Triple Negs - Fall 2008 Update

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FloridaLady
FloridaLady Member Posts: 2,155

Hi ladies and gentlemen (I know we have a few special hubby's) since are other thread has gotten kind of long.  I though we should start a new thread with our current status.  I sure many of you will be busy soon with the holiday season, and this will help us see how are group is doing before the holiday's. Please everyone drop in and post...that mean you who read and don't post often also!  Anyone new please take this chance to introduce yourself to our beautiful group of ladies.

I want to specially ask our Stage IV ladies to visit with us also...we know TN can be a difficult disease, but we all need to know what our options are if we should need them.

-- My update - I'm just rec'd my third Ixempra low dose weekly treatment.  I'm one of the few who is doing low dose of the drug.  My doctor thinks that in the future this will be the new protocol.  He also feels in a few years that early stage TN ladies will be treated with Ixempra instead of Adriam.  I have spoken to a few ladies with complete response to this drug, even after numerous other chemos.  I now have extensive skin mets on both chest walls, neck and back.  I have a few open wounds that are looking better just after three treatments. YES! I have some nodes next to my lung and liver that so far don't seem to want to move any further. Thank God!  My lymphedema is pretty bad because my body can not drain the right side of fluid due to so much skin mets. (My nodes are too full of bc to send fluid through them.)  Some days my pain can be pretty bad. I'm already showing signs that Ixempra is advancing my neuropathy.  I going to talk to my doctor next week about a few new things I have read recently.

I finally made the decision to cut my office hours back to three days a week and work at home the rest of the time.  This is a first for me.  But I feel my body needs more rest and less stress right now. Lucky the office will be slow of the next few months.

I would also like to tell everyone thank you so much for your support and love this year.  I find it unbelievable how you can feel love across the miles with this little tool we call a computer.  For a cancer patient it could be our most valuable tool in our fight.

Flalady (Debbie)

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Comments

  • debk55
    debk55 Member Posts: 108
    edited November 2008

    Hi All,

    My name is Debbie, had right mast 10-2, and first AC with ? avastin (in clinicial trai E5103) on 10.31. I am still not feeling too great from chemo tired and with much movement nausea. emand and compazine and ativan help. Thought i would just check in. I also have on my path report that it is metaplatic do any of you have that??   Blessing to you all and I will check back soon, Deb :)

  • JerseyMom
    JerseyMom Member Posts: 46
    edited November 2008

    I was diagnosed Dec 2007, TN, rt breast mastectomy in Jan 2008, finished chemo July 2008, finished rads Sep 2008. Kids keep me busy most of the time and I work full time but still can't stop thinking about recurrence and worry about it every now and then. Next month will be 2yrs from diagnosis and most TN recurrences happen from the 2-3yr range and I am nervous.

    -Ren

  • VickiG
    VickiG Member Posts: 536
    edited November 2008

    Flalady ~ sooooo happy to hear Ixempra is working for you, and so quickly, too!  It seemed to do nothing for me at all, but Navelbine showed signs of working in less than a wk, so it's definitely just a matter of finding the right thing for each of us at the right time.  Good for you for getting your work schedule adjusted ~ hopefully you feel better with a little more time to be home & more comfortable.  Take care of yourself!!!

  • ibcspouse
    ibcspouse Member Posts: 613
    edited November 2008

    Flalady,

     I am always glad to hear any good news for you.  You do so much research, I try, but there are so much conflicting info, I try to glean what is sensible and applicalble to Cam, then refine questions for doctor.  I agree with you that the low dose treatment is a doable future protocol.  I believe it will be more with a concurrent and intermittant radiation.  The week on and week off radiotheropy at the 60-70gy to chest wall  60gy radiotheropy to drain lymphatics while doing the low dose, (once week or even each day) .  Hopefully this will be less toxic on both chemo and radiation.

    The trouble is in an hour, I will find 50 reasons why this is not viable.  Where do you find the internet filter button that only allows the most correct answer for each situation.

  • PineHouse
    PineHouse Member Posts: 416
    edited November 2008

    FlaLady,

    Sooooo glad you're seeing improvement on Ixempra+Avastin.  Hopefully you and doctor can come up with something that will tame the neuropathy.

    I am still nervously waiting for the next scan (still another month or two).  Since June 06 (mets dx) I have gobbled up multiple treatments (Avastin+Taxol, Carboplatin, PARP Inhibitor, Navelbine+Xeloda, Avastin+Ixempra, and now Doxil+Cytoxan).

    Hope for the best outcome for all of us TNs!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited November 2008

    Hi FloridaLady:

    Thanks. There is no much talking about TN.  It seems TNs are being ignored.   I am glad that I found this website.  Lots of TN sisters share their experience.  We support and encourage each other.   You have given us so much infor.  You are doing a great job. 

  • ebann
    ebann Member Posts: 3,026
    edited November 2008

    Hi Everyone;

    I am a triple neg. I have done TX (taxotere & cisplatin), then (Admircyin & Cytoxan) Had a radical double mastectomy, found 3 positive lymph nodes and cancer on the chest wall. Having to do chemo (Taxol & Carboplatin) every week for 3 month along with radiation everyday except the weekends. Isn't that nice they gave me the weekends off. Yeah! LOL Found out I  am a triple neg too. So no Her2. Not sure I understand it all, though I will soon enough. Me and the internet are good friends. I hope everyone has a blessed evening;

    In God's Grace; Elizabeth

  • sftfemme65
    sftfemme65 Member Posts: 790
    edited November 2008

    Hi Everyone,

    I was diagnosed Nov 28, 2007....lft side mast on Dec 11, 2007....I also am doing a trial E5301, 4 DD A/C with Avastin, then 12 weekly taxols with Avastin every 3 weeks, finished that the end of May and found out I was in Arm C of the trial so I am not completing 10 additional treatments of Avastin every 3 weeks....2 more to go! 

    Honestly I'm scared alot.  I am starting to feel so good.  I am even considering have reconstructive surgery.  I am having my other breast removed because I dont want to live with that fear, my doctor doesn't feel its necessary but I do.  Are there any of you trip neg woman with pos nodes that did reconstuctive surgery? 

    My last treatment will be Dec 1 and I know this sounds strange but in a huge way, I'm actually a little sad about it and scared.  I feel like I'm fighting now but what happens after, you know....

    Teresa

  • tibet
    tibet Member Posts: 545
    edited November 2008

    sftfemme65

    why did ou doctor five you avastin? Is it because you have 3 nodes? I have 1 node with 1mm in. My doctor doesn't give me avastin Does Avsstin help?

  • FloridaLady
    FloridaLady Member Posts: 2,155
    edited November 2008

    newalex, 

    Most clinic can only use Avastin on girls with recurrence. (sometime node positive)  That is why you see the first line of treatment ladies are in the drug trial's with Avastin. Yes, Avastin does seem to help most of us TN ladies.

    Flalady

  • FloridaLady
    FloridaLady Member Posts: 2,155
    edited November 2008

    ibcspouse,

    I'm with you...You think we can buy a special computer, that would only show us complete and detail information about any given protocol?  I do get very tired of researching...for every one thing positive you can find two negative comments. I feel like most of the time I'm doctoring myself.  I feel like we are the one's who are trying to stay one step ahead of our disease. I now show up to the doctor's appt with the doctor's asking me "What do you think we should try next...".

    Our little light in the system is... what we learn from each other. It does feel wonderful to know how other's are being treated for the same disease and stage.

    Flalady

  • VickiG
    VickiG Member Posts: 536
    edited November 2008

    I definitely feel like it's up to us to study, research, read, read, read... I've said it a million times, but we are our own best advocates.  I am on next year's bc calendar for our breast health center & I'm very proud that my quote they chose to include on my page is that we are our own best advocates.  My onc said she thinks people like me make the best patients because it's extremely difficult for her to treat those who simply say "do whatever you think is best."  I know sometimes I'm a pain in her behind, but I also know she appreciates that, too.

  • chumfry
    chumfry Member Posts: 642
    edited November 2008

    I've had triple-neg BC twice.

    In August 2005 (eight months after a clean mammo), I went to doctor to check a rapidly growing lump that I thought was a cyst. Ha! Turned out to be a 4.5cm medullary tumor. Clean nodes. Had a mastectomy, followed by dose dense AC/Taxol.

    Routine mammo in April 2007 found a 1.2cm tumor in "good" breast. Was IDC, so hadn't traveled from first tumor. Had second mastectomy, followed by 12 weekly Carbo/Taxol treatments.

    I'm more than a year out from treatment now and I'm feeling fine. Still see oncologist regularly but I feel really hopeful.

    --CindyMN

  • maxgirl
    maxgirl Member Posts: 407
    edited November 2008

    Flalady -- Thanks for starting this topic.   I lurk more than post and have been following your journey --  that's great you're responding to the Ixempra. 

    Teresa -- Many of us had the same feeling when treatment ended -- you're not actively fighting the CA anymore, so now what do you do?  It was scary to have that cut off, no matter how rough it was to go through. You'll feel better the more time passes after your treatment. Hugs for your nerves and anxiety.

     My story -- I found a lump in Dec. 2006 and was officially diagnosed in Jan. 2007 with IDC, Stage 2a, Grade 3, TN, one of two sentinal nodes and one other beyond it positive.  I had lumpectomy and AND followed by DD 4AC, 4 Taxol, followed by 35 rad treatments + 3 boosts.  I finished treatment at the end of Aug. 2007. 

     For side effects, I have some lingering neuropathy, which has gotten a lot better in the past year; mild lymphedema, which has worsened; some damage to my left lung from the rads, which gives me an occasional slight cough.  I also have had issues with short-term memory loss and concentration.

    Since March I've had a punch breast biopsy, brain MRI, chest x-ray and endometrial biopsy -- all negative, all nerve-wracking.  Like JersyMom I'm nervous about this 2 year to 3 year time.

    But since my treatment ended I have danced at my older son's wedding and traveled to the UK for a 2-week vacation, and my younger son's first child -- and my first grandchild -- is due any day. I'm grateful for each day.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited November 2008

    Sftfemme65:

    I am TN with 4 positive nodes, had reconstruction 5 years after BC treatments.  I thought, immediatly reconstruction after the major surgery might affect my recovery, later treatments and exam.  After 5 years, it seems stable, then I had reconstruction. 

  • pattypoo53
    pattypoo53 Member Posts: 46
    edited November 2008

    Hello,

    I was diagnosed in Dec 03, 50 yrs, atypical medullary, they they treated it as an invasive ductal breast cancer, 2.8cm, triple negative, no nodes involved out of 28, no vascular invasion, clean margins, lumpectomy, 4xac then 4x taxol every three weeks, then 33 rads. My onc is very optimistic about my prognosis, the further out you get with the triple negative the less chance of reocurrence. I will be five years out in Dec. 08!! So far so good.

    Patty

  • angelsaboveus
    angelsaboveus Member Posts: 298
    edited November 2008

    Hi,

    I was dx in March with invasive, aggressive IDC node involement triple neg, had left mastectomy in April, started chemo in May.....FEC x 3 and then taxotere x3 and then moved on to radiation in Sept. Tolerated all my tx without any major problems so was very lucky in that respect

    Now I'm just taking a deep breath, have been pretty positive through out but now that i have finished tx my mind is beginning to wonder to places it shouldn't be. I will be going for the gene testing as i have a strong family history...sister passed away from IBC when she was 40 and as well did an aunt in her 50's,  the only problem is it takes so long to get the results up north here. I've heard some have to wait 9 months to a year. I have a younger daughter so want to have that information more for her sake down the road also it might make me think about the ovaries and other breast and what to do with them.

    So it's time to get back to my happy place and stop obsessing about things that i cannot control and get on with life as i've done all i can for now ......other than waiting for my hair to grow, happy to say i'm in the peach fuzz stage but still don't have enough to keep me warm on these colder days.

    It's nice to know there is a place to come for support and questions .......even though we have triple neg we can still make it a positive !Smile

    Cheers ! 

  • Boo46
    Boo46 Member Posts: 539
    edited November 2008

    Hi TN sisters,

    I was DX in June 06 with IDC trip neg stage 3A. I am now 2 years and 5 months post DX and NEDLaughing.

    I still have some neuropathy in my feet and fatique that comes and goes but can be just overwhelming at times.

    Overall am doing well. Back to work full time. Even participated in the Tampa Komen 3-day and walked the whole way!

    I too remain frightened with every pain or new symptom. I was just thinking this morning how I am right in the middle of the time when most TN recurrances are found. The emotional toll of the past 2 1/2 years has been very hard for me. Still trying to find my "new normal" and a calmness of mind.

    Sue

  • KPolasek
    KPolasek Member Posts: 184
    edited November 2008

    I hear you angels ..... I have been thinking a lot about it all now too .... I have almost decided to go ahead and have a mastectomy (had lumpectormy, chemo and rads).  I just had a re-occurence scare and I did not like it ..... so, I think right after Christmas I am going to get it done.  I am thinking about a re-con later ..... I try not to dwell but that is easier said than done.

    Blessings,

    Kay

  • nelstone
    nelstone Member Posts: 2
    edited November 2008

    I haven't been on the site for a while, but saw the post requesting current status for some TNs.  My sister is BRCA+ and triple negative.  Stage IV with Mets in the lungs.  she was on xeloda and avastin combo which worked for a while.  tried Navelbine next which didn't work.  she then started on one of the PARP Inhibitor trials and it has been working for 11 months now (shrinkage followed by stable).  hope this helps and wish everyone well.

  • nosurrender
    nosurrender Member Posts: 2,019
    edited November 2008

    (((flalady))) you rock.

    I am post TN dx for over 7 years.

    I had a lumpectomy, rads, and chemo.

    I did have a new primary, but that was ER/PR+. It has nothing whatsoever to do with the TN dx.

    I had a bilat, chemo and rads.

    I had my exchange surgery in June, had an implant replaced in September, and if all goes this one will stick.

    My sister was dx'd with TN four years ago. She had no chemo but had a lumpectomy and rads and she is NED.

    TN is a disease that was ignored for too long. But that has all changed and they are finally finding ways to treat it and win.

    Don't lose hope! TN responds better to chemo than ER+ and there are lots out there to choose from.

    Hugging all my TN sisters,

    love,

    g

  • tibet
    tibet Member Posts: 545
    edited November 2008

    Gina

    Why did your sister not having Chemo? Was that her choice?

    I have pain in my opposit shoulder from the operation and I am scared if that could mean something in the bone? I did bone scan and PET scan 3 weeks ago, all clear. But would it be possible that bone scan and PET scan cannot detect all? My doctor said he doesn't know why I have the shoulder and back pain, which was not caused by chemo since existed prior to chemo. He said all the methods such as bone scan and PET scan are all negative.

    I am so scare of this journey,,,, so many uncertainties, every little pain is worrisom...

  • Survive
    Survive Member Posts: 45
    edited November 2008

    I am new here and thought I would share my mothers story.  She was first diagnosed with bc 2 years ago.  We were told it was caught early and had not spread.  She chose a lumpectomy, chemo and radiation.  I am not sure of the exact type of cancer she had but was told it was a positive + type.  Now, 2 years later, she has been diagnosed with Triple Negative Metastic BC of the lung.  Is is common for BC to turn into a different type of cancer?  If it is in the lung is that worse than other places?  She is scheduled for a MRI this Wednesday and an Echo gram as well as a PET scan.  I've read of people who have it in the brain and are doing well.  Any info on this would be greatly appreciated.  Also, did many of you get second opinions?  We live in MT and although we have several cancer centers here, they are not well known.

  • FloridaLady
    FloridaLady Member Posts: 2,155
    edited November 2008

    Welcome Survive,

    There are a few of us who did or do have more than one kind of bc.  I lot have us do get second opinion's mostly with progression of disease.  I have found through this site you can find how other are being treated for the same disease and progression.  Make sure you visit the "recurrences and met" section of this site and post your concerns there also.  I can tell you one good story of lung mets...I know a lady who is on Abraxane and Avastin for six months and no longer has a disease. I know some are using Gemzar and Carbo with some success. 

    I hope your Mom scan's do not show any more disease and she finds the best treatment.

    Flalady

  • Anonymous
    Anonymous Member Posts: 1,376
    edited November 2008

    Hi ladies,

    I was dx'd on September 29th, 2005.  I had pre-op chemo (adrimyacin, cytoxan, carboplatins and taxol), a bilateral mastectomy, and 36 rads. 

    I often live in fear of the aches and pains that other people get to view as "normal." 

    I'm doing well.  Every time I pipe up, "I'm scared!" the doctor I am saying it to kind of rolls their eyes and says, "IT'S NOT BACK!" 

    So, after 3+ years I am creeping back to a cautious "normal." 

    I don't think we ever take a complete sigh of relief, do we? 

    EDIT TO ADD: I forgot to say, "I LOVE YOU LADIES!" 

  • TorchSong
    TorchSong Member Posts: 348
    edited November 2008

    This  might not be the right place to ask this question, so feel free to redirect me! Laughing

    I was dx TN and in while discussing chemo options with my onc, applied to a clinical trial for TNs.  I was refused for the trial, because the central lab used for the trial said I was not truly ER-. My onc says I am and while he has asked the cancer centre path lab to look at my biopsy sample again, he's treating me (chemo etc.) as if i definitely am TN.

    Now, I know there's an art and a science to dx, so I'm not terribly upset--my onc said some other patients had had the same experience with this trial--I'm just wondering if there really is a spectrum from - to + and if I should be worrying at all?

  • Roya
    Roya Member Posts: 346
    edited November 2008

    I was diagnosed in May.  June 20th I had a lumpectomy with 0/5 nodes and clean margins. I have since had 4 rounds of A/C and will be getting my very last Taxol on this coming Friday.   Rads will begin in January.  After reading this post, I will probably ask my Doc if I can have Lxempra too just to be safe and sure.......if that is at all possible to be!  

    I too seem to be sooooo afraid of recurrance......especially since I am TN.  Yes, even though I am just  now ending chemo, I worry aobut every ache and bump.  I was feeling so safe while on chemo that despite the S/E s  I am almost afraid to go off of it.  This is definitely not a healthy  thought process but this disease seems to do some  some twisting of the thoughts as well as the breasts.

    Flalady, thank you for starting this thread.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited November 2008

    Hey Torch, find "Watson," and she can share her experience with the whole, "You're triple neg, no you aren't!" thing. 

    I know there are lots of others here who could offer better insight than I could.  I just remember that I had a "little" ER in my biopsy, but not enough. 

  • LisaSDCA
    LisaSDCA Member Posts: 2,230
    edited November 2008

    I was diagnosed Jan. 2007, triple neg, node neg, IDC. Took on TACx6, which is what my onc. said was the nastiest chemo. Did a bilateral mx in late Sept, immediate DIEP/SIEA. Stage II reconstruction in Feb.

    Had some aches and pains in late May so had a PET/CT which came out all clear. I swore I wouldn't think about cancer for at least a year. I experienced some aphasia that I attributed to chemo-brain. I think we all do that when we get fuzzy and forgetful. I had afternoon headaches now and then. Then the dysphsia got markedly worse - I wouldn't speak if I could help it, especially complex concepts. Then it got worse, and I couldn't even say 'scripts' that I had been using for instruction and evaluation in my profession for 20 years (dental hygiene). The headaches became a daily afternoon occurrence - but I thought maybe it was high blood pressure (though it had always been low). Sometimes I would lie down to go to sleep after reading for an hour only to feel a pounding in my head - racing up to 100 beats per minute. Weird!

    My brain mets were diagnosed last Fri. night, via MRI, when my symptoms became intolerable. I cannot blame my treatment - chemo does not cross the blood/brain barrier. I took my treatment and felt confident. I wanted to believe it was chemo-brain. I don't think one can repeatedly poison the body and not have all sorts of side effects. For all I know I was Stage IV at diagnosis. My sister's metastasized in 9 month's time (after treatment) from a tiny 7mm node neg. tumor. She didn't have an MRI either until she had symptoms. Mine took about that long to manifest symptoms too. It's a crap-shoot.

    I don't relate this story to frighten anyone. I always read the descriptions of mets patients and thought "Oh well, but I didn't have 4+ positive nodes" or "Heavens, that was a 6cm tumor!" - but I knew that there but for the Grace of God...  You can do everything 'right' and still have mets, like me. You can have everything going against you and be years and years out. Thank God for that. We can only do what we can do - and that is live for the present day, love our families and friends and try to be good people. Whether we have 2 years or 20.

    Lisa

  • LisaSDCA
    LisaSDCA Member Posts: 2,230
    edited November 2008

    DON'T LOSE HOPE! I haven't yet! Laughing

     Lisa

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