Calling all TNs
Comments
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Guess I didn't word that right Titan. I meant I just remember there being more (not all) women with the same treatment plan as me at the time. I don't see as many signature lines with TC anymore. -
TifJ I had that protocol the second time around. -
Stupidboob- Sure wish there was just one "magic bullet" we could all take to eliminate all cancers. -
Hi Tekwriter....you can take comfort in knowing that one of the foremost experts in the US on TNBC is at the University of North Carolina. Her name is Dr. Lisa Carey, and she rocks! I have heard her lecture.
Good luck to you and trust your team to help you through this.
Stupidboob... so sorry you had to give up your little Skittles. In your pocket for the pet scan.
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gia44: you had only ac because your lump is 1 cm. was reading this somewhere that if lump is 1cm or less chemo may not be recommended, but since we are triple negatives, leaving the 1 cm thing just like that without chemo is dangerous. so i think AC was given to you. dose dense is the new protocol for triple negatives, but many still follow the three weekly one. DD protocol has 5 year survival benefit of 92 percent and the three weekly protocol has 5 year survival benefit of 90 percent.
AC followed by Taxol is the gold standard for triple negative cancers, my oncologist always insists, but only in the adjuvant settings. however in the neo adjuvant setting FEC followed by Taxol is what is largely used.
My lump is 1.4 cm with nodes clear. I finished surgery and i am undergoing dose dense ac plus taxol.
Third cycle of Ac done and counts have dropped majorly..they got reboosted and the next AC has to get postponed by a few days and its dose titrated by 10 percent too. Dose dense is harsh on the body. i hear dose dense taxol is better..lets see.
wish you all a lovely holiday season... and many more in the years to come
love n hugs! -
Thank you BanR for the info. My tumor actually is 1.5cm with clear nodes. My MO never offered me Taxol or DD. I have a friend with the same Dx as me that is not taking chemo at all but TNBC is very aggressive with Grade 3 so I wanted to take it. She said she did not want to loose her hair. I think that is a small price to pay and the least of my worries.
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Welcome to all of the new newbies. Your journey might seen long but believe me the chemo will go by in a flash and soon you will be looking back at it. All the ladies on here are a goldmine of information and will help you all the way through.
Stupidboob I'm sorry you lost your little Skittles. It's always so hard when we lose a pet. Hope your PET scan goes ok for you.
I read an article recently about, I think the Doctors name was Dr Hope Rugo, on how some recent experiments show promise on fighting TN and she hopes the treatment will be available within five years. Earlier would be marvellous if they could but at least they seem to be on to it. So hopefully some hope for us girls.
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Cocker Annie Five years for new treatments? I hope it works; I have 3 daughters and perhaps this will help them if need be. I've lived a good life and I want my daughters to do the same. Oh, and 5 granddaughters, too.
I'm worried about OBXKaren.
Thinking about all you ladies in the warm climate and Christmas. Poor Santa in his Santa outfit. He must be very uncomfortable what with his hat, heavy coat, gloves, boots, beard and all that. Or do you have a lighter weight version for Santa?
Joyful holidays, Jan -
Jan I wish with everything I have that, that treatment comes well before five years. You are right it will help our daughters and granddaughters. I have two of each and would hate them to go through this illness.
I too am worried about about Karen. She posted me her telephone number ages ago now and I can't find it anywhere. I just need to know she is ok.
Yep it is very warm here but to me very welcome. I'm not built for the cold and feel it greatly when winter comes so it's nice to warm up my old bones with some heat. -
Just wanted to comment on BanR's above statement "AC followed by Taxol is the gold standard for triple negative cancers, my oncologist always insists, but only in the adjuvant settings. however in the neo adjuvant setting FEC followed by Taxol is what is largely used."
I had neoadjuvent chemo and did dose dense AC followed by dose dense Taxol. I had a complete response. I've found that many people with similar stats to mine had that course of treatment. The moral to the story is, you need to have faith and trust in your medical team that they have your best interests at heart. There are a few different protocols for TNBC that seem to be effective for most. We all pray for the magic bullet to be discovered, but until then, we just keep putting one foot in front of the other!
Gia444 - if you have any question about whether you should also have Taxol, then I would ask your oncologist so you're very comfortable with this decision. Knowledge is power, and when you know for sure what went into their thinking, it will probably help you feel comfortable. Good luck with your cancer journey and recovery.
Kathy
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gia444: Just seconding Kathy's point... if you're wondering about your treatment, check it out with your onc and put your mind at rest. Taxol and taxotere are both taxanes; the first can be done on a biweekly or weekly basis; taxotere is usually done triweekly (and is more common in Canada and Europe). There's some research that suggests that taxanes can be particularly effective for TN, but because TN has so many different types, that's certainly not hard and fast. Some women here who did neoadjuvent chemo got a better response from taxanes, and some from AC. Some may be more prone to suffer side effects from one or the other or both. Node involvement may come into play in treatment choices too. -
I was dx with triple negative two years ago. I had lumpectomy, chemo, and radiation.Lymph nodes clear. I have a red rash on the effected breast. My oncologist and radiation doctor don't seem to be concerned. Have any of you ladies had this red rash?
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Junebug...this may be weird..but have you lifted anything heavy over your head? I did that a couple of weeks ago and burst a couple of blood vessels in the "cancer breast" ..i was freaking but it went away in a couple of days,,the other breast was fine so I thought it may have had something to do with the lymph nodes removed...but yeah ..I did freak...it didn't itch and the skin didn't change either...
tif and all..not sure what the gold treatment is..wish someone did..lol...a friend of mine with tn and a 3.8 cm tumor and one node involved had the exact same treatment as me..with a 1.8 cm tumor and no nodes...so...did I have too much? doesn't matter...glad it's over and hope that none of us ever have to deal with this again....hey..I can hope... -
Thank you Kathy & Luah. I will ask my MO when I go to see him on the 27th why he did not offer me Taxol. I have 1 more infusion on Jan 2 and then the end of Jan I start radiation. My MO did not mention the gold treatment at all or DD. He did mention that if it comes back I would need to do FEC.
Titan, Yes I hope too that none of us have to deal with this again. Like you say. We can all hope.
Thank you all for the welcome. You all are a wealth of information. It is so nice to have a forum to go to. Helps so much in this journey.
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gia444 - just for your reference, I had a lumpectomy on Oct. 2013, and since Nov. I am doing dose dense 4 AC followed by 4 T. -
Titan I am hoping right along with you! I love seeing articles about new treatments aimed at TN, yet disheartened at the same time because it will be many years before any of them are available. So many beautiful women that need hope NOW -
Hello everyone. Got a call first thing this morning and they worked me in for PET scan so no breakfast. lol going for that this afternoon and for Portal surgery in the morning, Onco on Friday to get the plan. -
Jianchi, I have no idea why my MO did not offer that to me. I am only taking 4 AC and then radiation. I will ask him on the 27th when I go to see him.
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Ok, I am trying to find out if any of you were weakly positive on the Estrogen side? During my treatment, I was told that I was triple negative! Basically breezed through all of the treatments, never missing work except to take the treatments!! But now that I'm "all done", the MO through me a curve! He now states that since I was 2% Estrogen Positive that he would like me to take Aromasin for 5 years! I have been reading about the side effects and they seem to be worse than the chemo!! This really has me in a tiff - I do not know what to do, take the treatment or refuse for quality of life and run the risk of recurrence and wondering if maybe I should have taken it!
This cancer is a terrible thing for the mind to have to deal with! Right now, I'm dealing with quite a bit of back pain, which has only appeared since I've finished the Rads, and I was not given any warning that this could happen! Told the MO and he is sending me of OT! He said he saw no reason to do any scans!
This just all scares me more than the original diagnosis and treatment! Any input would be greatly appreciated!
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thank you.................there sure is an emptiness without my girl............:(
Merry Christmas to you all. -
Titan, thanks for the reply. I don't think the rash is caused from any heavy lifting. I have had it since I finished radiation which was July 2012. Some days it seems to be worse than others , it does hurt or itch.
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Junebug - have you seen a dermatologist? I had a weird rash on my back when i finished treatment and it was shingles. Crazy! -
nettie- I am 3% positive, but my MO treats me as a true TN. He said the side effects of Tamoxifen or Aromasin outweighed the benefits it would provide. On one hand I'm glad I don't have to take it, on the other could it help prevent a recurrence? Who knows what is right or wrong! I wish I could give you some reassurance, but cancer is a crapshoot. We can do everything "right" and it can still come back. It is a fear we all will always have.
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stupidboob, How are you.? I don't see many postings from some of the old posters (timewise, not age). I was wondering how you were doing? Any news on OBX (karen?) or Kathyrrn?
I recently had my flap surgery on Dec 2. It was a long hard (10 hr) surgery. I meet with BS tomorrow to go over everything, but MO already told me there were 3 tumors, all TN. So onto chemo soon, not sure what type exactly. That'll be left up to the tumor board to figure out. doing this a 2nd time has set my mind and outlook back a bit. the worse part is the uncertainty, no one can say if "cure" is possible, or if I'll be fighting this for the rest of my life. I'm afraid to allow myself to hope..... Such a hard waiting game.
I wish you have a joyous Christmas holiday. This dx puts it right up front as to what's truly important. I wish you peace.
To all the others: Keep positive, those thoughts can really carry you through some dark moments. We are here to listen, learn, and encourage each other.. As for me, I had DD AC/T. Because of reaction to T, I was switched to taxotere. Then surgery, then rads. There is a formula depending on stage, grade, size, node involvement, mitotic rate, etc as to what exact tx is suggested, but from my small amount of research, it seems AC is usually given for TNBC, and often with Taxol or taxotere.
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slowloris I sent you a private message. One thing that helps me keep going and it does not work on all days it Joel Osteens mom. She was terminal 31 years ago and she is still going strong and she is healthy. I try to hold on to all the survivors out there. I am friends with a lady (not TN) but breast cancer and she had other cancers as well and she just had her 12 year. I personally think this is something we will live with the rest of our lives. It sucks and it is scary as hell but I "TRY" to just be thankful I am still here, but I am really scared of my Pet Scan coming up. Best of luck to you.
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I am 15 percent er positive..The onco treats me as triple negative, he also says i will have to take tamoxifilin for 5 years
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Btw, anybody out there who couldnot take dose dense ac?
I started off with DD ac, and after completing 3 cycles my bone marrow refused to recover, inspite of one shot of neulasta.
Emgrast injection was given twice on day 8th and 9th respectively and then the body recovered. Now my oncologist is asking me to postpone it. We were planning 4 but had to postpone it by 6 more days, since he wouldnt be available then and my fourth and last ac will be given on a reduced dosage.
I wonder is this normal, for the bone marrow not to recover in a particular cycle, and then postponing chemo with reduced dose and all... dont you think having to postpone it by 6 days is too much.
your feedback on this pls
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I had 4 small tumors, all tnbc at dx. After chemo one tumor was slightly progesterone positive. Saw 2 oncs and both agreed that the side effects of the aromasin. were too negative to recommend for me, largely because I suffer from deep and long-term depressions all my life and these got worse when I stopped taking HRT drugs.
I have mixed feelings about it all. Decided for now not to take it.
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stupidboob, I'm new to this thread, but I'm so sorry you lost your pet. I'll be in your pocket along with everyone else on your pet scan. Waiting for test results is the hard.
I had my second AC infusion yesterday. So far, things have gone much better than the first infusion when I BP bottomed out for a week. They gave me more fluids and ran the infusions much slower. It seemed to do the trick. I gave myself my Neulast shot a couple minutes ago. It wasn't nearly as nerve wracking as last week. Knowing those shots cost $10,000 each make me scared I'm going to screw something up. I must have done it right last week because my WBC was normal yesterday before my infusion. After 12 weeks of taxol and retaining about 20% of my hair, this AC is taking what's left of it pretty quickly. Eyebrows and lashes too. Oh well, I feel fortunate that I had at least some hair for so long. I knew this was coming.
I'm more concerned that my tumor has basically stayed the same size for about 6 weeks now. I thought one night that the AC had really shrunk it, but the next day it was back to the same size from outside manual palpation. They don't do scans were I go unless they think the tumor is actually growing. I'm concerned I'm going to be in the 60% of neoadjuvant patients that do not get a complete response. I've decided to fight this cancer with everything I've got this last six weeks of chemo. Vegetable juicing, exercise, yoga, mediation, no salt, no sugar, vitamin d, you name it...I'm probably trying it! I want to give this cancer the double whammy! Right now, my tumor measures 1 cm from the outside which means it's probably closer to 0.5 cm. It has shrunk from the original 2.3 cm as measured by ultrasound and MRI, but it still seems to have a ways to go.
I should have my BRCA results in two weeks. If positive, I definately want a BMX. If negative, my surgeon and MO both think lumpectomy is the way to go. I'm not so sure particularly if there are live cancer cells left at the time of surgery.
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slowloris ~ am I reading it right that you had double mastectomy in January 2012 and tissue expanders were put in at that time. Then radiation February 2013. And now you've had double mastectomy to take out the expanders and they found more tumors while doing the flap?
Trying to figure out for myself if you have a mastectomy where do the tumors grow? I'm not really up on all the TN and reading and learning here.
Thanks, gwenie
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