Stage 4 cancer diagnosis

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My friend was just diagnosed with stage 4 breastcancer that has spread to the liver and bones. What treatments is recommended?


Shes 37 years old

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  • GK15
    GK15 Member Posts: 23
    edited December 2013


    My friend was just diagnosed with stage 4 breastcancer that has spread to the liver and bones. What treatments is recommended?


    Shes 37 years old

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited December 2013


    I am sorry to hear about your friend. Treatments vary widely depending on each person's situation. For example, if she is ER+, her treatment may be different than someone who is ER- or HER2 +. The extent of spread and size of tumors is also a factor. Stage IV bc is complex (as is all bc) and there is no "one treatment". I would suggest that your friend learn as much about her condition as possible and that she be very comfortable with her treatment team. Seeking a second opinion is also a good idea as well. Best of luck to your friend.

  • GK15
    GK15 Member Posts: 23
    edited December 2013


    Thank You for replying back exbrnxrl, I really appreciate it. This is all new to us so every bit of information to me is greatly appreciated.


    My friend is 37yrs old and she was just diagnosed 3weeks ago couple days after she gave birth to her second child. She is really worried and so are we. I'm not sure of the details of her treatments, but is there a specific hospital that you may recommend in the chicago IL area that is good with stage 4 breast cancer? or a specific dr that is known to be good? Do suggest she has a both breasts removed before starting chemo? She is willing to do anything to survive for her 2 little boys.Thank You again.


    Desperate Friend

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited December 2013


    I am not familiar with the Chicago area, so can't help you there. As far as mastectomy goes, it is very common for those diagnosed at the outset with metastatic disease to not have mastectomy. However, this is not always the case and something that needs to be discussed with her oncologist. I can't emphasize enough how each person is different and that there's not one "best" way to go for all. Also without the details of her particular bc, it would be irresponsible for anyone here to even guess at possible treatment options. The best place for your friend to begin is with her first oncologist appt. it would be very helpful for her to take someone along and record the visit as she might well need time to digest all the info and then follow up with more questions later.

  • Adey
    Adey Member Posts: 3,610
    edited December 2013


    GK


    There is a thread called Illinois Ladies Facing BC might help you with info. There are many cancer centers in Chicago and the suburbs. Prayers to you and your friend.

  • GK15
    GK15 Member Posts: 23
    edited December 2013


    OK I will go there.


    Hugs!

  • pajim
    pajim Member Posts: 2,785
    edited December 2013


    GK15, Stage IV breast cancer is not treated as aggressively as lower stage cancer. The docs focus on quality of life. If she's ER+ she'll start off with hormonals like tamoxifen.


    I urge your friend to write her questions down in advance and take someone to her appointments to take notes. The initial shock of diagnosis is awful, but it will wear off once she has a treatment plan in place and has embarked upon it.


    I have corresponded with and met ladies who have had mets for 15+ years. There is lots of living left to do.


    Wishing her the very best of luck.

  • GK15
    GK15 Member Posts: 23
    edited December 2013


    Thank You for your post. I will pass the information on to her.


    Hugs


    GK15

  • GK15
    GK15 Member Posts: 23
    edited December 2013


    Pajim, Thank You for your post. I might sound stupid to ask but what is mets? Every bit of information I get is very supportive for me and my friend. This is all new to us. Thank You again


    Hugs

  • GK15
    GK15 Member Posts: 23
    edited December 2013
  • GK15
    GK15 Member Posts: 23
    edited December 2013
  • ziggypop
    ziggypop Member Posts: 1,071
    edited December 2013


    GK15 - 'mets' is short for metastasis - what it means basically is that the cancer that was originally in the breast has been found in other areas of the body beyond the breast and the lymph nodes near the breast. This is still breast cancer even though it may be in the bones, brain, liver, etc. This is essentially what Stage IV means - that the cancer has spread beyond the 'local' area.

  • aaoaao
    aaoaao Member Posts: 593
    edited December 2013


    It isn't completely correct to say that doctors don't fight Stage IV aggressively and the treatments always start with hormonals. I was dx with Stage IV in April 2013 and my oncologist recommended we fight this aggressively and she put me on Taxol (weekly for 3 weeks then 1 week off), Of course, I have only one met to the spine and am relatively young (50) and in good health otherwise. Cancer is so complicated that there really isn't a set in stone treatment path. Yes, most oncologists do begin with hormonals but not all do. I am ER+ and was on Tamoxifen when I had my recurrence. My oncologist felt that doing chemo would help to beat the cancer cells down to prevent progression rather than just switching to another hormonal. I'm sure eventually she will switch me to hormonals for long term treatment but right now she feels chemo is the way to go. My second opinion, from the University of Chicago, agree with my oncologist on being aggressive at this time. I hope your friend finds the treatment plan that is best for her and that it gets her cancer under control.


    DK, there is also a thread here that your friend might find helpful since it is specifically for Stage IV women in their 30's.


    http://community.breastcancer.org/forum/8/topic/798314?page=18#idx_534

  • GK15
    GK15 Member Posts: 23
    edited December 2013

    Thank You zippypop. I didn't know it was abbreviated. Thanks for enlightening me.

    Hugs

    GK

  • GK15
    GK15 Member Posts: 23
    edited December 2013

    Hi aaoaao,

    Thank you for your reply. This is a wealth of information I'm getting here. Thank god for this site and everybody on here.

    Where did you start your treatments? what Hospital? is there one that you think is the best in the Chicagoland area?

    Thanks so much.

    GK

  • aaoaao
    aaoaao Member Posts: 593
    edited December 2013

    Hi GK, I live in the upper Northwest part of the state so I go to Swedish American Cancer Center, they're a part of the Swedish American Hospital system.  As for the best hospital in the Chicagoland area, I'm not sure which one is the best.  I got my 2nd opinion from the University of Chicago.  However, I think any of the major research hospitals, Northwestern, Rush and University of Chicago, are expert in the cancer field.  If anyone else has any direct knowledge of great cancer treatment facilities in Chicago, hopefully they will post with their recommendations.

  • GK15
    GK15 Member Posts: 23
    edited December 2013

    Ok, Yeah that's what I thought. Those are the 3 hospitals she is considering.

    Thank You

  • cubsfan
    cubsfan Member Posts: 49
    edited December 2013

    GK I had bilateral mastectomy at Luthern General in Park Ridge.  Dr Bruce Stoehr is fantastic   I also had my chemo there by Dr Sigrun Hallmeyer. Both are wonderful.  Good luck to your friend.  Very difficult time indeed.  She is fortunate to have you.  My best.   Nancy 

  • GK15
    GK15 Member Posts: 23
    edited December 2013

    Ok Thank You Nancy, I will pass on the information to my friend. Thanks so much.

  • pajim
    pajim Member Posts: 2,785
    edited December 2013

    GK15 -- sorry not to answer your question -- I've been on vacation for Christmas.  Others have given great information and I hope your friend's treatment goes well.

    Pam

  • GK15
    GK15 Member Posts: 23
    edited December 2013

    Oh no problem Pam, Thank You and Happy New Year.

  • ziggypop
    ziggypop Member Posts: 1,071
    edited December 2013

    GK - I hope that your friend is getting the best treatment possible. You sound like a wonderful friend. Please don't hesitate to ask for support any time. It's really hard to be the person (or one of them) who is trying to stay strong for someone else. Take care of yourself, too. Much love and many hugs.

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