Never hearing the word Cured!!!!
Hi Ladies,
I was reading the age and reacurrance topic. I have been thinking about this all day so I thought I
would ask. If I am to understand this correctly. If your ER/PR pos and we stay NED through the 5 year, ten year and so on mark, does it decrease our chances of reacurrance. The way it sounded was that we are always at risk for the rest of our life. I was hoping to hit a point where I
could here, well you hit the mark, we consider you cured! Thats hard to think that day won't come,
Though , I beleive I'm cured, I guess I'll never here those words. BUMMER!!
Could I get some feed back from my sista's
Thank You,
Faithfulheart
Comments
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hi faithfulheart-
i've been thinking about that this week too! i remember when i went for a second opinion at yale, the onc said, "i believe this is highly curable." that was before my MX and 15 positive nodes. my onc (didn't choose Yale) never says the words, but then again, he is good at focusing on the little picture, and current victories, eg., clean MRIs, good response to chemo, etc.
i guess i've set my sights differently; i just want to see my children grow up. different parameters: not better or worse, just different.it's a bit of denial as well, but if i focus on "stats" (which my onc did dismiss pretty quickly), i'll never get out of bed.
i do wish i could hear my onc reassure me with ironclad guarantees. it really sucks. but then, i've been thinking about the tragedy in Arizona and realized, once again, that life can change in a moment, and no one --not even those who escape cancer!-- are promised anything beyond the moment.
sorry to sound like rebecca of sunnybrook farm or a bad philosopher...but i bet you know what i mean.
it's good to have each other for support! no one else really understands.
hugs
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I don't know the answer but when I asked my oncologist she said, "You will know you are cured when you live to be 80 or you die of something else." Not really the answer I wanted but for some reason I'm ok with it. I think she meant that no one knows what will happen until it happens.
When I asked my rad oncologist (2 months ago at check up) if me getting to 5 yrs is a good thing or just means I am closer to a recurrence he said, "Getting to 5 years is a great thing and is something you should celebrate." He also said something about recurrence chances going down as time goes on and I said, "Are you lying to me?" He said something about not being allowed to lie to me since he is a dr.
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faithfulheart,
As I understand the current prognoses, we do decrease our chance of recurrence with time, but ER/PR + breast cancer is never totally considered cured until we die of something else. It's been known to reoccur 30 years after the original diagnosis.
Remember, though, that recurrence does NOT automatically mean Stage IV. If you still have a smidgeon of breast tissue, it can pop up there, near your surgical scar, or in you lymph nodes, and be considered "locally advanced" and treated in similar manner to the original occurance.
So, I guess the upshot is don't ditch your oncologist...continue to see them at least once a year for blood work. And be vigilent in inspecting your body for unusual lumps or other signs of change.
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My onc has used the word curable in relation to cancer below stage 4 and calls stage 4 cancer treatable...but he never talks cured...just NED...no evidence....I've been lead to believe that you know the cancer didn't return when you die of something else!! I've done all I can to treat my BC and prevent a reoccurance...so hopefully I'll live to be a cranky old lady!!!
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Thanks Ladies,
You know its funny. I know it's always been in the back of my mind that the cancer can always come back. I guess it just really hit me last night. I said to my DH you know they dont tell us were cured, esp us stage lllcers. He looked at me and said, I know your cured, but I was wondering when you might bring this up. It only took 15 months after dx to talk about it!
I still have my port, dr. calls it my air bag. He says "You know it's one of those things you have
but , you know you will never need it!, Just like ins." I really want it out , but at the same time
I get it! JUST WHEN ITHINK I HAVE IT ALL HANDLED. elmcity69, I really get it, I want to see my children grow up too. We will !!!!!!
(HUGS)
Faithful
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This is an older article, and it also is based on old stats (pre-herceptin and AI's even) but it is very encouraging -
http://www.reuters.com/article/idUSN1248209720080812
Faithful, it was a big mental leap for me realising that even my Onc had no idea whether or not the treatment had "worked." Nobody knows, so I just choose to live like it has until I know otherwise!
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Kerry- This is a study I have not seen. Thanks for posting. 13% is lower than I thought.
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Dear Faithfulheart
What I wrote in that tread was something I heard from other patients and no specialist like oncs confirmed it and as you saw I asked others for an answer. I know that whoever Dxed with BC specially new ones like my mom are so sensitive. All of sisters and their families are searching for inspiring stories. Here is one:
My uncle's wife was dx with BC in her two breasts at 2000. She Had mastectomy her right breast and nothing is done even lumpecomy with her left breast. She had node involvement and hormone receptor +.She is doing really fine and with a lot of hope continuing her daily life. There are a lot of people around us who at a certain time suffered from BC. You should go on with your faith and belive me very soon in the near future all of us happily will listen that the concrete cure for BC is found. We all shold pray for that special day.
A big HUG to you.
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Hi Faithfulheart,
I know when I heard that I was bummed for a while too. I think there is this big misconception about the "magic" 5 year mark. A lot of well meaning people probably wanted to hear something positive, and latched on to that 5 year thing. My onc said the same thing, that although you will always have some risk of cancer your recurrence rate goes WAY down the curve after 5 years. So that IS a good thing!
Take care,
Sharon
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3 weeks age I finished dose dense chemo. During that time, I felt so bad that fear was on the back burner. Even though I am still having SE from chemo, I m feeling well enough to worry. I think suppressing the worry and fear is probably the only way to enjoy my life but still difficult. It's nice to ready other people's concerns and ideas. I think people who haven't gone through this can only empathisize so far.
Elizabeth
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Sorry to say that 5 years mark is not for breast cancer, one can get a recurrence any time and anywhere in the body, having said this, it is very important to continue with a plan to see your doctors.
I was diagnosed in 1993, I see my oncologist once a year and my primary also, this means I see a doctor every 6 months. I am not paranoid about it, just careful.
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Tupelo has summed it up perfectly. I queitly celebrated passing 5 years....then 10 years. I began to feel confident that I may be one of the lucky ones-and back it came, 13 years later. I am now stage 1V and therefore terminal-and this is despite doing everything recommended, and even having prophylactic surgery as I'm BRCA2.
I would suggest that it's actually less devastating in the long term, to always have the possibility of recurrence in the back of your mind-just try to keep it in the back of your mind, and don't become paranoid about every pain! As I had started to believe I was going to be ok, the resultant shock when I was diagnosed with recurrence was undescribably awful. I couldn't assimilate it at all. Spent 4 days looking at the wall and crying, unable to move. Had I kept the possibility of recurrence in my mind, I think I may have found the shock of diagnosis easier to bear. I'll never know, but it sounds logical. I had even suggested to my onc that we could dispense with annual checkups-that was in the August-I was rediagnosed in the November! Talk about timing.....Good luck to you all-hope with all my heart that none of you ever end up in my situation.
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Also consider the younger you are the higher your risk for recurrance. I'm not talking about having a more aggressive cancer but just because you will/may live longer:
If a 65 yo women is treated for breast cancer their is a higher chance she will die of something else than if the 45 yo women treated for breast cancer. Just being alive longer can be a risk in itself.
ElaineD that sucks after 13 years. I really hope you go into remission for at least another 13.
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Thanks Lago! I've been on chemo with very few breaks for 3 years now. At present on taxol, herceptin and pamidronate. My main worry is the spread to the liver, which is notoriously hard to treat-we've had periods of stability in the bones and pleura, and even reduction a few times-but the liver is stubborn! Mentally and physically it is getting exhausting now-after all, I'm pumping my body full of poisons every 3 weeks, so some kind of reaction is inevitable. But as long as it slows down progression, at the least, then I'll continue until I've exhausted all my options.
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I think BC sucks! OK, I had to say it, but Your all right I guess maybe I need to hit the 5 year sur.
thread for some insperation, I know there are woman 5-years and more out. woman living with stage 4 for years. I know it comes down to surrendering my fears of reacurrance, with the knowledge that, there are no solid time frames in life for anyone. I don't know why this really Got to me this week. I have been praying for peace for all of us! Your all couragous and Amazing!
Lots of hugs to all!!!
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the other day my neighbor asked me how long has it been since initial diagnosis...i said; "it will be 9 years in feb" he said; "well, you must be cured" i said; "i am doing well, but i always have it in the back of my mind that it could show up"
i don't think of myself as "cured" at all i think of myself as "doing well" lol doing well can be during treatment...after treatment (NED) or even having it come back after years.
this is how i think of it, i want to stay in the moment of my life....do "today" take care of daily things..enjoy my pleasures...avoid getting hit by a car while i cycle...and continue to FU with oncologist. ( i see her every 6 months) my experience of life is that you can never be prepared for "hard" events...whether divorce...accidents...cancer....and i guess life is just like that. i think what has helped me the most is just plain ole acceptance of the unpredictability of life ...some days are good days..and some days are hard days. all i know, i just want to keep going...enjoying...being grateful....and living while i am here on this earth. that is all i know.
Hugs ** you are all so awesome and stronger then you know*
diana
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Dear Diana50,
Thank you so much for your post. I have been lurking on these boards through treatment,
I finally posted , and I am so glad I did. Your posts have inspired me so much this last year!
I loved your attitude and your always so uplifting!! Having a close dx to yours, I found so much hope in
hearing that you live your life , and you live it well. You really are right , we have to live today,
right now. Some one said FEAR stands for False Expectations Appearing Real. I guess this means, the cancer is not here now, so don't waste time living in fear. If and thats a big If
it comes back, deal with it then! I hope to be nine years out and watch my kids grow, one year at a time. Sometimes an hour at a time. I stare at them a lot they probebly think I am so wierd!
Well BC makes you a little nutty right? it's a good thing!
God bless you!
Faithfulheart
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(((((((HUGS Faithfulheart))))))))
keep on..keep on....
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How long has it been since I was diagnosed??? NOT LONG ENOUGH (thanks Sherri G). I love that quote!
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Oh.......I love the quote NOT LONG ENOUGH, I think I'll have to steal that one.
My onc is a very black and white person, lays it out on the table without too much gray area. He isn't well liked by some women because he says it like it is, which is the very reason I love him. Anyway, he told me when I was finished with treatment that he could never tell me that I am cured, there are other cancers that he can say cured to, but not to BC. He said his job is to check up on me and to listen to me to decide if there is an ache or pain to be looked into and mine is to live.......Go out and enjoy my life - have fun, be happy. I like is philosphy and am trying to live that way.
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sherriG, your posts always lift my mood. I love your spirit, girl.
hugs
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I was talking to another survivor recently and when I told her I was coming up on 5 years she told me that it meant I was cured!!! I was it was so simple!!! She is going on 2 years...I just told her my onc doesn't use the word cure, but NED....and I love the comment "not long enough" how true
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Sherri,
love that, NOT LONG ENOUGH!! You amaze me, sticking around like diana50, helping all the newbies along. You always
seem to know what to say as well. I am honored to be in this club, it is not what I would have chosen, don't get me wrong. Still it's so comforting to know you all get it! Really get it!
Faithful
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I was watching an interview on Entertainment Tonight with Michael Douglas talking about his ordeal with throat cancer and chemo and radiation. He cheerfully said I''m tumor free" but stage IV. He wishes it would have been cought earlier at stage 1 or 2 but 4 is not great he said. So I kind of felt in my own heart that even though they got his tumor, and he;s tumor free, he may yet not be cancer free because the little buggers are probabaly seeding distant places in the body. That;s what I always wonder about my cancer.
Barb
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Oh, I saw aomething with Michael Douglas too, proclaiming how he "beat Cancer" and it made me shake my head a little. Seems like all celebrities "beat it."
That being said, they are actors, and in the public eye, and no doubt want to be hired again. I would say it is more of a career move to be "cured" than what is their reality.
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Some cancers are curable-I believe Douglas' type came into this category. Very hard to treat, but curable, if caught early enough-let's hope so (whatever we think of the man!).
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ER+ breast cancers are slower growing so look better at initial diagnosis, but are the ones that tend to recur more often after 5 years. There are other threads on the board with links which others have found showing this. Triple negative cancers are more apt to recur in the first 5 years if they're going to, so getting to that 5 year mark is good for triple negatives and a time to be more vigilant for the er+.
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But Barbe what about us gals that have very fast growing AND hormone positive. Talk about not fitting into either category. HER2+ typically are Grade 3, very fast growing and hormone negative. When we are hormone positive we usually aren't highly positive. (In my case 30%ER 5%PR).
I feel there are no reliable stats for Herceptin treated HER2+ gals because they haven't been treating early stage with it for that long. It's still just a guessing game. Best to live my life and only start to worry if something doesn't feel quite right.
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Yah, but you get Herceptin. I don't!
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Yes I get Herceptin but it is only a miracle drug if it works… and right now they think it's about 50% of the time. Better than nothing but shitty odds IMO.
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