Is our prognosis really poor?

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  • feelingfeline
    feelingfeline Member Posts: 5,664
    edited May 2013

    Great news LindaLaughing keep that YIPPPEEE feeling, it's a great attitude for life.

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

    Ohio:  I am so with you on "what matters and what doesn't" !!!!  I asked my onc how the hell am I supposed to suspect anything recurring since I had no symptoms in the first place?  Plus extremely dense breasts so nothing even showed up on mammo.  I just have to keep insisting on testing, even though lots of it is ct scans, which alone have way more radiation than x-rays. 

    Linda K :  I like your onc's outlook on recurrence.  My surgeon was quite the opposite, saying we can recur 10-15 years out.  I'm trying to keep positive and keep telling myself that no one, not even the docs, know anything for sure. 

    May we ALL keep on going !

  • LindaKR
    LindaKR Member Posts: 1,577
    edited May 2013

    I was triple positive, pretty sure it's the HER2 part that usually recurs in the first 3 years, I know that ER/PR can come back many years later, so does what does it all mean?

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

    My docs are clearly most concerned about the first 2-3 years. The way I see it is that if I get over that hump, I have a really good chance of going 10 years before a recurrence, and in 10 years they may well be able to come up with some better treatment of some kind. In other words, I refuse to sweat it. All I can do is enjoy myself and make my time count, however much of it I end up getting. The other thing I am doing is trying to stay healthy otherwise (diet and exercise), because having been through heavy-duty chemo etc, I realize that a big part of surviving cancer is being able to survive the treatment.

  • Lily55
    Lily55 Member Posts: 3,534
    edited May 2013

    ILC is more likely to come back later not earlier is all I understand, I see this as positive as its more time to find new treatments

  • LindaKR
    LindaKR Member Posts: 1,577
    edited May 2013

    I think that if it comes back in 2-3 years it's also shown to be very aggressive, dispite the treatments, so it would be harder to treat than if it comes back later, just a guess.

  • feelingfeline
    feelingfeline Member Posts: 5,664
    edited May 2013

    Hi Linda there are not many upsides to a recurrence but in the event of the bad news of a recurrence one that comes back more agressive a multi-marker cancer - there are more drugs to throw at an agressive, and also the more ER/PR/HER positives the better because there is more to attack with medecine. Thank God I do not know this from my own experience, but a friend of mine was diagnosed with a recurrence very recently. She has same onco as me too. The recurrence is terrible news obviously, but the onco said the one piece of good news was that the increased markers meant more treatments to hold back the rate of development of the cancer, and he said he would be able to keep her going longer as a result. God willing that that will prove to be the case for her as she has school age children.

  • LindaKR
    LindaKR Member Posts: 1,577
    edited May 2013

    True, I am happy that I'm triple positive!

  • Shari0707
    Shari0707 Member Posts: 448
    edited May 2013

    Is that why her 2 neg recur more even if er/or positive.. Is it possible to be her 2 positive and strongly er/or positive as well... They always told me it was good news that I was her2 neg but now I don't know

  • LindaKR
    LindaKR Member Posts: 1,577
    edited May 2013

    I'm her2+ and strongly ER & PR positive too.  Her2, before herceptin, recurred more frequently, earlier, and was more aggressive, but since "herceptin" the prognosis is soooooooooooo  much better, and if it does recur there are more drugs out there that target her2, so in a way it's good because there are targeted therapies that work really well.  And there are several treatments for ER/PR++ too, so we have more options for treatment, should we have a recurrence.

  • Shari0707
    Shari0707 Member Posts: 448
    edited May 2013

    So I guess it is better to be her 2 positive because its more treatable than her2 neg... I heard herceptin makes chemo more effective as well.. I am her2 neg at zero so maybe that is ok as well...

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

    Her2 pos. people means there is an extra protein on the cancer cell, that is not present on Her2 neg.  My oncs say it's better to be Her2neg.  But Herceptin is what they give Her2pos. women, just like Tamoxifen is what the ER/PR positive women get. But let's face it -- as soon as they say one treatment is working, they come out and say it doesn't.  Let's all focus on living the best we can !!! 

  • LindaKR
    LindaKR Member Posts: 1,577
    edited May 2013

    I really think that the cancer that has the best treatment success rate is ER/PR positive and Her2 negative.  It's just that herceptin now puts us her2 positives in almost as good treatment success as jut the er/pr pos.  Make sense?

  • Shari0707
    Shari0707 Member Posts: 448
    edited May 2013

    It does but in studies people who r her 2 positive and have chemo first with herceptin before surgery have a 50% better chance at having a compete response over her2 neg er positive people .. It's really a crapshoot but I would have loved a complete response when I did my chemo first but they said people with my stats just don't usually have responses like that whereas her positive ad triple negative do.. However they say complete response is better for survicalyet those with better prognosis stats (er positive and her 2 neg) r less likely to have that response.. It's all so confusing and frustrating.. I just want to live!

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

    Linda -yep I think along the lines with Shari -- it is definitely a crapshoot.  I have two friends now, dx'd stages 1 & 2, are now battling bc again, just a bit over the 5 year mark.  I'm trying to keep positive thoughts -- hard as hell most of the time.  :(

  • LindaKR
    LindaKR Member Posts: 1,577
    edited May 2013

    Shari and Shelly, totally understand the "crap shoot" concept.  Maybe because they are mor aggressive, they are also quick to respond to treatment, also more likely to recur Frown  Living in the moment is so important, and one of the things I have a hard time doing.

  • Shari0707
    Shari0707 Member Posts: 448
    edited May 2013

    I think we all do Linda .. It's hard to live in moment when ur scared

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

    Shari, Linda :  So true --finding it hard to as you say live in the moment.  Am glad we can come to this board and let out our worries ! 

  • Shari0707
    Shari0707 Member Posts: 448
    edited May 2013

    U women r great

  • CherylinOhio
    CherylinOhio Member Posts: 623
    edited May 2013

    Hello ladies, I started this thread awhile ago and glad to see it is still going.  Though I am not on very much, am trying to not think about the beast.  I was laid off in march and have been enjoying the time off spending it with family and my 2 horses.  I am in my 2nd year out from active treatment, in march I started my 3rd year out from dx. I can't believe it has already been that long. I remember reading posts about how you will think less and less about bc as time goes on, I have many days where I never think about it at all. Then there are the quiet times, mostly at night, where I think " I had bc, I am going to not make it" and it feels like a punch in the stomach. But then I think positive thoughts and am ok.  I hope everyone has a great day today!! Hugs to all of you!!

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