i am newly diagnosed and need help

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tibet
tibet Member Posts: 545

I am newly diagnosed stage IIA, 1CM TN. I am dreaded and had a mastectomy 2 weeks ago and wait for Chemo.

Two doctors suggested different chemo, one is ACT and the other is TAC. Any difference between the two? Which is better?

I am so afraid about the TN status. But heard Chemo is effective. Does it mean I can be cured if I take a good chemo? Any success stories can help me to cope with the difficulties right now. Thanks

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  • tibet
    tibet Member Posts: 545
    edited October 2008

    Newly diagonsed

  • Msklapkin
    Msklapkin Member Posts: 208
    edited October 2008

    New Alex,

    I am TN.  Had double mast due to my BRCA2+ Status.

    I had 4 treat ments of AC and then 4 treatments of Taxol.

    this is 3 years ago and I am all clear right now- Both my onc and me are doing happy dance!

    I know the treatments have changed in 3 years, the important thing is to totally trust and have a wonderful relationship with your onc- you will be like family.

    Just know- chemo is totally doable- I never got sick once- just extreme fatigue- lots of bed time and naps.

    Good luck to you- you have tremendous support here

    Susan

  • tibet
    tibet Member Posts: 545
    edited October 2008

    Msklapkin,

    How did you manage these 3 years? I am suffering every minute since the diagnose, as I heard TN is not easy to treat. Is it the case or actually the chem works really wkk so TN is actually can be managed and we can survive?

    My doctor suggested AC every 3 weeks then T every week. The other doctor suggested TAC, every 3 weeks. Do you know if there is any difference between AC T and TAC? I have to make a decision about which doctor to go for the chemo by tomorrow. Need some help to decide.

    Any one knows about these regiems, pls help.

      

  • Maryiz
    Maryiz Member Posts: 975
    edited October 2008

    Newalex, I am by no means an expert, but, having said that, there are more and more treatments evolving rapidly for all different kinds of breast cancer.  The good thing about TN is that chemo knocks the you know what out of the cancer.  I want to say b---lls.  Also, your tumor is small. You have good prognostic factors.  I don't know much about the chemos, I think I would read all of the NED stories of women with your type of BC and see what they did.  I feel you will do well.  As for your pain, you just had a mastectomy, so pain would be very normal.  Take care, Maryiz

  • Maryiz
    Maryiz Member Posts: 975
    edited October 2008

    Newalex, I am by no means an expert, but, having said that, there are more and more treatments evolving rapidly for all different kinds of breast cancer.  The good thing about TN is that chemo knocks the you know what out of the cancer.  I want to say b---lls.  Also, your tumor is small. You have good prognostic factors.  I don't know much about the chemos, I think I would read all of the NED stories of women with your type of BC and see what they did.  I feel you will do well.  As for your pain, you just had a mastectomy, so pain would be very normal.  Take care, Maryiz

  • jason222
    jason222 Member Posts: 70
    edited October 2008
    Dear Newalelx,

    My mother was diagnosed with TN a few months ago, and is currently undergoing chemo. We were in similar situation, and I was posting on the board, seeking advice on what regime to follow.

    After doing much research, we found that the AC dose dense, followed by Taxol weekly seem to be the most effective. The oncologist also included Carboplatin during the weekly taxol treatment, where the carbo was found to be effective on the TN as well.

    Thats the regime that my mother is currently doing now. You can look into this. Hope it helps.
  • pattypoo53
    pattypoo53 Member Posts: 46
    edited October 2008

    Newalex,

    I will be five years out from diagnoses in Dec 03, stage IIA, triple negative, hang in there. You will get through this, keep coming to this board, it is an awesome place for information. If you have any questions you can pm me.

    Hugs

    Patty

  • rockwell_girl
    rockwell_girl Member Posts: 1,710
    edited October 2008

    I met a awesome gal that is TN.  I think I remember her saying she took TC chemo

    When I was reading about chemo on this site last April I read TC had less side effects than AC

    My freind is doing great now and I'm sure you will also

  • tibet
    tibet Member Posts: 545
    edited October 2008

    hi pattypoo53

    It is good to hear you are 5 yr out. I am so scared about this journey as I am all newly diagnosed and no one in my family had cancer and my grandparents all lived in their lat 80s from both mom and dads side. I don't understand why I got this TN problem. When I read on line about TN, it just scared the hell out of me...

    Do you have an email where I can ask for tips and encouragment if you don't come to this board all the time?

    How did you go through the 5 years? Which Chemo did you take?

    Any help is greatly appreciated.

  • pattypoo53
    pattypoo53 Member Posts: 46
    edited October 2008

    I sent you a private message with my email address.

    Patty

  • tibet
    tibet Member Posts: 545
    edited October 2008

    How do I check it?

  • rockwell_girl
    rockwell_girl Member Posts: 1,710
    edited October 2008

    you can click on private messages at the top of the page 

    or you can even click on my home and get to them there also

  • pennylane
    pennylane Member Posts: 177
    edited October 2008

    Hi Newalex, Just checking in with you 'cause I have a feeling you are having a pretty rough time right now.  Please let us reassure you it's going to be okay.  I can so relate to your searching for a definitive "cure" for your situation.  Unfortunately there is no 100% cure for invasive breast cancer right now.  With a little time your brain and your emotions will learn to readjust to this information.  You really do learn how to live with this uncertainty.  On the upside you and I and many of the women here were lucky to be early stage.  That gives us very good numbers, very good odds of making it and that can give you something very real to hold on to.  Just focus on the fact that the odds are way in your favor and don't think of the "what ifs".  3 years ago when I did chemo, dose dense AC was the norm for node neg early stage bc...taxol was added shortly thereafter...for a while there I dwelled on my missed opportunity for more chemo, but have learned that it is all still okay.  Newalex you are going to get much better at this.  You are in the worst part right now.  Hang in, and most importantly keep posting and please pm me if you would like to chat one on one.....best to you, Pennylane

  • joannnc
    joannnc Member Posts: 119
    edited October 2008

    Dear NewAlex,

    Just want you to know that I was diagnosed 5 1/2 years ago with TN and my tumor was 3.5 cent.  I was Stage IIb, Grade III.   I had chemo treatments every two weeks for a total of eight treatments. 

    First four were AC - last four were taxol.  I then had a node dissection and lumpectomy followed by 31 radiation treatments. 

    You will be fine.  There is life after breast cancer.   I am feeling wonderful. You will get through this.  Just be kind to yourself and take one day at a time.  

    By the way no one in my family ever had cancer either.   Actually, my uncle  did - he got lung cancer but only after smoking heavily for SIXTY years. 

    LOL, JoAnn 

  • tibet
    tibet Member Posts: 545
    edited October 2008

    Hi joAnn

    It is so encouraging to hear from you. I went to see my pyschologist and did not help me. I realize what helps me the most in time of this difficulty is to hear sucess stories like yours.

    How did you manage the first 3 years? How did you deal with AC T? I want to chat more with you and I don't know how to use private message yet.

  • rumoret
    rumoret Member Posts: 685
    edited October 2008

    Newalex,

    My mother was dx in October 1999 with TN breast cancer...she was 69 years old and is still doing fine. I believe her chemo drugs were FEC (Fluorouracil (5FU), epirubicin and cyclophosphamide)....standard treatment.

    My friend who was also triple negative got 4 treatments of AC and then 4 treatments of Taxotere...she had a mastectomy and reconstruction. She is now dealing with mets....but is still fighting strong.

    Remember we are all individuals.....and how we react to a drug may be different then how the next person reacts.

    I had 4 treatment of Taxotere, Adriamicin, and cytoxen......I was scheduled for 6 treatments...but I had a reaction on my first day to the Taxotere....so they had to drip it in over a 3 hour period. I stopped after my 4th treatment because I got a small bowel obstruction which caused extreme throwing up and was hospitalized. Taxotere can cause a bowel obstruction do to inflamation....if it occurs it will be around the 5th treatment. I read this on the Taxotere LABLE after being released from the hospital. I am ER/PR+.....

    Terry 

  • rumoret
    rumoret Member Posts: 685
    edited October 2008

    Taxotere

    Fluid Retention – This means that your body is holding extra water. If this fluid retention is in the chest or around the heart it can be life-threatening. If you notice swelling in the feet and legs or a slight weight gain, this may be the first warning sign. Fluid retention usually does not start immediately; but, if it occurs, it may start around your 5th treatment. Generally, fluid retention will go away within weeks or months after your treatments are completed.

    Dexamethasone tablets may protect patients from significant fluid retention. It is important that you take this medicine on schedule. If you have not taken dexamethasone on schedule, you must tell your doctor or nurse before receiving your next Taxotere treatment.

    Gastrointestinal – Diarrhea has been associated with TAXOTERE use and can be severe in some patients. Nausea and/or vomiting are common in patients receiving TAXOTERE. Severe inflammation of the bowel can also occur in some patients and may be life threatening.

    http://products.sanofi-aventis.us/Taxotere/taxotere.html#Patinfo 

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