Anyone tested for basal cell?

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LRM216
LRM216 Member Posts: 2,115

Since we know that basal cell is one of the subsets of TNBC, and the most aggressive type of TN cancer, I am curious as to how many TN's have had their tumors tested for it?  My pathology reports say absolutely nothing about my TN being basal cell type, and I know it can be tested as someone I know did in fact have it done.  When I asked my onc about testing for it (I adore and respect my onc), she simply stated - "Why would you want that done, since your treatment would not change even if it was the basal type".  Perhaps it's better not to know, since there aren't any specific TN treatments  to deter recurrence anyway, but I am just curious.  It sure would be nice to know that I might have one of the subsets of TN that has a better prognosis than basal. 

Linda 

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  • Tamara1201
    Tamara1201 Member Posts: 70
    edited June 2009

    Linda, I wonder if the test is widely available, since it is so new? I found this article, you may have read it, but it sounds like in Feb they were still working on getting a lab to actually run it.  There is nothing on my path report about it, so I'm sure they didn't do it on mine either. I have a feeling if it's this new, insurance may no cover it either, if you can get it, and if it's a genetic test it's bound to be very expensive. I have mixed feelings about knowing which it is, since if you had the basal type you might automatically assume you were going to have a pour outcome, which might not be true. Normally I'm the "I want to know everything" type of person, but when it's something they can't really do anything about, I'm just not sure. I guess I need to think about that some, and my brain isn't thinking too clearly these days. Well, don't know why I can't get it so you can just click it, that brain thing I guess lol

    http://www.eurekalert.org/pub_releases/2009-02/wuso-ngt020909.php

  • LRM216
    LRM216 Member Posts: 2,115
    edited June 2009

    Hi Tamara - what you posted are my sentiments entirely - when I take the time to actually think about whether I'd really want to know!  I think that was the gist of my onc's reply as well.  Yes, they do the test, I called pathology at the hospital I had my surgeries done and they said they could do it, but it would have to be doctor ordered.  In reality, I think it's probably just best to let sleeping dogs lie.  Thanks for the input.

    Linda

  • FloridaLady
    FloridaLady Member Posts: 2,155
    edited June 2009

    I was tested for this with my first biopsy.  After receiving this news my doctor's made a prediction for me with that I had three to six months to live because my first mast showed 24/27 nodes positive.  Well that was almost four years ago...I'm still here but I have never stopped treatment.  My doctor felt this was value information.  With this info he got Avastin approved for me back in May 06 off label with Gemzar & Carbo. My insurance welling paid for this combo that was not approved yet.  This was very cutting edge for the time.

    I guess you can think of it like the Brac test. This does not change your treatment either. I do have a basal tumor but I'm Brac negative. Go figure...

    Flalady

  • Debonthelake
    Debonthelake Member Posts: 244
    edited June 2009

    I've wondered the same thing.  I don't think I was test for basal either.  I just knew I'd be BRACA positive but, I'm negative.  I was so prepared for the positive test I really had mixed feeling when the test was negative.  Flalady you are an inspiration for us all.

  • LRM216
    LRM216 Member Posts: 2,115
    edited June 2009

    Flalady:  How are you feeling and doing.  As Deb said, you really, truly are an inspiration for us all.  I pray for you all the time that you get some sort of reprieval from all that you go through and have to suffer through.  If anyone deserves it, it certainly is you, you have definitely earned it.  God bless.

    Linda

  • MsBliss
    MsBliss Member Posts: 536
    edited June 2009

    With a less than 1cm tumor, did you find out if you had lymphvascular invasion?  What type of chemo did you do?  I am not able to do chemo because of a secondary health problem but my tumor is smallish with no nodes or lv invasion. Also, is that a Himalayan kitten in your avatar?  So cute!

  • FloridaLady
    FloridaLady Member Posts: 2,155
    edited June 2009

    Thanks ladies for check with me and praying for me. I really in need right now. I getting ready to due my 2nd tx with hyperthermia/Doxil.  This is another Phase I trial.  I doing ok except I have a large right arm that has cancer and lymphedema in it.  Just could not believe that bc could go into your arm? (this is through skin mets) I also already looking for my next treatment option.  Debonthelake...I was also convinced that I would be brac positive??? Could not believe it when they told me.

    I will probably have to go too another clinic for by next tx.  My doctor's are telling me they don't want to do more chemo because it is just in the skin?? I have tumors in my neck you can see from the outside.  How could this be just in the skin? How about my arm.

    Flalady

  • LRM216
    LRM216 Member Posts: 2,115
    edited June 2009

    Oh geez, FlaLady, I am so terribly sorryl, but please know that you are in my prayers and I am sending you what extra strength I have in the form of cyber hugs.  God bless.

    Linda

  • Tamara1201
    Tamara1201 Member Posts: 70
    edited June 2009

    I'm sorry FlaLady, I'm sure it's very discouraging when you want to fight, and they don't want to help you. Are they saying  that they don't want to give chemo because it's "just in the skin", meaning that even though it's there, it's not like when it's in the liver, or the lungs, and effecting the function of those organs? I mean, can they treat the skin part symptomatcially, for pain or swelling,for a while, without you having to go thru more chemo right now? I didn't relize you even got cancer in your skin until I started reading on here, I mean not mets from breast or other cancers. I hope you can find the help you need

    Linda, I was thinking, that since they keep tissue from our breast at the hospital where we have surgery for years, if they decide there is something they can do for the basal type, they can always go back and test it. I'm just afraid if someone told me, like they did FlaLady, that because the test was positive I only had a very short time, I might not have as much fight in me.

  • LRM216
    LRM216 Member Posts: 2,115
    edited June 2009

    Tamara:  Yes, you are correct, they do keep the tumor samples so that if any new meds, etc. come out for us triple n's, and they need it tested, it could still be done.  And I agree wholeheartedly with you about finding out now if we are basal or not.  I know I wouldn't have fight left in me either, in fact, I'm sure, I'd be drowning in an even deeper depression than I was after finding out I was triple neg in the first place!  I do not think any doctor has the right to set an expiration date for us, as only God can do that, and I am so sorry that Flalady had to hear that from one of her earlier docs.  Glad she proved him wrong, idiot that he was.  I can't imagine anything more cruel than what he did to her.  I am glad she is as strong as she is, don't think I would have been.

    Linda 

    Linda

  • FloridaLady
    FloridaLady Member Posts: 2,155
    edited June 2009

    Tamara,

    My bc spread to skin six months after chemo, surgery and rads.  They actual came through during the last week of rads.  We did get my skin into remission for two years.  I still had other small tumor's in my chest wall.  Believe it or not they are all gone and now I only have skin. You are right about them not wanting to build toxcity but I have very little toxic side effects to my 51 chemo treatments.  I only have low level neuropathy. My heart, lungs and liver are all find. (I do alot of supplements during my tx to keep me from getting toxic) The problem is that the skin starts breaking opening and looks and smells horrible. I do not want to live with large wholes all over me.  I've heard nightmare stories about the end of life for a ibc patient life. Infection is what usually takes you out.  I truly rather...to say it bluntly...die of chemo toxicity than of rotting skin.  IBC is very painful and the wounds can go very deep into the body and the smell will knock you down.  There is no real treatment for these areas.  I've tried rads for the 2nd time. Only helped a little.  Now I'm doing hyperthermia and after this?????  I hoping to find one of the new inhibitor trials locally because I can not fly with this arm.  My big concern is the disease in my neck?? I just need to find a doctor who will be proactive.  This trial I found myself and referred myself.

    Flalady

  • Lifestooshort
    Lifestooshort Member Posts: 159
    edited June 2009

    I too am basal cell positive, but BCRA1 negative.  I thought for sure it would come back positive.  My onc never expressed gloom and doom to me, but when treatment was completed and all said and done he did say something to the affect he was kind of amazed I made it this this far and it's not worse considering the dx.... we both really know the seriousness of it and we are kind of both holding our breath... if you know what I mean.

    Flalady, I don't post much but have following your struggles and providing many, many silent prayers for you, as well as for the rest of the BC sisters.

  • MsBliss
    MsBliss Member Posts: 536
    edited June 2009

    Are you using supportive therapy, ie, targeted supplements?  Many of the "evidence based" supplements have been used with chemo, ie, coriolus, citrus pectin, avemar, and they add good points to the equation based on studies.

  • FloridaLady
    FloridaLady Member Posts: 2,155
    edited June 2009

    MsBliss,

    I do take supplements that support my heart, liver and blood. I've must have done something right because after 51 tx my body does not show any toxicity and I worked a full time job until recently because of lymphedema I will now have to stop working after almost four years.

    Flalady

  • FloridaLady
    FloridaLady Member Posts: 2,155
    edited June 2009

    I wonder if there is a connection between not being brac and having a basal tumor?

    I going to ask a FDA researcher I know.

    Flalady

  • Nanalinda
    Nanalinda Member Posts: 826
    edited June 2009

    Hi everyone.  I have a basal positive tumor, but I have not tested for BRAC.  All I know is that my original chemo failed as I developed mets a little more than a year after it ended.  I just finished 10 months of Taxol/Avastin which at first appeared to be working but now it is not.  I see my Oncologist on Tues. to discuss what we will try next.  I hope the next one works alot longer than the others did.  Flalady:  what supplements do you take?

  • LRM216
    LRM216 Member Posts: 2,115
    edited June 2009

    Good luck next week, Nanalinda, and keep us posted on what you find out.  Sending prayers.

    Linda

  • Nanalinda
    Nanalinda Member Posts: 826
    edited June 2009

    Thank you Linda.  I will keep you all posted.  I hope you all have a great day!

  • FloridaLady
    FloridaLady Member Posts: 2,155
    edited June 2009

    Nanalinda,

    I will PM you the list and why I take them.

    Flalady

  • tos
    tos Member Posts: 376
    edited June 2009

    I have read in recent studies and/or articles that basal tumors are most likely a brca 1+. 
    Atleast that appears it is their thinking at this time.

    I only know of one lady who had this checked during her original pathology and she was non-basal.

  • Nanalinda
    Nanalinda Member Posts: 826
    edited June 2009

    I was never told that I was tested for basal cell, or of the importance of it.  I just happened to notice on my PET scan report that my tumor was described as a basal positive.  I wonder now if I should be tested for brca?  Do most insurances pay for this test?  I have two daughters and 3 granddaughters to think about.

    Flalady:  Thank you for the list.  I plan to start some of them soon.  I want to do everything I can to fight this beast in me.  Thanks, Linda

  • FloridaLady
    FloridaLady Member Posts: 2,155
    edited June 2009

    Nanalinda,

    Do you have a current biopsy from the last two years?  They can use this to test for brac.  My insurance paid for most of it but the doctor had to fight for it. Do you have family history of bc? This will sometime help with the insurance.

    Your welcome and I hope the list helps you.

    Flalady

  • Nanalinda
    Nanalinda Member Posts: 826
    edited June 2009

    I only have my original biopsy from 7/06 nothing more current.  I do have some family history:  paternal cousin, aunt and grandmother.  I think I will ask about it when I see my oncologist on Tuesday.  Do they have to have tissue from a biopsy?  For some reason I thought it was just a blood test.

  • FloridaLady
    FloridaLady Member Posts: 2,155
    edited June 2009

    Your right they can do a blood test.Sorry I'm always thinking biopsy after doing so many.

    Flalady

  • Nanalinda
    Nanalinda Member Posts: 826
    edited June 2009

    No problem Flalady.  With everything you have been through.... no wonder.  I just hope they find something that works for you soon.  Linda

  • Nanalinda
    Nanalinda Member Posts: 826
    edited June 2009

    Well I got the results of my scan this afternoon and it shows progression to the lymph nodes around my trachea, and two small spots in my lung.  I did talk to the Dr. about brca testing and they are going to do it.  I will know more on Friday.

  • LRM216
    LRM216 Member Posts: 2,115
    edited June 2009

    Didn't want to hear that, and am so sorry.  Hang in there, I am sending all the prayers and hugs I can.

    Linda

  • FloridaLady
    FloridaLady Member Posts: 2,155
    edited June 2009

    Nanalinda,

    So sorry for the bad news.  I also wanted to let you know that I had this told to me a couple of years ago and it turned out to be a swollen salva gland from radiation.  I pray yours turn out to be something like this. Praying you doctor appt's bring hope of a positive treatment option. Keep us up to date.

    God Bless

    Flalady

  • Nanalinda
    Nanalinda Member Posts: 826
    edited June 2009

    Linda:  Thank you for the prayers and hugs.  They are very much needed right now.

    Flalady:  I hope it is only a swollen saliva gland.  It is very frightening to think there could be tumors around my trachea.  Thank you for your prayers and kind words.

    Linda

  • Boo46
    Boo46 Member Posts: 539
    edited June 2009

    I  have basal type TN. The test for basal was done by my onc. as an additional test - not on the original pathology. I am also BRCA 1 neg and BRCA 2 mutation of unknown significance. Not the expected result for a basal tumor. Yes the prognosis for basal type tumors is scary but I was stage 3a, am 3 years out, and am NED!

    Linda - Sending prayers for you. Hope you hear some good news.

    Hugs all,

    Sue

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