Newly Diagnosed Triple Negative and 28.
Hello Ladies, first off, I would like to thank all of you for the emotional support and for sharing your stories and fight with us in the weeks leading up to the details of our dx. My wife is still coming to terms with all this and i, her husband, am writing on her behalf. Eventually, she too may join YSC. Right now she is going through highs and lows but on the whole she is brave and is trying to stay strong. Here in Japan (near Tokyo) we do not have such support groups (or we do not know of any), and one can feel rather isolated at times. My wife felt her lump (left breast) in Nov End 2013. 2 (Two) weeks later she went in for an ultrasound, but due to the holidays, the results would take up to 3 weeks. She was getting anxious so we managed to squeeze into a specialty breast center / clinic where they immediately performed an ultrasound and FNA (doc felt the lump was around 1.5 cm est. based on the Ultrasound). Due to the New Year holidays the results took 2 weeks to get and on Jan 6, 2014, we were informed that the results were malignant. We immediately went to a renowned best center / hospital here in Japan and they once again did a detailed ultrasound of both breasts, did complete blood work, a mammogram, and FNA of one lymph node (results were clear), and a core biopsy from four sites on the same lump. They performed an RI (bone scan), a MRI of the chest area and a CT scan of the lung, liver etc. The blood work was good, and all scans were clear. There were no additional lumps seen / visible on the scans. The primary lump measured 2cm on the Ultrasound now and 2.2cm on the MRI. The doctor said that the MRI does magnify things so he would go with the 2cm. As per the physical exam of the nodes, the ultrasound of both breasts / chest area and the MRI, he did not feel the nodes were suspicious, but maybe one node (which he will follow during treatment), and so he said that the stage should be stage 1 or stage 2. When he received the biopsy pathology (on Jan. 17th, 2014) the first words were, this is not good, it’s a bad result, its triple negative, and the Ki-67 score is high, at 54.5, so its aggressive. Our hearts dropped and I felt sick to the stomach.
The doc is a breast specialist at a renowned breast clinic and he does have some other cases of patients with triple negative bs and he mentioned that treatment is rather standardized and it usually changes up based on sequence, but the treatment these days are pretty set internationally. The doctor said that he would recommend Neoadjuvant therapy - Taxol (Bristol Myers) weekly for 12 weeks, followed by a break of 1 month, and then FEC (Pfizer): FEC: fluorouracil (also called 5FU), epirubicin, cyclophosphamide. Every three weeks for 3 months (4 cycles). He would then plan on surgery followed by what is necessary at the time. The triple negative was fast growing and the doctor did not want to take a chance if any of them little buggers are floating around anywhere in the system and so surgery first may delay treatment (risk of infection, wait for surgery, recovery etc.), and so he felt that going the Neoadjuvant route was the choice in this case. We did not want to waste any time so we started our weekly taxol yesterday on Jan 21, 2014. We hope that side effects are manageable and most importantly, the treatment works / is effective (favorable response). We have not taken the BRCA test yet, but we plan on having in done in the coming weeks. My wife is 28 - she is my joy, my best friend and my everything. Her smile can light up an electric grid. I hope she can make it through this tough dx. I know there are many new things happening in this field but it does get scary and there are many times where we get low. We want to learn more about repair and maintenance therapy (Cell repair) after treatment (i know we do not have the choices some of our estrogen / progesterone, Hers2 Positive sisters have as tools to protect themselves) and what there is available (even in clinical trials or via other means) after Neoadjuvant therapy and surgery. Perhaps some of you guys will be more knowledable. We live abroad so perhaps we may not have access to treatment / clinical trials in the USA, but we are sure there is also lots happening in Japan as medicine over here is also cutting edge. I am a U.S. Citizen but i am an expat abroad so want to fully understand what we may have available as best resources to us. On the other hand, all we can do is place our trust in our doctor and follow the regimen and fight this with all that we've got. Thanks for all your support in advance. Thx for reading our post. DX- IDC, 2.2cm on MRI, 2cm on Ultrasound, Stage 1/2, Triple Negative, nodes clear as per MRI, Ultrasound, and one node FNA checked and OK. Clear MRI, RI, CT before start of treatment. Started treatment 1/21/2014 (Yesterday). Weekly Taxol 12 x, followed by FEC x 4 every three weeks, then plan is for surgery. Would appreciate your comments, feedback, friendship, positive support. With love d. Wishing you all well, good health. Sincerely, d.
Comments
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Hi d- so glad you found us its very overwhelming and a lot to process. Lots of good people and information here.
When your wife is ready she may gain support from this site too or choose to read over your shoulder for now. I can imagine its quite disconcerting to be living abroad and get a diagnosis of breast cancer but it sounds as if you are comfortable with navigating the healthcare system where you currently reside.
I would suggest putting in the "search" window here things like you did for triple negative etc. there are an awfully lot of groups which you can search through but I have seen many postings from young women with triple negative and I believe there is one titled neoadjuvant.
I was diagnosed with a different type of cancer but wanted to reach out and offer you support and know we are reading your postings. I did not want you to go through several hours until people would respond as its late on the West Coast of the United States but when people catch up they will respond with their experiences which helped me very much and I hope will help you.
Stay in touch
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Wyo, thanks so much for writing. Appreciate the warm reply. I will try searching more on this site. Wishing you well in your recovery. God bless you. d.
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Hello d-
I can understand how
overwhelmed you both must feel, but do not take too much notice of
all the negative information on the internet about triple negative
breast cancer. Remember this triple negative applies just to the
receptors. You do not mention what type of breast cancer your wife
has. The most common is invasive ductal carcinoma (IDC).The chemotherapy
treatment your wife is having is the most common treatment being used
for breast cancer of all kinds. FEC seems to be standard and the
taxanes as well, either Taxol or Taxotere.I am much older than
your wife but had neo-adjuvant chemotherapy with just EC and
Taxotere. I had a very large tumour and one node, the sentinel node,
affected. After chemotherapy I had a mastectomy of the right breast
and then three weeks of radiotherapy with boosters. Despite the
original poor prognosis, I had a complete pathological response. This
was all back in 2005 and I am alive and well living a normal life
eight years and seven months later.You might want to join
the large Calling all TNS in the TNBC forum. I also started a thread
Calling all triple negative breast cancer patients in the UK, but
anyone from all over the world is welcome.With your wife's young
age she should be eligible for testing of BRCA 1 or 2 gene.Thinking of you and
sending you my sincere best wishes. Keep looking forward. You can get
through this.Fond thoughts.
Sylvia.
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d, I too felt devastated by a triple negative diagnosis, but the more I learned about it, the less fearful I became. That was over 4 years ago, and I have been well ever since finishing treatment in 2010.
There are indeed some "positives" about TN, including the fact that these tumours usually respond very well to chemotherapy. It sounds like your wife is in good hands - her chemo regimen is definitely aggressive and on the leading edge. There has been some evidence that doing the taxane first (taxol) and taking a metronomic approach (12 weekly) is beneficial. Also, the advantage of neo-adjuvent therapy is that your onc can see if the chemo is working and adjust if necessary. By all means, introduce yourself on the Calling all TNs thread; we have another husband there who posts regularly about his wife's progress.
Also, you or your wife may be interested in visiting http://www.tnbcfoundation.org/ and http://www.tnbcfoundation.org/ Both are reliable sources of TN information.
Wishing you and your wife all the best!
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I feel
your pain, man.My
wife was diagnosed with triple positive BC at age 25. Feeling helpless for the
woman you love is the biggest understatement. Not sure if you guys are in
the same situation, but we had the huge variable of trying to figure out what to do about our
fertility as we don’t have kids yet. But I know how you’re feeling quite
well: the life you build for yourself changes instantly and the reality of your
future goes to unknown and even dark places. It doesn't help that women around
our wives’ age chance of getting breast cancer lays someone in the 0.5-1% range
( I believe – regardless its very low). So, it really does feel like a
proverbial slap in the face for individuals who feel like they tried to do
everything right. So yeah, life can be cruel.The good news for you guys is its 2014 and you caught it early. Also,
there was no detectable lymph node involvement which is always good. And I
wouldn't worry about the mammogram displaying a smaller size than the MRI. Same
thing happened to us, the initial ultrasound indicated the mass was 2.7cm, the
mammogram indicated 1.9 or so, and the MRI confirmed it was 2.7. Young women’s
breast are very dense so mammograms have a harder time picking up everything opposed
to the more powerful and thorough MRI. It definitely doesn’t mean it grew
within that time span! So yeah you caught it early, and with triple negative,
obviously its different then our situation, but I know it tends to be highly responsive
to chemotherapy. Also, most young women like our wives typically have aggressive
(high grade) cancer. Obviously this isn’t good, but in actuality, chemotherapy is
more effective in higher grade cancers (my onc confirmed this). This is because
chemo drugs target cells that multiple rapidly (which all cancers do but high
grade cancers multiple quicker still and is obviously why it’s considered
aggressive). So because they’re more aggressive their cell structure is weaker
as a result, making them more susceptible to chemo drugs. So all I’m saying is “aggressive”
cancer isn’t good but don’t take that as an end-all be-all – at least that’s
the way I cope with it lol.Furthermore, it’s an exciting time for triple negative BC as there
are many new drugs and therapies in clinical trials right now. Here is an
example of one new technique being developed to combat triple negative released
just last week: http://www.mysuncoast.com/health/news/new-therapy-new-hope-for-aggressive-breast-cancer/article_40d86e70-7e27-11e3-bb3e-0019bb30f31a.htmlAnd if you’re like me, you like looking for things that can
help you cling to hope and optimism. Well, its 2014 and the science and
understanding of cancer keeps getting better. Here is a link to the latest from
Cornell University that could be the next big evolution for all cancer
treatment: http://www.voanews.com/content/scientists-develop-cancer-killing-protein/1827090.html.I’m really sorry you guys have to go through this and there
will be rough days. From husband to husband, if I can offer any other helpful
tips, it would be to try not always be a cheerleader for your wife during this
process (i.e. telling her it’s going to be okay, explaining the positive things
you have going for you, etc.), sometimes they just need to cry and you need to
listen without trying to fix everything. Something I still struggle with but am trying to get better. You guys will get through this.Ben
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Dear sylviaexmouthuk - Thank You very much for writing. You're words are reassuring and i've already added some of the links that you mention to our favorites. Please do stay in touch - and keep well. Touched to hear from you.
Luah - Thanks to you also. I appreciate the feedback with regards to the treatment / regimen. I hope it works well. Am happy to hear that you are doing well. Are there any diet tips esp with taxanes (Taxol)? Docs do not give us much info. and the only thing that shows up on the web is no grapefruit. Doc said eat well, and drink lots of water, thats it. My wife continues to have her fav. one cup of daily coffee. All we were told is to not eat fatty foods. My wife is petite about 48.5 kilos (and 5 feet 2 inches tall) so she's got to eat up and have frequent meals and drink lots of water to get through her treatment. If you have any suggestions in terms of food, diet, excercise then kindly share. My wife continues to go for walks and cycles at the gym.
ben50 - I totally understand how you feel my friend. It's really difficult on me (us) and i cannot imagine how my wife may feel. All your tips and comments help and i do appreciate the positive tone / advise. There are ups and downs daily - sometimes the mood changes every half hour. We're trying to hang in there and support one another. I am now trying to get back to work and also take care of myself by going to the gym etc so that i can stay balanced, but its hard not to worry and i am constantly worried about how my wife is doing - do not feel comfortable leaving her home alone. My parents have been supportive and hopefully we will find some community support here in Japan also - we speak the language well, but there are cultural aspects and support wise, I feel that the U.S., Cananda, Australia, Germany, the U.K. and other countries seem to have more in terms of community support / outreach programmes. Perhaps I am wrong in this and there is a active community and support group over here also. The chemo nurses are very nice and people here in Japan are warm and just wonderful people so it feels good to know that my wife is being treated at a good hospital and she is in good hands.
Where are you based? We live in Japan. We're Indian by birth, but I'm a U.S. citizen and my family has lived here in Japan for over 45 years. The treatment here is top notch, but the doctors in the U.S. are a bit more expressive in their mind set and they also give more tips / advice. Perhaps its a cultural thing.
Lets stay in touch Ben50. I really appreciate you reaching out to me. Your mail helped me a great deal. I wish you and your dear wife well. All will go well and you will have a wonderful life together. Please take care.
May GOD bless you all. Lets stay in touch.
d.
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I too was diagnosed last June with Triple Neg (am in the UK). The tumour was 3.5cm in my breast and 1.3cm in nodes. I had 8 sessions of FEC followed by 8 Tax. When they scanned me(to put in a marker) after 2 rounds of FEC the tumour had already shrunk by half. After the Tax I had a lumpectomy and nodes removed and the path report showed I had had a complete pathological response. TN does respond very well to chemo and the fact that your wife does not have it in the nodes is a positive one to hold on to. Chemo is horrid. The FEC wasn't too bad for me I found the Tax horrible as it destroys the taste buds and not being able to enjoy eating on top of feeling horrid did put me in some depressed moods. However, this passes. I was on a 3 week cycle of chemo and by the third week I always felt a bit better and was able to stay positive. Each session gets a little worse as it has a cumulative effect but again you come through it. Of course everyone is different and I am older so she may well have more energy and less side effects. What I am trying to put over though is that however bad it feels at the time, there is hope and the side effects will eventually go -some taking longer than others. I have now just about recovered from surgery, hair is growing back, energy is increasing and am generally feeling I'm on the mend. Don't panic about all the bad things written online about triple neg-my husband did! A lot of these posts are old and treatment has come a long way. They are getting good results with the FEC/Tax mix. There are a couple of private facebook groups for triple neg that you or your wife may find helpful later, they can really help with getting tips on coping with side effects such as if the tastebuds go water tastes disgusting but a lot of people found carbonated water was ok. She will also value advice about hair loss etc and sometimes it's just good to know that what you are experiencing is normal as this can stop niggling worries. Feel free to message me with any questions or if you would like any introductions to the groups. Good Luck to you both-it's a difficult time but there's lots of good news stories out there xxx
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PS-Green tea (organic) very good to take-lots of anti-oxidants
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d - during chemo, my advice is to eat whatever the body feels like. (I developed a fondness for greasy angus steak McD burgers and chocolate milk, go figure). Imo, your wife shouldn't worry too much about "proper nutrition," at this stage, but do try to eat lots of fruits and veggies.... and drink water, especially just before and immediately following chemo treatments. I found out about the taxol/grapefruit thing only towards the end of my treatments and I became frantic because I enjoyed a half-grapefruit at breakfast quite often. Given my concern, my onc had the research/pharmacy people turned upside down at my treatment centre (a leading one in Canada), and no one thought my moderate ingestion was a problem. I mention this because while you should follow instructions, you can drive yourself crazy with fear when you hear some piece of unexpected news, and in the overall scheme of things, it probably won't make much of a difference.
I was part of a research study on exercise during chemo... so I walked 5K regularly and lifted weights, under the supervision of fitness specialists. (I'm also an avid downhill skier and kept that up during treatment... so I would encourage anyone who has a passion for a sport to continue with it, if you feel up to it, on onc's approval of course.) However, it's also important to listen to your body, and rest when you need to... and not to beat yourself up if you're feeling lousy and lazy... that's okay too. Chemo affects everyone differently -- and whatever gets you through it is good!
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