risk of recurrence after 4 years out

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tibet
tibet Member Posts: 545

I have had a clean PET CT scan today and it is all clean and its been 4 years since my dx. I have had yearly PET CT scan for the last 4 years and all have been clean. Can anyone tell me what's the risk of recurrence after 4 years being clean for a triple negative? Can i move on and say this is behind me?

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  • LuvRVing
    LuvRVing Member Posts: 4,516
    edited September 2012

    I have to say that if I were in your shoes, I'd celebrate big time and get on with my life!  Congrats on four years.  I think I've heard that most TN recurrences occur within the first two years (I'm a shining example of that statistic). 

    So go live your life!!!

  • sylviaexmouthuk
    sylviaexmouthuk Member Posts: 7,847
    edited September 2012

    Hello Tibet,

    I was glad to know that you are still doing so well. You posted on my thread when I first started it two years ago, Calling all triple negative breast cancer patients in the UK.

    I am over seven years since diagnosis with TNBC and still doing well. We can live normally and put cancer in the corner, but we still have to be vigilant. Cancer can come back anytime.

    Wishing you well,

    Sylvia.

  • tibet
    tibet Member Posts: 545
    edited September 2012

    Hi Sylvia 

    I heard someone saying for TN, if one is out 4 yrs, the risk of mets is low. But I just want to have confirmation for that if someone has some data for it.

  • wrsmith2x
    wrsmith2x Member Posts: 410
    edited September 2012

    I really do not want to be a debbie-downer but it CAN still happen.  By the time I got to 4 years cancer was in my mind very little.  And then at 4 years, 1 month and 3 days (mammogram) they told me it was back.  So it can still happen.  But the ODDS are very against it happening.  So take that and run with it!  Live!!  Give cancer the boot from your heart and mind.

    I pray you never have to deal with the beast again.  Namaste'. 

  • Mumtobe
    Mumtobe Member Posts: 159
    edited September 2012

    My surgeon told me today that the first 2 yrs are where you meet most problems but I'm not sure she was even talking about TN, I think she meant all BC's. She's a fantastic doctor but my God she puts the fear of God in me when I meet her because she hits you straight between the two eyes with her information!!

  • KSteve
    KSteve Member Posts: 486
    edited September 2012

    Tibet - My ONC recently told me to pop the bottle of champagne at the 2 year mark for TN.  Other breast cancers are at a higher risk for reoccurence up to 5 years.  Having said that, nobody has a crystal ball, and not everyone fits into the statistics.  However, I'm choosing to pop that bottle and go on living!  Good for you on reaching four years . . . Here's to all of us turning old and grey together!!

    Kathy

  • Titan
    Titan Member Posts: 2,956
    edited September 2012

    Not a debbie downer..wrsmith...just realistic.there is always a chance of cancer anytime...and once our bodies have produced it once..I would think that there is always a higher risk....but..it is good to know that with tn the risk does go down...but there is always that that risk..and we have you and other ladies on this board that prove that this risk is there.  I will be 4 years out in 6 months and I dunno..I still freak at times...guess we always will

  • xxxxx
    xxxxx Member Posts: 67
    edited September 2012

    I'm gonna TRY to stay positive and think like mine will be the same....years out. In less than two weeks I have all my first tests after my treatments. Y-I-K-E-S!! ONE question. For those who took chemo treatments, how long does the port have to stay in. I had someone tell me hers has been in for 7 years but she didn't mention recurrences, which I am sure that was the case for it being in so long.

    THE ONES THAT ARE AT LEAST TWO YEARS OUT, did you have a chemo port and if so how long did you have to keep it? Prayers for those who are going through recurrences and CONGRATS & Prayers for those who are surviving no recurrences. Gives me hope :)

    Karen

  • yellowdoglady
    yellowdoglady Member Posts: 349
    edited September 2012

    Karen,

    I never had a port.  I thought that was bad news as my Dad had one and hated it, and still had it when he died.  I associated a port with dying.

    So I did not have a port.  It probably was a bad idea not to have one.  I had a needle slip and the chemo went into my hand and burned it from the inside out.  Then that arm was a no go.  The other one was already off limits because that was where my lymph nodes were taken.  When no one could get a needle in my ankles, I ran to the hospital for a PICC line, and that was great.  I drove right back and got my chemo done on time.

    I'm looking at four years in November, and had a last trip through the tube in July.  All was clear.  The bad thing about triple negative cancer is that it is such a vicious beast.  The good thing is that the treatment is just right for that.  If you can get past this monster, you can be just fine.  

        

  • xxxxx
    xxxxx Member Posts: 67
    edited September 2012

    Yellowdoglady

    I would have panicked without a port. I watched my mother go down fast with her treatments and at that time they didn't have ports and her veins collasped. I hated watching her go through what she went through. I was happy for the port and will be even HAPPIER when it come out. haha

    Congrats on your four years WOW inspirational and gives me tons of hope. PRAYERS for all of us to get past this monster Cool

    Karen

  • kane744
    kane744 Member Posts: 461
    edited September 2012

    Keep positive thoughts despite what I'm about to share!

    Went for my 4th annual mammogram in May and was not at all concerned even when they called me back for more pictures. By the 3rd time, started to get worried. When they told me they wanted to do an ultrasound, I knew it was back. This time in the opposite breast. It was a new primary, also TN,  and I decided it was time to say farewell to the boobs. Had a BMX in June, no recon. My final chemo is scheduled for 10-3. I, too, thought I was homefree but now I wonder if I'll ever be able to get that fear out of my mind. Before, I went back to my life and rarely thought about cancer's return, even though I do volunteer work speaking to newly diagnosed women. My attitude was oh so positive. It's been a big jolt. My treatment has been difficult and has beaten me down physically and spiritually.  My dh says by next year this time I'll be back to my old self. Don't think so. 

    So, please, all, keep up with those checkups. Never miss a one. Both of mine were caught early for which I am grateful. Still, that chemo is brutal and I think the more of it I have, the worse it will be. I will not go through it again.

  • bottkota
    bottkota Member Posts: 285
    edited September 2012

    I was 4 1/2 years out when mine came back. I had just put cancer behind me and living life...then bam...back at it. My oncologist told me when I first diagnosed the first two years are the most critical....that is usually when it comes back...if you make 5 years your risk of recurrence is very low....so put cancer behind you, live your life to the fullest...but always pay attention to any signs your body may give you and when in doubt, get it checked out!



    Cathi

  • xxxxx
    xxxxx Member Posts: 67
    edited September 2012

    Cathi I am so sorry. I was told the same thing 3 mths to 2 years and after that my chances were a whole lot better. hummm do they really know?? I don't think so. Just by statistics from an over all average of people in our group cancer. Good idea to do the best you can to put it behind you and move on. Because whether you like it or not it will be what it will be. I know you are really disappointed!!

    Continued prayers for us all

    Karen

  • xxxxx
    xxxxx Member Posts: 67
    edited September 2012

    Prayers for you too Kane. I do have to move on. I already need to learn how to breath/exhale all over again. I drained from worrying all the time. Will cross my bridges as I come to them and just deal with what I have to deal with. Again ALL Prayers.

    Karen 

  • tibet
    tibet Member Posts: 545
    edited September 2012

    hi Bottkota

    I am sorry to hear about your recurrence after 4 yrs out. Did you do regular scans during the first 4 yrs ? You said somewhere that you had pain in the sternium for a yr before they gave you a scan?

    Love 

  • yellowdoglady
    yellowdoglady Member Posts: 349
    edited September 2012

    To all of you,

    At the beginning, I was given really bad odds.  I imagine a lot of you were as well.  To be here some years later is a gift in my mind.  We probably all do our homework, sit down and cry and decide that we should be stronger than that.  We get busy and get the best help we can find, and stay strong and do our level best to stay alive.  Our window of doubt is huge, but it is shorter in time than the positives.  At five years, we are maybe better off than others because if it comes back, it's a true anomaly or it's just us growing a new thing we already know we can because we have done that before.

    I was told that at 5 years, the risk of recurrence is nearly zero. After 3 years, it drops like a rock.  The largest risk is in the first year and a half, when half of all of us who will recur, do.  It's a bunched group, as most wait until they are out of treatment to recur, and treatment takes a lot of time.

    So we all have to be vigilant.  Probably for the rest of our lives.  But that does not mean we aren't meant to live happily and well.

      

  • xxxxx
    xxxxx Member Posts: 67
    edited October 2012

    Hello Everyone

    Yellowdoglady I just want a simple reprieve(sp) long enough to say I kicked it once. I just run into people from the same doctor/treatments as me say theirs came back and I want so bad to not be negative from time to time. I know it is for the rest of my life and I will have struggles. I was having struggles before cancer, not healthwise but major struggles. I just want some good luck for a change. haha

    AND you are right, vigilance and to me that feels just as good as acheiving a simple goal and I feel we are all doing thatCool

    I was told the first 3 months to a year!! ALL cancers five years and then....????? Talking with my nurse navigator who just got 5 years, she is worried because she received hormone treatments and now she has to worry like us. CANCER is not good for anyone BUT you are right Might as well live our lives and treat ourselves well.

    I feel if I keep thinking Let Go and Let God it will finally set in and I will. Also pray to God and tell him it is not because I don't trust him I don't believe in me from time to time. Need to get over myself and move on. Trying!!

    Hope & Prayers Everyone

    Karen 

  • MsBliss
    MsBliss Member Posts: 536
    edited October 2012

    Although it happens, statistically, recurrence of tnbc after 3 years of NED is unusual, especially for early stagers.

    Of those of you who recurred, did you or your onc monitor your vitamin D3 levels?   Any other life style changes such as modulating dietary fat, exercise, or any evidence based supplements like curcumin, D3, EGCG(geen tea), blueberries, etc?

    I'm wondering if there are ways to help nudge the odds in our favor in addition to the traditional allopathic methods.

    I am approaching 4 years post dx and I had no choice but to try these little extras since I could not do chemo or rads.   I can't help but hope that they have some positive effect.

  • bottkota
    bottkota Member Posts: 285
    edited October 2012

    We never did scans after I finished up treatment. My onc didn't believe in them. He said I would know if something was wrong by pain, blood work etc. two oncs blew off my sternum pain for a year...until the pain was so bad it was waking me up at night I knew something was wrong....onc ordered a bone scan. I am almost to the 3 year mark since my mets diagnosis. Never thought I would get this much time...let alone be NED for a year now. I am still on active treatment but I have a good QOL, a strong faith in God and modern medicine. Along with a ton of supplements. I learn to take it one day at a time....but my advice to all of you...be very vigilant and listen to your bodies....if anything seems amiss....insist on a scan.



    Cathi

  • InspiredbyDolce
    InspiredbyDolce Member Posts: 1,181
    edited October 2012

    MsBliss:

    You are a great inspiration to all of us!  Thank you for sharing that with us.  :o)

    It's awesome to hear that you are doing so well without rx or chemo.  I know of someone else who also has gone over 10 years so far, no recurrence with a lumpectomy and no adjuvant treatment. I have never heard of SonoCine until I researched it just now.  

    I know what you mean by the 'no choice' but to try other things. I felt lost not being able to go on Tamoxifen, although my Onc tried hard to get results to justify it.  

    This has been my new life since Jan:  No Diet Coke / No Coffee / Drinking Water and Green Tea 

    Diet: Steamed brocolli, cauliflower, spinach, carrots with dash of tumeric for lunch or dinner with protein

    AM:  Blueberry/Blackberry/Kale/Celery Smoothie blended with water and whole ground flax seed

    All other foods:  Low fat - up to 30 grams a day -- I know I am over that at least a few times a week, not by much, but a little.  Fruit, steel cut oatmeal, sockeye salmon, wild caught shrimp, 99% fatfree turkey and chicken. Spaghetti with spaghetti squash in place of noodles.

    It's getting easier to get the meals made and stay into a routine.   I've started sneaking in chocolate, will have to weed it back out soon.  lol

    Exercise:  Since June:  90 minutes every day - 10 miles on the EFX machine

    Vitamin D3 came in a 12 units - now I take a Vitamin D3 supplement each day - goes into my smoothie after I blend it.

    I might add in Milk Thistle ... but I think it has Estrogen and forgot to ask my Onc about that today.  

  • InspiredbyDolce
    InspiredbyDolce Member Posts: 1,181
    edited October 2012

    Cathi:

    Thank you for sharing your story and congrats on 3 years!  How long was it from your original diagnosis did your recurrence happen? 

    Thank you for reminding us to listen to our bodies.  There are so many different medical opinions out there and different processes from Onc to Onc, that you really do have to be your own advocate!  I recommend to everyone what you said, stay in charge by listening to your bodies.  And to add to that, I believe in finding a doctor who doesn't think of each symptom as the patient being a hypochondriac, and always have copies of your complete medical file for yourself.

    Why did you doubt you would get this much time?  Is that what your Doctors said?  I always think of Lance Armstrong when I read something similar to what you mentioned on your post. He was given a very poor prognosis and look how well he is doing! - 16 years past that time.   

    Prayers and faith are amazing. One more prayer being sent your way tonight!

  • bottkota
    bottkota Member Posts: 285
    edited October 2012

    I was 4 1/2 years from original diagnosis. Thought I was clear....guess not.



    My onc was good about not giving me a timeline....just told me 50/50 shot at remission. I think just researching and seeing stats made me think not much time. I still have those thoughts but try not to dwell on it....just take each day I am blessed with.



    :)



    Cathi

  • burge
    burge Member Posts: 18
    edited October 2012

    Congrats on 4 years.  I don't want to disappoint  however I was 6 & 1/2 years out when I was diagnosed with my second TN breast cancer.  This was not mets but a whole new cancer in my other breast. Had a bmx with ld reconstruction.  I am 1 year out. recon went well. still numb , under arm buldge, not swelling, as it is where the blood supply to the ld flap is.  PS said  she can probably fix it but not until 18 to 24 months out.  Have some intense itching in my back and under arms.   but I would do it all again.  good luck.

  • 9911
    9911 Member Posts: 54
    edited October 2012

    I have to agree with Cathi (bottkota) ... insist on a scan.

    I'm having a redo with BC after 12 years. This time ... going to get scan(s) ... I don't want to hear how well I'm doing anymore. That's all I heard the pass 12+ years from MO. BTW ... found new MO that likes to use scans or agrees with me. Yes, I have no trust in a MO that just talks and looks at my labs. I just want a scan on 2nd & 5th year ... 7th ... 10th ???

    I always joke with my husband and dr ... the odds are ... 0% or 100%. I have never asked any of my dr about odds on anything. They would tell me and I have to correct them ... 0% or 100%.  Life happens ... I smile & laugh everyday.

    ~LA

  • pas
    pas Member Posts: 55
    edited October 2012

    I am 7 1/2 years out and was told at 3, 4 and 5 years that the risk of recurrence goes down significantly. I was wondering, do you ask for pet scans? My oncologist has never given me one. She says unless there are symptoms of something she wouldn't just order one. I wouldn't mind having one.

  • myrenewal
    myrenewal Member Posts: 203
    edited October 2012

    Checked in today after a long absence - I guess it is on my mind since my yearly followup with my oncologist is next week.

    Haven't been able to read through the threads but for those with questions about recurrence it is about 6 years, 5 months since my diagnosis and no problems other than the residual aches and pains remaining from chemo and radiation.

    I kept my port in five years!  Mainly because I had not had it put in right away initially and my veins are basically unaccessible so I dread all the bloodwork we still have to have routinely.  If I had do-overs I would have had a port placed immediately so my veins were not damaged.  I have finally found one person at the lab who can get a vein in the top of my hand.   

  • Maya847
    Maya847 Member Posts: 41
    edited October 2012

    Such amazing women here!  My onc does not believe in scans or bloodwork, unless I start to have symptoms.   Should I be worried.  I just had my one year anniversary in Aug.  As for the port...I had my last chemo in Jan 2012 and the port removed in March 2012, when I had my double mx.  Glad to have it out!

  • RaiderDee
    RaiderDee Member Posts: 150
    edited October 2012

    Maya847, try not to worry too much. I'm 3 and a half years out and have never had a scan.  Most TN's go by the 2 week rule.  If something hurts or is bothering you for 2 weeks straight, go see your Onc. and have it checked out.  The farther out you get the easier it gets to be patient and not think every little ache and pain is a recurrence. (Although it never goes away completely) Good luck to you.    

  • netty46
    netty46 Member Posts: 296
    edited November 2012

    Hi all! Tell me what's the difference with recurrence or new primary? My doc recently told me it does not mean a thing. But I see so many women mention it. I just got a new primary after 12 yrs clear.

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

    Well a distant recurrence means the original cancer spread (mets) and is stage 4. A recurrence in the breast suggests the first treatment wasn't entirely successful, but additional rounds or another regime may wipe it out. A new primary probably means your last treatment was successful, but your body grew another cancer. As for treatment options, it may not make a lot of difference, but the prognosis may vary. Being 12 years clear is a good thing, though. 

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