TN Metastatic cancer fear

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  • miffyjones
    miffyjones Member Posts: 33
    edited December 2011

    hi there - i've just gone stage 4 - can you advise what treatment plan you did that helped you get to 2 years - I feel my onc is a tad slow on this front. many thanks m

  • Zoe-Lily
    Zoe-Lily Member Posts: 85
    edited December 2011

     Hello Miffy,


    I apologize if my original post caused any confusion, I am staged at 2b. The chemo treatment I am currently undergoing is AC followed by 12 weekly Taxol.


    The 2yrs was my question for the ladies to advise me incase the cancer has mets, that was the timeline my MO gave in terms of the worst prognosis outcome. As you can see from the replies there are many positive responses even from the ladies who are stage 4.

    Hopefully someone with experience will come along and address your post on treatments.

    Hugs,

    Zoe

  • Anonymous
    Anonymous Member Posts: 1,376
    edited December 2011

    Hi,

    I am TN and I am two years out. My tumor was bigger than 2.5 when I found it. I had chemo first and watched it shrink with every treatment. I had a lumpectomy and rads. I have been clean ever since. I was very worried that it would come back at first but now I just enjoy life. You can't worry about it all of the time. It took me a while to come to this point. I try to find humor in everything. I was told that I have 10-20 years. Fire the doctor who said 2 years and find someone else. You deserve better.

  • sharon9281
    sharon9281 Member Posts: 10
    edited December 2011

    Hello - I am new to this site but not to TN breast cancer.  Eight years ago I was diagnosed with TN in my right breast.  I opted for a lumpectomy. At the time I returned to the surgeon's office he said that the margins were clean as were the nodes.  I was surprised to learn that I needed to do chemo because of the cancer being TN.  After the chemo I did six weeks of radiation and had been cancer free until recently.  Originally, I did not realized what the TN diagnosis meant.

    A recent MRI showed a potential problem.  An ultra-sound guided needle biopsy showed cancer cells in my left breast in two locations.  I recently had a masectomy and am now being advised to have a series of four chemo treatments.  Again, the cancer was found very early. The tumor size was 0.8.  Five nodes were tested and none were positive.

    My oncologist has said that my chance for a reoccurence is approx. 15% and if I have chemo that is reduced to approx. 9%.  I am reluctant to repeat chemo and wondering if anyone else with a similiar prognosis could share their thoughts on what helped them to reach their treatment decision.

    I appreciate this forum and will look to read how others are coping on their cancer journey.  There are many brave people out there and I wish you all well. 

  • sharon9281
    sharon9281 Member Posts: 10
    edited December 2011

    Good for you Veggy - each day is a gift and to not live it to the fullest is wrong.  Of course, some days are better than others.  I made it eight years after the TN diagnosis and was there for the birth of three grandchildren and many other significant family events.  

  • sharon9281
    sharon9281 Member Posts: 10
    edited December 2011

    Hello bak94

    I was reading through the blogs on TN and came across yours.  I, too, was diagnosed over eight years ago with BC in my right breast and had a lumpectomy, followed by chemo and then weeks of radiation.  Again this Sept. I learned that I had cancer cells in my left breast.  I opted for a masectomy since the tumors, while very small, were in two locations.  I again learned that they are TN.  I have had the BRAC test and the BART test and I do not have the gene.  I guess it's unusual to have two diagnosis of TN.  

    What treatment was recommended this time and have you decided to follow the doctor's recommendation.  My cancer was found on a MRI and was so small that had it been smaller they would not have been able to do a needle biopsy.  There were five nodes tested and none found positive.  My oncologist said I have a approx. 15% chance of reoccurence without chemo and with chemo the odds drop to aprox. 9%.  I'm reluctant to repeat chemo.  Would apreciate you sharing your thoughts and what treatment you are doing.  I will keep you in my prayers.

  • sharon9281
    sharon9281 Member Posts: 10
    edited December 2011

    Mitymuffin - Good morning.  I read your blog where you mention having blood work - I'm not aware of doiing blood work as a diagnosis tool.  When time permits, I would appreciate some info.  You're right about the cancer journey feeling like you are walking on thin air.  But, on my first diagnosis I made it eight years and managed some very good days during those years.  Granted chemo was hard and i said I would never repeat - but, I'm finding myself considering that option again.

  • sharon9281
    sharon9281 Member Posts: 10
    edited December 2011

    Good morning.  I'm new to blogging - tho not to BC.  Could you tell me what AC treatment is?  I'm not sure and am trying to follow along!  Thank you.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited December 2011

    Adriamycin, aka the "Red Devil," chemo.

  • sharon9281
    sharon9281 Member Posts: 10
    edited December 2011

    thank you Veggy - I had that the first time - was supposed to have four treatments but after a negative reaction they cut the series to three.  My oncologist said I shouldn't repeat....which is fine with me.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited December 2011

    I had that too. I didn't have any bad reaction to it. It was kinda eerie to pee pink though. I'm glad they warned me about it. I would have been screaming.

  • Titan
    Titan Member Posts: 2,956
    edited December 2011

    The A stands for Adriamycin and the C stands for Cytoxan...One is red which they will inject and the other is a clear liquid which they will they infuse

    Both very strong chemo drugs... 

  • epgnyc
    epgnyc Member Posts: 101
    edited December 2011

    Sharon,

    A 2nd TN diagnosis might not be very common, but I don't think it's rare either.  I was diagnosed with TNBC the first time in 2002 and had a 2nd primary in the same breast, also TN, in February of this year.  The first time I had a lumpectomy, 8 infusions of CMF, followed by radiation.  Like you, this time I opted for a BMX (I'd had a biopsy on the other breast 2 years prior) and wanted to be done with this once and for all.  Or at least as close as I could get.  Following my surgery, I did 4x AC and 4x T DD (my tumor was large this time and I didn't feel I could forego chemo).  I react poorly to chemo so it wasn't pretty, but I made it through and am now 4 months post treatment and feeling better every day.   Because your tumor was very small, it makes the chemo question more difficult.  Best of luck to you.

  • bak94
    bak94 Member Posts: 1,846
    edited December 2011

    Hi Sharon,

    I am so glad they found yours early. Mine was not found early either time, seemed to grow right between my mammos and my insurance was reluctant to pay for mri's after 5 years of being cancer free. I sought two opinions and went with the more aggressive one, which included ac for a second time. I think with triple neg it is better to do the more aggressive treatment, but that is just my opinion. I am brca 1 positive and I have heard that it is not that uncommon to have a second breast cancer. Chemo was a bit more difficult a second time, but doable. It seems to be a more difficult decision in your case about doing chemo as it only makes a 6% difference, my decision to to chemo was quite easy as I am at least a stage 3.  I did chemo first and had a complete response, then bmx and next radiation. Good luck with your decision, it is such a personal choice, but you will pick what is right for you. Please keep me posted on your decision and feel free to ask anymore questions!

  • mitymuffin
    mitymuffin Member Posts: 337
    edited December 2011

    Sharon,  I think the blood work can show indications that there are problems in the bones or liver. Obviously it can't give the information that a scan will show, but can indicate that a scan needs to be done. 

    I'm sorry you have to go through this again, but remember how successful your treatment was the first time (8 years!). 

  • sharon9281
    sharon9281 Member Posts: 10
    edited December 2011

    Thank you for your response.  I wish you well on your journey.  

  • sharon9281
    sharon9281 Member Posts: 10
    edited December 2011

    Thank you for taking the time to respond and for your opinion.  It is helpful to hear what others think and what led to their decisions.  This cancer journey can take many twists and turns.  It seems that we were both blessed with many years in between.  I remember being afraid not to do the chemo the first time and I guess I didn't even think that I had the option of not doing it.  But, after completing the recommended treatment plan I felt a bit more at peace during those years.  I wish you well on this leg of your journey.

  • sharon9281
    sharon9281 Member Posts: 10
    edited December 2011

    bak94

    I apologize if my response to you wasn't clearly addressed.  I did select the post a reply button under your response but being new to this I'm not sure how this works.  My reply showed up in order of the time it was sent and I didn't put your username on it.  I do appreciate the thought you put into your response and your opinion.   

  • Zoe-Lily
    Zoe-Lily Member Posts: 85
    edited December 2011

    Hi,

    I apologize if my posts sound overly concerned about nothing . I thought for  TNBC chemo treatment with AC and T should be enough to keep cancer at bay. I am confused with  what I am reading in the link about  "triple negative patients should go straight into a clinical trial "

     http://abclocal.go.com/ktrk/story?section=news/health&id=8312076

    I wish I can stop  look into internet and make peace with myself that I am treating my cancer to best they have to offer . but I read things that makes me wonder if I am educating myself enough on it.

  • niciop
    niciop Member Posts: 4
    edited December 2011

    A TNBC diagnosis is very scary.  I am not as brave as most women with BC.  I am now being treated for a secondary cancer caused by my chemotherapy and radiation for the TNBC (leukemia).  Anyway, I take Xanax every day to calm my fears and I do not feel guilty for taking it.  It really helps.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2012

    Zoe Lily,

    I am in a clinical trial at the world re-known cancer center in Houston, TX, The University of Texas M.D. Anderson Cancer Center.  This Cancer Center is rated #1 in the world.  People all over the world go there for treatment. Look up M.D. Anderson on the computer. There is a wealth of information on the computer site.  I hope this will help

    Faye

  • mcharl
    mcharl Member Posts: 17
    edited February 2012

    Once you fire your first onc., it gets much easier.  Take your time, maybe find a local support group, ask around about oncologists and consider trading up.

    I was dx in 05 with high gradestage 2 IDC, had ac, taxol, and 37 rads, have some ongoing after effects from taxol but i am here.

    Hang in there.   HugsWink

    MC

  • crabbiepattie
    crabbiepattie Member Posts: 108
    edited February 2012

    Oh, niciop - leukemia from treatment?  That really sucks!   How were you diagnosed?  What kind of treatment are you having now?  Sending you hugs  ((( niciop )))

  • Alicethecat
    Alicethecat Member Posts: 535
    edited February 2012

    Hi Zoe

    If you look at it another way, there's a 60% chance that it won't come back!

    Have a look at the link below. Not perfect but may help!

    http://community.breastcancer.org/forum/8/topic/768161 

    Alicethecat

  • niciop
    niciop Member Posts: 4
    edited February 2012

    Crabbiepatt, Thank you for your kind words and interest.  Yes, it really does suck!  Several months after my TNBC treatment was over, a blood test (followed by a bone marrow biopsy) confirmed that I had developed Acute Myeloid Leukemia (AML), another aggressive and deadly cancer!  The doctors tell me it is a rare side effect of the chemo drugs and/or radiation.  I was diagnosed with AML in Feb. 2011 and I am still getting treatment.  I have 3 days of chemotherapy every 4-6 weeks, followed by multiple transfusions of blood and platelets.  If the chemo does not work, I will need a stem cell (bone marrow) transplant. 

  • adgirl5
    adgirl5 Member Posts: 81
    edited May 2012

    Yes, sadly it is a rare side-effect of chemo and rads.  The same happened to my Mom.. but she only had radiation with a radical mastectomy.  They do relay it back to her BC. Back then things were different.  I was on a chemo, FEC x 6 which also carries that risk.  Rads defo play into it too. As I said, it wasn't chemo in Mom's case.. it was the radiation.

    My prayers are with you niciop... please keep us posted!

  • marinakaplan
    marinakaplan Member Posts: 23
    edited May 2012

    mitymuffin -- what blood tests do you get? I've just completed my chemo regime, and my onc is of the no scans no blood tests unless you have sypmtoms mindset.

  • beljmc45
    beljmc45 Member Posts: 19
    edited May 2012

    i still have my port in and every  6 weeks when they flush my port they check what is called a ca27-29. twelve weeks ago my numbers were 38 which is good 6 weeks later it was 43 and then this last time was 109, so my oncologist ordered a cat and pet which has showed something going on. they biosped a spot on my sternum last week waiting for the results tomorrow. i think it is worth the blood work i would rather have false positives than not, and unfortunately it is,so i pray it is early enough i just finished chemo 9 months ago and rad. 6 months ago

  • tibet
    tibet Member Posts: 545
    edited June 2012

    hi Sharon9282

    May I know your first dx? How big was it ? thanks.

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