I really wish I didn't know
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Hey, Tectonic, your posts here are very impressive and display a great generosity of spirit as well as precise and well written information. You are an example of why I am still here after 14 years, --and if I ever slip into stage IV, or even suspect it, you will see a PM from me. Your information is a gift to all of us. Big gratitude and admiration being beamed to you tonight from the chilly mountains of western North Carolina-- Weesa
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Ditto.....what Weesa said.....TectonicShift!
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I don't have any info about any of the newer potential TXs but several have given you quite a bit of info. I can only give you 'my story'.
I'm 7+ yrs since IBC DX. My TX plan was a bit different than most. It was always planned to do neoadjuvant chemo and adjuvant chemo. A complete respose was never expected. The idea was to get it to form into a 'lump' instead of the 'nest', get good margins and shrink it so Surgeon had a hope of getting it out. So I did 4 DD A/C neoadjuvant which did what was wanted - formed a 'lump' with good margins and did shrink drastically. 2 weeks after last A/C, had UMX. Yes, there was still cancer there that was removed including 19 positive nodes. The idea had never been for Chemo to get it all gone but to get it to where Surgeon had a chance to get it out so then adjuvant Chemo could attack any cells that might be still 'hiding'. 3 weeks post UMX, I started 12 weekly Taxol and a week after last Taxol started 25 rads. Started Femara/letrozole a week after starting rads and will be on it 'forever'. My TX plan was different than most but to me it made a lot of sense and apparently worked as planned as I'm still NED.
Actually I was told when I hit a year out that none of my Drs expected me to make it that long - well I fooled them.
I have not had recon. It was not allowed for a year after surgery and thought I'd do it after that year but changed my mind - did not want any unnecessary surgery - I was/am quite comfortable as I am. Perhaps if I were younger (was 63 at DX) I might feel differently but I have no limitations to my very active outdoor life so why take a chance of another surgery possibly causing issues. Also, very glad that I hadn't had recon as I burned VERY bad after rads - not during.
So - IBC Stage IIIc, 19 positive nodes, DX 7+ yrs ago, still here NED and loving and living every day I am blessed to have. No one knows what tomorrow holds so why waste even a precious second not living to the utmost?
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Kicks, that was unusual treatment, sandwiching the surgery between two chemos. Very effective though. I had a lump to start with, but it wasn't until the taxol kicked in that it really shrunk to a surgically manageable size. As I've noted here before, men aren't offered reconstruction, so that's one less decision for us. Anyway, thanks for sharing your interesting story and cheering us all up with your positive outlook.
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kicks - I'm so happy to hear your story, thank you.
I wonder sometimes if my oncologist was too optimistic when I first saw him after initial dx. He said he was going to cure me maybe 4 times in a half hour appointment, and once I told him I noticed the TC chemo softening my hardened breast skin and shrinking the swelling (after 2nd or third treatment), he was convinced it was working. Then we got a clear MRI - to this day I have no idea how it missed all the cancer - and all of us figured I was going to be a successful case. We assumed surgery would show a dramatically reduced tumor and stage me at 2a or 2b at the worst. I did have significant scar tissue that showed chemo had in fact killed some of the cancer in my breast and my nodes - but there was also just a lot leftover too. So I'm not sure if it makes sense to call my tumor "resistant" to TC, or if I just started out with huge amounts, OR if the cancer grew back in between chemo and surgery, which was a full 9 weeks because my counts took a while to recover.
So part of what I am going through is processing the bad news, after MONTHS of telling myself I was "lucky" to have caught it "early" and being grateful that I was on the good side of the stats. So it's like being dx all over again in a way.
Reading these survivor stories does really help, I appreciate everyone who has shared.
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I just want to chime in and offer some good energy and support. I went into surgery thinking I was stage IIB and came out devastated by the pathology report--28 positive lymph nodes, 8 grossly positive and some matted and bursting as well.......I think the worst time of my life was waiting for results from my scans after we found out how extensive it was, which came back clear, thank goodness. I could barely move, eat, sleep, etc for days, I just lay frozen on the couch trying to distract myself with TV and anxiety meds. I thought I would never get over the crippling fear I had. I finished chemo a month ago and start rads in a week or so. I am not sure how I did it, but my fear started slipping away and I started living day by day with appreciation . When I first found out about my path report I got incredible support here. I go to therapy with someone who practices Acceptance Commitment Therapy--it's about how to be able to say, I am scared AND I can still have a good quality of live. I echo the suggestion of a stronger anxiety med, I take klonopin which is strong and once you start it you will have to ween yourself off but it's safe if you only take one or two per day, I don't know what I'd do without it.
People are sharing some amazing info in this thread, I'm going to look into some of it myself! I think a turning point for me has been the combination of seeing so many stage IIIC folks share their stories of survival and speaking to my oncologist about my odds during my last appointment . she is very blunt which I actually appreciate and would just say it if she thought my odds were bad . she didn't deny I am high risk but when I said I have a lot of fear bc I haven't met anyone with as many positive lymph nodes as me she said, oh I have met many, many people who've had as many or more and are doing great. she said I have every reason to think my cancer won't ever come back, as much or more as to think it will. She speaks in numbers and had given me some very positive percentages of survival. After that appointment I made a choice to go with that narrative, rather than the one I had created of doom and gloom. I have rough days where I go down the rabbit hole but they are less and less and I'm learning to deal with them better. It just feels better to enjoy each day instead of worrying about future days----but I definitely know how much work that is and that it's easier said than done.
I hope some of this is helpful. Wish I could give you a hug as someone who knows your fear. I do believe you will start to feel stronger. you are much braver than you know or feel right now!
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Hi Elise, I'm travelling a similar path to you also. I had neo adjuvant AC-T chemotherapy, dose dense. I opted for bilateral mx due to BRCA2 gene mutation, and cancer in both breasts.
My post surgery pathology report has floored me. Although it notes a 'marked response' to chemotherapy, 10/15 nodes were still positive and both breasts still contained disease.
I've gone from being strong, positive and hopeful to very depressed in a matter of days. I'm scared out of my mind.
I am glad I stumbled upon your post and the responses, as I can feel a glimmer of hope creeping back in.
I first reported changes in my breast in August 2013. They diagnosed fibroadenoma although never biopsied.
My mum had breast cancer - stage 1 - twice.
I lost my brother, my only sibling, last year to mental illness. He was 29 and I loved him very much.
Life has been tough but through it all, I still manage to find the beauty. I really want to be around to enjoy it for a lot longer.
This is a rambling post that probably doesn't help you, but I just wanted to connect and say you're not alone.
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Ali-me78, as you can see from reading the posts here, many of us who've been through neoadjuvant treatment find we have not had pathologic complete response following surgery. Is radiation part of your treatment plan? I hope you stick around here and do keep us posted on your progress.
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Thank you, I will stick around. It helps to talk to people that truly understand
Radiation is up next. I just got my surgery path report last Friday. Hopefully I'll meet with the radiation oncologist this week.
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Lindzanne, thanks for posting your story. Gotta love your blunt onc, since she has given you both a straight analysis and hope at the same time. Good luck with the rads, they are a bit of a lay down, literally, after the surgery and chemo.
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lindzanne - thank you for sharing your story. I like how your oncologist put things to you, and whenever I start to spiral I'm going to log in here and read your post. Thank you!
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Hi Ali, thanks for sharing and connecting. We really do have similar dx and stories. My mother had BC twice also - first time stage 1, then DCIS. She understands my struggle but also never truly had to fear for her life because her disease was so much less advanced and aggressive. She is a 12 year survivor now. When I was first diagnosed, I had hope I could be like her, but then I found out how serious my case was and have been terrified ever since. I've also had a hard life (watched 2 loved ones die slowly and painfully) but like you I love being alive and want to stay here.
I start radiation soon too. Are your surgeons concerned with that treatment impacting your implant reconstruction?
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Hi Elise
I truly can empathise. I was intent on being a long term survivor too, but after my pathology results I'm almost paralysed with fear. I'm still in shock i think.
There is some concern around rads and my implant reconstruction, but I knew that before I decided to go ahead with it. My plastic surgeon said I have healthy skin and about a 50/50 chance of making it through rads without it messing up my implant. Mind you, I don't know what difference it might make now that I'll likely be having a longer course of rads 😕
I can't stop worrying about spread to other organs. I'm waiting to speak to my oncologist. I've read some articles about additional chemo for people that didn't have a complete pathological response to Neo adjuvant chemo and I'm going to ask my oncologist about this. I'm also interested in immunology but it's not offered for breast cancer sufferers in Australia yet.
I am going to start seeing a psychologist soon. Are you seeing a therapist at all?
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Elisa
There is a clinical trial for palbociclib going on as well as others for people with advanced and high relapse risk. I too had similar experience and multiple tumors. Positive margins and on, but did listen to survivors talk and became less pessimistic first and then increasingly hopeful. I haven't updated my diagnosis since was told mine was IDC mostly but did have mucinous characteristics etc. or additional info garnered after tumor board met, but then I tend to process slower today because my stepmom is also sick. My thoughts are with you. Hugs
Pam
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Ali-me78 - if I read your report correctly the Ki 67 in your residual tumour is very low? That's positive - chemo did a good job. Get your onc to talk about that to you. There are ladies here with even scarier path reports and good outcomes. Take heart.
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Ali - Yes, I will be starting additional chemo, 4 cycles of Xeloda, soon. Supposedly it's not nearly as hard to tolerate as IV chemo, it comes in a pill form and there is no hair loss. Then 6 weeks of rads to chest and underarm area (instead of the 4 we thought we would do originally) and then hormone therapy. I'll be asking my oncologist about the EMBRACA and PALLAS trials as well, although I sense that he only wants me to undergo treatments that are already proven to improve survival as opposed to experimental ones - understandable. My hope is that both trials show positive results and that I will have access to the drugs shortly after FDA approval. I don't believe immunotherapy is ready to help BC patients yet anywhere including the U.S. but I could be wrong.
I have been seeing therapists and psychiatrists for years before my diagnosis. My therapist now specializes in patients with cancer as she herself is a survivor too. However, nothing anyone can tell me will remove my fears of metastasis and death

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Ali-me78,
I agree with SSinUK; your pathology report is more positive than you think. It says that recent treatment has had a "marked effect." I wouldn't worry about the survival of the DCIS -- since it wasn't invasive, chemo was unlikely to have impact on it. ((Hugs))
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I noticed that the Ki 67 was low, but couldn't get past the number of lymph nodes, the extranodal stuff and the lymphovascular invasion...
Part of the reason I'm interested in exploring further chemo is because the chemo had such a big effect. I would do any chemo over again if it gave me a better chance at survival, no matter the side effects.
I've heard that immunology is approved for breast cancer in Germany ... I can only imagine the costs involved tho.
I'll try not to spiral down the rabbit hole for the next week until I see my oncologist.
Thanks everyone for responding, I appreciate it.
Elise, I hear what you are saying about words not being enough to ease your fears. I doubt that I'll find them enough either. I do hope, though, that therapy might help me to accept my situation and enable meto live a happy life with fear being present, but not all-consuming.
I don't think I can get Xeloda in Australia for stage 3, I think it's only approved for stage IV. Drives me nuts. Although, I guess I could just pay the private price. I'll ask about that too.
Hugs xo
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hi all me 78, and others on this thread...Forgive me, but I didn't read all the posts. I just wanted to let you know I had 12 out of 14 pos nodes, both axillary and sentinel nodes were completely replaced by tumor., the other nodes all matted and a mess.. I also had lymph, vascular invasion, with a added bonus of her2 positive. Oh yeah, and no clear margins after my last surgery. I had both my breasts removed, and of course being a nurse trained in oncology I was devastated. At thi dx. However, I had lost all my maternal family members to BC and was too stubborn to go that way too. Keep in mind there are many advances in today's setting and as stage III we get the big guns in TX,Which is actually a good thing.
It is now almost 12 yrs later, I am well and happy as a clam. BTW there are many of us stage IIIers out there living oUr lives so beyond this.
My very best to you all!
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thank you lkc - it's you long termers that for me make the biggest impact - you're not just words you're living proof it can be done. Even if I find it hard to dare to hope to join you - always feel like I can't expect to deserve that when there are so many that suffer a bad outcome.
Just to add, Ali-me78, the number of nodes is a facer, no doubt about that - but the other stuff is not worth additional sweat. Lymphovascular invasion comes with the territory of positive nodes - that's how it got to the nodes; and extra capsular extension - well my onc consultant friend says she has never really known what to read into that - is it an extra suowepower or just a function of it being round a while?
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This is mainly in response to rads and breast reconstruction worries; I had chemo and radiation with Tissue Expanders (filled before the rads). I had some shrinkage due to rads but it just made my breast look a bit perkier than the other side. I had the exchange to implants 6 months after the last rad. 8 months later I am okay. My breasts are finally softening up. I didn't have enough fat to have the fat grafting (I am skinny) but although my breasts are uneven (and the left (radiated) looks fake), they look fine in clothes, and they look okay without clothes as well. In a year I will see if I can lift the good breast a little to even things up, but even if I can't they still look okay. Nothing ugly or deformed looking about them. My husbands only issue is that they are still quite hard, but this is softening every day! I plan to make it to 88 years and die in my sleep.
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Hi everyone, wow - it's been a while!
My 2 year diagnosis anniversary is coming up this week.
I finished rads, had my ovaries and uterus removed, and continue to take Exemestane. My bone density has suffered, so I'm on Prolia injections too. But...I am alive, and I am ok

I just wanted to say hi, and thank you for the support you all gave me back in 2016. I hope everyone is doing well?
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Ali-me, thanks for dropping by, really glad to hear you are doing well.
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