TRIPLE POSITIVE GROUP

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

    I am doing well, just trying to stay quiet and hope that my drains are at 30ml on Monday, so I can lose them!  I don't have much pain, not enough to take any meds. We are all cautiously optimistic that this can work - it is my last try.

  • JerseyGirl22
    JerseyGirl22 Member Posts: 342
    edited December 2015

    SpecialK, you are such an inspiration to so many out here! Praying your drains come out and you are able to breathe deep and know that you are loved and cared for!

    Warrior On!

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

    jersey - thanks!  I am doing well!

  • twiggyOR
    twiggyOR Member Posts: 270
    edited December 2015

    My final round of chemo is 12/28. Can I skip the neulasta or will the doc really push to have it still?

  • KateB79
    KateB79 Member Posts: 747
    edited December 2015

    Yay, SpecialK!!

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

    twiggy - I would imagine you could skip the Neulasta if your WBC are looking decent. I have seen some MOs elect not to administer the last injection if the counts indicate it can be skipped - to minimize the SE

    Kate - thanks

  • Jennliza
    Jennliza Member Posts: 184
    edited December 2015

    Congrat Special K!! Wow, I don't feel so bad that I had to have 3 different implant surgeries. My final ones still shifted, but since the implants are round it is not as noticeable..... My nipple reconstruction worked....apparently they fail more often than succeed...and have to be redone. Next up, nipple tattoo's...scheduled for Feb.

    I truly hope the rest of your reconstruction goes smoothly!!!

  • ElaineTherese
    ElaineTherese Member Posts: 3,328
    edited December 2015

    Hey July 2014 chemo board buddy!

    Wow! Three different implant surgeries -- OY. But, you're right -- Special K's recon has truly been a marathon not a sprint. Hope it looks awesome, Special K, when it's finished.

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

    Twiggy I don't believe I got a nuelasta after my last chemo. Wish I had. Got serious case of shingles 2-3 months after my last chemo.

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

    It probably won't look awesome, but I appreciate the thought! So much has happened to the left side it is unlikely to look good, but anything is an improvement on having nothing there aall.

  • Sammy3
    Sammy3 Member Posts: 136
    edited December 2015

    Oh geez - need advice. I started chemo last week, strictly due to my her2+ status. Then today in the mail, my original oncology office (I switched) sent me a paper copy of my oncotype results. OMG it says I am Her2 -. My oncotype result is 13. ER score is 9.8 positive. PR score is 8.4 positive, and Her2 score is 10.3 negative. What on earth do I do now?!?! I really don't want to keep doing chemo if I don't have to! My Her2 score was originally done by IHC and was equivovcal (2+). Then the FISH test they said was positive (2.0). What do I do? I am calling the doctor's offices in the morning (new and old) as it is 5p here and basically phone line is answered until 4:30 (of course)!

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

    Sammy When I was getting my port removed in pre-op that asked me about my hypertension! What I don't have hypertension. There was a stress test in my chart that I never did. Ended up it was an 80+ YO man with the same last name as mine!

    If FISH test says you are positive you are positive. Sounds like there is some kind of mess up. You want to be sure. Yes call both offices. I would be pissed. Even if you aren't HER2- it sounds like like someone is mixing up your results with someone else's.

  • TTfan
    TTfan Member Posts: 176
    edited December 2015

    Sammy - I agree with Lago - you need to be sure nothing was mixed up, but if the results are all really yours, FISH trumps the initial test. It is SO frustrating when they do this - convey confusing info when you can't contact anyone to clarify. We have enough real stuff to worry about without having to stress over poor information!

    Lago - I am encouraged about your eventual improvement in neuropathy!!! I know there are no guarantees, but it helps to know it did happen to someone! Thanks for sharing.

    Ang - yayyy! Love the survivor stories!

    Re people with no AI side effects - there are actually quite a few. Sula on this thread has had none so far, at least as of last time I talked with her. There is a thread for older women I looked at, and there were many on AIs with no issues. I'm guessing those of us who were pre-menopausal or on HRT at diagnosis and thus went from 60 mph to zero abruptly have more trouble.

  • ElaineTherese
    ElaineTherese Member Posts: 3,328
    edited December 2015

    I'm premenopausal and take Zoladex to suppress ovulation. I haven't really had a difficult time with Aromasin. It made me moody, but Celexa took care of that. In a few years, though, who knows?

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

    TTfan I was surprised too. As I'm sitting keystroking this message I realize that I currently don't feel any neuropathy in my heel. Granted there are times when I get a little discomfort due to weather but right now it's 100% fine.

  • Yoshi_Falls
    Yoshi_Falls Member Posts: 22
    edited December 2015

    Hi Sammy3. I was originally dx as HER2- after the original biopsy. Then a couple of weeks later after they had done the pathology on the full tumour following my Mastectomy the HER2 result was changed to positive. I asked the surgeon/onc how this could be.

    My Onc said that if the first result is equivovcal then they sometimes re-test (as in my case). She also said I was lucky they did re-test because they don't always bother. Another friend of mine was HER2+ in one lump and negative in the lump nearby. Not sure how they discovered yours or whether you had more than one biopsy done. But if the HER2+ is the correct result you really don't want to be giving up the Herceptin.

    Double check with your oncologist to find out why the difference in results and where the second results came from.

    Sorry this post doesn't really help you much. But just trying to let you know that changes in pathology results isn't uncommon. Another change that I noticed in my 2nd pathology was that originally I was diagnosed with lobular cancer that was then changed to ductal.

    But please ask them why. Medical and clerical mistakes happen and you need to know what you are dealing with.

  • Suladog
    Suladog Member Posts: 952
    edited December 2015

    TTfan,

    Yep still doing fine on the arimidex. My docs think because I was thrown into chemopause 25 years ago back in my 30's nothing much would change and so nothing has....so far.

  • zjrosenthal
    zjrosenthal Member Posts: 2,026
    edited December 2015

    I finished Taxol last January and herceptin/perjeta in October. I can't feel the bottoms of my feet and have numbness in my fingertips. I keep hoping it will improve but so far nothing. I tried alpha lipoic acid, magnesium, L-Glutamate but no changes. Right now I'm facing a hip replacement in mid February so my focus is there but sure hope the neuropaty will eventually improve along with the pains and tightness in my poor radiated, lumpectomy, axillary lymph node dissectioned breast. Just grateful that at age 72, I made it through treatment. Love, Jean

  • Sammy3
    Sammy3 Member Posts: 136
    edited December 2015

    Thanks for the replies about my Her2 status. I don't know - still waiting to call. However, basically I have had 3 tests on it - 3 different results (IHC = equivocal, Fish = positive, oncotype = negative). I am not convinced you guys. I have honestly had this gut feeling that I am not her2 positive. I will let you know what I find out.

  • DurhamGirl
    DurhamGirl Member Posts: 100
    edited December 2015

    Hi everyone! I don't post much here...mostly just lurk and post a bit on the Starting Chemo in October 2015 board...but I thought this info below was worth posting.

    I just met with my MO (waiting for my 4th of 6 chemo treatments right now), and based on new research that has come out about the effectiveness of carboplatin on HER2+ cancers, she is stopping my carboplatin effective today for my last 3 treatments. It is the likely cause of my tinnitus and hearing loss (minimal but concerning). She said that given carboplatin's high toxicity and side effects and the new research, they are recommending dropping carboplatin for HER2+ patients. For all of you HER2+ ladies out there taking carboplatin, it might be worth a conversation with your MO.

    Just thought that might be interest to some of you. Good luck to everyone!

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

    My friend kayb has a post with a survey gathering data, approved by the mods.  Here it is:

    https://community.breastcancer.org/forum/73/topics/838506?page=1#post_4581053

  • ashla
    ashla Member Posts: 1,581
    edited December 2015

    DurhamGirl..

    Thanks for sharing. Very interesting.Change comes very slowly in medicine....

  • KateB79
    KateB79 Member Posts: 747
    edited December 2015

    Boy, do I wish that the info on carboplatin had been available back in August when I started chemo. I took all six rounds of it, and I'm convinced that it's the one causing my fatigue/anemia, 3 weeks PFC! ;)

    Do any of you have a guess for how long it will be before the heavy legs, anemic, gross feeling goes away? My MO said six weeks. . . And six weeks PFC, I'll be back on the operating table for my prophylactic MX. I hope this isn't a mistake.

    One more thing, given all this talk about pathology: I had two tumors, and only one was tested. Should I ask my surgeon to test the other one, or just let it go?

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

    kate - 6 weeks is a big turning point, I would be very surprised if you were feeling great at 3 weeks.  Your surgery may set you back a bit, but it is a different kind of recovery.  Work on ingesting as much protein as possible to both boost your red count and hemoglobin, as well as put you in a good spot for surgery - and continue afterward.  I think the pathology question is only important if you think it would have changed treatment decisions.

  • Mommato3
    Mommato3 Member Posts: 633
    edited December 2015

    I'm another one that doesn't have side effects from an AI (Anastrozole). Granted I've only been on it since April so who knows what will happen down the road. I was premenopausal (getting Zoladex) until September when I had my ooph.

  • Gretagirl
    Gretagirl Member Posts: 182
    edited December 2015

    Hi everyone! Been missing for awhile. When I finished chemo I got heavily involved in a friends campaign and got away for checking boards. I started radiation last week and so far it's been ok. Having residual effects from chemo and neuropathy in my hands. My MO says it just takes time but his timing and mine are not the same. I will not start tamoxifen til mid January. Still doing herceptin very there. Weeks. Hope everyone is doing well

  • JerseyGirl22
    JerseyGirl22 Member Posts: 342
    edited December 2015

    KateB79, I agree with you, wish I had the Carbo info in late July when I started chemo... I, too, am convinced it's partially responsible for my fatigue/anemia and also what led to a blood transfusion at round 4/5.... I think the Taxotere is responsible for my PN in my feet and finger tips... Grrrr... I will say that at 6 weeks PFC I felt great, then had BMX, but it's a totally different recovery, as SpecialK mentioned, so you'll be right as rain in no time! Although, you've had one go around in theMX arena and know what to expect.


  • amylsp
    amylsp Member Posts: 188
    edited December 2015

    What is this new research regarding Carboplatin and HER2+ status? Does anyone have specific info or a link? Thanks! :)

  • dawntastic
    dawntastic Member Posts: 17
    edited December 2015

    I was reading through my Pathology report yesterday (I had just requested it from the MO) and was wondering about Lymphovascular Invasion. Has anyone been diagnosed with this? I have isolated tumor cells (largest being 0.11mm) that are present in sub capsular sinus and in a lymphatic immediately adjacent to lymph node. It also states - Left axillary sentinel lymph node: One lymph node containing isolated tumor cells. (I am quoting directly from my Pathology Report.) I am confused because I was told my sentinel lymph node was uninvolved. My MO didn't seem too concerned about this and mentioned something about the possibility the isolated tumor cells could have actually moved during surgery. Has anyone heard of this? I'm thinking about getting a second opinion on my whole treatment plan. I like my MO but feel I need to have my whole diagnosis and treatment re-evaluated. My staging is pT2 pN0 (i+) (sn). I wasn't staged with the normal I, II, II, A, B, C. Very confused and was hoping someone could shed some light on this particular topic. Thanks so much.

  • Abbasi
    Abbasi Member Posts: 6
    edited December 2015

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