Invasive Ductal Carcinoma

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maricarl
maricarl Member Posts: 2

I wanted to share this with anyone who has been diagnosed with Invasive Ductal Carcinoma Her2 positive Breast Cancer (Tumor size 5.6 cm) as it has help me throughout my fight to read people's experience throughout my treatment and to this day!

I have went through 2 different kinds of Chemotheraphy, Doxorubicine/Cyclophosphamide and Traztuzumab + Paclitaxel) have unfortunately encountered Congestive heart failure from 68% to 48%, but they were able to bring it back to normal after stopping herceptin.

Yesterday was my last chemotherapy and happy to say that my tumor has disintegrated after 7 months of chemotheraphy.

Both surgeon and Oncologist have said if i was to go there for an exam, by hand, my right breast and left breast feels the same, they would never expected I had cancer. In the beginning I was lined up for mastectomy but now it will only be a day surgery and will be a lumpectomy surgery scheduled on April 21.

From there, if all goes well with what the pathology report states, i will be moving forward with 1 month of radiation, Herceptin every 3weeks for 30 minutes for one year.

I am not out of the woods yet until the pathology report defines me as cancer free but definitely happy with the outcome that i wanted to share for anyone whose going through this.

Comments

  • motherrunner
    motherrunner Member Posts: 1
    edited April 2016

    Hi there. Congrats on the tumor shrinking. As a 61 yr old. active runner, small chested, made it possible to casually feel a lump. 3 weeks ago, lump, biopsy, 7 mm. lump. Diagnosis: Invasive Ductal Carcinoma. I had the lumpectomy and sentinel lobe biopsy, last week. Felt sore and tired the first 4 days, post surgery, but it gets better. I am HER 2 Positive. Grade 3 Tumor. Clear Lymph Nodes.

    I start Chemo of Herceptin and Taxol once a week, for 12 weeks, then just Herceptin every three weeks, for a year. Radiation thrown in there, too.

    Any suggestions or things to expect would be appreciated. I plan on kicking its ass, but the unknown is scary. I do have an education class on Chemo on Monday, so that should help me out too.


  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited April 2016

    Congratulations on your shrinkage, maricarl, and best wishes for a very successful surgery and a great path report.

    motherrunner - I can't speak to taxol but my experience of Herceptin (in a clinical trial) has been very positive. Sometimes I feel chilled and fatigued for the rest of the day (heating pad to the rescue) but I've never felt it for any longer than overnight. Some people do have more issues but for the most part it's very, very easy for most women. I think taxol's generally harder but you won't be on it as long. Good luck with it, and congratulations on your clear nodes. Take care.

  • Katzpjays
    Katzpjays Member Posts: 237
    edited April 2016

    Maricarl- congratulations on the completion of your chemo and the shrinking of your tumor!


    Mother runner- Like you I am 61, small breasted and active at the gym working out 3-4X/week. Scheduled for a lumpectomy and sentinel node biopsy on April 5th. 7mm IDC, ER and PR positive, HER-2 negative. Grade 1 tumor, will need final pathology for lymph node status and to see if additional "glowy" area around the identified tumor on the MRI Indicates a malignancy > 7mm. My question is, did you do any exercise beyond the recommended arm exercises the first couple of weeks post-surgery?

  • eamcpa
    eamcpa Member Posts: 5
    edited April 2016

    For motherrunner:

    This week I will have my last of 12 weekly Taxol/Herceptin infusions and then I'll get Herceptin every 3 weeks for the rest of the year. I was expecting chemo to be awful but actually I did not find it to be so bad. I didn't even lose all my hair. As a matter of fact, chemo day was pretty relaxing and sometimes was the best day of my week. Each session takes about 4 hours to complete which is 4 hours that no one expects anything from me!

    I had my treatments on Friday mornings and was usually sleepy in the afternoon from the premeds. Sometimes I can't sleep Friday night due to the steroids that are included in the premeds. By Saturday, I am still under the influence of the steroids and zoom around like a woman on a mission. I get a lot done on Saturdays! Sunday is the worst day. I usually don't feel like doing much and sometimes the tummy issues kick in on that day. By Monday I am up and off to work just like normal.

    The few side effects I experienced were mostly mild. I had that infamous metallic taste in my mouth for most of the time. I've had a few mouth sores but they have all gone away within a day or two. I've had a couple of acne breakouts due to the steroids. The most bothersome side effect I've had is killer heartburn. It can be relentless. I was worried about taking so many heartburn meds, both prescription and over-the-counter, but my doctor said that all of this is short-term so it is ok to do whatever it takes to deal with the heartburn. Lately I've also experienced some numbness from peripheral neuropathy in my hands and feet. My Taxol dosage was reduced a couple of weeks ago and the neuropathy has greatly improved.

    If I had it to do over, I'd not have gotten my head buzzed so soon. As I said, I did not lose all of my hair and probably could have gotten away with a very short cut instead of the buzz/wig thing. My hair is very thick and was shoulder-length when I started chemo. It started shedding pretty proficiently around week 3 so I got a short haircut. Even though it continued to shed, I wish I'd stopped there. I thought it would eventually all fall out so I went ahead and got my head buzzed and started wearing my wig. Well, it never did come close to all falling out so in hindsight, I wish I wouldn't have gotten it buzzed. It actually has already started growing back and I'm not even done with chemo!

    I am thankful for all the research that has enabled women like us to receive an effective and less harsh treatment than was available not that many years ago. Best of luck with your treatments. I hope you have an easy time of it.


  • maricarl
    maricarl Member Posts: 2
    edited April 2016

    Hi Motherrunner,

    Completely understandable to be apprehensive of the unknown.

    Being on Doxorubicin/Cyclophosphamide as first set of chemotherapy was a lot harder on me.

    So being on Trastuzumab + Paclitaxel was a little easier but still had it's own side effect but manageable.

    I had a feeling of diminish appetite but not to the extreme, i ate small but frequent, I rinse my mouth everyday with baking soda and salt to ensure not to have any mouth sores, I tried to move as much as I can on a daily basis, I did feel tired, nauseated (drank frequently lots of water) soreness in the muscles, joints, numbness in the bottom of my feet, hands ( did frequent stretching & yoga poses).

    unfortunately for some odd reason, I was the small percentage who run into heart issues due to herceptin and luckily enough I was part of a research team who monitored my heart since the beginning of my treatment with AC.

    As soon as they found out I had congestive heart failure, they put me on medication and stop the herceptin for 2 weeks and my heart went back to normal.

    Moving is key,take it day by day and i'm sure you will kick it's ass:)

    I am scheduled for my surgery on April 21.


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

    Eamcpa: Thank you for your summary. I'm facing exactly the same chemo regimen, haven't started yet, and am wondering what to expect.

  • bougain
    bougain Member Posts: 7
    edited April 2016

    Hi, Good luck with your upcoming lumpectomy hope everything goes well!! I was dx last Apr 6/16 with IDC and will undergo lumpectomy also. Thank God there's no lymphovascular invasion so it should be an easy procedure. Take care of yourself.......bougain

  • Sambcyca
    Sambcyca Member Posts: 2
    edited April 2016

    Hi Eamcpa! Congrats on your positive treatment. I would like to ask you a question, please. Sounds like you had invasive ductal carcinoma HER2 +, correct? Was it also in situ? If so, can you please tell me the size of your tumor? My oncologist recommended the same chemo combo (he showed me 3 combo options) as you Taxol + Hepceperin siting the 2015 study in the new England Journal of medicine which indicated something like 98.5 success. The only part that concerned me was that of the 406 women in the study only about 36 had tumors larger than 2cm. Mine was 2.3cm so I'd like to here from anyone who had good results after having a 2+cm tumor removed. My nodes and margins were both clear.

    Thanks!

    Sambyca

  • Sambcyca
    Sambcyca Member Posts: 2
    edited April 2016

    Hi Mizzoh!

    Are you being prescribed Taxol + Hepceperin? That's what my oncologist recommended too but the study mostly had results for tumors <2cm andmine was 2.3cm. What size was yours? Mine was invasive ductal carcinoma in situ HER2+, ER+,PR- clear nodes and clear margins.

    Any info will help me make my treatment decision.

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

    i had multifocal IDC (plus DCIS EVERYWHERE), but none of them over 1cm, sorry

  • airlie
    airlie Member Posts: 4
    edited April 2016

    Hi. Thanks for your insight. I was diagnosed with Her2+. 5cm, IDC, stage 3 grade 3. 2/28 node

    Very scary I must say.

    I have just finished 4 rounds of EC. The last two were dreadful. In bed 5-7 days, with ulcers, oral thrush, nausea, diarrhea and no appetite

    The next 12 weeks will be taxol weekly and herceptin every 3rd week.

    I am really hoping the next 12 weeks will be much kinder. I had a bilateral mastectomy before my chemo, so happy for you that you are having a lumpectomp and your heart is back to normal.

    Airlie 💚


  • Katzpjays
    Katzpjays Member Posts: 237
    edited April 2016

    Airlie - Sound like a rough go on the first chemo phase. Sending you positive vibes and healing wishesas you switch to Taxol and Herceptin.

  • Heathet
    Heathet Member Posts: 257
    edited April 2016

    hi everyone - on March 7th I was diagnosed with DCIS in the left breast. Due to my implants and very little breast tissue my BS recommended a BMX with reconstruction. My surgery was April 19th. I was nervous but it was one of the best decisions I made with my surgical team because it turned out I had an area of IDC (37mm) along with the the DCIS area. My BS also told me both my right and lefts breasts were full of pre-cancerous areas. On my left side 1 lymph node out of 7 tested positive and I am HER2 positive. I'm still recovering from by BMX but I meet with my BS Tuesday and my Onocologist May 16th. My BS did explain the treatment to me and I'm sure she and my Onocologist will have more information. It's been a lot of news to handle - thinking it was DCIS and then finding the second area of IDC. I'm really thankful for all the support of my DH, sister , friends and family. They are helping me this through this rough patch. I'm not a citizen of cancer! I'm getting out of this valley! Any words of wisdom on HER2 and this journey would be great!

  • FGodmother
    FGodmother Member Posts: 52
    edited May 2016

    Hello, I am Kerri and I am new here. These boards have been wonderful for lurking and educating myself, so thank you very much, ladies (and gents). I was diagnosed on April 25 with IDC stage 1, and met with the oncologist yesterday. I was feeling fairly nonchalant about things, being less than 1 cm, until he said the cancer is "aggressive." I meet with the surgeon later today, and all I want out of that meeting is a date this week or next for a lumpectomy. The Oncotype and Mammaprint tests were just ordered, so a two week wait until I know if I will need chemo or not. Any words of wisdom from those of you who have "been there, done that, got the t-shirt?"

  • Deaconlady
    Deaconlady Member Posts: 158
    edited May 2016

    Hi motherrunner and FGodmother. I have my last weekly Taxol on Thursday!! Then radiation and Herceptin for 9 months. Very few side effects. Some neuropathy and sore joints. Lots of fatigue. I went out and bought a wig and scarves, but my hair is hanging on! LOL. I feel very blessed with few SEs, I've worked the whole time. I wish you all a quick recovery and few SEs as well!

  • Jennyannk73
    Jennyannk73 Member Posts: 26
    edited May 2016

    You will be fine!

    It wasn't at all as bad as I imagined. There were some terrible days, but that was not the norm. Crazy fatigue. Bone pain from Neulasta. Just plan to sleep alot. ...and let yourself recover. I wasn't nauseous because they have great drugs now. I did lose my hair, but big whoop- maybe I get to live! You will do great just try to stay positive. I know it's not always possible, but just try. ;-)

  • lilyp6
    lilyp6 Member Posts: 214
    edited June 2016

    Hello all,

    I was diagnosed with IDC, grade 3, 4cm tumor on Fri, 5/27. I had 6 tests/appointments lined up by yesterday morning, and I have my oncologist appointment tomorrow. Hopefully I will get a stage, prognosis, and treatment plan. The waiting and worry has been much harder than the tests or the discomfort from the biopsy sites. I'm holding out pretty well, but panic blindsides me at work, out of sleep, watching TV - anytime. The panic passes quickly. But I just wanted to share that I was shaking and crying in my office just now, and this thread really helped me calm down. Thank you.

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