TRIPLE POSITIVE GROUP

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  • Bren58
    Bren58 Member Posts: 1,048
    edited June 2015

    I absolutely agree that the focus really needs to shift. How can we not be aware with all the pink splashed everywhere. I wish all that money that is raised would go to more research and better diagnostic tools like SpecialK said. Maybe then we could get actually get closer to a cure, a vaccine or at least treatments that aren't so damaging to the body.

  • Ella_117
    Ella_117 Member Posts: 54
    edited June 2015

    Love and relate very much to your recent post PBrain!

    Special K, I share your feelings concerning awareness 100%! I am yet another who mammography failed due to density. Like you I also had a false "Clean" mammo mere minutes before ultrasound showed invasive breast cancer! I have also become very aware and saddened to see so many young women under 40 in my support group diagnosed at late stage due to insufficient screening. It's heartbreaking


  • Blownaway
    Blownaway Member Posts: 760
    edited June 2015

    I'm just wondering why the ultrasounds were performed when the mammos didn't show anything.  Until last year, my mammos always came back with a good report and I was never offered an ultrasound.  Did you ladies request ultrasounds?

  • Ella_117
    Ella_117 Member Posts: 54
    edited June 2015

    Blownaway, my ultrasound was performed along with my mammogram because I could feel a palpable lump that could not be imaged with mammo. The tumor was only viewed with ultrasound and then finally MRI.


  • Anonymous
    Anonymous Member Posts: 1,376
    edited June 2015

    I palpated a lump one month after my mammogram. I tried to tell myself it was just a cyst because I had just been reassured my a clear mammogram. After one month the "cyst" did not go away so I asked for an ultrasound which showed the tumor. The location of my tumor may have been why it was not seen on mammogram. It was close to my chest wall, high and toward the center of my chest so it would have been outside the perimeter of the mammogram. Even when they did the core biopsy and placed the marker and went back to the mammogram, it could not be found because that part of my breast did not get pulled into the area of imaging. Yet the area was so clearly seen with an ultrasound. I don't know why they don't do more ultrasounds. When I asked, the answer I got was that it would be like looking for a needle in a haystack- unless they know the area to look closely at, it would not easily be found- yet as soon as they placed the ultrasound over the area of my tumor it was so obviously seen- even by my untrained eye. I could clearly see the black spot and knew immediately it was not a cyst.

    I completely agree that this "awareness" campaign needs to shift towards better imaging- though I wonder if "awareness" was what sent me back to my doctor, just one month after my mammogram, asking for an ultrasound.

  • Blownaway
    Blownaway Member Posts: 760
    edited June 2015


    Kudos to all those taking active roles in their healthcare.

    On another note, I'm the one who had to quit Herceptin because my LVEF went from 56 to 35 in a short period of time. I was breathless and had no energy at that time but as my LVEF improved (into the 40's) so did my symptoms improve. I've been working out, riding bikes with no problem. During the last week, I am noticing a return of breathlessness and some nausea. Can your LVEF take a downward swing after having improved halfway back to normal? I am not due for an Echo until 15th July but am going on vacation out of state this Monday. I don't like to be an alarmist or hypochondriac but I just don't feel right and would like to hear from the other ladies with lowered LVEF.  How often were you monitored after it was discovered?

  • Tomboy
    Tomboy Member Posts: 3,945
    edited June 2015

    Hi, Blownaway. I was one who had to stop herceptin for a few months as my LVEF had dropped dramatically. I had noticed a shortness of breath when i was walking up a hill that hadn't bothered me a few days before. When i told my onc, he ordered the test that found it. So, ever since then it had been pretty good, no shortness of breath until... I had been on femara for about 8 months, and i told them. They said well you are a smoker, you are getting older... So on valentines day, I stopped femara. It wasn't until cinco de mayo that I noticed.... I COULD BREATHE AGAIN!! And so, now i have been back on tamoxifen for a couple of weeks, and again, I am starting to feel that my oxygen saturation is falling a little. It just feels as if I don't get enough air with each breath that I take. I am not sure when I will have my heart test again,but I am curious to know. I see that you are on hormonals, do you think that might be the cause?

    I am attending a class for smoking cessation, and cutting back tremendously.

  • AllYouNeedIsLove
    AllYouNeedIsLove Member Posts: 22
    edited June 2015

    Hi all! Any triple positive want to share any and all holistic and natural therapies or supplements you were told to take. I have a great team of Dr's including an integrative specialist but feel that I could be doing more on a holistic level. I do yoga, exercise, eat most plant based and organic. I just started Vitamin D after learning my levels were pretty low. Just want to compare! Thank you!

  • GrandmaV
    GrandmaV Member Posts: 1,267
    edited June 2015

    Blownaway - My cardiologist is monitoring me once a year even though I had no drop in LVEF during Herceptin (it remained at 65)  and my year finished Nov. 2012.  He's concerned that the Herceptin effects could show up later, even up to 5 years out. He has many patients who have either had Herceptin or doing it now.    He's been my cardiologist even before BC and had me on metoprolol for a heart rhythm problem (SVT) and feels the metoprolol protected me during Herceptin and now. 

  • Mommato3
    Mommato3 Member Posts: 633
    edited June 2015

    My LVEF dropped to 52 on my last Muga. My MO didn't want me to continue treatment until I saw a cardiologist. I wasn't having any symptoms but since she couldn't predict which one would put me over the line, she made me stop. I had an echo a week ago that showed my LVEF had improved but he could still see that my heart was not where he wanted it to be. I'm now on two heart medications and resume Herceptin next Tuesday. He put me on the Meds to help protect my heart for the last five treatments. I will repeat the echo eight weeks after the first. I've been light headed since Monday which I've read can be a symptom of heart failure or the medication I've been on.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited June 2015

    blownaway - I was the same as ella - palpable lump not seen on mammogram buys you an ultrasound - at least in military facilities.  I could pinch my mass between my fingers.  Also, I went back after I was biopsied and diagnosed to thank the radiologist who set up the off-base consult asap - if we had done watch and wait I might not be here since I was node positive.  He reviewed my mammogram again and saw absolutely nothing.

  • Pbrain
    Pbrain Member Posts: 863
    edited June 2015

    Blownaway, my breast center gives all women complaining of a lump a sonogram. It was interesting--after the normal mammo, my tech said "we're going to give you a quick sonogram, won't take more than a minute." Um, no it took quite some time. :-(

  • Pbrain
    Pbrain Member Posts: 863
    edited June 2015

    Oh, and Blownaway, what does you complete blood count show? I was gasping for air with a LVEF of >60% but a red blood cell count of next to nothing. When I got a transfusion of packed red blood cells, I thought I was Wonder Woman (without hair--tee hee!)


  • Tresjoli2
    Tresjoli2 Member Posts: 868
    edited June 2015

    I had the opposite problem. My mammo showed a cluster of microcalcification that looked very suspicious. The ultrasound showed nothing. I had no clue anything was wrong and no palpable mass. Funny how things show up on one but not the other

  • wpmoon
    wpmoon Member Posts: 270
    edited June 2015

    I definitely feel like the shift needs to lean more towards research and also early detection. I'm 27 and found the lump myself. When I called the advice nurse, she tried to tell me to wait it out and that it was probably just a cyst. I listened to my gut and had her schedule an appointment with my OB a few days later. Then when I saw her, she immediately sent me to the Breast Center that same day and I had a diagnostic ultrasound. I feel like with more women getting diagnosed at an earlier age, mammograms need to start a lot earlier than 40. If I hadn't listened to my gut, and waited, my situation may have been a lot worse since I was grade 3. One day, I didn't feel the lump, and the next it was like a marble.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited June 2015

    wpmoon - was your lump seen on mammogram? You are so young, breaks my heart that you are going through this - my daughter is only a year younger than you - I would think density would be an issue? I'm soglad you were able to expedite an appt and weren't stalled.

  • wpmoon
    wpmoon Member Posts: 270
    edited June 2015

    special - I'm pretty sure it was. If I'm remembering correctly, in my case, I had the ultrasound of my breast done first and it was visible there, then a biopsy, and then a mammogram and another ultrasound of my breast and my armpit to check the lymph nodes. With how quickly they expedited things after the initial ultrasound, I'd have to guess that it was apparently visible on the mammogram, too. I had a feeling it was cancer, even though they didn't confirm it until the results of the biopsy came back.

    According to the breast specialist, I have dense breast tissue, so that might play a role in the grade 3 part of it. I'm not really sure. I had the genetic testing done, and came back with no markers, so all of this is kind of a guessing game for me.

  • Suladog
    Suladog Member Posts: 952
    edited June 2015

    Wpmoon,

    I'm so glad you were proactive in looking after yourself, we are often our own best advocates. When I found a lump in my 39's 3 mo after a clean mammogram, my obgyn was certain it was nothing and told me not to worry. I called a breast cancer surgeon friend who also told me that it was highly unlikely it was anything given my age and good health, he felt the lump and tried to do a needle biopsy, but couldn't aspirate it. He scheduled a biopsy certain it would be nothing. It turned out to be TN Breast cancer, stage 1 but grade 3. Had I just taken the word of my gyn, and waited I probably wouldn't be here now.

  • knmtwins
    knmtwins Member Posts: 598
    edited June 2015

    Just got this update from the FDA (I'm on an email list for NON cancer reasons). It is a change in the labeling for Perjetta

    Perjeta (pertuzumab) Injection, for Intravenous Use

    Detailed View: Safety Labeling Changes Approved By FDA Center for Drug Evaluation and Research (CDER)

    May 2015

    Summary View

    WARNINGS AND PRECAUTIONS

    Embryo-Fetal Toxicity section edited
    • If PERJETA is administered during pregnancy, or if the patient becomes pregnant while receiving this drug or within 7 months following the last dose of PERJETA in combination with trastuzumab, the patient should be apprised of the potential hazard to a fetus [see Use in Specific Populations (8.1)].
    • If PERJETA is administered during pregnancy or if a patient becomes pregnant while receiving PERJETA or within 7 months following the last dose of PERJETA in combination with trastuzumab, immediately report exposure to the Genentech Adverse Event Line at 1-888-835-2555. Encourage women who may be exposed during pregnancy or within 7 months for PERJETA in combination with trastuzumab prior to conception, to enroll in the MotHER Pregnancy Registry by contacting 1-800-690-6720 [see Patient Counseling Information (17)].

    USE IN SPECIFIC POPULATIONS

    Females of Reproductive Potential
    • Advise females of reproductive potential to use effective contraception while receiving PERJETA and for 7 months following the last dose of PERJETA in combination with trastuzumab.
  • Tomboy
    Tomboy Member Posts: 3,945
    edited June 2015

    Suladog, you have no idea how jealous I am: you have your very own breast cancer surgeon friend???? I want one!

  • Tomboy
    Tomboy Member Posts: 3,945
    edited June 2015

    Oh, yeah. My lump was palpable, but the only thing that showed up on my mammogram was the microcalcifications. So, they brought me to the ultrasound room, where even with my untrained eye, I could clearly see my dark star. With the spiculations, that is exactly what it looked like.

  • Blownaway
    Blownaway Member Posts: 760
    edited June 2015

    Mommato3 - I posted this before but...My 1st echo just before chemo/herceptin began, my LVEF was 56. After 4 rounds of chemo then 3 more herceptin only in infusions, I was in pretty bad shape. Another echo was done and I was down to 35 and could hardly catch my breath just sitting and talking. Herceptin was permanently stopped and I was placed on 2 heart meds and my LVEF came up to mid 40's and I have felt well enough to restart exercising and bike riding until the last week or so and I am feeling breathless again along with occasional queasiness. Just wondering if anyone showed some improvement, then got worse again. My next echo is July 15, meanwhile I leave for vacation Tuesday and hoping there won't be any issues.

    I know everyone with triple positive is grateful to have herceptin but where does that leave those of us who can't tolerate it.

    Really worrisome...heart, breast, heart, breast, heart, breast...

  • Jerseygirl927
    Jerseygirl927 Member Posts: 438
    edited June 2015

    my BC was found on mammo, I had dense breasts, prior calcification, unable to feel anything. After biopsy 3 months later biopsy showed cancer cells. I was told not to worry, get thru holidays and finis healing from total shoulder replacement, same side. Surgery was performed jan and I wanted them both gone, gone gone. So as not to worry about reoccurance, well. Now we know that it can still return regardless. Enough info is still not enough until they can erraticate cancer cells ......forever, I do not see that happening in my life time, I am grateful for what I have, but ALL cancers have to be coming from what we eat, breathe, drink, rtf, so until we stop poison in the planet, or God intervenes, this will continue till they have plan B, plan C and other factors and ideas researched. PS. I had 2 tumours only detected on MRI prior to surgery. In same breast, go figure, the radiology dr found it right away, but since I decided to get rid of them anyway, it was a moot issue. But tell you daughters do not procrastinate.... Be well all!

  • Suladog
    Suladog Member Posts: 952
    edited June 2015

    Tomboy

    He's a great guy and My husband and I have known him since he started practicing. He's a few years older than we are and he really got me through the whole TN thing 25 yrs ago. He and I have very similar personalities and my husband always thinks it's funny because when we get together the two of us just can't stop talking, at very high speed!He was also helpful this time around and we had a lot of long talks about what to do as we value his opinion. He was very stoked about all the stuff that's been happening around Triple positive , herceptin etc.

  • Kthielen
    Kthielen Member Posts: 194
    edited June 2015

    allyouneedislove,

    I too would like to hear what holistic steps any of you are taking?? I take Vitamin D and just started Tumeric, eat only organic as well and really try to get all my fruits and veggies in! I just started meditating and want to get in to yoga....just haven't had the time to start!


    Kathy

  • rosesrx
    rosesrx Member Posts: 458
    edited June 2015

    Mine was found via annual screening mammogram at 5 years post uni in 2010. A 2nd primary which was painful and I thought was the complex cyst acting up after a round of Progesterone due to 50 days of dysfunctional uterine bleeding. I had also stopped Tamoxifen due to side effects..so a lot of what ifs going on,  but the horse is out of the barn and we can't change the past. My first was found via MRI due to inverted nipple no show on Mam or US. 

    I had asked for a BMX but that wasn't the standard of care in 2010. It was partly for worry about re occurence but mostly for symmetry… got that now. 

  • Ohiotripleplus
    Ohiotripleplus Member Posts: 15
    edited June 2015

    Hello again, not on here too often as I can't seem to shake the nausea and headache from chemo. I am now 12 days post treatment #3 and still unable to eat much except canned peaches and occasionally plain Ramen noodles. Have compazine (puts me to sleep), zofran (works off and on), and a prescription acid reducer. None of them completely takes away nausea. Can hardly stand it sometimes!! My taste buds are all destroyed too, and I have a heavy metal taste all the time.

    Anyone have any other suggestions?

  • debiann
    debiann Member Posts: 1,200
    edited June 2015

    The bad taste is a horrible se. I couldn't even stand the taste of my tongue in my mouth. While nothing completely solved the problem for me, the special mints for dry mouth that contain xylitol would give me a little relief. Hope you feel better soon.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited June 2015

    ohio - there is an anti-nausea patch called Sancuso, ask your MO about it.

  • lago
    lago Member Posts: 17,186
    edited June 2015

    Ohiotripleplus use plastic utensils. Try adding citrus to your food or water (lemon, lime, orange or even sour salt which is not salt but citric acid). I know ginger helps with nausea but not sure how it will taste to you. You can try buying the pickled ginger they serve with sushi.

    and be sure to drink plenty of liquids without salt or caffeine. Lack of fluid could be a big reason why you have headaches. If you have been regurgitating a lot then you are probably dehydrated. Also ask your oncologist if you can try Exedrin for headaches.

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