HER2/nHER2/neu+,Grade2, Stage 2A, O nodes 2.5cm.

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kimmysue
kimmysue Member Posts: 41

Hi,

Sorry I said HER2/neu 2 times on the header!!!

I meant ...Does anyone out there have the same diagnosis am me (HER2/neu+,Grade2, Stage 2A, O nodes 2.5cm.)? If so what treatment regimins were you given? Please advise as I see my ocologist on Thursday and want to know my options. Thanks!

Kim

Comments

  • lisettemac
    lisettemac Member Posts: 213
    edited September 2008

    Hi Kimmysue:

    I can't say my dx was *exactly* the same as yours, but not terribly far off.  Here goes:

    Stage 1, 1.1 cm, grade 2, 0 nodes (but in my lymphatic tissue), Er+, HER2/neu+

    I did chemo (A/C and Taxol) on a dose-dense routine.  Began Herceptin during the Taxol.  Then radiation.  Still taking hormone therapy (started with Tamoxifen, but then had an ooph and went to Arimidex).

    Between having a poor grade and HER2/neu, I couldn't avoid the chemo.

    Best wishes in making your treatment decisions.

  • suemed8749
    suemed8749 Member Posts: 1,151
    edited September 2008

    Welcome KimmySue - You can see by my signature line that my dx is just about identical to yours. I did six treatments of Taxol/Carboplatin/Herceptin (finished July 22) and now I'm doing infusions of Herceptin every 3 weeks.

    Whatever treatment you and your oncologist decide on, this is a great place for information and support. Chemo is definitely "doable" - I worked, traveled, and exercised throughout.

  • looahvul
    looahvul Member Posts: 17
    edited September 2008

    I am currently taking Abraxane every week (12 total - 8 left), Cytoxan every 3 (4 total 2 left), and Herceptin every 3 for the next year (14 total - 12 left.  I am part of a research study.

    I am a hairdresser and so far only missed 1 day in the past month because of queasiness.  They've changed that med, so am hoping this month will be fine.  I've not been overly tired yet, but they did have to give me a sleeping pill last week as I can't get to sleep, especially on chemo night.  It is helping too.

     My hair started coming out around the 16th day, but I still have enough to wear without a wig at the moment.  I do have several inexpensive wigs in different styles and colors to wear in the shop when I need them.

    Remember to tell your onco anything that changes or effects you during treatment.  There are so many helpful hints and meds to make it so much easier than ever before.  Good luck!

  • lisa39
    lisa39 Member Posts: 255
    edited September 2008

    Hi Kim,

    My diagnosis is almost identical to yours - except my tumor was 1/2 cm smaller.  I was 38 when diagnosed.  I had a lumpectomy, radiation and 8 rounds of chemo.  I will continue to get Herceptin until April '09.  I had to pick between two kinds of chemo: 3 rounds of FEC + 3 Taxotere OR 4 rounds of AC + 4 rounds of Taxol.  Both kinds would be followed by Herceptin.  I was tempted to choose the FEC Taxotere route because it was 6 rounds compared to 8.  But I asked my oncologist what he recommended and he told me the AC Taxol treatment was the 'gold standard' for HER 2 neu tumors.  I opted for the gold standard.  It was not easy, but I finished on July 10th and the memory is already fading fast.  You can do it.

    All the best,

  • Xantippe
    Xantippe Member Posts: 9
    edited September 2008

    Hi KimmySue

    My diagnosis is similar to yours, although I had a smaller tumor but 2 positive lymph nodes. I did 4 dose dense AC and 12 weekly Taxol. I started Herceptin with the Taxol (also weekly) and continued with it every 3 weeks till one year had passed. I had 7 weeks of radiation and am now on Arimidex. The AC wasn't easy on me, but still doable. I think the side effects were partly caused by the Neulasta shot I got the day after chemo to keep my white blood cell count up. I spent those 8 weeks at home taking it easy. Taxol was a lot easier, and I was able to resume my daily activities. Good luck to you, and keep us posted!

    Lise

  • bluedasher
    bluedasher Member Posts: 1,203
    edited September 2008

    Hi KimmySue, thanks for starting this thread. I'm waitng for results from my lumpectomy and SNB which should be in by Friday. If the nodes are negative, I will have the same diagnosis as you.

    I'm wondering what chemo I'll get too. My surgeon said they might do some chemo and then the radiation and then the rest of the chemo. 

  • coonie
    coonie Member Posts: 7,618
    edited September 2008

    Hi Kimmysue---My diagnosis was pretty much the same as yours, except I'm triple+ I started chemo in December (Four rounds of AC then four of Taxol w/Herceptin. Still doing Herceptin every 3 weeks until January 09. I didn't do radiation, as I decided to have bilateral mastectomy after I finished chemo. I just didn't want to go through mammos, biopsies, etc., for the rest of my life. I'm feel great. I wish you luck with your decisions.

  • Carolina59
    Carolina59 Member Posts: 232
    edited September 2008
    My diagnosis is slightly different, but I did taxotere/carboplatin/herceptin every 3 weeks for 6 txs, then Herceptin every 3 weeks for a year--finished Aug 08. I had a bilateral mastectomy (cancer in both breasts) about 6 weeks before starting chemo, and I was node neg., so no radiation.

    The chemo was hard for me, but I got through it. The herceptin alone txs were a piece of cake. I'm on Arimidex now and hating it.

    Sorry you have to be here, but good luck with your tx plan. 

  • lfasano44
    lfasano44 Member Posts: 50
    edited September 2008

    I am almost halfway through 6 cycles of TCH (every 21 days) and then herceptin every week for 9 months.  All the doctors I saw said either TCH or ACTH would be fine and you will find a whole thread on here for ACTH vs. TCH.  I went with TCH becase of the potential complications of A.  Good luck with your treatment, mine has been pretty okay so far!

  • kimmysue
    kimmysue Member Posts: 41
    edited September 2008

    Hi ladies,

    I appreciate all of you post and they were all very helpful to me!

    I did see my onco this Thursday and he said I wold be getting 6 doses of TCH every 21 days or I could do a Clinical Trial for T(Cytoxin)H for 4 doses. I am considering the trial as it is less chemo. What do you think would you do it? Or is it too much of a risk to be a guinea pig. It is so hard as we can't see the tiny little cancer cells floating around if they are there. I do have 2 little girls at home and want to live for them.

    Sue... How were the treatments? any tips?

    Ifasono44... I bet you are so happy do be half way done! Congrats.. Only 3 more girl hang in there..!!!! any tips for going so smoothly? I am so happy for you!!!!

    Carolina.. Sorry so hard for you? What can I expect and any tips on avoiding Side Effects?

    Bluedasher... Any news on the lymph nodes? Did you see you onco yet? I hev never heard of chemo radiation the chemo. Then of course I am new at this!!!

    Well gotta finish planning my little girls 4th b-day party. I hope to chat gain soon

    Luv,

    Kim

  • Bethwvu
    Bethwvu Member Posts: 5
    edited September 2008

    KimmySue,

    I am sure you are feeling a bit overwhelmed at this point......like all these tests/appointments/surgeries/reports are coming so fast...your mind can't even process...overload....

    I am Her2+ and started chemo today...TCH (taxotere/carboplatin/herceptin)

    I will have the TCH every 3 weeks for 6X...herceptin every week for 6 months...followed by radiation after chemo and hormone pills......

    Do a lot of research online on your options.......ask a lot of questions....and trust in your oncologist and your team of doctors.....This isn't their first time.........

    God Bless!

    Beth

  • kimmysue
    kimmysue Member Posts: 41
    edited September 2008

    Beth,

    How are you? I knoeyou just started chemo today. Hope you are well.

    Kim

  • lfasano44
    lfasano44 Member Posts: 50
    edited September 2008

    kimmysue: I think you will do great on TCH. The only side effects I have had are the horrible taste buds, bone pains and some diarrhea.  I get my treatments on Wed and don't start to feel yuck until Sat and then it lasts till Wed and then back to being fine again.  I have two little girls (6 and 4) and a 4 month old son and I am able to still keep up so I know you can too!!  It is so much worse in your head then it will actually be.  Can you believe we have to deal with all this junk? I just want to enjoy my kids every minute so I just treat cancer as my job and get through it.  Good luck with your treatment!!!!  lfasano44 

  • kimmysue
    kimmysue Member Posts: 41
    edited September 2008

    Ifasano...

    Thanks for the positive thoughts and encouragement! How often are you taking your treatments? every 2 weeks? I think mine will be every 3 weeks. Is the "C" in your treatment Carboplatin or Cytoxin? I know how you feel... I have 2 beautiful little girls and I feel so consumed right now with myself. I am missing so much of my little 9 month olds youth. It sucks...

    Are you currently still in treatment?

    Kim

  • lisettemac
    lisettemac Member Posts: 213
    edited September 2008

    Kimmysue -- just wanted to offer you  my encouragement, too!  I did this and I know you can do it too.  I have a 5 1/2 yr old and a 4 yr old -- both girls.  With the help of my husband and some great childcare I was able to work full-time and take care of my family through my treatments.  I won't say it was easy or fun, but you can do this.

    As for guilt about missing your daughter's youth -- stop it right now.  You are not missing it.  More importantly, you are doing what is necessary to ensure that you will be around for the rest of their youth and their adult lives too!!  Trust me when I tell you that kids are resilient and they won't think a thing of this -- mine didn't!

    I will tell you the best advice I got.  I was apologizing to a client for not being immediately available due to my treatments.  She told me that there were many people who could pick up my work if needed, but to remember that *I* was the only person who could get my treatment for myself.  When taking care of yourself and doing something else conflict, just remind yourself that *you* are the only person who can get this treatment.  Therefore, it's the most important thing to do and everything else can be shuffled/delegated/put off as needed.

    Best wishes to you!

  • lfasano44
    lfasano44 Member Posts: 50
    edited September 2008

    kimmysue: Yes, I am still in treatment, my third treatment is next Wed and then just three to go!  I get  taxotere/carboplatin/herceptin every three weeks and then rads for a month and then Herceptin weekly for 9 months.  I'm not sure if you will get herceptin weekly or every three weeks since you are lucky (you know what I mean) to have no nodes involved.  I think that you will find it all very doable.  I sat on the computer forever when I was first dx but once you get in a routine with the treatment and start reading all about herceptin and see how lucky we are to have a targeted therapy to kill this monster, it does get a bit eaiser.  I still think about it constantly but I am more positive now.  Please keep us posted on how it goes for you!  Lauren

  • kimmysue
    kimmysue Member Posts: 41
    edited October 2008

    Hi Ifasano,

    Sorry I have not replied in a while. I have been in Vail trying to forget about my cancer and it worked. But back to reality. I have also started a thread of Her2Neu people going though chemo on October. If you would like to pop over there I can add you to the list. You may give us some hope as it seems you are doing o.k thus far. I actually start my chemo an 10.23.08. I think TCH. How are you doing? Still coping well?

    lisettemac .. Thanks for your encouraging words. I just have up and down days. I fee great right now!!!

     Luv,

    Kim

  • Cynthiadi
    Cynthiadi Member Posts: 5
    edited November 2009

    Hey kimmysue

    I was diagnosed on May 5 of 2009 Grade 2 stage IIA Her2neu Positive Infiltrating Ductal Carcinoma of the Breast 0/2 lymph nodes.  I got pissed off this morning at my onc nurse practioner.  I had 6 cycles of chemo and now taking 1 year of Herceptin had a herceptin infusion on Friday.  Stayed sleep all day friday due to the benadryl  saturday night a tingle or sharp pain hit me in my upper right breast thats the one I had a mastecomy and I called the office and told them.  She called me back stating they may have to take me off herceptin and I stated why she could not answer but said this was only side effects.  But, if anyone on the board I know my headaches can be treated with something.  I was not having migranes until all of this started.  Also, I am taking tamoxfen for 5 years.

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