Triple negative beyond 2 years- What was your treatment?

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  • Hope60
    Hope60 Member Posts: 223
    edited January 2012

    Suzette -  My timing was similar to yours. After my lumpectomy, I had to wait 4 or 5 weeks for an appointment with an oncologist.  Then I started the chemo really quickly -- maybe a week or 2 later. I could be wrong, but I believe they like to start chemo within about 2 months from surgery, as long as you are healed. Best of luck to you.

  • adgirl5
    adgirl5 Member Posts: 81
    edited May 2012

    I waited 3 months between diagnoses and chemo (neaoajuvant) treatment.  As soon as my blood counts came back up.. about 5 weeks I had a bliateral mastectomy.  2 radiology oncologist plus my medical oncologist said no to radiation- the risks far outweighed the benefits in my case.  The initial diagnoses path showed there was no lymphovascular invasion, plus I had no positive nodes.  I was prepared for rads even though I had tissue expanders placed and exchange surgery scheduled as I believe in hitting it hard upfront.. 6x FEC for chemo after Taxol failed.  After hearing about long term health problems the rads could cause I backed down a bit.  My signiture pretty much says it all.

    Wishing all a long healthy life..

    xoxo

  • adgirl5
    adgirl5 Member Posts: 81
    edited May 2012

    Oh, had pCR - no carcinoma detected in path after BMX.  I'm sure that partially played into the decision of no rads, plus the fact I lymphovascular invasion was absent. 

    I hope I made the right decision.   I truly do believe in hitting this HARD upfront.. and didn't have a BMX to avoid rads.. I made up my mind to have a BMX before I found I was BRCA 1+ too- which my insurance didn't cover and I am still paying off.  I have a daughter and 3 granddaughters.  I couldn't afford to NOT have the BRCA testing!!   Sadly my daughter is positive for the mutation too.  However, this gives her the opportunity of knowledge and make some important decisions.. and could save her a lot of heartache.  My grands aren't of age to be tested yet.  I pray advancements will be made when that time comes.  There's a 50% chance either way. 

    I really didn't want tissue expanders but my oncology & reconstructive surgeon convinced me it wouldn't affect the outcome if rads were indeed necessary- and I was pushing for rads... but now I am convinced they would do more harm than good in my case.   One can only do so much and then move on with life. 

    I'm not what you call a long term survivor yet.. but I was delighted to read the stories.  Please, PLEASE keep them coming.  I'd love to see this thread stay alive.  Thanks to ALL who already contributed and please keep coming back to tell your story.  This helps immeasurably. 

    Adgirl

  • kellycbk
    kellycbk Member Posts: 31
    edited June 2012

    I will be 2 years out of treatment in Sept. I am BRACA 1 positive and although I was leaning toward a bilateral mastectomy this made me 100% decided. I also had a profolatic hysterectomy to try to avoid cervical/ovarian cancer at a later time. Had chemo 4 adro/cytoxin and 12 taxol.


    My ONC did not see need for any scans but have since had MRI brain and lung CT due to spot on x-ray. All turned out OK for now. Will rescan in 6 mo. Makes me nercous but also makes me feel better knowing we can catch as early as possible.

  • Mari1013
    Mari1013 Member Posts: 2
    edited June 2012

    Hello!  Newly diagnosed with triple negative breast cancer. Oncologist and surgeon feel chemo first is the best way to go. Any opinions? I was already to have a masectomey and now I'm confused about which way to go. Has anyone started with the chemo first? From what I'm reading it seems to be the preferred method of treatment.

  • Luah
    Luah Member Posts: 1,541
    edited June 2012

    Mari, chemo before surgery is becoming more common, especially in TN so that oncs can monitor the effectiveness of the chemo regime and switch it up if necessary. 

  • Mari1013
    Mari1013 Member Posts: 2
    edited June 2012

    Luah,

    Thank you for your reply. From what I've been reading on the boards and on other sites Chemo first seems to be the treatment of choice for Trpile Negative cancer. Getting a chemo port put in tomorrow and a sentinal lymph noce biopsy done at the same time. Starting Chemo next week.Any chemo regimes work better than others on TN? 

  • Luah
    Luah Member Posts: 1,541
    edited June 2012

    Mari - in the U.S., the most common first-line chemo regime for TN is dose dense 4 AC, followed by 4 or 12weekly T... sometimes the T(axol) is given first now as there is some recent evidence that it may be more effective in that order. Smart to do the SNB at the same time as the port, so you'll know if there's any lymph involvement from the get-go. Good luck with the procedures, keep us posted. (Feel free to come on over to the Calling all TNs thread, that's where we all hang out.)

  • LKpolasek
    LKpolasek Member Posts: 1
    edited June 2012

    I had a lumpectory on 11/1/07 -- I'm still here Cool  I had IDC, Stage 2a, Nuclear grade 3, 2.1 cm, 0 node

  • MsBliss
    MsBliss Member Posts: 536
    edited June 2012

    Well, I just spotted my post from over three years ago.  Here to update.  I did lumpectomies, two of them.  The second one was for a dirty margin of high grade DCIS.  My primary was an agressive triple negative with an explosive growth rate.

    Three years and three months have passed since dx and surgery.  Although we never know what lurks, I am enjoying very robust health.

    I did not do chemo or rads, against repeated advice.  It was a terrifying choice to make, but I had secondary health issues which were not compatible with TC x4, the recommended protocol.  I would not have resisted the recommendation had I had more advanced stages, however.  Being triple negative, it was not an easy out by any means.  One could be stage 1, have clean nodes, but still have cells which got out through other pathways; that is what adjuvant chemo is there to knock down,  but in my gut feeling, I could not comply.  

    I am avoiding mammos, but did one to appease my onc and radiologist (mine were unreadable and my primary was invisible eventhough we knew exactily where to look).  I am using other forms of monitoring, primarily sonocine, which is a form of super ultrasound.

    Also, I am using specific compounds, and supplements, along with some exercise and emotional supports.  I renewed my connections to all things living.  I also maintain a wildlife space for urban wildlife and birds.  They struggle so much for each day and that has an impact on my perspective. 

    I have no idea if any of these measures had an effect, but I am going to continue on this course for the foreseeable future.

  • christina1961
    christina1961 Member Posts: 736
    edited June 2012

    Ms. Bliss,

    I'm glad you are doing so well. I was told if I make it three years that is great news and if I make it five, I'm probably in the clear (I have 5-10% ER receptors but this is from an oncologist who doesn't believe the tamoxifen I'm taking will make a difference - she considers me triple negative- two other oncs disagree.)

    The wildlife space sounds wonderful.  We feed the birds, squirrels, and probably the raccoons and opossums around here (they come at night so not sure but the motion lights come on every night under all the feeders.)  I live in the city limits, but have almost two acres and part of it is wooded plus there is a five acre tract nearby that is totally undeveloped and hopefully will stay that way.  We see barred owls, hawks, and some coyote in our neighborhood.

    I had uni-MX- the surgeon thought it was better having had neoadjuvant chemo so I went with his recommendation but not two years out yet - it was a year in Feb since diagnosis, and next month will be a year since surgery.

  • tibet
    tibet Member Posts: 545
    edited June 2012

    Lkpolasek, glad to see you are here, a 5 yr surviver...pls post more often and we like to hear from you and about you.

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