Calling all TNs
Comments
-
Ladies. please help me out!! A friend of mine that is a 4 year survivor (not TN) is telling me that the treatments I will be receiving starting Thursday are not right for me-they should be more aggressive. I will be getting 4tx of Taxotere/Cytoxan. What do you all think? I am a little angry that she is telling me this just as I am about to start Tx.
Tiffany C.
-
1 cm stage 1? sounds just the same formula for us with your diagnosis
many docs say this is overkill
were your margins clear?
-
Claire- stage 1b grade 3 no nodes-clear margins. My onc. thought Adriamycin was overkill and that carboplatin works best with herceptin. Does this sound logical to you?
-
I had your exact treatment
onc said no A - wasn't worth the heart risks
BTW - this treatment for the other cancers would have been looked on as aggressive especially if you had a mastectomy
-
Tiffany, first off, I think your friend is out of line. She's not a doctor and no 2 people/cancers are identical. There are so many factors. That said, from your diagnosis: Stage 1, 1 cm. no nodes, from what I've seen from the others, your treatment is protocol and therefore appropriate for your diagnosis. I'm sure your doctor wouldn't hesitate to treat you more aggressively if needed. Thank God, you caught it early and that's not called for. My warmest wishes to you!
-
Claire and Eileen - Thank you!!! My Dr. said the same thing about A being hard on your heart. Now I just have to think of a polite way to tell this friend (not a close friend) to butt out!
-
maybe her diagnosis was worse
some dont know that there is a difference
-
True, some don't understand there's a difference. I've found also that many people who don't have cancer have so many opinions about treatment. They email such inappropriate stuff. At one point with one very good friend, I had to tell her, Please stop sending me articles. I've done my research and have already made decisions re treatment.
-
TifJ- excuse me, but WTF? What kind of "friend" puts that kind of doubt into an already scared person's head one week before treatment? Does this "friend" have a medical degree? Is it in oncology. I think not (to both).
Your treatment is *exactly* what many of us have had for this type of diagnosis. Have we all been mis "treated?" Of course not. Your regimen sounds completely reasonable for a node negative 1cm tumor. Tell your friend to keep her opinions to herself. With "friends" like that who needs enemies?
Sorry, but I have a reputation as a "shoot from the hip" type of gal in here. Good thing your friend is not in my sights.
-
Tiffany - like the other ladies have said it seems like your treatment is appropriate for your diagnosis. From what I have seen oncs tend to be a little over aggressive at times but it is for our own good. Better to be over cautious then not aggressive enough. Best of luck with your treatment. Keep us posted.
Jen
-
LJ - I just wanted to send some happy fall thoughts your way and let you know I'm thinking of you. I wish I had more to offer or some great words of wisdom, but right now I don't. (((hugs))) to you and your family and I'm glad to hear you're doing well.
I seem to have developed high blood pressure for the first time in my life, even through chemo it stayed fairly low. Not sure what's going on, but will be following up again in 2 months and if nothing has changed I'll have to take medication and maybe have some tests run- ugh!!! I am walking daily and am watching what I eat, but will now have to be extra careful with sodium.
Hope everyone is having a good evening.
-
Tiffany: I have a similar situation, but no one is telling me the recommendation isn't enough. It's myself who wants to make sure it's enough. I feel so much better after reading your post and the other's who have responded. The only IDC they found on me was taken out at biopsy and they DON'T know how large it was! We're all guessing fairly small, but the onc says she can't be sure it was under 5 mm so is suggesting the SAME treatment... 4 rounds of TC. I had no nodes involved either... and the only thing found at final pathology after mx was DCIS less than 1 cm. I asked about Carboplatin, and my onc seemed to feel the Cytoxan was recommended but said whichever I wanted was fine. I asked about dose dense, and she said there was no need... no nodes... very early. I asked about adriamycin and she said that was overkill... not needed. And I asked if I should get the 4 rounds closer together (she recommends every 3 weeks)... again she said there was no need.
I am getting a second opinion tomorrow, and I kinda hope they agree with her recommendation because otherwise I'll be confused "again". I have looked up the 4 rounds of TC, and a lot of people get it. I just wanted to have peace of mind, if there is such a thing, and see what a different onc would say. Each onc is different though, and it's quite possible the one I see tomorrow may have a completely different approach. But I believe, after what I've just read from others here, that we'll both be just fine with this treatment!
-
Hi all of you wonderful women. I hope you all had a great day. Lynn and Monik I hope your surgery went as well as mine. Isn't it great to have the motherlode out of you? It sure felt great to me. I believe my petscan today will come out clean as a whistle , I get my results tomorrow or Thursday.
Alright Hhfhiedi waiting for my daily dose. Loved the cat. I actually worked in a grooming pet store for a short while when I was a kid, man, sure made me laugh out loud, literally. Thanks.
Jenn3- I was diagnosed with high blood pressure and they were going to put me on meds but then I got cancer and they forgot about it. LOL. My sister suggested I try fish oil (the real stuff 'Nordic Naturals' keep it refrigerated not the capsule baloney) It's expensive but I combine that with grape juice (The real stuff with no sugar) anyway my blood pressure is now fabulous and and has been since last May it only took about two months. I'm not a doctor but my blood pressure had been increasingly high for the last two years. They started with "Let's keep an eye on it" to " We need to talk meds" then I mentioned my lump. Anyway it is better than normal now. I hope it works for you too.
Watched that video today from the Discovery channel. It was extremely uplifting to me. Wow! The remission of 3 years ( not 3 months) sounds like a lifetime to me. "They" are coming out with new treatments all of the time looking forward to 3 becoming 10 and more.
The best thing that happened to me today was having a wonderful dinner tonight with my son and sister. Just having a good time laughing and enjoying being together. I'm looking forward to seeing my daughter and grandson tomorrow. Life is good until we realize how GREAT it really is.
Sweet dreams!
-
Hi ladies, I am writing from the hospital bed. My surgery was very smooth , the pain level was ok up until 5 pm. They gave me new meds and now is under control again.
Thank you for all well wishes. Looks like I will be discharged tomorrow late afternoon/evening.
Laurajane so glad that you are doing ok.
Lynn: How are you feeling????
Good night ladies
Monika
-
For LJ-
-
Tiffany: NO ONE! Can tell another person what treatment is best for her--You have to trust your onc and if you don't you should get a second or third opinion. That said, my onc only wanted to give me 4 x TC but my former BC insisted on 6. TN's are very responsive to TC and you are at such an early stage it it probably aggressive enough. Mine tumors shrunk quite a bit after only 4 x and the addittonal 2 did nothing really. Best!
-
Laurajane: Glad to hear you are still up and full of love an light! Big hugs and hoping everything is clean on your scan! Best thing that happened today is hearing that you are doing well!!!
hhfheidi: That is soooo cute! My friend sent me a youtube video of two cats who play "paddy cake". It's hilarious... now if I could just figure out how to post it here!
MonikaV: Glad to hear they are letting you go home tomorrow. Keep us posted and may you have a good night's sleep!
Lynne: Hope you are doing well, also!
-
Cute Cats playing Wing Chun Sticky Hands! http://www.youtube.com/ Looks like my two cats Goo and Yat Jai are playing patty cake or Wing Chun Sticky hands! They do this all the time and I finally caught it on video. When they realise I'm filming, they stop and then resume when they think I'm not looking. Cheeky cat :-)
-
MonikaV - glad your surgery went well. Hope your recovery goes smooth.
Does anyone know if us TN's get onco typed? I keep reading about onco type scores but my onc never mentioned it to me. Just curious. If we do I obviously want to get it:) Thanks
-
JenC: From what I've heard and read, the oncotype score is considered irrevelent with TN's because TN cancer is just about always high anyway. Now, that's just from my own research. I have read a very few people who have had the test, but it's rare we get it. Actually, I'm going to a second opinion today and will ask that very question! I'm also going to ask about any other tests. I think there was one for Ki67?
I've developed a small seroma on the right side and it's a little ouchy... not huge... but it's there. Needless to say, that breast actually looks fuller and nicer than the left (no seroma)! But it's an illusion I believe. Will be glad when these iron TE's are out eventually...
-
Thanks for the input everyone! I truly think my treatment is appropriate as well.
Angelisa - please let me know what you find out during your second opinion.
Heidi - don't be sorry! You're absolutely right. She is out of line (especially) 2 days before treatment begins! Thanks!
-
I am glad to read that most of you are in agreement that TifJ's treatment is appropriate, as next Tues I will also be starting TC, 4 rounds. My Onc told me that Adriamycin was too toxic to the heart and not necessary for me. What do I know, I have to trust the expert! If any of you "experienced" helpful ladies has any suggestions or helpful hints for dealing with this treatment I would be greatly appreciative, currently I am just nervous and clueless....
-
Hi Blindsided - welcome to the thread! I had TC and will send to a private message with tips onthe regimen tonight after I get home from work.
TifJ, I'll also send TC tips to you.
I hope you're all having a great day ladies. Today is the one year anniversary of when I got the awful call from my surgeon's office with my diagnosis. Onwards and upwards and I'm now heading off to a nice lunch!
-
Thank you Sugar . I would appreciate some tips! I'm jealous- I'm sitting here eating cream of chicken soup and you're going out to lunch!! Guess I need to send the hubby to the store while I'm at treatment tomorrow.
Blindsided - Looks like we will be going through this together, I start Thurs, I am super scared too, but I have to remember I have 2 little ones (5 & 8) that need me. Keep me posted on SE's (if you have any!!) and will check in with you too! HUGS!!!
-
MonikaV: Good to hear you are doing well. I have been thinking about you.
Thank you everyone for the well wishes. I had surgery Monday at 9:00 and it went well. I went home at 2:30 that day. A nurse comes each day to check me. I have something called a pain ball that delivers medicine into the wound area. That area is numb so I have not had a lot of pain. Did anyone else have this? I had not heard of it before.
Laurajane: It is good to hear from you. I hope I do as well as you.
Heidi: I love your cat pics.
Well I am sleepy now. Hope everyone has a good day, Monika, hope you get to go home today.
-
cc4npg- Ki67 is a proliferation factor. Mine was 99%, which meant that 99% of the cancer cells in my tumor were proliferating (dividing)...fast (TNBC is typically grade 3 cells, remember?)
I use to stress over that value until I was convincingly told by my Sloan Kettering surgeon that MSK doesn't even bother determining it. It's too variable: one active area of a tumor can vary from another area within the same area. I stopped worrying about it after I heard that very logical explanation.
-
So I had a second opinion today. I asked about the oncotype test, and it isn't recommended for triple negatives and is only used mainly for hormone positive people with early stage to determine if chemo is necessary. And yes, Ki67 doesn't do us much good because the majority of TN's is grade 3 anyway. I went to the state university for my opinion, and the onc's there pretty much agree with my first onc... 4 rounds of TC every 3 weeks. The onc agreed adriamycin would be overkill, and not standard of care for such early found BC. Same with dose dense. 4 rounds of TC (C being cytoxan) is standard of care. There have been some small studies done using Carboplatin, and those small studies have shown very good preliminary results for TN's response, but it is not considered standard of care at this point for early stage cancer and they're waiting for further larger studies. However, my case is of interest to them and they want to test the tissues again to verify I did actually have IDC and not just DCIS. I can't imagine I had only DCIS... the tissue from biopsy was stained to see that it was invasive... and when I said this to the onc, he said that it was more of how the staining was interpreted, thus the interpretation may have been wrong. Well, it'd sure be cool not to have to have chemo but I'm not holding my breath. So I'll know something more on that in a couple of weeks. I wish I was closer to the university because I really liked them better, but I can't see driving slightly over an hour one way in the winter to have chemo. He agreed and said the treatment drugs were the same no matter what area of the country you're in. They were really nice and I'd highly recommend them for a 2nd opinion to anyone. Oh, also he said there is a clinical trial for TN's with DCIS only and if I end up falling into that group, he will let me know about it. I'd still be surprised if it was all DCIS, not that it couldn't happen... talk about a miracle if it did...
-
Angelisa- great post. that makes me feel better about my treatment. I defintely had both IDC and DCIS. I have to drive about 45min. to my cancer center-it sucks. Well I hope your further testing comes out good for you!!
-
TifJ, cream of chicken soup sounds yummy, especially on a cool, windy day. I like it with oyster crackers. And I don't have any of that soup in the house. Adding that to my grocery list...
-
My tumor was DCIS. I had chemo because it was triple negative. I thought all TN cancers were put on a chemo regimen not just IDC?
Categories
- All Categories
- 679 Advocacy and Fund-Raising
- 289 Advocacy
- 68 I've Donated to Breastcancer.org in honor of....
- Test
- 322 Walks, Runs and Fundraising Events for Breastcancer.org
- 5.6K Community Connections
- 282 Middle Age 40-60(ish) Years Old With Breast Cancer
- 53 Australians and New Zealanders Affected by Breast Cancer
- 208 Black Women or Men With Breast Cancer
- 684 Canadians Affected by Breast Cancer
- 1.5K Caring for Someone with Breast cancer
- 455 Caring for Someone with Stage IV or Mets
- 260 High Risk of Recurrence or Second Breast Cancer
- 22 International, Non-English Speakers With Breast Cancer
- 16 Latinas/Hispanics With Breast Cancer
- 189 LGBTQA+ With Breast Cancer
- 152 May Their Memory Live On
- 85 Member Matchup & Virtual Support Meetups
- 375 Members by Location
- 291 Older Than 60 Years Old With Breast Cancer
- 177 Singles With Breast Cancer
- 869 Young With Breast Cancer
- 50.4K Connecting With Others Who Have a Similar Diagnosis
- 204 Breast Cancer with Another Diagnosis or Comorbidity
- 4K DCIS (Ductal Carcinoma In Situ)
- 79 DCIS plus HER2-positive Microinvasion
- 529 Genetic Testing
- 2.2K HER2+ (Positive) Breast Cancer
- 1.5K IBC (Inflammatory Breast Cancer)
- 3.4K IDC (Invasive Ductal Carcinoma)
- 1.5K ILC (Invasive Lobular Carcinoma)
- 999 Just Diagnosed With a Recurrence or Metastasis
- 652 LCIS (Lobular Carcinoma In Situ)
- 193 Less Common Types of Breast Cancer
- 252 Male Breast Cancer
- 86 Mixed Type Breast Cancer
- 3.1K Not Diagnosed With a Recurrence or Metastases but Concerned
- 189 Palliative Therapy/Hospice Care
- 488 Second or Third Breast Cancer
- 1.2K Stage I Breast Cancer
- 313 Stage II Breast Cancer
- 3.8K Stage III Breast Cancer
- 2.5K Triple-Negative Breast Cancer
- 13.1K Day-to-Day Matters
- 132 All things COVID-19 or coronavirus
- 87 BCO Free-Cycle: Give or Trade Items Related to Breast Cancer
- 5.9K Clinical Trials, Research News, Podcasts, and Study Results
- 86 Coping with Holidays, Special Days and Anniversaries
- 828 Employment, Insurance, and Other Financial Issues
- 101 Family and Family Planning Matters
- Family Issues for Those Who Have Breast Cancer
- 26 Furry friends
- 1.8K Humor and Games
- 1.6K Mental Health: Because Cancer Doesn't Just Affect Your Breasts
- 706 Recipe Swap for Healthy Living
- 704 Recommend Your Resources
- 171 Sex & Relationship Matters
- 9 The Political Corner
- 874 Working on Your Fitness
- 4.5K Moving On & Finding Inspiration After Breast Cancer
- 394 Bonded by Breast Cancer
- 3.1K Life After Breast Cancer
- 806 Prayers and Spiritual Support
- 285 Who or What Inspires You?
- 28.7K Not Diagnosed But Concerned
- 1K Benign Breast Conditions
- 2.3K High Risk for Breast Cancer
- 18K Not Diagnosed But Worried
- 7.4K Waiting for Test Results
- 603 Site News and Announcements
- 560 Comments, Suggestions, Feature Requests
- 39 Mod Announcements, Breastcancer.org News, Blog Entries, Podcasts
- 4 Survey, Interview and Participant Requests: Need your Help!
- 61.9K Tests, Treatments & Side Effects
- 586 Alternative Medicine
- 255 Bone Health and Bone Loss
- 11.4K Breast Reconstruction
- 7.9K Chemotherapy - Before, During, and After
- 2.7K Complementary and Holistic Medicine and Treatment
- 775 Diagnosed and Waiting for Test Results
- 7.8K Hormonal Therapy - Before, During, and After
- 50 Immunotherapy - Before, During, and After
- 7.4K Just Diagnosed
- 1.4K Living Without Reconstruction After a Mastectomy
- 5.2K Lymphedema
- 3.6K Managing Side Effects of Breast Cancer and Its Treatment
- 591 Pain
- 3.9K Radiation Therapy - Before, During, and After
- 8.4K Surgery - Before, During, and After
- 109 Welcome to Breastcancer.org
- 98 Acknowledging and honoring our Community
- 11 Info & Resources for New Patients & Members From the Team