Thread I started for HER2 Stage III'ers

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  • PlantLover
    PlantLover Member Posts: 622
    edited December 2011
    TonLee ... Are you saying your docs have refused to give you a PET, CT, or other scan unless you have symptoms?  You did have more than a breast MRI when you were diagnosed, right??
  • TonLee
    TonLee Member Posts: 2,626
    edited December 2011

    Plantlover,

    All I've ever had is a breast MRI.  No CT or PET.  Ever.

    They say when I have "symptoms" I may get a scan.  MAY.

    I even went for a 2nd opinion about it, and petitioned my Insurance for a 3rd (and got it) and they all agreed.  No PET.  No CT.  Nadda.

  • kimf
    kimf Member Posts: 334
    edited December 2011

    I'm 7 years out NED, stage IIIC her2+  No PET's CT's nada. She does do tumor markers.  I have a breast mri and mammo every year. So far doing great. If I develop any symptoms, the PET and CT will come into play, otherwise not necessary according to my Onc. 

  • PlantLover
    PlantLover Member Posts: 622
    edited December 2011

    TonLee ... I guess all Onc's have their own way of doing things, but I'm kinda surprised that a doc wouldn't want more scans done at the time of initial diagnosis for a Stage III patient.  This is probably a stupid quesiton but how would they know that one didn't have mets to other organs if they don't do any other scans?

    I had a breast MRI, brain MRI, and PET scan before I had any treatments.  Then my doc sent me for a PET at my one year anniversary for re-staging purposes.

    From this point forward my doc will order scans if I have symptoms, otherwise he just wants a chest xray on a yearly basis.  There also isn't a "may order" philosophy if I'm symptomatic.  At my last appointment I told him I've been having a lot of lower back and hip pain and he immediately sent me for a PET. 

    Kim - Congrats on 7 years.  

  • TonLee
    TonLee Member Posts: 2,626
    edited December 2011

    Plant,

    Your exactly right in my mind.  I feel the same way and asked...HEY!  How do you know it hasn't spread?  It can travel through the blood too...and it was already in my lymphs.

    My Onc said, "if it spreads, you'll know...you'll have symptoms.  There are too many false positives with PET scans."

    I've researched this and that is just not accurate.  There are some, but not so many as to make the test unnecessary.

    There were varying degrees of cancer in my lymphs.  Two macro for sure, one borderline macro/micro, and one micro/ITCs.  So, while I am stage 3 the tumor board at my hospital has decided (because I refused axilla dissection) to treat me as a stage 2 BC patient.   They claim the borderline and micro don't "count" toward staging....this is how they deny me scans.  (Military hospital)

    But cancer is cancer.  When I went for second and third opinions every single place staged me a 3 but was hesitant to go up against the tumor board officially.  In fact, my Onc staged me a 3 too, I came in with my husband and we did the whole prognosis calculator thing.....but when my case went before the tumor board ... they wanted to know why no axilla dissection...my Onc told them I refused, they were "indignant" so decided to Stage 2 me.

    Onc called and told me on the phone.  "Good news!  According to the Tumor Board, you're only a stage 2."

    REally??

    In my records from all my second/third opinions they stage me 3, and give my prognosis based upon it.

    Even my BS at the military hospital stages me a 3.

    Only my Onc, because of the tumor board, stages me a 2.  (How can you be a 2 with cancer in 4 lymphs?)

    My BS told me I am without a doubt a 3.  That in his opinion the tumor board is mistaken because the whole micro/macro thing is fairly new and there just isn't enough research ... And I had cancer in 4 of 4 lymphs, any of which, no matter how small, could mets to other areas of the body.  

    Bottom line is this...I went against standard care at the time by refusing axilla dissection...and that's a big fat no-no in the military....and they've decided unless I'm dying...I get no scans.

    End of story.

    That'll teach me.

  • PlantLover
    PlantLover Member Posts: 622
    edited December 2011

    TonLee ... Wow I really am speechless!  I'm not sure what I'd do if I were you but the first thought that crosses my mind is that I would start having symptoms & lots of them very frequently.  Surely if you really push the issue they would feel a PET would be in order.  You know, peace of mind has a lot of value. 

  • missy_111
    missy_111 Member Posts: 141
    edited December 2011

    I am in the same boat as Tonlee.  I am stage 2B with 3 nodes, and I have never had any scans. My Dr. refuses to order unless I have symptoms.

  • kathleen1966
    kathleen1966 Member Posts: 793
    edited December 2011

    I had scans to stage me at the beginning of my cancer "journey"...and I was considered a stage I at that time.  I had a PET scan, CT Scan and an MRI of my brain (I asked for it).  I had one lymph node light up on the PET scan, but it appeared benign in the CAT scan and I had a biopsy so they were not concerned.  The insurance company initially denied the PET.  But my oncologist persisted.  I am very sorry to hear that the military hospital is not giving you the best treatment you deserve.  It is good to know where you are from the start, rather than get a "surprise" later on and then wonder about not getting this scan. Even if you were stage II, you should get a scan.  You should also get a baseline brain MRI with Her2+. Soo sorry you are having to deal with this BS!!!!

  • Momof2inME
    Momof2inME Member Posts: 683
    edited December 2011

    I just received my staging yesterday. Will be starting chemo on the 9th. I have been devastated the past 24 hours so reading this thread has made my day. To see there is hope makes me continue to put one foot in front of the other for my husband, little girl who's 4, and my 18 month old son. Thank you and hugs to all you wonderful ladies

  • PlantLover
    PlantLover Member Posts: 622
    edited January 2012

    Hi Momof2!  I am so sorry you are having such a difficult time!

    I remember how scared I was right after I was diagnosed and staged.  I felt like I was sleep walking many days ... you know, just going through the motions but being totally disconnected mentally from the day-to-day activities. 

    One of the best lines from one of my favorite movies states .... Hope is a good thing, maybe the best of things!

    Hang in there and good luck on the 9th!

  • missy_111
    missy_111 Member Posts: 141
    edited January 2012

    Momof2-  It is totally overwhelming at first. There is so much information being thrown at us.You will see. After you start your treatments, that you can do this!

    Dont hesitate to ask questions.  So many women on here with great knowledge to share.

  • antonia1
    antonia1 Member Posts: 135
    edited January 2012

    Thanks Annaanne.

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