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cate611 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote cate611 Quote  Post ReplyReply Direct Link To This Post Posted: Nov 14 2007 at 12:56pm
 Hi,
 This is my first post, and not a reply. I was placed on Taxotere and Cytoxan, 4 cycles, every 3 weeks. I could not tolerate the steroid prep, so the Taxotere was switched to Abraxane. Has anyone been on this combination? If so, please let me know. I'm concerned about future recurrence, and want to hear from any of you who can speak to this issue.
Thank you.
Cate
BRCA1-Stage1-gr3-node negative- bilateral mastectomies & reconstruction
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cate611 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote cate611 Quote  Post ReplyReply Direct Link To This Post Posted: Nov 14 2007 at 12:57pm
Hi,
I'm finishing 4 cycles of Abraxane/Cytoxan. Concerned that this cocktail may not be aggressive enough.
Any thoughts?
Thanks.
Cate
BRCA1-Stage1-gr3-node negative- bilateral mastectomies & reconstruction
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Post Options Post Options   Thanks (0) Thanks(0)   Quote texasgirl Quote  Post ReplyReply Direct Link To This Post Posted: Nov 16 2007 at 12:58am

Hi Brani,

I just finished my chemo this week.  I had 12 weekly taxol and 4 FAC x 4.  The taxol was great, just a little aches and since I had no side effects they took me off the pre-steroid and gave me benedryl.   The FAC was a little harder because my blood counts really took a beating.  The neausa medicine defiinatetly works.  My attitude in the beginning that this was not going to be too bad and really it wasn't.  Even being in the hospital with a staph infection from my cvc line.  The key is to drink water or any fluids as much so you do you do not get dyhdrated.  Just remember that each type of chemo effects everyone differently and do not get discourage.  It usually works on my triple negative.  My tumor has done from 8.5cn with significant lymp node involvement to less then 1cm and all the lymph node are showing NED.  In fact, they said all along said I was going to have a Masectomy and now they are talking lumpectomy.  Good luck.  

 

dx 5/11/07 (Age 41), Stage IIIC, Grade 3, 12 weekly taxol, 4 FAC, 8.5 cm, Extensive positive nodes, Masectomy 0/17 nodes, 30 Rads, Currently NED
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Broni View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Broni Quote  Post ReplyReply Direct Link To This Post Posted: Nov 17 2007 at 12:03am
Well, I am happy to say that if what I experienced for my first chemo is anything to go by, then I am more than pleased with how it went.
 
I was given an Emend tablet to take an hour before hand, not to mention a local anaesthetic patch over my  newly inserted portacath. At first I was given fluids and dexamthasone to combat nausea, then the nurse slowly injected the Adria (or the red cordial as I call it). I got a bit more fluid, then the cyclosphamide(?), and at the end more fluid.
 
I felt fine on the way home - I was sent home with more emend and dex for the next 2 days, had to come back the next day for neulasta injection. Despite being extremely tired on the first 3 days, I had no ill effects. For me, the worst was day 4 & 5, but only because I bloated up and suffered the most terrible constipation...it made me nauseas. Once day 6 came, I was slightly relieved, and then from Day 7 to now - you wouldn't even know that I had had all that toxic stuff in me!
 
Round two is monday morning, hopefully this time I will preempt the constipation issues, and tired is all I will be!
 
thanks for your thoughts and well wishes
 
Broni
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Post Options Post Options   Thanks (0) Thanks(0)   Quote trip2 Quote  Post ReplyReply Direct Link To This Post Posted: Nov 17 2007 at 7:20am
Texasgirl I just wanted to congratulate you on how well your treatments are going and that you have completed your chemo.Smile
 
You go girl!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote lady4law Quote  Post ReplyReply Direct Link To This Post Posted: Nov 17 2007 at 9:24am
Broni

Great - you are a very lucky lady. I hope all your treatments go as well. Has your hair started to fall out yet? I completed my CT prior to my mast/resconst, and was to have started back up following my surgery. However I developed 2 infections. The incisions had to be re-opened,  the incisions removed and the area cleaned out, which pushed back my chemo 3 times. I will be starting again next Friday - darn my hair has just started to materialize and it will be quickly falling out once again.

I hope you continue with no issues. Drink a lot of water and take a stool softener the next time it will help with the constipation.

Jean
IBC/TN 6/07 Lymph, Chemo, Mast w/rec, chemo, 2 infect surg, exchg (2x) redo rec (2x) 4 new tumors esophagus, colon, chest, mouth, (10/11- 5th SUV7)"Activity" in spine hip
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Broni Quote  Post ReplyReply Direct Link To This Post Posted: Nov 17 2007 at 4:54pm
no haven't lost my hair yet.......but my scalp has been really irritable over the last couple of days, so I am thinking that it is only a matter of time now..........
 
May I say what I find different in this US forum is the number of you that have had all your ct treatments prior to surgery......over here they seem to prefer to operate first, and then toxify after.......Does anyone know why that is?
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Cheranthia Quote  Post ReplyReply Direct Link To This Post Posted: Nov 18 2007 at 12:37pm
Hi Broni,

My onc had me do chemo first, then surgery. I think this order is especially recommended for people with larger tumors upon dx. Even in the US, people are surprised to hear I had chemo first. It is done for several reasons. 1) to reduce the size of the tumor prior to surgery. In my case, this meant I had a lumpectomy instead of a mastectomy. 2) to prevent mets by chasing down any rogue cancer cells that may have escaped the breast. 3) to see how well a tumor responds to a particular chemo cocktail. Post-surgery, it's hard to tell.

I'm glad your first chemo went well. My experience was similar to yours. I had a few bad days each time, but I would bounce back and start to feel pretty good after about a week. If you do have side effects, don't suffer in silence.  Mention them to your onc or your chemo nurses. They usually have good suggestions.

Best to you,

Cheranthia






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Post Options Post Options   Thanks (0) Thanks(0)   Quote cate611 Quote  Post ReplyReply Direct Link To This Post Posted: Nov 18 2007 at 1:07pm
Hi Ruth,
 
Am completing my last chemo tomorrow - had to switch from Taxotere to Abraxane because I couldn't tolerate the steroid prep w/the Taxotere.
 
The treatment has been a breeze, other than fatigue. I am wondering what your stage & nodal status were at the time of your diagnosis.
 
I was stage 1, no positive nodes, and did bilateral prophylactic mastectomies, having already had prophylactic oopherectomy in 1997.
My Mom died in 1976 of ovarian cancer, and I'm BRCA1.
 
My concern, which I will express to my terrific oncologist, is that my treatment "may" not be aggressive enough.
 
Do you have any thoughts? And by the way, how are you?
 
Thanks for your post!!
 
Cate
 
 
BRCA1-Stage1-gr3-node negative- bilateral mastectomies & reconstruction
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Post Options Post Options   Thanks (0) Thanks(0)   Quote lady4law Quote  Post ReplyReply Direct Link To This Post Posted: Nov 19 2007 at 8:10am
Cheranthia

Just another point of view on chemo before surgery.

My biospy turned out to be a lumpectomy, 6cc tumor. Following that I had 3 treatments of chemo before having a bi-mast/reconstruction. I was told the cancer had spread. The good and bad news was my path report showed no signs of cancer so the mast was unnecessary, as was the recon ( I am now on week 6 post surgery) and, of course, all the pain and infections that have gone with all these procedures. I had to have 2 post-surgery "procedures" which amount to more surgeries to remove the entire incision (one side) clean out and resuture. The other side required only half the incision be removed.

Because of being triple negative , no form post surgical meds to prevent a relapse, my onc will start me on 2 MORE chemo (TC) - just to be safe and kill any remaining cancer cells, if there. I was to have started these 3 weeks ago but do to the infections it has been pushed back 3 times. I will be starting them the day after Thanksgiving.

Jean
IBC/TN 6/07 Lymph, Chemo, Mast w/rec, chemo, 2 infect surg, exchg (2x) redo rec (2x) 4 new tumors esophagus, colon, chest, mouth, (10/11- 5th SUV7)"Activity" in spine hip
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Galina2 Quote  Post ReplyReply Direct Link To This Post Posted: Nov 19 2007 at 3:06pm
Hello, Jean, I am sorry to hear you have so much trouble with your mast/recon and you got infections.  I also had bi-mast, I am happy I did that, but now I thimk I should have gone for chemo first, since I am 5 months after original lump discovery and still waiting for chemo.
When was your mast/recon done? They wanted to do chemo 3 weeks after?  Wouldn't that be too soon? Galina
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Post Options Post Options   Thanks (0) Thanks(0)   Quote lady4law Quote  Post ReplyReply Direct Link To This Post Posted: Nov 23 2007 at 8:34am
Galina:

I had my lumpectomy in June, followed by chemo three weeks after. Three weeks after completing my chemo, I had my mast/reconst. (Sept 26th) I was to have both rads and chemo starting shortly after (Chemo I guess 3 weeks) however I developed an infection on the BC side within 2 weeks. My PS had to cut me open, clean out the infection, remove the incision's scar and resuture. Two weeks later, the non cancer side became infected. Last week, I had my stitches removed. On the BC side, the stitches had been in for 4 weeks. Both sides looked like they were starting to become infected again. (I thought 4 weeks was far too long to leave in stitches, but the PS would not removed them sooner.

The most upsetting fact in this entire fiacso is, the path report showed no sign of cancer ...NOTHING. That means all the chemo, removing my breasts, the horrors of reconstruction, infections etc., was all done for no reason, except to provide my  BS with an Orient vacation. AS I had no BC, my onc said NO RADS. He does want me to have more chemo, "just in case". He fears a cell could have gotten loose and he wants it killed. (HE is my second ONc, the first one caused all this horror.)
IBC/TN 6/07 Lymph, Chemo, Mast w/rec, chemo, 2 infect surg, exchg (2x) redo rec (2x) 4 new tumors esophagus, colon, chest, mouth, (10/11- 5th SUV7)"Activity" in spine hip
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Galina2 Quote  Post ReplyReply Direct Link To This Post Posted: Nov 24 2007 at 7:14pm
Dear Jean, looks like you have got a great onc now. I would take his advice to do more chemo! Ask what are his reasons? All depends what chemo/for how long you got before your mast/recon., sometimes they follow with a second part after surgery. Also, check with your onc. on blood MARKERS, they can be elevated: e.g. CEA, Ca1.3, Ca27.7 and CA-125 can all indicate mets.  Maybe, because he is your second onc., he just want to be SURE your are going to be OK! Maybe, because you already had recon. he doesn't want you to have rad., because it can damage your new boobs.  Ask him all these questins before you decide to refuse any treatment. 
 
I have just started my chemo; it took me 4.5 months to get it.  Whole 8 weeks after mast.! I saw my onc. just 2 weeks ago for the first time! I had no quidance from onc. through those 4 months of waiting. They also did not find any more cancer in any of my breasts. But, I do have 2 friends who worked in path.labs for 20 years.  They told me they usually do only 1 SLIDE per tumor!!! They can miss!!! Second, with triple neg, I believe the best is to do mast.  The chance of having recurrance in too great. My surgeon told me its 20% minimum.
 
You are breave you did recon. and you did it right after mast. That's the way to do it! Good for you!. I hope with all the other surgeries it still looks good! I did not have guts to do it and I wanted to get fast, fast to chemo...
 
I have got stiches which disolved after about 8 days.  The nurse removed all dressing and tape basically with the stiches (the leftovers stuck to the tape).  I have problem with one side which is still red.  I tried all sorts of creams, they recommended to buy cream base and add VitE. They did not want me to tape it.  The best what worked for me is ANTIBIOTIC cream. 
 
Best luck. Galina


Edited by Galina2 - Nov 24 2007 at 7:22pm
Believing is 50%!Dx 7/10/07, Lumpectomy 8/24/07, double mast/no recont. 10/01/07, IDC, 3 cm, Grade 3, 0/4 nodes, Stage IIA, ER-/PR- HER2- Age 48, chemo 11/23/07 lung spots 3/08
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Galina2 Quote  Post ReplyReply Direct Link To This Post Posted: Nov 24 2007 at 7:49pm
Hello, I just had my first chemo of FEC100. The nurse had to administer both F and E manually.  After 1 ml of F I got stomack problem and after 5ml I got pain on the left side of my chest, followed by convultions.  The EKG was normal, they told me it was allergic reaction (!?). 
 
The nurse told me sometimes the drug goes to the place of a tumor and as it kills the tumor, reaction occurs.  I have few places in my body for which this statement might be true. E.g. before treatment feeling pain in lymph nodes and after treatment feeling "rubberish").
 
I would like to know, if anybody has had similar reactions and was told similar reasonigs? Tx. Galina
Believing is 50%!Dx 7/10/07, Lumpectomy 8/24/07, double mast/no recont. 10/01/07, IDC, 3 cm, Grade 3, 0/4 nodes, Stage IIA, ER-/PR- HER2- Age 48, chemo 11/23/07 lung spots 3/08
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Post Options Post Options   Thanks (0) Thanks(0)   Quote lady4law Quote  Post ReplyReply Direct Link To This Post Posted: Nov 25 2007 at 8:53am
Galina

I did have the blood markers done after the first surgery, but not following the bilateral. My first surgery showed clear margins. (about 1-2c around the tumor) There were a lot of slides done. The path report following my bilateral, had about 50 slides...NOTHING. The reason I was "talked into" the mast, was my BS told me the cancer had spread into my nodes. It had not. He did not remove one single node, just made up the spreading.

I have all the labs, paths, PET, CT and bone scans. Not only do they state No cancer, but explain post op conditions.  (these were all performed following my lympedicmy...done without removing a node!)

I fully intend to move forward with legal action against both the BS and the first onc. I will have a lot of surgeries because of this jerk, not counting the replacing the implants every ten years. I can just see myself at 70 or 80 having implant surgery....what was this guy thinking? I guess I paid for his orient vacation. He left the day after, and I have never...NEVER...seen him since. I was in the hospital for a week and no one knew who to have sign me out as my surgeon was gone.
IBC/TN 6/07 Lymph, Chemo, Mast w/rec, chemo, 2 infect surg, exchg (2x) redo rec (2x) 4 new tumors esophagus, colon, chest, mouth, (10/11- 5th SUV7)"Activity" in spine hip
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Post Options Post Options   Thanks (0) Thanks(0)   Quote phillyborn Quote  Post ReplyReply Direct Link To This Post Posted: Nov 27 2007 at 11:16am
Also had the chemo you're having.
A nurse told me to take a daily Vitamin B-6 while I was getting Taxol, to either avoid or diminish the bone pain/neuropathy. For me, it worked, as I had none during or following my 4 sessions of Taxol.
Best wishes!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote like2canter Quote  Post ReplyReply Direct Link To This Post Posted: Jan 06 2008 at 10:17am
Charlene,

I was scheduled to get 4 AC and 4 Taxol, until my nodes came back negative.  Then they switched to 6 rounds of Taxatere and Cytoxan together.   I have also read the articles about Adriamycin.  If they say you need it, I wouldn't question, but some of the suggestions I have read from the others are good.  I take several supplements (have for years) that are mentioned here, so maybe they helped me and I didn't even realize it.  L-Glutamine and L-Carnitine are also good for muscle development.  If you exercise through chemo (I strongly recommend - even if it's just walking), the muscle development will help counteract the drop in your metabolism that chemo causes.  I also took coQ10 for heart health and brain support, and I continue to take it because I seem to have better energy levels with it.  I strongly recommend regular exercise, lots of water - or other non-caffeine liquids and a good, healthy diet (strictly limit sugar).  You will do fine.  Be strong and fight for yourself!!

Nora
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Post Options Post Options   Thanks (0) Thanks(0)   Quote lady4law Quote  Post ReplyReply Direct Link To This Post Posted: Jan 06 2008 at 10:59am
One side effect form Taxotere - you may well lose your nails, and not until long after your normal SE are gone.

I started my first Chemo sessions about 5-6 months ago, three treatments prior to surgery, then more following surgery. I just completed chemo the day before Christmas.

Most trama can show up as lines on your nails. I had three deep ones for each of my first treatments. About 2 weeks ago my nails started to lift. At first I thought it was just a large piece of nail polish that had lifted off, but to my horror it also included a large chunk of the under lying nail. Now, slowly, one by one they are coming up.  However it wasn't just my nails, 2 days ago, all the skin on one of my finger tips just came up. I had little to no feeling on some of my finger tips, so had no warning. Yesterday, the same thing happened to another finger. Gee when will all this end and we can go back to some sort of a normal life?
IBC/TN 6/07 Lymph, Chemo, Mast w/rec, chemo, 2 infect surg, exchg (2x) redo rec (2x) 4 new tumors esophagus, colon, chest, mouth, (10/11- 5th SUV7)"Activity" in spine hip
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Post Options Post Options   Thanks (0) Thanks(0)   Quote poookyquilting Quote  Post ReplyReply Direct Link To This Post Posted: Jan 06 2008 at 12:10pm
+I was diagnosed june 12, 2007. I will have my last of six treatments on January 23rd. Will have one month off and start radiation. My tumor was grade 3 and 5.2 cm. I had mastectomy but no therapy prior to surgery. My nails, so far are okay. Did you have Taxotere, Cytoxan, Adriamycin and Neupogen? that is what I am taking. I take a shot of Neupogen everyday for ten days starting the day after each treatment.

Jan in Michigan
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Post Options Post Options   Thanks (0) Thanks(0)   Quote like2canter Quote  Post ReplyReply Direct Link To This Post Posted: Jan 06 2008 at 4:04pm
Lady4law - what is SE - oh - side effects, right?  Congrats on finishing your chemo.  You will feel more normal some day - just not right away.  I am almost 5 months out and still have some SE, but nothing serious enough to impair my enjoyment.

I misstated about my chemo - I only had 4 treatments, not 6.  I think if I had more I would definitely have lost my nails, but I think they'll stay on now.  Good, healthy nail is growing out to replace them and only one still looks like it might be partially loose.  This is one of the surprises no one told me about, and I thought it might have been just trauma, although exaggerated from the chemo, as I had grabbed a long-haired dog (which was attacking me) rather abruptly and it's hair kind of wrenched my nails.  The other thing that can come late is continued hair loss.  My eyebrows and eyelashes never fell out until after my 4th (and final) chemo.  That was weird, too.

Jan in Michigan.  best of luck with your last treatment - yea to be done soon!!  Not everyone gets the Neupogen along with the chemo.  I only had it when I ended up in the hospital with low white count. 

Radiation was easy compared to chemo, but you do get fatigued by the end.  I was more mentally fatigued than physical and it was surprising even though I was warned by many people of the fatigue.

Nora
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