Liver Mets - need encouragement

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I just got my diagnosis of liver mets today.  The largest tumor is 2.5 cm x 4 cm and there are other lesions on my liver.  I am 29, and I had Stage IIb breast cancer a little over 2 years ago.  I had a bilateral mastectomy because I have the BRCA 2 gene mutation and wanted to do what I could to prevent recurrence.

My doctor didn't talk much about the prognosis, but I'm doing some googling and it doesn't look good.  Can anyone say something encouraging?  We're going to start on Capecitabine ASAP, but my oncologist is going to try to set me up with a study or an experimental treatment at Dana Farber (and I can't start until I get that ball rolling).

I don't know how to feel.  How far do I plan out?  When am I going to feel sick?  I just want to hear from someone who did okay with liver mets.  No brain, bone, or lung mets at this point.

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Comments

  • Robin-Kaye
    Robin-Kaye Member Posts: 108
    edited September 2010

    There is a lot of information on liver mets on the Stage IV forum. A lot of encouraging information from women who have been dealing with them for years. Good luck.

  • flachica
    flachica Member Posts: 244
    edited September 2010

    (((((((stitchyphish))))))))

     I am SO sorry to hear of your diagnosis. I know how you feel. I am 30, and was dx'ed with liver mets as my initial diagnosis on Christmas Eve, last year. I also had 2 small tumors in my right breast that were found by mammogram. I had innumerable and TOO MANY to count liver mets. I was started on chemotherapy immediately - Taxotere, Carboplatin and Herception. I was in remission within three chemo treatments. I never had any pain before diagnosis, though I did have  weird bloaty feeling that sent me to the doctor last December, which is what prompted the discovery of these lesions. I did have some pain and achy feelings after treatment started - which, after some googling, I found generally has been interpreted to be tumor flare/i.e., the treatment is working. And indeed that is the case with me.

    I finished treatment in June. I will be on Herception and Femara for life. I remain in complete remission. There is hope. There are a number of women in the Stage IV forum whose stories are very inspirational, and they have been dealing with liver mets for a number of years (Denny somthing and JenninMichigan come to mind). And of course me - though only for a little under a year but for many, many years to come.

    I know Xeloda (capecitabine) is very effective. Taxotere and Carbo are also very good. What is the experimental therapy? Hormone therapy is an option for you, as it is with me, but, because we have organ involvement, chemo is usually first.

    I plan very far out and have basically decided that, except for going to the doctor, I just don't have time for cancer. I will live my life as I always have, and I am planning a trip to Europe for next September with my husband.

    Good luck - you are in my thoughts.

  • angelsabove
    angelsabove Member Posts: 363
    edited September 2010

    I am SOOOO sorry you had to cross over to mets world. I am 37. I was 36 when dx last year. It was less than three months after radiation when I crossed over. I too was stage IIB. I am triple negaive...WHICH IS REALLY SCARY. I got my dx in May 2010. Mine was mediastinal node. Left mammary node and LIVER. I too was devastated. As far as the liver symptoms. I NEVER HAD ANY. Atleast none that I knew about. I do know since you are hormone positive then you have a lot more options. I too had both breast removed TRYING to keep it away. Well it did NOT WORK. How did u find out u had liver mets? I do know there is one lady who comes on here from time to time and she has been like 17 years with liver mets. I am here if you need to talk. PM me anytime. I hope someone else comes along to help both of us with this.

    Oh yea I do want to tell you that the regimen that I started after the mets was Carboplatin/Avastin/Taxotere. After three treatments we scanned and there was markable shrinkage. So they say it is responding to the chemo. I no longer take the Avastin. Long story....I ended up with blood clots in both lungs. So they pulled that one from my regimen. I go for #6 treatment in a couple of weeks. Then we SCAN AGAIN.....

    Hang in there.....REMEMBER YOU ARE NOT ALONE....AGAIN PM ME.....

    Lots Of Love....and May God Bless Us All

    Diane

  • Faith316
    Faith316 Member Posts: 2,431
    edited September 2010

    Just wanted to let you know that not everyone is sick on Capecitabine.  I took it, along with Tykerb, for 7 months and was not sick on it.  I'm still on Tykerb but no longer the xeloda and I am in remission.  Those two drugs did for me what Adriamycin, Cytoxin, Taxol, Herceptin and 30 radiation treatments could not do and that is kick my cancer's butt!  Good luck.

  • nancyh
    nancyh Member Posts: 2,644
    edited September 2010

    So sorry you are joining us...and so young too...it isn't fair.

    As Robin says, there's tons of info on the stage iv board, so make sure you check it out.  There is so much room to be hopeful, don't do too much googling.  The stats you read about prognosis are old.  I was diagnosed with 14 liver mets (plus a bunch of lung and bone mets) nearly a year ago and I am doing great.  Just finished climbing to the top of Mt. Adams with a bunch of other women cancer survivors.  There are loads of women who are living YEARS with good quality of life.

    As my husband reminds me (quoting Churchill), "Never, never, never give up."  There are many treatments available and tons of support on these boards.

    Hugs, NancyH

  • PJB
    PJB Member Posts: 2,615
    edited September 2010

    Stitchy, I've been dealing with liver and bone mets now for 18 months. I've been through a LOT of chemos, progressions and now stability. You'll see women on this board who are seven years out after having had liver mets diagnosed. Hold tight. You can do it.

     Paula 

  • Marybetz
    Marybetz Member Posts: 202
    edited September 2010

    I too was diagnosed with Stage II and shortly thereafter found out through scan that I had liver mets too.  Had 4 treatments of Adriamycin &Cytoxan followed by Taxol and Herception (am HER +).  First scan showed liver mets(2) to be 1.3 X 1.7 cm and 1.1 x 1.0.  Second scan they had shrunk in size to 1.2 x 1.5 and 0.5 x 0.5.  Third scan is due this Friday.  I finished chemo today, but will continue with Herceptin for a year.  Besides actual size pay attention to the FDG activity which I believe measures density.  In mine it had decreased by about 50% in the second scan which was really good news.  I have pain, but nothing terribly bad, where the masses are, occasionally.  Actually had significant pain prior to the BC diagnosis. Aleve helps. God Bless, my dear.   

  • stitchyphish
    stitchyphish Member Posts: 50
    edited September 2010

    Thank you ladies!

    We discovered the liver mets because originally I was feeling a strange sensation when I took a deep breath (on the left side, oddly enough).  We thought it might be on my rib or in my lungs, so we did a chest X-ray and a CT scan.  The CT scan showed liver lesions, so we did a biopsy.  I don't feel any pain, and I'm thankful that I know my body and said something.

    I'm not sure what the experimental treatment is, but my onc told me that a doctor at Dana Farber has a protocol that matches my situation.  He's going to do the paperwork and call me with the details.  The waiting is the hardest part.

    Thank you all for your kind words of encouragement. 

  • PJB
    PJB Member Posts: 2,615
    edited September 2010

    The waiting IS the worst part. Hope you find out your plan of action very soon. Take care... Paula

  • Rach958
    Rach958 Member Posts: 42
    edited September 2010

    Hi,

    I've had liver mets since being diagnosed Stage IV 3 years ago (after breaking my hip) and they've never had any effect on me i.e. liver blood work is all normal.  We know they're BC mets because I insisted on a biopsy.  

    Best wishes,

    Rachael

  • bopeep
    bopeep Member Posts: 288
    edited September 2010

    Stitchyphis, I am very sorry to hear about this new development especially at your age.  I too was just recently diagnosed with liver mets...5 identical small looking spots, and my oncologist said he was 80% sure they were cancer.  I am scheduled for a liver biopsy tomorrow. I had a lump removed from under my arm July 30, and since then my tumor markers have doubled and my liver enzymes, which were normal, have doubled and are now out of normal range.

    I was never tested for BRCA, but there certainly appear to be a large number of women in my family from past generations who had breast cancer. 

    It's scary.  I'd like to more know about the protocols they are using in your Dana Farber study. 

    Hope everything goes great and that you are NED in no time!!!

    Bo 

  • sheaves
    sheaves Member Posts: 5
    edited September 2010

    Hi I am diagnosed with liver mets also,15 spots on the liver ,just had a good scan so a little break from chemo but i am so depressed since i got the liver mets.I am 49 yrs old,good to hear somelongtime survivors out there.

  • sportsmom
    sportsmom Member Posts: 9
    edited September 2010

    Hi there---I am 6 yr breast cancer survivor...athlete, in shape. last friday, it felt like a pulled muscle on my right side lower ribs..so to get ultrasound and they say they see spots..now I am going thru bone scan, heart. lung. brain before i see oncologist on Tuesday.  I feel fine, thats the worst part of all of this.

    I lay awake at night thinking of everything bad...i feel so helpless. I have two kids 12 and 16...and I am so scared.  I dont care about the chemo or the drugs just that it isnt a death sentence.  You sound a lot like me...that once you knew, you were ok.  Did you feel the way I did for thee days leading up to the oncologist's office?  I cant sleep, I imagine the worst, as opposed to the best.

    Any advice? Thanks so much!

    sportsmom

  • LRM216
    LRM216 Member Posts: 2,115
    edited September 2010

    Sportsmom -

    while you are expecting the worse for yourself, I am going to take the position of expecting the BEST for you.  Good luck!

  • MJLToday
    MJLToday Member Posts: 2,068
    edited October 2010

    Stichyphish, I wonder if your oncologist is talking abou PARP inhibitors.  There have been good results from clinical trials with women with the BRCA1 & 2 mutations. 

  • ghe123
    ghe123 Member Posts: 1
    edited October 2010

    I was diagnosed February 2008 on my yearly mammography. I was already stage IV with bone mets. After standard hormonal treatments (arimidex, femara) stopped working I had various chemo's.  Zeloda helped for a few months, Adriamycin helped a lot but max. dosage was reached, Navolbine and Abraxane(same as Taxol) did not help and here I am with liver mets discovered near the end of September

    So I have 4 tumors in my liver between 1.5cm to 2.8cm. So, I was put on Faslodex.  I am ER+ I only had 2 treatments (500mg) 2 weeks appart, due for the third and then monthly. I also heard that it may take 3 months until you know if it is working.

    I am scared.. Anyone heard of adding some chemo (single or combination) to the Faslodex?

  • sportsmom
    sportsmom Member Posts: 9
    edited November 2010

    Curious how you are doing..i was diagnosed around same time as you with liver mets..put me on just avastin/taxol...had cat scan just after 6 rounds and one tumor grew a tiny bit and one shrunk.  he is adding carboplatin.....have you had any experience with them? 

  • jleigh
    jleigh Member Posts: 194
    edited November 2010

    I have had slight progression in my liver.  I am changing to Ixempra after a 6 month run with Abraxane/Avastin.  I have 1 liver tumor about 5 cm and 3 small ones - that you can barely see.  Has anyone felt sick due to liver mets?  I just have felt so tired and sickly feeling since my last Dr. Appointment.  I'm wondering if I am depressed and its all in my head.

  • linfer7358
    linfer7358 Member Posts: 34
    edited November 2010
    I haven't diagnosed with liver mets..But i felt so tired too and sick all the time like nauseous feeling and dizzy..I have been feeling pain under my right ribs for awhile but haven't yet do any scan or MRI except ultra sound..Am so scared now about this..I really wanna know too, what did you all have test to find the liver met?..And how does the biopsy procedure done?..I would appreciate any info..
  • hydeskate
    hydeskate Member Posts: 297
    edited November 2010

    My Liver Mets showed up in both my Pet Scan and CT Scan, they did a biopsy of the biggest spot to confirm that is was indeed from the breast cancer.  They did my biopsy at the same time they where putting my port in.  When I got diagnosed UNC ran every possible test/scan they could think of, it was a week of test after test.

  • linfer7358
    linfer7358 Member Posts: 34
    edited November 2010
    hydeskate..how does the biopsy procedure done?..Was it painful?..and after the diagnosis, what treatment did they do for the Liver Mets?..Now i am so scared..Don't know what to expect..Am always sick and tired feeling nauseous and dizzy..Did you have any symptoms like this before the liver mets diagnosis?..What is that port in you said? Is that invasive that they have to have surgery kind type?..Sorry for asking so many questions, i just need so much info for me to be ready and face this terrible journey..I am so depressed and need some support..Help me get through with this..God bles us all!..
  • stitchyphish
    stitchyphish Member Posts: 50
    edited November 2010

    Sorry, it's been awhile since I've checked in with this topic.  For me, I did not feel sick when I alerted my oncologist of the problem (as I understand it, though, this can vary depending on where the tumor is).  I had a strange sensation on my left side under my ribs when I breathed deeply.  It got worse as time went on.  We did a CT scan, which showed a spot in the tumor, then we did a liver biopsy to confirm that it was metastatic cancer from my original breast cancer diagnosis.  The liver biopsy was painless.  I had to stay at the hospital for a few hours to ensure that I didn't develop bleeding, but it went fine.

    By the time I started treatment, however, I was in a lot of pain in my upper abdomen.  At first, I would feel pain after a large meal or during a run.  Then, it got to the point where it would hurt just existing.  The pain went away the day after I started treatment, so we knew it was working.

    MJLToday - I am on PARP inhibitors!  I'm doing a phase 2b trial that involves taking a new drug, ABT-888 and Temozolomide.  My liver tumors have shrunk by about 30% in 2 months of treatment.  I'm not sure how good that is, but my oncologist seemed pleased.  Right before I started the trial, my largest tumor was 12cm x 12cm (there were several, but that was the largest).  My last scan showed that the tumor shrank to 9cm x 10cm.  Also, the CT scan can't tell the difference between necrotic tissue and tumor, so it could be even better than that.  I don't have any pain anymore! 

  • hydeskate
    hydeskate Member Posts: 297
    edited November 2010

    linfer7358-Sympton wise I had a pain in my side, felt like a muscle spasm,  The biopsy did hurt but not for long becasue they gave me some pain medicine that knocked me out shortly after so they could put in a  Power Port (so you don't have to get poked every time you go for treatment) .The port is to for the chemo the two where done together to save time becasue I was Stage IV by the time they realized it wasn't a hemotoma that was in April 2008. It was a day surgery, I went in at 8 am out by noon. 

    I had a Round of Abraxane, then Adriamycin, Surgery, Radation, Abraxane, they planned on using the cyberknife on the liver but the last round of Abraxane wiped out all signs of cancer in my liver.  Currently I am NED (No Evidence of Disease0.

    It is alot to take in and process, just take it one day at a time. 

  • linfer7358
    linfer7358 Member Posts: 34
    edited December 2010

    hydeskate---Nice to hear that you are now NED..What is that round of Abraxane and  Adriamycin?..Is that the chemo?...Did you have surgery for the liver?..It really looks scare to me..But seems you were able to get through..So how are you feeling now? Did they sedate you or give u some anethesia to knock you out for the Power Port you said?..How long did it take after you finished your chemo?..I hope and pray that, if ever i have this met "GOD FORBID", i could handle the test and treatment..Scared to death..Because i really have pains under my right ribs for almost 2 yrs now..My PCP didnt even worried about it, because she thought it just a gas..Now that i diagnosed of BC it really scared me..

    Thank you for your response..My prayers are there with all of us here..GOD BLESS!..

  • hydeskate
    hydeskate Member Posts: 297
    edited December 2010

    Abraxane and Adriamycin are two different Chemos there are alot more types, what you get depends on your type, I am triple negative which responds well to Chemo.  No surgery on Liver the Chemo took care of it. 

    Power Port: Local anethesia and pain medicine the pain medicine knocked me out

    Chemo- April 08-dec 08 Feb 09 Surgery, July 09 Radiation August 09-Oct 09

    Feeling good and enjoying my time off from Chemo.

  • stitchyphish
    stitchyphish Member Posts: 50
    edited August 2013

    Wow, hydeskate, that's great news.  My understanding was that once you have liver mets, you are always on some sort of treatment.  How big was the tumor?  Did you not have chemo for the initial breast cancer?  I had four rounds of dose-dense Adriamycin and Cytoxan (as well as four rounds of Taxol) and I am pretty much up against the lifetime limit from when I was first diagnosed, so they aren't an option for me.  How are you being monitored?

  • hydeskate
    hydeskate Member Posts: 297
    edited December 2010

    stichyphish- I had chemo first Abraxane, finished that took Adriamycin, then surgery, radiation and another round of Abraxane at the highest possible level until I started get tingling.  I was lucky not to have any symptons so they where able to push the limits of the drugs.

    The biggest spot in the liver was the size of dime, there where several other small spots about the size of an eraser head.  The smaller ones disappeared after the first round of Abraxane, the big one didn't disappear until after the 2nd round of Abraxane.  I also had spots in my lungs, the doctors where shocked that the liver was clear they had planned to use the cyberknife on the dime spot. 

    It was funny the doc had the chessiest grin when she came in to tell me that I was NED and done with chemo for now.

    I get checked every 3 months, this past October I had a CT Scan, but my onc had just read an article and decided to have another PET Scan, and I ended up getting a chest x-ray due to some pain but all three came up clean.  I go back the first of Feb for a Chest x-ray, I rotate between Chest X-Ray and CT Sscan every 3 months.  Anytime I have any problems I just email her and she decides whether or not I need to be seen and she will work me into her schedule. 

    I already know what my next treatment will be the PARP inhibitor when my cancer decides to come back to play. 

  • jneumann
    jneumann Member Posts: 67
    edited December 2010

    Tumors in my liver are growing again, the two biggest are 20 cm and 18 cm but also have cancer in 3 lymph nodes behind my stomach and one in my chest.  Do these lymph nodes hurt?  Is that the pain I am feeling?

  • stitchyphish
    stitchyphish Member Posts: 50
    edited December 2010

    jneumann, sorry to hear that.

    As far as I know, I haven't had lymph node involvement with my recent metastasis (although I did have it with my initial Stage 2B diagnosis).  However, I definitely did have pain in the center of my chest that got worse with deep breaths or a full stomach and my tumors were about half the size of yours.  Do you have pain meds?  My oncologist suggested I have some on hand even though I didn't think I needed them.  By the time I started feeling pain constantly, Ibuprofen wouldn't even touch it.  I'm happy to report that on the second day of treatment I was pain-free and I have been ever since.

  • camul
    camul Member Posts: 28
    edited December 2010

    You are so promising.  I love this site as it gives hope to all of us.

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