Almost Triple Negative

Annie2012
Annie2012 Member Posts: 32

I had a 9cm tumor diagnosed Oct 2012 triple negative, Brac 1 positive, possible IBC. Went through neoadjuvant chemo from Oct until March. Had bilateral mastectomy in April. Still doing radiation until June 12th. I had them retest my pathology from my surgery in March and today I find out that I am weakly positive in Estrogen with 10%. My oncologist says I should take tamoxifen or anastrazole for at least 5 years. So my pathology changed slightly from the triple negative biopsy in October to 10% estrogen positive after surgery in March. Do any of you have WEAK ESTROGEN positive taking pills for 5 to 10 years?

Comments

  • DiDel
    DiDel Member Posts: 1,329
    edited June 2013

    I havent but wanted to post so someone else may see this post.

    Good luck

    Diane

  • Luah
    Luah Member Posts: 1,541
    edited June 2013

    There are some weakly positive ER ladies (1% and up) here... hopefully one will be along shortly. 10% is fairly strong weakly positive, if you know what I mean. 

  • flannelette
    flannelette Member Posts: 984
    edited June 2013

    I'm one of them and I've been taking arimidex for over 4 years......

  • TifJ
    TifJ Member Posts: 1,568
    edited June 2013

    I am 3% positive and was told anything under 5% is considered negative. I would want to take something if I were at 10%.

  • christina1961
    christina1961 Member Posts: 736
    edited June 2013

    I am 5-10% ER positive (and PR negative).  I am on tamoxifen and will switch to Arimidex or another one of the aromatase inhibitors next March.  I consulted with 3 different oncologist, two that are well known for treating triple negative.  One definitely wants me on the tamoxifen and the other one said if I had too many side effects, I could probably go without it.  My local oncologist believes that it is beneficial for me.  So I keep taking it - and so far something has helped because they gave me a 50% chance for recurrence due to my weak response to neoadjuvant chemo.  I was diagnosed in February 2011.  

  • sciencegal
    sciencegal Member Posts: 1,120
    edited June 2013

    Hi Annie,

    I am not estrogen + but wanted to post because I share your diagnosis of finding a 9 CM tumor last October. What a wild ride we have both been on since then, huh?

    Did you also have dense breast tissue that your tumor was hiding in?

    People treat me like I knew but was avoiding it, or in denial, or somehow wanted it to grow that large. But due to my dense lumpy breast tissue It was simply hiding from breast exams, mammograms, etc.

    I just wanted to reach out to another who found herself in the same boat.

    I hope you are doing well.

  • Annie2012
    Annie2012 Member Posts: 32
    edited June 2013

    flannelette  what was your estrogen level?

    christina what percentage did you have from the neoadjuvent chemo? Mine was good from 9CM down to 1mm, however I still have one lymph node positive at 2.5mm. Thanks so much for your post letting me you consulted with 3 MO. Please keep in touch!

    sciencegal Yes I did have dense breasts...I found a small lump 2 months BEFORE my annual mammo....the mammo and ultrasound didn't show anything. The biopsy was taken in the wrong area and I even questioned it. It grew like crazy in 6 short weeks....I kept going back telling her something was wrong and basically wasted a lot of time and switched my care to a cancer center an hour and a half away.  I try not to look back to much, I can only learn from it and move on.

    God's Blessings to all of you for posting! Tomorrow is a new day!

  • flannelette
    flannelette Member Posts: 984
    edited June 2013

    10% ER+ cells, if that's what you're asking, Annie.

  • Annie2012
    Annie2012 Member Posts: 32
    edited June 2013

    Thanks flannelette, yes that is what I was asking. So you would be the same as me with 10% ER....however I see you also have PR positive, which I am not. Have you had any side affects from the Arimidex?

  • MaineRottweilers
    MaineRottweilers Member Posts: 156
    edited June 2013

    My MO wants me to be on Tamoxifen for five years once I am finished with chemo (1year).  I am <1% in a multi focal DCIS which she believes to be a cancer seperate from my IDC, even though I had a mastectomy and wil have 33 rads.  I think it's kind of strange but she believes it for the best.  I'll take if I can tolerate it.  It's a little outside of the box.

  • Worrywart9390
    Worrywart9390 Member Posts: 101
    edited June 2013

    I am er -     pr + (5%) and her2-   I am still new to treatment but my oncologist has already talked to me about taking pills for 5 years  - she said not only may it help me but will also help to prevent other breast cancers.  Will definitely seek a second opinion when i get to that point.

  • flannelette
    flannelette Member Posts: 984
    edited June 2013

    Annie - yes indeed I have side effects. However, I would rather them than the possible alternative, as i had a very agressive cancer 9 out of 9 on the "hoologanism scale" - don't know the right name - and very large tumour, and, 5 yrs later, am still being examined every 6 months or so by my breast surgeon for recurrence.

    If you are PR- and Her2-, and you have 10% ER+. it seems that's a good thing as - and I might be wrong here - being triple negative gives you very few choices for treatment - I don't follow their threads but that's what little I've gleaned.

    I have a friend who had a lumpectomey 15 years ago. Plus rads. But she could not tolerate tamoxifen - it made her very depressed so she stopped. she must have been ER+ to receive tamox. she developed bone mets 2 yrs ago. all I needed to know to stay on arimidex.

    some people have no ses - especially the ones who are most active, it seems - they exercise the stiffness out. it was explained to me that chemo, rads and hormone therapy were all insurance, after my MX - and they are, because br is sneaky and who knows where some potential is lurking? I was/am happy to have it all. Nobody debated or questioned it, not me, my oncs, my br surgeon. 10% ER automatically = arimidex. For every poster who has ses, I wonder how many do not, or have minor ses, or - and this happens a lot - the ses do tend to come & go. That said, I did feel like I went from 60 to 80 in terms of stiffness in about 3-4 months.

    but that has eased - much worse several yrs ago. Same with carpal tunnel - but i wore wrist braces for about a year, it went away. My hair is about 1/2 as thick as it used to be - just does not grow thick, but still grows very fast. I have a short, very choppy hair cut & use men's grooming clay to make it funky. I'd rather have peace of mind than a recurrence then kick myself round the block for not having done everything I could have.

    There are threads with many suggestions for dealing with ses of aromatase inhibitors - many I've never even tried...

    Wishing you the best

  • Annie2012
    Annie2012 Member Posts: 32
    edited June 2013

    Bless your hearts for all your advice my BC friends....it is so much appreciated! Now another question....I called my MO and got her nurse today to find out the results of my bone density test I had done on Monday. I asked her if I could take the pills while still taking radiation and she said no. I told her my last radiation treatment is one week from today and I wanted to know the results of my bone density test to know if I was suppose to take tamoxifin or arimidex. She said the results of the bone density were in, however my MO said she would go over them with me when I have my appt with her in late July.  I am suppose to have a CT scan and a bone scan then too, whicj I already knew about (My MO said I have to wait 6 weeks after rads to do CT scan and bone scan, or they would come back as false positives). So bottom line should I be waiting 6 weeks after rads to start the pills? My last chemo was March 5th. How long did you all wait after chemo or rads to start your pills??

  • PatinMN
    PatinMN Member Posts: 920
    edited June 2013

    Annie, I finished rads on Feb. 22 and started tamoxifen on April 1. My MO wanted to give me plenty of time to recover from chemo and rads. He said if my ER percentage were higher he would have had me start the tamox sooner. I'm at 26% ER+.

  • flannelette
    flannelette Member Posts: 984
    edited June 2013

    I finished chemo on Dec 24, 2008  (Merry Xmas!) and started rads about beginning of Feb. After rads finished started arimidex about a month later.

  • Sugie76
    Sugie76 Member Posts: 1
    edited July 2013

    Hey everyone! I am new here. I was relieved to find this message board. I just found out my cancer was less than 1% ER +. I am not sure my percentage of PR +. I asked my rad doctor today if this meant I almost have triple negative and she said yes. Now I am freaking out! I have started tamoxifen as my onc did not want me to wait until after radiation was over! I feel like there is something I am not being told. And the thought of almost having triple negative really scares me! Is anyone else in this boat???

  • christina1961
    christina1961 Member Posts: 736
    edited July 2013

    Flannelette, at diagnosis the mammo showed a 2.5 cm tumor and the MRI showed 2 cm.  No nodes were seen, but one radiation oncologist was suspicious of two nodes because they were a little larger than normal. One node was palpable prior to chemo and surgery. The neoadjuvant chemo (TAC) really softened the tumor and seemed to get much smaller. My oncologist really thought I had a complete response to chemo.  I had a mastectomy and was devastated afterward to find that the tumor was still 2 cm and I had two positive axillary nodes, one 9 mm.  I had the tumor assessed to see what my residual cancer burden was and it was almost a RCB III.  So I decided to participate in a clinical trial with six more rounds of chemo (single agent - Halaven) after I went through radiation.  I am 2.4 years out from diagnosis at this point. My initial biopsy was less than 1% ER+ = triple negative.  After surgery, 5-10% ER+.

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