Just told I an Triple Negative

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sandy_2124
sandy_2124 Member Posts: 23

I was told today my cancer is triple negative. I  have an MRI tomorrow, I will meet with the onconoligist, radiologist and the surgeon. Can anyone tell me more about what this means.

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  • MBJ
    MBJ Member Posts: 4,352
    edited June 2010

    There are many of us on here including TN dicussion groups.  Try the "calling all TN'" which has a great group of women with TN.  It just means it is not a hormonally receptive breast cancer.  On the one hand it can be more aggressive on the other hand, if caught early, it can be treated easily with chemo and surgery.  Do you have your pathology report?  Do you know what grade you are?  Do you know the size of your tumor?  Do you know if you have any lymph node involvement?  There is information of this site to help you determine these if you don't know.  Also, very important.  Get 3 opinions and do a bit of research so you are able to make a decision that is right for you.  Every thing you do can increase.your survival.  I am glad that I have triple negative because mine was easily treated.  But sometimes things can get complicated but there are women here who will help and support you in any way they can.  Also, there is a site TNBC.com that is strictly for tn's.

    good luck and feel free to pm me if you want to ask questions or get help.

    Hugs,

    Mary

  • jenn3
    jenn3 Member Posts: 3,316
    edited June 2010

    Sandy - I am sorry to hear about your diagnosis and I'm sure you're feeling overwhelmed.  Take a deep breath..............

    If you haven't already learned more by now, triple negative means that you are ER(estrogen) negative, PR (progestrogen) negative and HER negative.  Triple negative cancer is an agressive fast growing cancer, but it is very responsive to chemo drugs.  TN patients usually don't receive the drugs after chemo that patients with postive ER/PR & HER status do which is why a lot of people tend to think being a TN is so scary.  TN is not such a bad thing because we respond so well to chemo.  If you haven't found the site yet - go to TNBCFOUNDATION.ORG - they are loaded with information. 

    Please feel free to come here and ask questions, vent and rant - everyone here is helpful and full of knowledge.

  • maryvanessa1
    maryvanessa1 Member Posts: 31
    edited June 2010

     Dear mbj,  I notice everyone on the tncb forum was given chemo,  my surgeon said i need radiation.  I wonder if its b/c i didnt have a lump,  just DCIS non invasive,  was picked up as calcifications on mammo.  Im a bit nervous since i hear this type of cancer responds very well with the chemo  i do trust my surgeon but would like to hear from others that were given radiation for it as treatment.  I am also going to go to intergrative dr.  as i see you have and that it has helped you.  

    hope i am not alone on this.  also seeing radiologist on monday june 21, hope he knows why i am being given rads and not chemo. scary, i want to do the best i can to NEVER have a recurrence. 

  • MBJ
    MBJ Member Posts: 4,352
    edited June 2010
    Maryvanessa:  Sorry, I just saw your post.  I didn't have radiation, but I do recommend getting 3 opinions before starting treatment.  I was told by the first dr radiation, the second maybe and the third not necessary as I was already doing adjuvent chemo and didn't have any node involvement.  Radiation does so much damage and it was scarier to me then chemo because it destroys the skin and makes it harder for reconstruction later.  Have you seen an Oncologist?  What type of integrative dr?
  • squidwitch42
    squidwitch42 Member Posts: 2,228
    edited June 2010

    Maryvanessa,

    I too just saw your post...I did radiation due to only achieving a 1 mm margin from the chest wall. this was determined in the final path report after surgery. The other consideration was my tumor size...4 cm.  I felt like I was in the middle between radiation and oncology wanting me to have it, and plastic surgery scaring me off it a bit.  I was told you won't like how your reconstruction looks and it was inferred I might need a skin graft.  I also had the added issue of having alread begun the process of reconstruction, because my nodes were negative at surgery.  The plan was if it was in the nodes, they would have held off on the reconstruction and only do the one side for MX, waiting until all tx was completed before doing the elective side.

    I was quite stressed and upset about being in this position...but at the end of the day, I chose a friendlier radiologist to take me through...and the stats were VERY clear regarding benefit in my case.

    I have very fair skin, and frankly...it went quite well.  I do have some range of motion issues, but I am a swimmer...so I do my PT that way...and I swim just fine.  My skin is a little drier towards the center of my chest, but I think it feels fine.  I have to wait another four months before I get my new boobs...and I have yet to see my plastic surgeon for follow up after rads...but my radiologist was very pleased as well.

    I'm glad I did it...it was under some duress, but I don't ever want to face chemo again.  This will hopefully keep that away.

    please let me know if you have any other questions, and I wish you the best with your decision making.  Your answer will come to you, and listen to your gut :)

    traci 

  • Luah
    Luah Member Posts: 1,541
    edited June 2010

    maryvanessa1: Like surgery, radiation is a localized treatment - targeting the disease in the breast - which, with an in situ diagnosis, is where yours lies.  Chemo is a systemic treatment to kill invasive cancer cells that may have spread to other parts of the body.

    Hope you had a good discussion with your doctors, and feel good about their treatment recommendations.  That's important!     

  • eileen1955
    eileen1955 Member Posts: 365
    edited July 2010

    maryvanessa; you will most likely not need chemo b/c yours was DCIS and not invasive. 

    I have red hair, light eyes and skin.    Never should have had radiation.  Several docs have expressed shock at my radiated breast b/c the burning was SO bad.    It has never felt like a normal breast again so I am having mastectomy.      I do not want to scare people; but I went for the radiation and lumpectomy option w/o knowing how awful it is for people with my coloring.  Otherly complected women are quite happy with results.   

  • marichai22
    marichai22 Member Posts: 31
    edited July 2010

    My mom just got back heR receptor pathology report she was triple negative. What does this mean for her? The general surgeon said she won't need chemo or radiation but the plastic surgeon says she may want to speak to an oncologist but that he doesn't think she will need any additional treatment. The PS says we should wait till her wound heals to speak with the oncologist. Is TNBC bad? Any advise and information would be very helpful?

  • kmartin
    kmartin Member Posts: 78
    edited July 2010

    Hi Eileen,

    I am fair, blonde and blue-eyed and had no problems with radiation burns or after-effects. I had 33 treatments, that included 5 boost doses at the end.

    Kathy

  • kmartin
    kmartin Member Posts: 78
    edited July 2010

    Hi Marichai22,

    I would definitly have your mom see an oncologist for an opinion. Triple negative responds well to chemotherapy so you don't want to miss out on that treatment option.

    Good luck and ask lots of questions,

    Kathy

  • marichai22
    marichai22 Member Posts: 31
    edited July 2010

    Hi Kmartin,

     Thank you so much for the reply! We will definetly get working on getting a referral to see the oncologist. I'm thinking they will suggest chemo, but I was really hoping she wouldn't have to go through that :(.  Thanks again. Any specific questions I should ask?

  • maryvanessa1
    maryvanessa1 Member Posts: 31
    edited July 2010

     thank you to those who replied to my post.  I have decided to do the radiation. my breast surgeon who has been doing bc  surgeries for 30 yrs and my Primary care dr. who is an excellent diagnotician both suggested it.  The radiologist oncologist didnt feel i needed it really.  I have had 3 treatments so far, its like taking an xray and less than 3 min.  I imagine Jesus's hand going over me as the machine passes over my breast.    I have made an appt with an acupunturist who specializes in patients receiving cancer treatments.  He seemed very knowlegeable, I liked his web page.  I will have him work on my energy levels and my immune system and whatever else he does to counter the effects of the rads.   I am hoping this will help me through and give me some inner balance as well.  Being  triple Neg (although it was contained in my milk duct) is the part that scares me since it was not hormonely or protein induced.   So i dont want to take any chances, and figure the radiation will give me a lot of added protection.  Now i have to listen to hypnosis tapes and positive thinking tapes to steer clear of negative thoughts and fears of it recurring again.  Not sure if i need an oncologist, since i dont have to take meds.    I was just going to go back to the surgeon.

  • kmartin
    kmartin Member Posts: 78
    edited July 2010

    Wow, questions to ask about chemotherapy. Well a good medical oncologist should present to you a strong argument for whatever treatment is recommended. I advise people to audiotape the conversation for future reference, and also to bring someone just to listen.

    I would ask to see the difference in survival numbers with and without chemo for your mom's situation. I would also understand the drugs and their side effects and any interactions with current medications or conditions your mom may have. You may want to get more than one opinion. Also, if chemo is recommended I would ask if she needs a vascular access device, a port.

    These are just a few of the many questions you may have,

    Kathy

  • Jacquio
    Jacquio Member Posts: 39
    edited July 2010

    My cousin is a radiation oncologist, and she recommened  I use Aquaphor cream (bought it at thd drugstore). I used it every day except right before my radiation treatments (I had about 36), and never had any side effects except for very light coloring on that one side. Don't wait until you start showing redness. Use it from day one and best wishes! Your stats are what I wish I'd had, but I'm grateful nonetheless :-)

  • marichai22
    marichai22 Member Posts: 31
    edited July 2010

    Awesome! Thank you. We have set my mom up with an appointment to see the oncologist next Tuesday.  I hope everything goes well. I can't believe we didn't set this up sooner. I wonder what they will suggest. I hope it doesn't add more stress to my mom's already full platter

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