Joan Lunden
A CNN.com article about the People cover story says that Joan Lunden has stage 2 TNBC and that after 12 weeks of chemo, her two tumors shrunk by 95%. It says she "bypassed the second and more difficult" phase of chemo. Maybe AC? Anyway, these details about her diagnosis were new to me. http://www.cnn.com/2014/09/24/showbiz/celebrity-news-gossip/joan-lunden-people-magazine/index.html?hpt=hp_c4
Comments
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Since she would have chemo anyway I guess it is great it shrunk the tumors by 95%. She will still need radiation if she has a lumpectomy. Did she have lymph node involvement?
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I don't know...the CNN story didn't say. I plan to read the People story, but haven't yet.
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She didn't want to use cold caps I guess. I wonder if she knew about them.
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Have any of you ladies checked out the Joan Lunden thread on the TNBC Foundation website? Everyone is so perplexed, as am I, as to why she is foregoing the rest of the chemo, and perhaps radiation as well?? There is also a lot of discussion there about how little anyone knows about TN. It would be wonderful if Joan and Robin Roberts who also has TN could talk more about it. I myself did not know anything about TN when I was diagnosed, and I thought I knew a lot about bc. No one I've talked to since DX knows anything about it either. The more awareness of TN the better!I wish Joan and all TN sisters the very best treatment and advice they can possibly get. Hopefully she is getting good advice, but the reports that are out there leave a lot of questions.
Paula
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Here's the link to the Triple Negative Breast Cancer Foundation website thread on Joan Lunden. http://forum.tnbcfoundation.org/joan-lunden-has-triple-negative-breast-cancer_topic12088_page2.html -
Hi sisters. Aurora from the Stage IV threads here. Just wanted to pass along that The Today show contacted another Stage IV patient from another online mbc group and requested her to appear on the show. After she sent her picture they turned her down because they just want "bold and bald" women to parade in the window outside the show. Several of us Stage IV sisters are outraged that they limit their support to only women who fit this outer appearance show of disease. We are writing the show ti request that all types of breast cancer patients be included in their campaign. The show is to air Oct. 1st. The e-mail address for the show is: todaypinkpower@gmail.com.
From your comments above I gather you are also not very satisfied with what the media is putting out there for TN breast cancer patients. Perhaps if we all write to the show they will include segments on ALL types of breast cancer patients and not just "bold and bald".
Thanks for your support
Aurora
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Unbelievable!!! I could go on but I won't. I will email them but I doubt it will change anything.
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Just now on the Today Show, segment w/ Joan Lunden: the surgical oncologist mentioned triple negative. She said "triple negative breast cancer may have some genetic susceptibility."
A lot of the segment emphasized the importance of early detection and advances in detection (eg 3D mammography) and treatment, and it focused on survivors. (Disappointing to the extent that more attention needs to be given to research and the experience of women w/ advanced/metastatic bc.)
But the doctor DID say "it's important to remember that breast cancer is still a potentially dangerous disease." And Joan said 3d mammography missed her tumor...it was found on ultrasound. The doctor replied, "no mammography, no matter how advanced, is perfect," calling that "an important message."
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I've been following Joan Lunden's comments very carefully. There was something earlier where she mentioned that she was told that since the cancer was 95% gone, she wouldn't have to have the "more aggressive" chemo. What?? Then yesterday on the Today Show, Matt Lauer asked her if she would be having more chemo, after she noted that "most of it" was gone, and she said she would be discussing that with her onc later in the week. So hopefully she is still considering what I assume would be the AC part. Sounds like she's already had the Taxol. I wish her and all our TN sisters the very best, and hope there are no misunderstandings out there as to what the standard treatment should be for TN as it can be so aggressive.
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I hate that they seem to focus on bald and beautiful. Good God that is not what chemo is about. This isn't a party club for heaven sakes.
This is a deadly disease that we are getting better treatments for but we need a cure people are dying.
Early detection is good but not the answer.
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MomMom,
I wonder about that, too. At one point I heard her or a reporter say she was getting "experimental" chemo, so I'm thinking MAYBE she got taxol + carboplatin first? If she is skipping AC, I agree with you that it would be better to do it.
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I am happy for her that she got 95 percent shrinkage with the first regimen. I only got 77 percent.
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I'm on the fence about the hair segment. For survivors, I think it may have resonated. For non-survivors, I wonder whether they got the idea that hair was our main concern.
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There is a clinical trial for TN that includes a study medication given neoadjuvently with Taxol, then surgery is done to look at the effect of the study drug, then a continuation of chemo (most likely the AC portion) after the surgery. This trial is ongoing and is offered at MSK, so it is possible she is participating in it, and they have decided she had enough benefit not to continue with the AC portion. I have a friend who was diagnosed with TN at the end of 2013 and was offered this trial at Moffitt here in Tampa.
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I was on the road to the beach in NC today, taped the show at home, so haven't seen the whole thing. I did hear the interview part on Sirius radio on the trip, but not the hair discussion. Yes, from the hair thread here, it seems the Today show was really focusing on the "bald & beautiful" aspect of this whole thing, probably because, in part, of the People cover. One of the hair thread posters was told that she would be on with Joan, but later, was told No, that she would not be on since her hair has started to grow back in and she's no longer bald! Too bad, as she would have made a wonderful guest.
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Placid, Maybe it was carbo & Taxol - I didn't hear that it was "experimental." Yes, 95% is great, but even one % of TN still there can do its damage if left unchecked. At least that's my understanding.
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MomMom - Agree!
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Placid, I taped the Today show on Thursday and Joan Lunden was again interviewed by Matt Lauer for an update. She said the pathology showed a larger and smaller tumors. After (presumably) Taxol, there was no evidence of the smaller tumor, but the larger one was either 60% gone or 60% still there (unclear). So much for her initial statement, which I assume was pre-pathology report, that her cancer was "95% gone." Thankfully, she is getting good advice and said there was no question that she will go ahead with more chemo - assume that would be the AC. -
If my cancer hadn't spread I was going to get neo-adjuvant chemo to shrink the tumors, but I had a two tumors (one the size of a pea and the other was ill-defined snake shaped) outside of my breast near my sternum so I wonder what would have happened. With Joan Lunden, she will need surgery after chemo to remove the remnants of the cancer, correct? The idea is to always get clear margins but what if that is not possible like in my case? I hope it is possible for Joan. But I wonder how many women have had cancer in a strange location like mine but were able to be put in remission? I feel like I was doomed from the start.
(I hate this disease...)
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She was on Dr Oz today and said she did chemo, had lumpectomy and is now doing chemo again for a few months. She said she has peach fuzz on her head but her doctor said she would lose it again. So I don't know if she did Taxol first and now doing A/C or not. She said she was very tired and even had to have a blood transfusion..
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There was a comment made earlier that she hoped to avoid the "red devil" so sounds like Taxol was first and now she's on AC.
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Thanks, MomMom. I found it online and watched. Very interesting. It does sound like taxol and then AC. I'm glad she mentioned that there are no hormone treatments for TN. Wishing her the best.
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I did not like that she had referred to AC as Red Devil because I looked it up after reading the article and it alarmed me. I asked my oncologist about my treatment and if he would put his wife or mother on it. He said yes and I had my 2nd treatment as of yesterday. 2 more to go!
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Red devil is a very common nickname for Adriamycin. You'll se it used often on this site
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ok everyone I have a question maybe someone can help me with.....I was DX in Nov 2013. Was on experimental RepraxIn ms? Before surgery. Double mastectomy then ACT. Stage 1 no nodes tumor was a grade 2
Now One month post chemo my onc wants me to take anastrozole which kills estrogen.....I am TNBC but they said 4% of the cells have estrogen receptors......anyone else have to take this for 5 years to prevent a recurrence
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Checota….my first tumor was ER+, then my second tumor was weakly ER+…however the oncotype called the second tumor TN. I am on arimidex, and because I had to go off arimidex for chemo, the MO made me start over with the 5 year. In other words, I lost credit for my first year.
Joan Lunden has organized a medical team with which she is satisfied. I read one of her blogs about the time she was anemic and needed a blood transfusion for her low hemoglobin. Then in the article she admits that she did not know what hemoglobin was and went on to copy/paste an excerpt explaining the role of hemoglobin. I have a medical background, but REALLY? are there women out there who have had children and do not know what hemoglobin is? At that point I surmised that if she did not not about hemoglobin, she did not have a full understanding of TNBC. I suppose this is an example of a question my biology students used to whine "Why do I need to learn this?" My answer was that one day you will face a situation where you need to make a decision based on scientific evidence and doctors do not have time to teach you the basics. It will be up to you to have had the basic ground work understood so that you can make informed decisions.
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thanks so much momof2doxies........I have another question.......I see folks putting their oncodex scores.......how accurate is that test on TNBC? The reasonI ask is that they did the test on my tumor and the score was. Very scarey 46. What does this mean am I destined to die of this Cancer....am I guaranteed to have a recurrence?
I had repraxIn (experimental) before surgery then a double Mastectomy then AC then 12 weeks taxol. Now the Anastrozole for 5 Years. Onc. does not give me the odds of staying Cancer free
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My understanding is that oncotype is only done on those tumors that are ER+ to determine if chemo would be beneficial. In my case, the first tumor was strongly ER+ and the oncotype was borderline. My MO told me "arimidex will be your best friend". Then the second tumor was weakly (30%) ER+ so the oncotype was ordered. That is when it flipped to being TN and a whopping 42 score. I obviously had to undergo chemo as do all TNBCs because there are no known markers on the TN cell for which drugs have been developed to attack.
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ok thanks so much.....had everything my MO wanted me to do and take......so the high 46 oncodex score is pretty typical of a TNBC tumor being tested. That makes more sense to me. Thanks so much for explaining it to me Momof2doxies. I am a mom to 2 boxers....But I use to own doxies before....love those short legged tubes of love and joy. Sweet dogs
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You are so welcome Checota. Looks like your MO has guided you through the best treatment IMHO. I feel the odds are in your favor that you will be fine. I am certainly not going to dwell on the what ifs of BC. I am such a dog lover! Nothing makes me happier than kisses from my pups. (Sorry DH…he is really awesome and supportive). Have a wonderful weekend, all.
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