Stop Chemotherapy

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My wife was diagnosed with breast cancer stage IIA year 2007. She had a bilateral operation last Nov 2007 for her two breast completely removed and later had a breast reconstruction. After these operations she had this chemotherapy treatment for a few months. However, due to lack of financial capabilities her chemotherapy was stop since August 2007 until now. Are there any ways to detect that she is completely cancer free? Or those she have to continue the treatment what was stop?

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  • Anonymous
    Anonymous Member Posts: 1,376
    edited May 2009

    aibay...There really is no reliable answer to your question because chemo is just one of several treatment options and even the chemos are different, depending upon the aggressiveness of the cancer and the doctors' and hospitals' preferences. There are many women who never had chemo, many who stopped midway and many who completed a full course and all of the outcomes have varied. What does seem to be true is that the more aggressive the treatment, the less likely the chances of recurrence, but that's not always the case and much depends upon the other factors figuring into the treatment plan.

    In answer to your question regarding determining if she is cancer-free, the best that can be offered would be a battery of tests and scans seeking to detect cancer. If all looks clear, she will be deemed "NED- no evidence of disease." Until there is truly a cure for breast cancer, that's the best we'll get.

    If you're still concerned about the chemos not taken, I'd suggest that you all talk to your wife's oncologist and see if s/he sees any reason to go back. If tests are showing no evidence of cancer, then she's probably in the same boat as many of us...okay for today.

    ~Marin

  • aibay
    aibay Member Posts: 5
    edited May 2009

    Thanks Fitchik...do you have any idea what types of test she need?

  • Liz08
    Liz08 Member Posts: 470
    edited May 2009

    Aibay-

    I have heard there are town/city, state, and federally funded medical programs available for those who are financially in need, especially for breast cancer.  The best resource to start with would be your treating hospital's or cancer center's social worker and probably your wife's oncologist.  They should be able to steer you in the right direction. 

    For some of the early stagers such as your wife, a doctor may order a bone scan of the entire body and a CT scan of the chest, abdomen, and pelvis and there's also a pet scan but in the absence of symptoms some doctors may not order these scans but soley rely on symptoms.  Also, the type of  cells your wife's cancer had may also aid in future follow up.  Certain types of breast cancers are more agressive then others therefore, the incidence of a recurrence is increased .  There's alot of factors to deal with.  The rule of thumb that most doctors use is if you develop a new ache or pain that can not be explained and it lasts for more than 2 weeks, call you doctor for follow up on a course of action.    

    Remember, breast cancer is a crap shoot, some of those with the most agressive treatments recur and some who have had light treatment go on cancer free forever.  You never know and  it is very wise to definitely follow with your wife's oncologist as to what the best course of action would be for your wife. 

    Wishing you and your wife the very best and may she remain NED forever.

  • aibay
    aibay Member Posts: 5
    edited May 2009

    Thanks LizM. 

  • aibay
    aibay Member Posts: 5
    edited May 2009

    As far as I know,  my wife completed 4-cycles of dose dense AC chemotherapy last Feb 2008. And the second treatment for 4-cycles of Taxotere chemotherapy completed last May 2008. She also continuing with Herceptin therapy from March 2008 to August 2008 only. Then after that, Tamoxifen hormonal therapy until now. The treatment for Herceptin therapy was stopped due to she has to go back to Philippines and the treatment is so expenses there that we cannot afford to have one.

  • Liz08
    Liz08 Member Posts: 470
    edited May 2009

    aibay-

    I see your wife was her2+, since Herceptin is only given to those who are her2+.  A good resource for those who are her2+ is the following website.

    www.her2support.org

    The members in this forum has alot of extensive knowledge about being her2+ which is actually a very agressive cancer but the good news is that your wife was of an early stage, did get Herceptin for 6 months along with chemo therapy.  I know the standard protocol for Herceptin is 12 months but I have read that there have been studies done outside of the US (I don't recall which site I read this on) that are showing the same effectivness of Heceptin if given for only 3-6 months (instead of a full year).

    You may want to visit the above site and post your questions also you may want to go into the forums on this site that a labeled her2 positive since this pertains to your wife's type of cancer.  

    Hope my infomation helped and once again wishing you and your wife the very best.

  • aibay
    aibay Member Posts: 5
    edited May 2009

    Is it normal for a person during her medication period of Tamoxifen ((for several months now) so sudden you have this menstrual period? Please we need information about this? thanks

  • vhqh
    vhqh Member Posts: 535
    edited May 2009

    There is a test they can run to determine if she is menopausal yet or not.  I've had one light period about 7 months after my last "normal" one.  I've heard it's not unusual to have surgery precipitate menstruation and I had just had surgery a few weeks before.  Has she had any stressful events in the last month or so that could have caused it?  I would follow up on this as she may need a shot of Lupron to put her back into menopause.

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