Is our prognosis really poor?

2456

Comments

  • Momine
    Momine Member Posts: 7,859
    edited January 2013

    New, I had my ovaries (and most of my uterus) removed for a couple of reasons: 1. To get rid of estrogen production. 2. To go on an AI instead of tamox, given family history of endometrial cancer. 3. To protect against mets to ovaries, a popular spot for lobular cancer to go next, and besides my mother had ovarian cancer. 4. To get rid of some huge fibroids in my uterus that caused me various problems.

    I was 47 at DX and probably peri-menopausal already. I was 48 by the time we got rid of the ovaries, so I figured I was close to actual menopause anyway. The latest studies show that AI is better than tamox for lobular cancer anyway, so I am happy I chose as I did.

  • Momine
    Momine Member Posts: 7,859
    edited January 2013

    Elizabeth, I thought those were only for stage IV. How did you convince him?

  • luckypenny
    luckypenny Member Posts: 150
    edited January 2013

    sbelizabeth

    Everything I have read about metformin is really promising- I don't know the exact medical terms of how it is supposed to help , but my understanding in simple terms is that is theorized that it stops cancer cell growth-  There is lots of literature about metformin and breast cancer and you can even do a search on this thread about it.   I have read that some oncs are just prescribing it, some folks are in a trial ( and there are tons of trials for metformin) and some are just going to family doctor and getting it after giving them some research info.     

    I am interested in the study you referenced-  where your received more chemo - xeloda and navelbine.  I am too far past chemo I think  , but at that point I would have taken more just for added insurance.   Can you tell me more about the study>?

  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited January 2013

    Momine, the study results were compelling, and although my mx margins were way clear, there were still some residual malignant cells in the dermal lymphatics of the original "spot" that heralded my BC in the first place.  It just seemed to make sense to both of us.  

  • CherylinOhio
    CherylinOhio Member Posts: 623
    edited January 2013

    I am definetly going to ask my onc about metaformin then! I am not sure what he said about IDC or what "brand" I am. It started out as in situ ductual..... but after surgery I think that may have changed.  I need to find out and write it down. I am not sure if that will convince him to give it to me or not.  We shall see!! 

  • Cpacino
    Cpacino Member Posts: 18
    edited January 2013

    I came across your post and had to respond. I asked my onc about Metfomin and he said yes I could start taking it. It's a harmless drug that's been around for a long while, so it can't hurt they wouldn't invest the millions of dollars into the most recent trial for nothing. I'm going through chemo now and have surgery scheduled for next month. Started metformin 2 weeks ago. I have no side effects from it.

  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited January 2013

    http://bcaction.org/2011/12/09/san-antonio-breast-cancer-symposium-2011-day-3/

    Luckypenny, here's a link that briefly explains the GeperTrio study. 

  • luckypenny
    luckypenny Member Posts: 150
    edited January 2013

    Thanks.  Interesting.  I didn't have neoadjuvant, but I should have. 

  • liv-
    liv- Member Posts: 521
    edited January 2013

    cherylinohio this is a hilarious thread, luv it.

    no way a person with as much zest for the good things you once had that being bad food, bad wine, some good pot and hopefully a bad man could ever contemplate giving up the fight.

    momine - im waiting for brca 1/2  test results to come back and even if im not positve im still going to get ovaries taken out and good breast removed and with what i know now cant understand why they never took 2nd breast off back then.   oh well never mind im going for reconstruction in about 8 months so at least if i have good one removed  they will be the same shape when reconstructed., love to have my titties back where they should be.  

    not dead or dying today so fubc   - you  are not going to stop us living whilst we are alive.

    keep on keeping on..

    xx

  • clariceak
    clariceak Member Posts: 752
    edited January 2013

    My onc wouldn't prescribe metformin, but she wasn't opposed to me obtaining it through my primary.  I ended up ordering it from an alternate source. Metformin is relatively benign, as far as drugs go, and I"m willing to try almost anything.

    At my first visit with my onc, I specifically told her not to tell me my prognosis.  As IIIC, I know it's bad and I felt actual numbers would be depressing and not helpful to my state of mind.

  • CherylinOhio
    CherylinOhio Member Posts: 623
    edited January 2013

    Thanks Liv!!  There was no question for me about getting both removed, even b4 my surgery when my BS said I was stage 0.  Even though she felt under my arm and said "Mmm, i dont think that's anything"  DUH!! It was a bunch of effin lymph nodes doc!!  I was just thinking I was getting a boob job courtesy of Medical Mutual.  Woek up from surgery one side gone and bam, off to chemo.  SUX!!

    clariceak-I never asked my onc straightout he offered up 63% after 10 years, cancermath says 73% after 15 years, I figure these numbers are based on women who were dx 10 years ago. While I do drift to the dark side I eventually come back and know that right now today, I feel good and I feel like I am kicking butt.

  • CherylinOhio
    CherylinOhio Member Posts: 623
    edited January 2013

    sbelizabeth-thats funny about the 95 yo ladies show smoke and eat twinkies.  I love twinkies, never ate them much because I was always watching my weight.  I was going to a gym until a few months ago, I stopped because with 2 horses I just don't have time and I figure going to the barn everyday gives me plenty of exercise.

    @roses-my oncs PA said 2 outta 3. So use that instead of 1 out of 3, the 1 is the person who opts for no treatments.

  • CherylinOhio
    CherylinOhio Member Posts: 623
    edited January 2013

    I went to cancer math one time and I dont think I did it correctly but I never wanted to go back am too scared! The fact that you can go to different sites and get different numbers tells me that those sites are not predictors.  Oh how I wish it were Friday!!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2013

    Ali:  I don't know how (or why) you were told of 90% chance of recurrence !!  I've been to cancermath and with your details I doubt you would be in the 90%.  I know that the hormonal issues have a lot to do with recurrence also.  I went into full menopause after chemo so my onc did not advise to take out ovaries.  Just wonder if that would make a few points difference??  Don't know about UK news yesterday but here in US the news story on cancer was how little progress was made from the last 30 years until now as far as life exectancies. It was depressing - they said just over 1% improvement in life stats for each of the 30 years, while other diseases were making much better progress. 

  • CherylinOhio
    CherylinOhio Member Posts: 623
    edited January 2013

    WOW only a percent? Are you fkg kidding me??  Where is all this money for "research" going?  If these scientist ppl are just going to screw around then let the poor animals go that they are testing on!! GRRRRR....

    I want to go to one of the math sites but am too scared!! Shelly dont you think that this is outdated stuff?  I tend to think it is outdated but after what you posted maybe its not outdated since there has been no progress made.

  • liv-
    liv- Member Posts: 521
    edited January 2013

    lol - ill go with those stats too...

    cheryl stats are stats and they will always be in the back of our minds, were not complete idiots even tho i want a brain scan cos i just keep forgetting where the front door is and which house i live in.

    generally i listen to about 40% of what they say as having any substance and discard the rest.

    too many times i have seen stats of the most clean living puritan there could be, never smoked, never drank, full blown organic vegetarian and with the lightest diagnosis possible, no nodes involved  -1mm - grade1 tumor and next you read they have become angels...flip side, the person with the worst stats,  large tumor heaps of nodes, you expect the worse outcome and they are still around in a 100 years.

    look for the positive and not the negative as it will chew you up more than the cancer will and thats not cricket..   live today.

    xx

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2013

    I now read another article that says 1.8% improvement in stats for men, only 1.4% improvement for women but I was wrong, it is for years 2000 through 2009.  Not the thirty years I heard elsewhere on the news.  I give up -- does anyone have "reliable" information? 

    Cheryl: The majority of the money for Komen & other organizations goes to line the pockets of CEO's on down the line.  I'm sure of that since so progress has been made in such a long time.  I mean honestly they are doing the same treatments (tamoxifen), rads, surgery that they did 40 years ago.  Not very encouraging, but yes I do think some of the stats MUST be outdated.  I think we BC ladies deserve so much better than this. 

  • CherylinOhio
    CherylinOhio Member Posts: 623
    edited January 2013

    We do and so does everyone else who suffers from the c.  I wish all survivors would take one day and not go to work but to stand somewhere and protest the government for letting 450,000 women die every year!! Anyone in Ohio willing to stand up and shout please let me know!! Screw race for the cure and the komen foundation for CEO's!!  I wish there were some way to get noticed!!  Blow something up maybe BUT not to hurt anyone and go to jail just to get some attention.  Maybe we can create a giant boob snow sculpture and blow it up!!  LOL, that is making me laugh out loud!!  Just picture that!!!!!

  • Momine
    Momine Member Posts: 7,859
    edited January 2013

    Liv, I had to change surgeons to get both boobs lopped off. A friend of mine who had been through it told me it was an option. The first doc wouldn't do it, since the breast was healthy (or so he thought). Initially, it was mainly for my peace of mind, and to avoid frequent mammos and biopsies. Then I found out it was lobular cancer. The path report showed all kinds of fun stuff in the "healthy" breast: LCIS, DCIS, hyperplasia, bla, bla, bla. I looked at my doc and said, "So I would have been back within the year, huh?" He nodded.

    Cherylin, like the idea of the exploding boob. I am also thinking that FUBC ought to become a hashtag on Twitter.

  • ali68
    ali68 Member Posts: 1,383
    edited January 2013

    Sorry, I read on the British cancer site that stage 3 grade 3 had a 90% recurrence. I was told by a cancer doc in USA 63% chance for next ten years. This was a second opinion through my insurance.

  • Momine
    Momine Member Posts: 7,859
    edited January 2013

    Elizabeth, thanks for posting that study. I had neo-adjuvant, and my tumor did shrink dramatically after the first two rounds of chemo, so I guess I would have been in the non-navelbine follow-up group.

  • CherylinOhio
    CherylinOhio Member Posts: 623
    edited January 2013

    Ali, I am hoping that because of the grade 3 which I have read responds best to chemo, that I will have at least 63% if not more. 

  • liv-
    liv- Member Posts: 521
    edited January 2013

    unbelievable monmine,  thank goodness its off now.

    yes it would be a great logo for breast cancer FUBC

    im over the pretty pink, like cancer is a beautiful rose petal,  think not!

    xx

  • Momine
    Momine Member Posts: 7,859
    edited January 2013

    Remember when French Connection made Ts with FUKC on them (initials of the brand)?

    I am thinking FUBC would be great on a T worn without foobs.

  • luckypenny
    luckypenny Member Posts: 150
    edited January 2013

    what the?   90% recurrence rate for stage 3?   Then 63% chance of not recurring from a doc in the US?  I guess it depends on what digital calculator or site they use?   scary stuff... too bad I have a fatty liver or I would drown my anxiety in wine tonight.

    I don't get it?  Did anyone elses onc go through their recurrency rate step by step?  ie with surgery then this, with surgery and rads = x % with surgery, rads and chemo= x% and then surgery rads, chemo and ai's =x%?  

  • CherylinOhio
    CherylinOhio Member Posts: 623
    edited January 2013

    I did not go thru it mostly because I did not want to know.  I finally asked my oncs PA what the ro was and she peeked in my file and said 52%. I asked her if the tamoxifen would bring that down and getting the other breast taken off, I thought she said yes all those things would bring number down.  So the next time I went in asked my onc about it he waved his hand and said "that number doesn't matter now".  I am going to ask again on Friday since I just had my little estrogen bombs pulled out last month. I went from a sticky note to a half sheet of paper to a full notebook sheet!!

  • Momine
    Momine Member Posts: 7,859
    edited January 2013

    Luckypenny, no, my docs did not do that, but nor did I ask. The first year I was mainly focused on geting through the treatment.

  • liv-
    liv- Member Posts: 521
    edited January 2013

    yep lets start a new brigade of fubc on t's, the pink is mainly for prevention before diagnosed.

    they need to up the ante for the already diagnosed and make everyone aware of how ghastly the whole thing is and how many people will be affected by it, 1 in 3 will have some sort of cancer their lives and they need to put heaps more dollars into research.

    cancer you suck big time.. nasty little shite go away

    xx

  • liv-
    liv- Member Posts: 521
    edited January 2013

    luckypenny my onc says dont believe what you read and he is always doing trials and gathers stats himself for australian research.

    he would never say to me you are going to be blah blah, sure he knows im a high risk but he also tells me stories of ladies that were written off by other onc by their stats and he is still treating them years down the track and i honestly dont believe he is just blowing his own trumpet. stats are shite!

    x

  • liv-
    liv- Member Posts: 521
    edited January 2013

    cheryl u are a crackup - i think i almost feel sorry for your onc on yr next appointment.

    you get em girl!!

Categories