STAGE-3C
I WONDER IF STAGE-3C HAS A VERY SCARY PICTURE AS THE SURGEON AND MANY DOCTORS CONSIDER US TO BE SHORT TIMERS DUE TO HEAVY NODE INVOLVEMENT , IS THIS TRUE?
I WOULD LIKE TO KNOW OPINIONS FROM ALL STAGE -3 GIRLS
THE CURRENT SCIENCE BELIEVES MORE IN BOILOGY OF TUMOR RATHER THEN STAGE
THEN WHY ARE DOCTORS NOT READY TO LET US FORGET THAT WE ARE LATE STAGE 3ERS
Comments
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I have wondered the same thing, even though I'm 3A - it can still be a scary picture. But, at the same time, I think they throw the book at us, as far as treatment goes, so that's a good thing. Sometimes I think earlier stages may be undertreated, perhaps accounting for some unnecessary recurrences (just my thought). Also, there's a couple of ladies on here (can't remember their names) who are stage 3C and have been NED for years. And I personally know one lady who was Stage 3C years ago and she is doing wonderful - NED for 14 years now.
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One node or 13 nodes it really doesnt matter. The cancer is out of the gate, so to speak. You see women that have lesser diagnosis that are stage IV. It's all a crap shoot. My cousin is stage 3, no node involvement, NED for 28 yrs. My Aunt, stage 3 w/13 nodes, NED 20 yrs and counting. Incidently, all three of us have different types of cancer.
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I am stage III, grade C, 10+ lymph nodes, ER, PR, Her2 positive. My onc said 50% cure rate. I'm optimistic and choose to believe 100%. Will finish herceptin in 2 months. The Arimidex gives me horrible side effects, but since it gives me better odds, it's worth the pain.
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I don't think my doctor treats me any differently because of Stage IIIc. All he will say is that it means that it has to be treated aggressively, which it has been. He has dodged the question of my odds of recurrence or being alive in five years. I know what those are from the Internet, but I was cautioned by the social worker in radiation oncology to use one of the calculators that takes into account the benefits of the various treatments I've had/am having, and it is higher than what I first read (50%). I don't know where you are being treated, Many, but I have read in other forums here that in Canada, they won't extend recon to the Stage III'ers initially which I found upsetting. But here in DC, I feel that I am being treated as a patient who is expected to respond to treatment positively and not as a short-timer.
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Hi, I'm glad they have treated me like this as I've had great results from chemo. My surgeon told me you never know, she saw a lady with stage 3 lots of nodes and cancer free for ten years. Also saw a lady stage 1 and got cancer back in 18 months.
She says if it's in your body you'll get it back and whatever you do the cancer will find a way. She told me to go for Lumpectomy after giving me this advice. -
MaryTex I'm with you! I'm believing in 100% odds of getting through this and moving on with my LIFE.
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I'm a bit shocked to see the 50% stats here. My onc told me 70% for Stage III overall (I'm 3A, but she said there aren't really differentiated stats available for stage 3), and the cancermath therapy calculator gives even better odds than that for IIIC. Anyone else hear anything more similar to this?
I would love to get to the place where I stop thinking about numbers and follow the wonderful advice of you wise ladies, but I'm afraid I'm not there yet.
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oaktownmom- I'm probably in that place because I never research the odds and never discussed it with my Drs. I just decided it's a pain in my rear that has to go away, because I have plans. I refuse to think otherwise. I'll face the other reality if I have to later. I hope that make sense.
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It makes complete sense lostinmo, and a much better way to live life than obsessing about stats, that's for sure. With that, I should get off this site and go enjoy the day!
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I have to agree with the 50% statistic.............Either I am going to make it....... or I am not........heads or tails, 50-50, no one really knows, but I am going for double or nothing
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I hate statistics. I am NOT a statistic! None of my doctors called it late stage---they called it advanced stage LOCALIZED breast cancer. That's what I'm hanging my hat on---LOCALIZED. Hoping that even though I had significant node involvement that when they hit it with the big guns (DD A/C, DD Taxol) that it did what it needed to do. Kill any lingering cancer cells floating in my body.
Hang in there Many. We'll all be here for you!
Sharon
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I had read the 50/50 stat somewhere, but my onc says that is nonsense. He figures I have a 70-80% chance of still being here in 5 years. My docs can't make up their minds if I am C or B, so I normally stick to B just because.
Mary625, my surgeon did not want me to have recon right away. He wants me to wait two years. It is partly that because of the aggressive treatment, he feels that the risk of complications with the recon is too great. However, it is also because he wants the area "clear" for the next two years to make it easier to monitor for recurrence. All my docs seem to think the first two years are the really crucial ones.
Either way, my take is that it doesn't really matter all that much what the stats say. My chances will not improve on iota by stressing over survical stats and if I happen to fall in the part of the spectrum that survives a long time, the rest is irrelevant. If I end up dying sooner, it is dumb to waste my time stressing, so either way it seems better use of time and energy to focus on more pleasant stuff.
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Just had this conversation with my onc recently. She told me that with the aggressive treatment I've had (DD AC DD Taxol, MX, rads) the odds of recurrence were 50/50 without tomoxifin and 75/25 with. I'm choosing to take the tamox and focus on the 75%.
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Hi Many and all sisters.
I was freaked about my nodal involvment. I choose to believe that they did their job and absored the bad stuff before it got out further. I also think it is a crap shoot, some people get it back some don't. My friend told me about a lady she met last fall who had 28 pos node 10 years ago and save for a little LE she is NED. There are many gals out there with similar stories, I hope to be here in 5 years telling mine. I was obsessed with mets and reoccurence last year. Now I chose to forgot about BC. I will worry IF I need to. I went back to college, bought a horse, everyone loves my short pixie post chemo hair!! LOL... My onc has been nothing but positive, I love him!! He always tells me "I don't sugar coat anything, I want you to know what I think and what is going on". He has assured me he thinks I will be ok, but he does not have a crystal ball, he says I am doing everything I can do prevent R/O and that is all I can do. Go out and live life he says. That is what I am choosing to do. I have a new outlook. I am doing more, I booked a flight to Oklahoma to go out and see a friend for a few days in July. I am making plans to show my horse and hoping to get to Punta Cana in Sept. We can do this ladies!! Keep Fighting, Always!!
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Ckgray, I am thrilled to hear that you bought a horse and that your outlook on life has improved. I hope you enjoy yourself thoroughly.
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50/50 is not your odds.. That is stupid... Think about our newer tx like Zometa and exercise. There is so much data supporting exercise and eating right, doing zometa tx, etc... I have similar stats to you and I was told 75 to 80 with zometa. on top of that I exercise and eat really healthy.
You can do this..You CAN believe you will be ok! I am multi focal, 4cm tumour, lots of nodes and pregnant at time of diagnosis. Next month is 3 years and I am actually moving to Maui to live my life.
Dream big-live bigger and believe you will be ok!
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Pure-love your attitude.
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I don't think 50:50 is accurate either.
I've had multiple opinions (granted, I'm IIIa, not IIIc).
What I was told was that based on my stage alone, without treatment, they expect just over 50% to have recurrences. With chemo, that rate drops by 1/3. With tamoxifen and radiation, it drops further but they don't know the numbers for sure. I was told by another onc that it was around 75-80% cure rates. THat's what I choose to live by, and that's pretty fair odds all things considered. People get diagnosed with much worse disease all the time.
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Good morning Ladies!
I am IIIc too, and was told 50/50 chance of reoccurance after - 4 rounds of ACT, 12 rounds of Taxol-Herceptin and finishing out with 12 rounds of Herceptin alone. I begin tomorrow with the ACT.
My ONC also said if there is a reoccurance it would be incurable, but treatable.
Nothing in life is a given, accidents happen all the time. Each day we open our eyes is a gift and after a 20 minute weep session last night with my husband, I am ready to begin and embrace every day God has planned for me, whatever it brings.
I am trying to find grace every day and in every situation. I find it very therapeutic to journal about it too at www.graceembraced.wordpress.com
So glad I found these boards and hope to continue to receive inspiration from you all.
Peace and blessings -
"stats" are the compilation of all - not individual to each of us. Basically I am very healthy - no major health issues but the 'stats include all - many with major health issues. Personally, my 'stats' are either 0% or 100% as I see it. I either do not develope more CA (100%) or I don't (0%) - some part of me can not partially develope it. Yes - according to the 'stats' only between 25% and 40% of us who are DX'd IBC will make it to 5 yrs out - but as I said before that includes all and is not me/myself/I.
For me, it was the type (IBC) not the stage (IIIc), that made my Drs more 'concerned'. -
I had a LOT of nodes (over 15) and my tumor was very tiny but very aggressive. After my lumpectomy and pathology showing that many pos nodes they did a mastectomy and that came back clean. I had 4DD A/C and 4 T followed by 35 rads and now on Arimidex (5-7 years).
I asked what stage I was and he told me that he actually doesn't do that anymore for the very reasons people here describe. Another thing - all those statistics, well someone has to be that 1 out of (a number) that survives and I choose to think it will be me. My oncologist did explain my treatment to me this way - doing nothing with as aggressive a tumor I had would mean almost certain 90% recurrence. Surgery and chemo reduces that by 30% and that radiation would decrease it by another 30%. This is where I am now (after surgery, chemo and rads) and he said that right now I have a 40% chance of recurrence but being on Arimidex. He said making it to the 5 years level would then put me just slightly above what the general population with no family history, etc would have. He also said that I need to remember also that there are continually new strides being made in cancer research. My mother died of BC 40 years ago. Back then there was no tumor dissection, receptor testing, oncotype, and on and on and on.
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Hi Graceembraced. I loved your post and your encouragement. I too have had a very strong faith in God since I was diagnosed. It is what it is and I have remained optimistic throughout. I have discovered so much strength I didn't know I had, found some new understanding friends, have a desire to help others. The last year of treatments has flown by (2 more Herceptins left) and the doctors and nurses I have had in oncology and radiation have been amazing. Good things are happening. You ladies are all so strong and I hope we can inspire each other.
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I am not feeling very strong now.
Keep thinking of those numbers. My mo put them outvagain for me a few weeks ago, kept taking off for sx, chemo, rads and tamox. But he only got down to 40%. I swear he said 30 last year.
I am out from tx 1 month. I am going to start therapy and effexor. I feel so scared a lot. And i just break down -
So the whole 50/50 thing is based on statistics from patients followed starting 5-10 years ago. That was before the newer modes of chemo. With the better types of chemo like DD and Hercepten and combining the different drug combos the statistics are not very current. My oncs both regional and MDA won't give me prognostic statistics and I don't want them. I am 28 with something like 11-13 nodes some malignant at removal before chemo and some chest nodes that couldn't be removed. At my re-excission surgery 2 weeks ago my pathology just came back with no sign of malignancy anywhere. They took at a significant amount of residual tissue and armit tissue. ( I orginally had a UMX). Thats what you need to focus on. WHat your tumor is doing. Did it respond well to chemo. Are you exercising and cutting back on junk foods. Are you reducing your ER levels if you need to.... Try not to focus on statistics that didn't use your chemo combination because it probablty didn't exist. Ask for a CTC test if they do them in your area. MDA just released a study showing thats probably a more reliable test than the CA tests. Big hugs ladies!
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What is the ctc?
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Circulating Tumor Cells
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I agree about the statistics. Stage III crummy statistics include people like me with huge tumors, as well as estrogen postive and estrogen negative IDC, IBC, HER2 pos etc. We don't all have the same disease. I find the statistics horrifying and try to ignore them to the best of my ability. I think for me, the scariest thing is knowing highly estrogen postive, luminal A breast cancer can be dormant for years and then recur with metastases. I WISH that was not the case.
Elizabeth
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Hello ladies,
I was diagnosed with stage IIIC locally advanced breast cancer with lots of positive nodes and here I am,6 years and 3 monts later,still cancer free and doing very well.So,statistics suck big time!
I was treated in Canada and I can tell I had very good health care,doctors, and I had DIEP reconstruction and very happy with it.
Blessings to all,Marina -
Same boat as all of you-do not believe in stats-they do not take into consideration other factors such as weight, age, physical activity, lifestyle choices, eating habits, etc... this would make a huge change in the stats, not just measuring how big your tumor is and what type of treatment your getting-that is a suggestive selling folks!!!! They scare the crap out of you to get you to do the chemo and other adjunct therapy. And I will never take a Bisphosphonate-not pumping laundry soap into my already deteiroiating bones! Why? To make them worse! Do your homework ladies, your coming around a huge bend and I'm scared as Heck to see what's around the corner but I know this much, I shall be armed with knowledge when I get there!!! Oh, Tamoxifen failed, Lupron failed (Thank God, shots were $400 a month) and I'm at home recovering from my hysterectomy. and I am not rushing into a drug if I have an already established CYP2D6 enzyme sensitivity. And yes, the CTC's are better markers for progression.
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So how where do you get the markers?
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