Is our prognosis really poor?
Comments
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Elizabeth, I have not had recon. My surgeon (who is also the lead doc on the team, which is a bit odd, but anyway ...) asked me to wait 2 years. At the time I did not ask why, but obviously it is to make it easier to find a local recurrence.
At the time I was sort of bummed out, but now I am leaning towards not having any recon.
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CherylinOhio, they burned my back so badly with radiation that a latissimus flap is out for me. And my onc insisted on no expanders so as to not distort the radition targeting, so what I have now is a long, hard, lumpy scar stuck to my chest wall. I'm hoping my plastic surgeon is a miracle worker.
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sbelizabeth,
I wanted to say how sweet it was for me to veiw Joni's link on your blog...I wept with her and for her. It was like being with a friend who is sharing this journey with me...the fear, doubts and hope...I have followed her life's story for most of my life...thank you!
I have not had reconstruction as of yet...still researching. Hope your surgeon is a miracle worker and all goes well!!
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Am I the only HER2+ on this forum. My onc didn't really give me a recurrence number, also wouldn't let me take zometa, he said he felt the risk of osteonecrosis of the jaw was to high to just give it to me prophylactically -
The PS said I should wait at least 1-2 years after radiation before considering reconstruction (lots of adhesions, etc....) I only tossed the idea around, and would really need to do DIEP, which I would want to go to the best for, and that's not in Oregon. Anyway bottom line, not planning on doing recon, in fact I'm planning on having PMX this spring, and go flat sometimes and sometimes wear small, lightweight foobs!! -
Linda, I'm also Her2+. I try not to look at the stats. Most don't reflect or take into account the Herceptin. I look at it as the 100% rule. It will either recur 100% or it won't 100%.
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Well ladies saw the onc yesterday, I asked him various questions about femara and cancer stem cells...etc... He said he will allow a shot of Provia each month or every 6 months can't remember what he said. NO PET scan!! He said without symptoms a scan may give false positives and then there would be biopsies and other poking and prodding so no scan. Then I asked him point blank if my prognosis is poor: He said "NO I dont think that, I think you have a good prognosis, in fact I look at you as a cure, you are cancer free right now and as time goes on your RO rate gets less and less". I dont know why he says "Cure", he is a straight shooter and will not sugar coat anything so he is positive and that makes me feel good. He also says that he does not have a crystal ball and doesn't know what the future holds. So... sigh...... am switching to Arimidex next week.
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I know I have stage two and this is a stage three forum but I REALLY need help and I couldn't find it on any other forum

Ok so I have been in this battle with breast cancer stage 2 since 5/23/12. I was fortunate because While yes I had a bilateral mastectomy, I did not need chemotherapy or radiation.vie had some complications with having a severe allergic reaction to Tamoxifen and now need to have my silicone gel implants removed do to possible allergic reaction and severe pain.
With all that said, I am on femara with lupron shots every three months and will possibly be having Zometa infusion 1/18/13. I say possibly because my doctor scheduled me for it then told me to go home do my research and make a decision for myself. I've done so much reading it's crazy and STILL I'm confused on what to do.
So I'm here because the day is soon approaching and I respect this forum and you ladies so much I REALLY need and want to hear what you think.
Should I do Zometa Infusion ?? Would you?? -
I asked my MO if I could receive the zometa because for more advanced cancers it has been shown to reduce your chance of recurrence. He would not prescribe it unless I broke a bone, he felt that the risk of osteonecrosis of the jaw was higher than my list of recurrence, and he didn't want to be responsible for that. Though I would probably take the risk, he wasn't, and I'm not willing to change doctors, or go to the mat for it, so I'm happy. Have you had a bone density done? That would also make a difference because if you have osteopenia or osteoporosis you should take it to help with your bone density. There's my 5 cents. Good luck!
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I think that's a good point about recon. I hadn't thought about that before. And my MO was very much in favor of me doing what would keep as much feeling and sexuality for me. And I was 47 at dx. If I really had a poor or gnosis, she surely would have only been interested in getting the cancer out and killed and not worrying about keeping sexuality.
FWIW, I had immediate DIEP with right mastectomy August 2011. I am very pleased with the results. It took a while for the pain to go away after surgery, but in the grand scheme of things, what are six short weeks?
FUBC. Kay -
recon sorry to hear you are having a rough trot. sure you will get the answers from the ladies as i cant offer any advice as im trip neg, no hormonal meds.
good luck and perhaps post your post on a few different threads.
xx
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Michy, my surgeon does not want to give me zometa for similar reasons as those Linda gave. My onc wants to put me on prolia instead (similar drug, slightly different SE profile). I am, like you, researching and trying to decide.
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Cheryl: I just really love the optimism of your onc !!! Can he train my onc to be just like him??!!! If he is in fact a straight shooter, that would go A looooooonnnnng ways to my outlook and feeling better! The past year has been not great for my BC friends where I live with second and third recurrences. And it's daunting to read about recurrences after 10 yrs or more. If I lived where you do, I would ask your onc to see me !! He sounds like a great guy. I have all but given up asking ANYTHING with my onc. She does not "get" me and says she doesn't listen to reports on the news about BC or anything on the internet. Shelly
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Thank you so much ladies! It's a hard decision but I'm glad I have you to bounce things off of! Your the best!
Xoxoxo -
Sbelizabeth,
I was diagnosed 9 years ago, no prognosis given but I would guess it to be quite high for recurrence given my variables and I had to wait, for a variety of unfortunate reasons, three years for my DIEP reconstruction. I honestly hated every minute of waiting, but the surgery was remarkable and helped my state of mind so much. I had an excellent result, and I had some pretty rough rads skin also. For me, I knew I wanted reconstruction, whatever time I had left, and I felt the same as you: finally, a procedure for me, not to me! Didn't want to spend any more time than I had to feeling the way I did.
Melanie : ) -
I guess in Denmark there are fewer options and maybe in some cases lower quality treatment due to that(?). Everyone is offered the same treatment (almost). I'm 33 so I don't know about the ovaries removal and even if it is an option, also I don't think they tested the actual percentage of positive ER...
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New Direction, are you in Denmark? I am from there, but was treated in Greece. You can get treatment that is not part of the standard package, but you may have to fight for it. Also, keep asking questions, questions, questions.
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Sbelizabeth, what a hoot! I was starting to think the same thing about being hosed. Why reconstruct if no one thinks we'll be around? I'm sure the insurance companies would win THAT argument.
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Hi all, been out of commission with the flu for a while, then got an infusion of eclast, YIKES!!! That was on Thurs. woke up in the middle of the night with a sore throat, chills, fever, achy all over. Friday could not get out bed until 1pm and thats only because I had to, still felt crappy all night, haven't felt good until today. I will not be getting that again it was so awful!!
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awwwwwww babe cheryl ((hugs))
thats no good - be gentle and nurture yourself.
xxxx
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Well my internet at work is down so I have not been on much, hope everyone is well. I am over the flu and had a birthday yesterday so I treated myself to a nice hot bubble bath and good book. Hubby made steak and crab legs and it was a good night! Hope there are many more!! I am tired of the frigid ohio temps, it was 14 today!! 8 yesterday, so cold.......
I want to get out and ride my boys!! 56 next Tuesday so yea!! One more morning to have to get up early, another yea!!!
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CherylinOhio I haven't read all the replies yet but I wanted to tell you, I had a very large aggressive tumour. 6+ cm. because of the size I had chemo first and told no hope for saving breast, not a chance for immediate reconstruction and would need 6-8 weeks of rads. That was back in July. My post chemo MRI shows NED. the chemo killed it all!!! I've opted to have mastectomy anyway plus sentinel nodes removed. I actually had the surgery 2 weeks ago skin sparing with diep flap. I don't need rads at all!!! I still have (and did thru chemo) the occasional drink, I quit smoking tho. I'm VERY pleased with the outcome of my surgery. I'm up and around and almost completely pain free. The only restrictions on my normal activity is I can't drive for another week.
What I want to say, is don't believe everything you read, think positive, don't let this beast get the best of you. If you want a drink... Have it. And let's face it quitting smoking is the healthiest thing for us. Lol that was a hard part for my thru this. There is a point to all our treatments. It's to live and kick butt!!! The information out there is overwhelming and you don't know what to believe so just believe in yourself!!! You can do this!!! You got it!!! -
hi Shianne29, thanks for the response. I have not posted in awhile, been busy with horses and lost internet at work. I just passed my 42 bday and hope for many more!! I did have some bday drinks, whew too many but hey I was on a mini vacation so..... had a good time and now am hoping for an early spring!!
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Pure,
I admire you. I am also trying alkaline diet and some natural medicines. I have to think like you. Yes, it's not me becasue i have done my part and i am winning the battle with cancer. I am here for many years.
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lovujja - I try, pretty hard, to do the alkaline thing!
I just read back a page the good news about stage III and Stage IV - don't know how I missed that - made my day. I think that we are living in an exciting time for cancer treatment - just wish it was already cured.
I'm glad I read back today, made me feel better about being stage IIIA, especially reading about the long term survivors that didn't follow all of the "be good" survival rules!
Just finished off the partially gone, small bottle of port with some dark chocolate!!!!
And - I'm not having recon - but not because I don't think that I'll be around, but because I've had large breasts all my adult life, and I'm so over that....don't need them for anything now, and can enjoy sex without them. I just want to be bra free!!!!
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Well, I think anybody who has had stage III and isn't somewhat worried is in denial. My oncologist evades and dismisses any prognosis questions, but I have done mine on Adjuvant online and am aware of what my statistics are. They are not what I would want them to be, but even in the 60-80% range- they are still in our favor, right?!
Incidentally, I am a horse girl, too. I run barrels and rodeo and my two kiddos do every event in junior rodeo. I find that my horses are my therapists. I had TE placement during my mastectomy, then ended up doing the expansion process and implant exchange- then doing radiation. I switched oncologists during my expansion process and the new onc was aghast that I had not had radiation, so I hurried through the reconstruction then did radiation, then did the nipple surgery and tatoos. I went with smaller boobs than God gave me because I always found them to be a hindrance in riding. My new ones are small, high, and tight. Before BC I wore a sports bra over my regular bra when I competed. Now I don't wear a bra AT ALL. That's right, at all. My surgeon told me it wouldn't be necessary and he was right. They are not really the same as natural breasts. They are not as jiggly and fatty as they are implants placed under muscle. So they are a little flatter and more muscular, but I am very happy with them. Sexy? Ummm, no. Anyone who thinks implants are a benefit of BC has not seen reconstructed breasts. But I do look very "normal" in a tank top or bathing suit. So I would say you might now want to totally close your mind to that.
"There is something about the outside of a horse that is good for the inside of a man." -Winston Churhill
"or woman." - me

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Ignore the statistics.....just look at the stage 3 thread and see how many of us are around several years after Dx.....I just celebrated 7 years as did Bugs.....there are other gals longer than us......
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Thanks Karen!
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If our prognosis is truly poor...you coulda fooled me.
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Can't argue with success!
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I have to comment on this. I was 10 and half years out, had a hiccup of bone mets. Now back in remission. Will be out 11 years end of feb. I don't believe in poor prognosis. And neither should you.
Keep on. Keeping on.
Diana50
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