If you are not Stage IV but have questions, you may post here
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does anyone know if her2 pos women , a more agressive cancer, even get to live long enough to be diagnosed with mets before their followup screenings? it just seems like most stage lv women are her2 neg. I just wonder, cause my big ole lymph nodes didnt even show up on ANY of my imaging, but were palpable to myself and the docs. i just suspect that i am prolly already stage 4, but its undetectable till it reaches a certain size. freaks me out a little. thx
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Hi Kathec,
Yep, bc will give you more freakout moments than you have every had.
Many women are her2+ and get amazing results from treatment. Both those that are the lower stages and those than end up being stage 4.
Your right, the tumour need to be a certain size to be seen but if you and your onc can feel them I'm surprised that they can't be seen on one of the types of scans. Tricky little buggers cancer tumours though. I'm also hoping your onc is going to continue with testing to see why those nodes are swollen. It can be from other things than bc.
Many women live a long time with Her + cancer and you will find them here, just keep looking. Meanwhile, this is a good place to ask any questions you have.
Stay strong and keep pressing for answers.
Moira
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Thanks Moira. New Zealand! Yay! one of my favorite places i havent been to yet since i read the book "the bone people " by kerewin holmes. problem was, i stopped doing mammos eight years ago, cuz they just kept being cysts, and the place i went to HURT. i found out mammos dont have to hurt. then when i asked my BS said that by the look of things, the tumour had been growing for 8 yrs. when they tested me, they said i was her2 equivocal. the breast tumor itself was small and slow growing, but the nodes! The cells thier in some had completely taken over! "with large and occasionally bizzare forms." So i had to do herceptin which i had to stop due to ejection fraction of my heart falling more than 10 %. so its back up almost to where it started, and set to go with herceptin again. reason i asked is, after TCH, 33 rads and surgury, i did 3 months of arimidex cause i am almost 100% estrogen pos, 6 years after menopause! and have fibroids which were supposed to go away after menopause. anyway, 3 mos of arimidex caused trigger finger and pain. i dont want any hormonals... the doc wants to try tamox, cause of slight ostopoenia, which they didnt do the dexa scan till after chemo. I felt perfectly fine strong and healthy till all this. my whole life has been aweight bearing exercise(construction, Housepainting,Landscaping, running jumping climbing! and have lymphema now and dont want to get endometrial cancer, cause i dont want lymphedema in my legs. just about willing to have a local recurrance instead. thx!
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Kathec, there are other hormonals. Like you I had big problems with Arimadex so was changed to Femara. Since that change I am doing fine with little to no SEs at all. Just because you had a bad time with one please don't rule them all out.......you never know until you try them.
Good luck with the second try with your Herceptin .....it really is the magic bullet for Her2+.
Love n hugs. Chrissy -
thanks, chrissy. Australia! my other favorite place i havent been to yet! I do a little silversmithing, and opals i love cause they have ALL the colors! SO, my onc, whom i have a like/hate relationship with, said he would talk with my gyno there, but tamox was his first choice, and his rn says save "big guns" for later. she didnt say if necessary. Yah, my heart was near perfect condition according to pre testing. even with i am embarrassed to say a history of, and currently smoking. I know i know but it soothes my nerves,or i would be biting people! (And actually, come to think of it, havent really been anywhere. HA! xcept various states) : 0
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I'm presuming 'big guns' are meaning chemo. I would make sure that your doc knows you are a smoker because one of the SEs of T is possibility of blood clots and as you are a smoker this could be a danger for you. You will get no criticism from me Re you smoking as until four years ago I also was a smoker........I just breathe better without them........lol. At ths point, you do what you need to in order to get through.
Love n hugs. Chrissy -
I developed dvt ( blood clot in left femur) in between final AC, and the start of Taxol. I've been on injections of Lovenox twice daily since Feb. 15.
Usually one only takes the injections for 5 days, but because they believe chemo was the cause, they want me on it for 6 months.
Smoking would greatly increase that risk.
Blessings
Paula -
Quick question I am waiting for pathology of lumps removed from my chest wall below my BMX scar if it comes back positive does that move me to stage 4 with a reoccurrence?Or is that only decided after it is found in other areas like bones or organs?
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If it was there, it is considered a local recurrance. a metastisis is if it went far, like lung liver bone or brain. and would not change your stage till that happened. so you are good. altho probably no fun to have to deal with even a local recurrance. so sorry you have to deal with that....mumito, as if bmx wasnt enuff.
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thanks chrissy, moira, and soteria205! As soon as i don't have so many drs appts, i am gooing to really try to stop smoking. i have quit other things, and am tired of it, anyway. even good hand rolling european tobbacco tastes better, it is still stinky and sticks to lungs
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Hi- I have been having right anterior chest pain for about 4 months- hurts esp with cough, sneeze deep breaths. It is on the affected cancer side. Saw PCP cxr negative had CT scan pcp reported to me as neg. but I looked it up on the computer and said no evidence of metastatic disease - anterior rib fractures. I have not had any trauma to that area except rads. Should I ask for more testing to r/o mets as being the cause of the rib fractures> Thanks!
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Hi 3girls I'm sorry you are having so much pain in your rib area. Your CT has come back no mets so I really wouldn't worry on that score but your fractures could be the result of rads. Unfortunately before we undergo these treatments we are never told all of the possible repercussions but fractured ribs is ones of them.
Hoping they heal soon.
Love n hugs. Chrissy
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I just met my RO today. I actually met her in August before I had surgery, but today was for ct scan, tattoos, etc. They did an excellent job explaining everything to me.
One of the things they told me is, rib fractures can happen easily on the radiated side.
3girls~~Is it possible that you could have bumped your rib at some point and forgotten about it?
Paula -
Thanks for the replies. No I didn't bump it woke up one morning in intense pain:(
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Kathryn I know a lady. She was tn 23 yrs ago but 9 yrs ago regional recurrence. All over. She went to md Anderson they gave her some super chemo and it's nine yrs now since regional recurrence. She is 70. She also survived lung cancer.
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3girls - has your oncologist seen the report? Might be worth asking him/her if anything further is warranted.
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Hello all. My question is for those with bone mets. Does new pain always mean progression?
My mom was diagnosed a few months back with mets in her clavicle bone, T5, L3, L5, sacrum, and illiac. She had rads to the clavicle (for pain) and the T5 (to avoid further damage/compression). She has been on Exemestane (generic Aromasin) since February and monthly Aredia for her bones. Other than hot flashes and joint pains from the meds, she has been feeling great...until this past week. She is having low back pain that she describes as feeling like severe muscle pain as well as shoulder pain. We don't know if this could be from the mets or something else entirely as it feels different from the pain she was having when first diagnosed.
Her shoulder only hurts when she tries to lift her arm, though if she "pushes the joint" she can lift it all the way without pain. As for her back, she flopped down on the couch last week and felt a VERY sharp pain that only lasted a few seconds down in her lower back. For the next few days the pain was on both sides of her lower back and bad on sitting an standing but fine otherwise. Now she only feels it when she turns over in bed. Advil makes the pain in the back and shoulder much better, but doesn't take it away completely. It sounds like progression, doesn't it?
She's had odd aches and pains in her joints and muscles since starting treatment and they last a couple of days and go away. These are different in that they feel better than they did when they began, but don't seem to be stopping.
She is scheduled for her first scan in a couple of weeks and will see the onc on July 12th to find out if the meds are working. He is booked and not likely able to take her sooner so she is starting to really stress about the pain and wanted insight from others with bone mets, if possible.
Sorry for the long post!
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Went for my 6 month check with some concerns. The tech took extra views & then I had an US. Nothing of concern was seen. I still have a few small seromas, scar tissue from my surgery & radiation. I then go over right after for an exam by my breast surgeon. He goes over all the views that they took at radiology. He found in his papable exam an inflamed node in my axillary area. In fact right in the crease. He has to raise my arm press in bring my arm down & then rub the fingers down to feel it. It's not real large & he is not too worried. So I went back last week again as he wanted the Radiologist to do another US with biopsy if needed. Everything got messed up & the tech did it & no immediate report. I then had an appt. with the BS right after. He was not happy as no report or Radiologist. So if the report comes back this week good he will have me come back in 3-4 weeks for HIM to US in his office & biopsy if still inflamed. If there is a ? about it by the Radiologist I will go to my BS ASAP & he will do the US & biopsy. He says a little less than 10% chance of CA in the node. My tumor was DCIS with 3 spots of micro invasion. ER, PR negative. 33 rounds of RADS no chemo. The tumor was 2.8 cm grade 2-3 with 70% necrosis. So "IF" this node ends up having cancer does that make it "WHAT"....stage 4 or what. I know chemo will happen....but what beyond that?
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Canadagirl, the pain in your moms shoulder sounds more like bursitis rather than mets......that's an inflammation in the joint. As for her back it is possible she has torn a muscle ..........I know we all worry that each pain is a sign of progression but more often than not its something else entirely. Your mom has said that the pain is different so I would take that as a good sign but do tell her to mention it to her doc.
Julz, if it should be cancer in the node I think it would be classified as a recurrence rather than stage IV as it is still in the vicinity of the breast. Good luck with the biopsy result, here's hoping it just inflammation.
Love n hugs. Chrissy -
Greetings- thank you all for your advice and experience. No one wants to be in your shoes so please know you are a real blessing to us all!
I am waiting results from an X-ray. Specific, constant pain in my lower ribs only on left side.
Waiting is the hardest. Any thoughts would be appreciated.
Thx -
Hi Bishops, sorry you are in constant pain. It is possible that you have inflammation of the connective tissue between the ribs which can be very painful but will not show upon an xray.
Having had major surgery in the chest area will interfere with the way all the muscles work and in doing that, all the surrounding tissue can be put under an enormous amount of stress causing the inflammation and pain.
Here's hoping that is the case and it is nothing nasty. Please let us know .
Love n hugs. Chrissy
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How long does herceptin work for? Mum recently stopped chemo and is continuing herceptin. I am hoping this will keep the tumour s which had previously been shrunk by chemo in check. But it doesn't last for ever right?
What happens when her2+ grows after chemo? I read it can be fast..but how fast is fast? I would love to read some other experiences, I want to prepare, but have googled and find little. I guess to many want to document these horrendous experiences.
Also, ringing in the ears, and occasional shooting pains to the hed...symptoms that brain mets are growing?!.....I find it so hard to not think the worst with every ache and pain mum experiences. -
Papillon there are many women who have been just on Herceptin after chemo has finished for quite some time.......forgive me but I can't remember what stage your mom is. If lower stage then she will be on it for a year if stage IV, she will be on it indefinitely. Should the cancer come back or progress another chemo will be added to the Herceptin. It is the Herceptin that will control the aggressiveness of the cancer. Unfortunately, there will be no time frame for any of this so it just becomes one day at a time.
The ringing in the ears can be a SE of the chemo as can be the shooting pains but it is best to let her doc know so he/she can follow up should they feel it warrants it.
Love n hugs. Chrissy -
She is stage 4 Chrissy. Metastatic, brain, bone, liver, lung.
De just finished chemo and I don't *think* she wants more, its been hard. Just praying herceptin keeps those body mets in check.
Thanks x -
Sorry Papillon I thought it was stage IV but my memory failed me. The Herceptin is a powerful med and has kept the aggressive nature of Her2+ in check for a lot, I hoping that it does well for your mom.
Love n hugs. Chrissy. -
I was wondering if anyone could tell me what the standard treatment might be for a friend who had er+ pr+ her- braca 2.. she had a double masectomy, hysterectomy, was on tamoxafin for 3 years (after surgery) and now has brain mets, seven lesions, one good size on brain stem, has had whole brain radiation. Is there something else that will get rid of those lesions? We are trying to get as much info together before her next onc/surg appt next week. Any suggestions of trials, meds, she could/should be asking for? Thanks in advance!!
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Hi msjag,
It's hard when you want to find the right answer and solve the problem. I don't have the answer for all the info but there is a thread here for brain mets that will have a lot more info that might be useful. This is for women who are currently being treated for brain mets. Please do not post there with any questions but reading there may help give you some idea of what is available.Coming back here with the questions is fine though.
I know how very much you want all the naswers but it is very important to those wmen on that thread that you do not ask your questions there but come back here.
Moira
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Thanks Moira. I came here because of that, totally respect that, just didn't know if maybe someone reading may have some advice/suggestions/questions to ask her md. Her appt is moved up to tomorrow, so hopefully she will get all her questions/concerns answered.
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Mine comes and goes. Before I was dx, I had back pain for over a year that my onc said couldn't possibly be mets because the pain would go away for 3-4 months each time and then come back. But it was. I suggest that any pain that lasts longer than 2-3 weeks should be discussed with your onc. It could be from a variety of reasons that are not cancer related, but you should get it checked to be sure.
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Kay, whenI went for my onc ckup, I told her of rib/shoulder pain, and she said she wasn't surprised as it was the radiated side, if it continues to worry me or gets worse, she will scan. She actually offered to scan, but I am trying so hard to keep radiation out of my body, sometimes you just don't know what to do! She did say bone pain from mets doesn't "go away" so if it persists best to get it checked out.
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