNBC, LX, FEC+T, rads 2010 2.5cm tumor BRCA-, BMX,CMF 2011 LN mets, Gem/Carbo, surgery, rads 2012 lung mets, PI3Ki/taxo 2013 anti-PD-1 2014/15 Xeloda, IMMU-132, eribulin Aug 2015 Keytruda
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Posted By: 123Donna
Date Posted: Jun 21 2012 at 6:28pm
Beth,
A celebration dinner is definitely something we need to do! I had the same pneumonia type illness after finishing rads last year. I see Dr. Ellis on July 18th. Thanks do much for helping me get the appt friend!!
I think Cristy (warrior chick) was on a low dose maintenance chemo of CMF after she finished treatment. I'm sure Ellis will have some good ideas.
Was the tumor testing something you asked for or did Ellis request it because of the recurrence? This info could help you with tx in the future.
So happy to hear your update:)
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: dmwolf
Date Posted: Jun 21 2012 at 7:43pm
Hi, Beth. Congratulations on being NED!!! I'm so happy for you! As for P53 mutations, most TNs have them. I wonder what kinds of drugs might be specific for these mutations? Hopefully, you will never have cause to investigate. As for maintenance chemo, I don't really know the data on that if there is any. In practice, people go on low dose this or that, say Xeloda or CMF. More fly by the seat of the pants, methinks. Intuitively, I would think that whatever class of drugs worked best on your tumor might be good in low dose version for maintenance. Then again, it's possible that by being on a low dose of something that was effective you might select for mutants against the drug, thereby rendering it useless if you should need it later. I dunno. So maybe a new class of drug? The thing I know for sure is that exercising and building up your immune system is a good idea. Maybe that can be the lion's share of your recurrence prevention plan? Very nice to hear from you, with good news to boot! Love, d
------------- 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: Grateful for today
Date Posted: Jun 23 2012 at 2:19am
Beth,
What great news in your post about no supraclavicular node on exam nor by CT after radiation.
So glad the radiation is now behind you.
Sending continued caring and positive thoughts with cyberhugs,
Grateful for today...........Judy
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Posted By: btstark2003
Date Posted: Jun 24 2012 at 9:31pm
Denise,
My med onc says that some drugs are in development targeting chk1, which is in the p53 pathway (although i dont yet understand how it might fix or exploit the problem of a nonfunctioning tumor suppressor gene), and he is trying to get a trial for TNBC going at Wash u Med Center/siteman cancer center. He thinks it might be an option for me in the future IF i have another recurrence.
I have had all the same thoughts you voice about maintenance chemo. Its a really hard choice if you have a history of recurrences but no detectable disease at present. I am absolutely primarily focused on strengthening my immune system through exercise, yoga, satisfaction from my work in drug development , anticancer diet and supplements, plenty of sleep, good spiritual health, gardening, and and most importantly quality time with friends and fam. The maintenance chemo would be extra insurance, and i would stop if it negatively impacted my white cell counts or other blood chemistry.
It will be interesting to hear what drugs my med onc suggests and i will share what i learn.
Beth
------------- 2008 Stg1 TNBC, LX, FEC+T, rads 2010 2.5cm tumor BRCA-, BMX,CMF 2011 LN mets, Gem/Carbo, surgery, rads 2012 lung mets, PI3Ki/taxo 2013 anti-PD-1 2014/15 Xeloda, IMMU-132, eribulin Aug 2015 Keytruda
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Posted By: 123Donna
Date Posted: Jun 24 2012 at 9:44pm
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Beth,
I found this article about Chk1 in p53.
http://www.jci.org/articles/view/58765 - http://www.jci.org/articles/view/58765
------------- 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: HappyGoLucky
Date Posted: Jun 25 2012 at 7:14pm
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Beth I am so happy for you! Your regimen sounds hard but doable. I have a supraclavicular node thats now at 4 cm above the last one which had radiation. So no more rads and no surgery. I am waiting to meet with chemo consultants as I think this is a one hard cancer progression . Have nodes in chest and respiratory as well as bone. I am not so positive. Thats why when I read your news I was so overjoyed. How does one get a genome assay of this supraclavicular node . I am waiting for the new trials in the pipeline and androgen tests and trails are coming around Christmas time at MSKCC. are you strictly vegan?? Do u have any sweets at all. U can tell I am a chocaholic and an ice cream lover!!!!  Hugs, Karen
------------- 2/2009 7cm tumor, sent nod. pos. Lumpectomy 3/19/09,a/c dose dense+avastin clinical trial, taxol avastin stopped with pneumonia. 33 Rads 01/2010 ~ reccur 2011 supraclav.and internal mammary nodes. rad
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Posted By: btstark2003
Date Posted: Jun 27 2012 at 8:39am
Denise,
My med onc says that some drugs are in development targeting chk1, which is in the p53 pathway (although i dont yet understand how it might fix or exploit the problem of a nonfunctioning tumor suppressor gene), and he is trying to get a trial for TNBC going at Wash u Med Center/siteman cancer center. He thinks it might be an option for me in the future IF i have another recurrence.
I have had all the same thoughts you voice about maintenance chemo. Its a really hard choice if you have a history of recurrences but no detectable disease at present. I am absolutely primarily focused on strengthening my immune system through exercise, yoga, satisfaction from my work in drug development , anticancer diet and supplements, plenty of sleep, good spiritual health, gardening, and and most importantly quality time with friends and fam. The maintenance chemo would be extra insurance, and i would stop if it negatively impacted my white cell counts or other blood chemistry.
It will be interesting to hear what drugs my med onc suggests and i will share what i learn.
Beth
------------- 2008 Stg1 TNBC, LX, FEC+T, rads 2010 2.5cm tumor BRCA-, BMX,CMF 2011 LN mets, Gem/Carbo, surgery, rads 2012 lung mets, PI3Ki/taxo 2013 anti-PD-1 2014/15 Xeloda, IMMU-132, eribulin Aug 2015 Keytruda
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Posted By: btstark2003
Date Posted: Jun 29 2012 at 1:29am
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Karen,
I am really sorry to hear about the new LN met and the other mets in chest and bone. How are you feeling? It does sound like you need to get on some chemotherapy very soon.
In answer to your question, to get the test done which sequenced 28 tumor genes, my doctor at the Siteman Cancer Center/Washington Univ. Med School (WUMS) just put in a requisition for it from WUMS Genomics and Pathology Services. You obviously have to have a tumor sample (biopsy or surgery material) sent to WUMS. Doctors from any institution could order this test. They are having some luck getting insurance companies to pay for this. I believe that my provider, United Healthcare, paid for it because I haven't seen a bill :-)
I couldn't make the link below "hot", but you can cut and paste it to see the description of the test. http://wugps.wustl.edu/services/index.php
As for the diet, I am not vegan and I do eat sweets occasionally, but I really try to limit it because sugar and highly processed non-whole grain carbs are not healthy for anyone (cancer survivor or not!). I mostly focus on eating lots of fruits and veggies, including berries every day, using lots of different herbs and spices, and having 3 cups of green or white tea on most days.
Hang in there honey! And try Russell Stover's sugar-free chocolate truffles to satisfy your sweet tooth - I think they are yummy!
Beth
------------- 2008 Stg1 TNBC, LX, FEC+T, rads 2010 2.5cm tumor BRCA-, BMX,CMF 2011 LN mets, Gem/Carbo, surgery, rads 2012 lung mets, PI3Ki/taxo 2013 anti-PD-1 2014/15 Xeloda, IMMU-132, eribulin Aug 2015 Keytruda
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Posted By: btstark2003
Date Posted: Jun 29 2012 at 1:52am
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Thanks, Donna, for the article on chk1.
Saw my doc yesterday and he is now recommending no maintenance chemo for me. He wants to take an approach of monitoring me very closely and being ready to jump into a clinical tryia if I have another recurrence. Besides the possibility of a chk1 inhibitor clinical trial in the future ( I believe the drug my doc wants to get a trial going with is AZD7762). My doc thinks another good option for me would be the PI3 kinase inhibitor clinical trial for BAY-80-6946, which is now open at the Siteman Cancer Center and at MD Anderson. It's just a Phase I study at present, so that's a little scary because there is an awful lot still unknown about the drug. Here's the study link in case anyone is interested. http://clinicaltrials.gov/ct2/show/NCT01411410?term=BAY+80-6946&recr=Open&state1=NA%3AUS%3AMO&rank=1 I am hearing a lot of enthusiasm from various people in oncology research and the pharma industry for PI3K inhibitors for TNBC. Beth
------------- 2008 Stg1 TNBC, LX, FEC+T, rads 2010 2.5cm tumor BRCA-, BMX,CMF 2011 LN mets, Gem/Carbo, surgery, rads 2012 lung mets, PI3Ki/taxo 2013 anti-PD-1 2014/15 Xeloda, IMMU-132, eribulin Aug 2015 Keytruda
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Posted By: LRM216
Date Posted: Jun 29 2012 at 8:43am
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Beth:
Just catching up on reading the posts, and wanted you to know I too am so happy to hear your news. Stay well, and plan that dinner with Donna - time for you to have a night of fun and friendship!
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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Posted By: 123Donna
Date Posted: Jun 29 2012 at 8:58am
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Beth,
It sounds like he has a plan for you should you need one and that he's excited about some possible new treatments that will be opening up for TN. Enjoy the rest of your summer with your family. Yes, we need to get together and plan that dinner. Maybe sometime the week of July 9th?
Take care,
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 2012 at 9:35am
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Beth,
Great news very happy for you enjoy your summer and have a wonderful dinner with donna.
Hugs,
Denise
------------- DX Idc 10/07,st2,gr3,2/6 lymphnodes
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Posted By: TriplePositiveGirl
Date Posted: Jun 29 2012 at 12:15pm
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Hi Beth, Congrats on getting your mets under control! No chemo sounds SOOO wonderful. I hope for a cancer free summer (and longer of course) for you. Best, Lisa
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Posted By: HappyGoLucky
Date Posted: Jun 29 2012 at 3:48pm
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Thank you Beth You are quite an inspiration to me. I have a 4 cm lymph node supraclavicular, you would think well lets take a slice of this for eval. Genome assay???? I am copying your post to bring with me. So I will speak with Sloan Kettering chemo specialists on the 12th . Had a few days in Pa and it felt good! Hugs Karen no chemo Im happy right now 
------------- 2/2009 7cm tumor, sent nod. pos. Lumpectomy 3/19/09,a/c dose dense+avastin clinical trial, taxol avastin stopped with pneumonia. 33 Rads 01/2010 ~ reccur 2011 supraclav.and internal mammary nodes. rad
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Posted By: BethP
Date Posted: Jul 03 2012 at 4:25pm
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Beth,
hello from another Beth. I hope you have a wonderful summer enjoying yourself as much as possible.
Beth
------------- Dx November 21, 2011: IDC, not staged; Gr. 2 nodes, largest 2.6 cm; Gr. 3 breast 1.2 cm; neo-adjuvant TAC; lump. + 16 nodes PCR
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