TRIPLE POSITIVE GROUP

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  • thhernandez
    thhernandez Member Posts: 2
    edited January 2016

    This is my first post to the site, but I've been browsing since I was first sent for my biopsy. It was my fifth biopsy (first four were benign) but something told me this one was different.

    I was Dx last Tuesday and got my addendum today. It's triple positive. I think. I have my first appointment with my treatment team on Thursday, but of course the not knowing is driving me to google which is scaring the crap out of me.

    This is what my results say, does anyone understand all the numbers?
    HER-2/neu by IHC: 2+ and 3+, focally 1+ (overexpression).

    I'm not sure how it can be 1, 2 and 3.

    Thanks for any insight anyone can provide.

  • Musosgirl
    Musosgirl Member Posts: 387
    edited January 2016
    I thought the big D would go away once I started Herceptin only, but it didn't. In fact the last week has rivaled my first TCHP infusion. :-/
  • Jerseygirl927
    Jerseygirl927 Member Posts: 438
    edited January 2016

    birdsy , had the rash each batch of hercepton and chemo, so not sure which one it came from, but I did take steroids, no effect, and benedryl didn't do much, had to run its cours, pretty yucky looking, but now that I,m done, chemo, rash has not showed its ugly self even with hercepton infusions. Hang in there, it could be worse.

  • Moonflwr912
    Moonflwr912 Member Posts: 6,856
    edited January 2016

    birdsy, are you doing Herceptin in 30 minutes? Some people have the infusion slowed down to 60 minutes and it makes a difference for them. Maybe that would help. I had to quit when my EF dropped to 42. It did recover after though. I'm sorry you are having such a rough time hugs.

    Thhernandez, a tumor can have more than one dx. So it's possible that those are correct. Weird stuff. But if part is triple, they treat it all as triple positive.

    Musogirl, sorry about the big D. That was my side effect. Not fun but I just always had extra clothes stashed in the car at all times. Even had to cancel my PT because it hit me right after I got out of the car at the hospital parking lot. Had to go home and shower. It sucked. But it does get better. Just keep watch for dehydration. That put me in the hospital. Don't do that.

    All I can say, ladies, is that this too shall pass. And those Scenic Detours on your Journey will be done. Hugs

    Much love


  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2016

    fighter...I am not good at the moving on thing. But, my NP and I want to be the little old ladies that hit 100, assuming I inherit my mom's side of the family genes. They live a long time, with great mental acuity.

    Birds you...I felt way worse when I just started getting H alone every three weeks, instead of weekly with my chemo. He lengthened it to 90 minutes which helped. Also said I could continue it weekly, every other week. Said it was important that I get it, and the how part was not as important. I also broke out in huge hives along the way. The ultimately decided I had developed an allergy to sulfa since I was on massive amounts of antibiotics. They don't know for sure however.. Doc gave me a prescription for hydroxyzine, a strong antihistime that does other good stuff to help with itching. That made a huge difference although it knocked me out lol.

    I went to my on/gyn as I developed a deep aching pain in the lady garden area last Thursday. Was on a Abx for potential uti over the weekend but that didn't help any. Told my doc that if he tells me I have something recurrence wise two days before my five year anniversary I would not be happy. After the ultrasound, turns out one of my fibroids (had them forever), was the culprit. My smaller low one apparently is some kind of irritated. .

    Doc was surprised as my last vag ultrasound was 2014 and the one today showed it had grown 3mm. He said it is unusual to grown after menopause, even this small amount, and especially when I was having all my estrogen sucked out. Going to monitor it and if it doesn't improve, may have to consider hysterectomy.

    He said he was happy to see that my ovaries were appropriately shrunken. I burst out laughing and said gee thanks. Told him I want my estrogen back!


  • SpecialK
    SpecialK Member Posts: 16,486
    edited January 2016

    thhernandez - if your first Her2 test came back with a 2+ that is considered equivocal (neither negative or positive and always re-tested), so it is likely your sample was re-tested - possibly by more than one testing type - once they got a 3+ result on a sample - even if it was a different tissue sample - you would be declared Her2+.

  • JerseyGirl22
    JerseyGirl22 Member Posts: 342
    edited January 2016

    I hear you all on the Big D after Herceptin only. I had it during chemo and then life went back to normal between ending chemo, surgery and then my first Herceptin only Dec 21st. After that, Big D, back again... along with cold/flu-like symptoms and feeling rundown. Anyone else just feel lousy on Herceptin only? I hate to think of nearly 6 months feeling this way...ugh


  • lago
    lago Member Posts: 17,186
    edited January 2016

    thhernandez what SpecialK said. Tumors are not always homogeneous. My tumor was mostly IDC but had some DCIS too. Hang in there. They have good drugs for HER2+. I only got one of them (Herceptin) but now they have Perjeta too. Be sure to ask about that. I think you need to take that before surgery.

    If you want to chat on the phone PM my your phone number and I'll give you a call.


  • KateB79
    KateB79 Member Posts: 747
    edited January 2016

    JerseyGirl, I have my nurses run the infusion over 60 minutes, and I think it helps with quite a few possible SEs. I felt sort of run down after my first H-only infusion, but I was also still recovering from the big guns. Ask them to slow it down for you!

  • JerseyGirl22
    JerseyGirl22 Member Posts: 342
    edited January 2016

    Thanks, Kate... They've been running it at 40 minutes, I think I will have them run it longer... I just put a call into my Mo's office to ask about this, just to cover all my bases. The BS was like, "maybe you just have a cold that hasn't quite taken grip, and won't go away because you are run down." Gee, thanks.... I adore my surgeon, she's great, and very sweet, but I just stared at her with that, "You're not being helpful look..."

    I have my next infusion on Monday, and an ECHO on Thursday... with rads everyday, too. Should be fun.


  • rleepac
    rleepac Member Posts: 755
    edited January 2016

    I too feel very run down on Herceptin only. Only 3 more to go

  • Mommato3
    Mommato3 Member Posts: 633
    edited January 2016

    I always felt more tired on my Herceptin only days. Perjeta was the cause for some mild D during my infusions. I'll echo what others said, have your infusions run over 60-90 minutes. It doesn't hurt to stretch it out for a longer time. It may even help. Mine were always at 30 minutes but my side effects were minimal so I left it.

  • goutlaw
    goutlaw Member Posts: 283
    edited January 2016

    How long will you be on your hormone therapy & What kind do you take & Stage u are in???

  • ElaineTherese
    ElaineTherese Member Posts: 3,328
    edited January 2016

    goutlaw,

    I was diagnosed at Stage IIIA. I will be taking Aromasin for 10 years.

  • Musosgirl
    Musosgirl Member Posts: 387
    edited January 2016
    I have had flu/cold/allergy type symptoms as well. Cannot imagine this lasting another 6 months either. And about to start rads too... starts chanting: I am halfway through treatment, I am halfway through treatment
  • goutlaw
    goutlaw Member Posts: 283
    edited January 2016

    Elaine, Ok I talked to Oncologist today about being on it for 10 instead of 5 but he said No unless Studies are done. I am going for another opinion! I would like more than 5

  • rleepac
    rleepac Member Posts: 755
    edited January 2016

    Stage IIb, 95%+ for both ER/PR. I'm being told Tamoxifen for 10 years but I'm only 44 and was premenopausal prior to chemo. I'm told they might switch me to an AI if my hormone tests show I'm in true menopause (as opposed to chemopause)

  • TriplePositiveP
    TriplePositiveP Member Posts: 20
    edited January 2016

    hi birdysmom, i had neoadjuvant chemo with herceptin and perjeta. i had terrible rash/sores and itching too, which my MO said could be from either herceptin or perjeta. i hope you have my experience, which is that the itching & sores stopped after a few treatments.

    i am on herceptin only now and haven't had a recurrence of the itching & sores yet, but one of my tumors is no longer visible and the 2nd one shrank by more than 2/3! i hope you can get past the side effects and reap similar benefits.

    people without cancer don't understand that while we are very fortunate to have life-saving drugs like herceptin, they are not without serious risk (cardiac), debilitating or painful side effects like you are experiencing. here is hoping yours will subside! best to you.

    patty



  • lago
    lago Member Posts: 17,186
    edited January 2016

    goutlaw get a 2nd opinion. Seems the next trend is stay on them indefinately

  • Mommato3
    Mommato3 Member Posts: 633
    edited January 2016

    Goutlaw, I am Stage 2A and currently taking Anastrozole (Arimidex). My MO has said only five years for me as of right now. We'll wait to see what the research says in the next couple years. Her thinking was that having a Grade 3 tumor means my highest risk is in the first 2-3 years. At five years she thinks my risk drops down extremely low...similar to ER/PR-. That sounds great but I'm not sure I'm willing to take that risk. I will probably push to stay on it as long as my side effects are tolerable. Hopefully the results will be out soon about whether 10 years is best.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2016

    image

    Woo hoo! Its official!

    Jersey...same symptoms. A 90 minute run helped a lot. Still felt flu like for a couple days.

    I had tamox for almost three years and habe been on Arimidex the rest of that time. Total of five years on some AI in July. My Onc is a little on the fence while studies are being complete. Last year said we would talk at five. Ill be interested to see what he says and what i think. Also need to research just how much difference it would make in percentages between 5 and ten for someone with my staging. Although honestly i am less worried about a breast area recurrence and more worried about a pop up somewhere els



  • JerseyGirl22
    JerseyGirl22 Member Posts: 342
    edited January 2016

    FluffQueen! Yay! 5 years!!!!!

  • lago
    lago Member Posts: 17,186
    edited January 2016

    Welcome to the 5+ club Fluff!

  • ElaineTherese
    ElaineTherese Member Posts: 3,328
    edited January 2016

    Congrats, Fluffqueen! Hope I join you some day.

  • KateB79
    KateB79 Member Posts: 747
    edited January 2016

    Three cheers for five years!

    All of you give the (relative) newbies a whole lot of hope. Thank you.


    Had my third H-only infusion today. I really, really try not to get irritated when something that's supposed to be "in and out" ends up taking two hours, for reasons that I can't identify (nothing happened and it wasn't busy). . . . Then again, I love my nurses, so I guess it's extra visiting time.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited January 2016

    Not sure what we are counting the five years from - it has been five years since diagnosis, BMX and ALND - so if that is what we are using, I'm there! 

    fluff - congrats!

    kate - way to make lemonade from those lemons - extra visiting time, lol!  My 10 minute fills always seem to take 90, so I feel ya!  I have learned to just roll with it and not stress, and carefully schedule so I don't have conflicts which makes the no stressing easier.

  • ElaineTherese
    ElaineTherese Member Posts: 3,328
    edited January 2016

    Kate, I hear ya! I always bring work with me to the infusion room. Grading, reading, composing lecture notes.... Everyone there thinks I'm a workaholic!

  • RobinLK
    RobinLK Member Posts: 840
    edited January 2016

    Congratulations Fluff

  • lago
    lago Member Posts: 17,186
    edited January 2016

    I count NED date but for survivorship I count diagnosis date.

  • ang7894
    ang7894 Member Posts: 540
    edited January 2016

    Yay !!! Fluff Happy Dance

    Happy

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