TRIPLE POSITIVE GROUP

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  • Jerseygirl927
    Jerseygirl927 Member Posts: 438
    edited March 2015

    hope that the acne clears, face is dry, trying almost everything to see if one or the other works....no luck so far, no more white heads but deep pimples that hurt below surface. Anything I should ask for? Open to suggestions. What is neocutis? Is it a script?

    Thanks all, going in thurs for second round of chemotherapy. Send prayers please.

  • TTfan
    TTfan Member Posts: 176
    edited March 2015

    Hi Jerseygirl - I had acne on face and scalp with Taxol and Clindamycin gel worked great. My MO Rx'ed it. Cleared it up within a few days.

  • GingerChi
    GingerChi Member Posts: 252
    edited March 2015

    Thanks for the welcomes!

    SpecialK...neoadjuvent treatment wasn't really discussed. I had needle biopsy on the 3cm mass on the right breast which came back IDC...then MRI showed DCIS in the right as well. MRI also showed several suspicious areas in the left which needed biopsy, but BS recommendation was BMX and I was in agreement. She said since I wasn't trying to save my breasts, it was up to me which I wanted first...surgery or chemo. I opted for surgery first. In hindsight, i wish I'd consulted a MO while making those decisions, but was I in the lala land of shock when I got my DX. Singing

  • SpecialK
    SpecialK Member Posts: 16,486
    edited March 2015

    ginger - hey, we've all been there! You were doing the best you could with what you knew.  Ask your MO if you can add Perjeta on adjuvently - there are people doing that and their insurance is cooperating.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2015

    Anybody see the report on NBC tonight that 13% of DCIS goes undiscovered due to a bad reading....35 percent of atypia (i think) and 17% of dcis is overdiagnosed causing unneeded treatment?


    Encouraged everyone with a diagnosis, dense breasts to get a second opinion.

  • formydaughter
    formydaughter Member Posts: 213
    edited March 2015

    hope everyone is feeling well today!

    Neocutis is a Swiss skin care line. No Rx needed.

  • knmtwins
    knmtwins Member Posts: 598
    edited March 2015

    Took my first tomoxifen at dinner tonight. Glad there is something to help reduce reoccurrence, sad I'll be on some drug... oh the wows of this marathon we are all running...

  • Eileenohio
    Eileenohio Member Posts: 460
    edited March 2015

    Hi Ladies--  I just got home from seeing my MO for my 6 month check up.  I have had some tenderness above my lumpectomy scar for about a month. My MO said I have lymphedema in my breast- she measured my arms and examined my range of movement which are both good. She said there is some fluid build up above the scar line.. Has anyone else had this?  There is nothing that can be done for this. I asked if it would get worse but she didn't know.  If it gets worse she will order physical therapy.   The side effects of BC never end !!...  I can live with this but just wondering if anyone else experienced this..  

  • SpecialK
    SpecialK Member Posts: 16,486
    edited March 2015

    Eileen - I would ask for the PT consult anyway - people with breast and/or truncal lymphedema often use compression - usually a tank or camisole - to help with swelling, and I am not sure why manual lymphatic drainage would not be beneficial for you.  You need to find a lymphedema certified PT so you can discuss this with them and get an opinion, they can also show you how to do the massage and tell you about garments.  In all honesty, oncologists are not the best source of info on this subject.

  • ElaineTherese
    ElaineTherese Member Posts: 3,328
    edited March 2015

    fluffqueen -- There was a story in the New York Times in the past few days about the inaccuracy of biopsies regarding DCIS and atypia. However, the article also noted that biopsies are generally accurate at finding cancer and distinguishing it from healthy breast tissue. It's the "in between" conditions that produce inaccurate diagnoses, and yes, if you have one of them, a second opinion certainly seems to be in order.

  • Eileenohio
    Eileenohio Member Posts: 460
    edited March 2015

    Thanks SpecialK.  I am going to call my breast surgeon to see if draining the fluid is an option. If not I will get a PT consult. I want to prevent this from getting any worse..  Funny thing is that last week I was doing some research online for scar tissue ( I thought it was scar tissue) I found an article that says to message the scar tissue-I did massage it  for a few days and found that it did feel better..I am going to start to message the area everyday to see if that helps..

  • SpecialK
    SpecialK Member Posts: 16,486
    edited March 2015

    Eileen - you can drain a seroma, but not lymphedema.  A seroma is a collection of fluid in one area, but lymphedema is fluid within each cell in an area - not possible to drain.

  • Eileenohio
    Eileenohio Member Posts: 460
    edited March 2015


    SpecialK   Oh darn!!!  My MO said it could not be drained but I was hoping.. Thanks

  • SpecialK
    SpecialK Member Posts: 16,486
    edited March 2015

    Eileen - that is why the compression works fairly well for this - keeps the individual cells from filling with the fluid.

  • Eileenohio
    Eileenohio Member Posts: 460
    edited March 2015


    Thanks SpecialK    I have a compression bra that I saved from my surgery.  Don't know why I hung on onto it ,now I am going to wear it a few days to see how it goes.  Thanks you,thank you thank you.. You are the BEST  !!!

  • Buz15
    Buz15 Member Posts: 2
    edited March 2015

    HI all, I've been following this site for a while now. It's nice to have somewhere to go and read about others with some of the same stuff going on. I haven't taken the time to add my history yet, but in short, I was diagnosed just about a year ago, triple positive , lobular , stage 2, found on a annual mam! No lymph node involvement!! 4 treatments of A/C, 12 weeks of Taxol and Herceptin, finishing in Nov. Herceptin until Aug. No rad! And on Arimidex. My question, concern is I did not have Perjeta. I really wasn't aware of it until I started reading this forum. Should I ask my MO about it or is it to late to start??

  • SpecialK
    SpecialK Member Posts: 16,486
    edited March 2015

    buz - for early stage breast cancer, 2cm and larger, Perjeta is approved for neoadjuvent use with Taxotere, Carboplatin and Herceptin per the FDA. Some oncologists have been successful giving it adjuvantly, but it is given with chemo. It may be difficult to get it added in now that you are on H only

  • Jerseygirl927
    Jerseygirl927 Member Posts: 438
    edited March 2015

    I have fluid near my scars my surgeon told me to wait till too painful to drain because of infection, mine are new from January or go to the radiologist and she can drain also. I am waiting cause they have been manually drained once already. Not too painful yet

  • Jerseygirl927
    Jerseygirl927 Member Posts: 438
    edited March 2015

    I have tried the compression camisole/bra and it eventually got to tight later in day, I may try again, but it does get painful from the swelling then it has to come off..thinking on this one

  • lago
    lago Member Posts: 17,186
    edited March 2015

    Eileenohio It's best to treat lymphedema early. I have it in my arm and so glad I caught it early. Check out these threads: https://community.breastcancer.org/forum/64

  • Tomboy
    Tomboy Member Posts: 3,945
    edited March 2015

    I actually do have some truncal and breast lymphedema besides my arm. And yes compression does help. I did have a seroma in the beginning, and it was my lymphedema therapist who actually knew that it was a seroma(a collection of fluid in a space) it got drained once with a syringe, not painful. If you can't find a lymhedema therapist right away, a gentle self massage does not hurt, and actually can feel quite good. There are some women on youtube, from the university of michigan, I think her name is heather, where, she does it closest to how my LE therapist did, and it feels plain good.


  • Tomboy
    Tomboy Member Posts: 3,945
    edited March 2015

    It could be fat necrosis under the scar, I have that too.

  • Eileenohio
    Eileenohio Member Posts: 460
    edited March 2015


    Thanks everyone.  I am waiting for my MO to call with a referral to a lymphedema therapist. I do not want to risk this getting any worse..I do have one more question-- could the breast lymphedema progress to my arm?  Gosh I hope not!!

    Tomboy-  I did ask my MO if it was fat necrosis or scar tissue --she said no..

     

  • Jerseygirl927
    Jerseygirl927 Member Posts: 438
    edited March 2015

    wore my compression cami today while having 2nd chemo and all that fluid today, feels pretty good, removing it while sleeping and will wear again for a few days, maybe won't have to have it refrained. Another question, I learned today there are 2 hercepton diagnosis, did not get an explanation, but does it refer to. Hercepton negative and the other Her 2 positive ? Or is there a hercepton 1 and a hercepton 2 positive.? I think that is what I heard,but I was told to talk to oncologist for explanation. Ok nite all

  • Buz15
    Buz15 Member Posts: 2
    edited March 2015

    SpecialK, thanks for your response. I met with my MO today (Herceptin infusion) and asked her about Perjeta. She said it's still "new" a lot of studies still being done. At the time I started this journey, with my results (2.2 cm + .8 cm , grade 1 Stage 2) the path I decided to take (double mastectomy, immediate reconstruction, my daughter was getting married in a little more than a month) it was not something that she considered. With that said, as the results come in, she says , who's to say they don't suggest giving it at a later date? There are new drugs being tested everyday, we are so very lucky the have come as far as they have!! Thanks again , hugs Buz xoxo

  • lago
    lago Member Posts: 17,186
    edited March 2015

    Jerseygirl Herceptin is targeted therapy used if you are diagnosed HER2+. There are a few other drugs for HER2+. Perjeta, Tykerb, Lapatinib and Kadcyla (Tykerb, Lapatinib and Kadcyla currently metastatic only unless in a study)

    linky

  • ang7894
    ang7894 Member Posts: 540
    edited March 2015


    Weird my doctor does not do Perjeta  she said it's to new and under trial yet. Hmm and a lot of you are doing it already.

    I don't get it. Is this a east cost / west cost thing?

  • ElaineTherese
    ElaineTherese Member Posts: 3,328
    edited March 2015

    ang, it looks like you've been done with chemo for awhile. Perjeta is part of a chemo regimen (I did it with Taxol and Herceptin); in my case, I did it prior to surgery to shrink a big (5 cm.+) aggressive (Grade 3) tumor. I don't think I would have gotten it if my tumor were smaller or were Grade 1.

  • CassieCat
    CassieCat Member Posts: 1,257
    edited March 2015

    ang, I think ElaineTherese is right. When you had chemo, Perjeta wasn't approved for neoadjuvant use the way it is now, if I understand the timeline correctly.

  • runningcello
    runningcello Member Posts: 110
    edited March 2015

    I had Perjeta in my regiment and it worked wonders. I would definitely recommend neoadj to anyone who is choosing between pre and post surgery chemo. To hear PCR once surgery was complete made the entire journeys worth it.

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