Were you told your risk of distant recurrence?

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Mom_of_twins
Mom_of_twins Member Posts: 180
edited February 2017 in Stage III Breast Cancer

If so, what percentage were you given for risk of distant recurrence? I'm just confused about my prognosis. I was clinical stage 2B Luminal B (possibly 3A--not sure of how many nodes due to neoadjuvant chemo). I was told I had a 10-15% risk of distant recurrence, but from the medical journals I've read online (even current ones)that seems very optimistic. I had residual disease after neoadjuvant chemo, including two microscope lymph nodes, which I've read in several medical journals doesn't bode well for long-term survival. Ugh.

Was just wondering what percentages all of you were given if you're comfortable sharing.

Thanks so much!!

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  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited January 2017

    Mom of twins, most of us have looked up statistics online through cancermath and other calculators. The calculators are outdated and do not take into account recent treatment practices. My own oncologist declined to state a percentage--"either you recur or you don't."

    As breast cancer folks, we follow the treatment recommendations and go through hell with chemo and surgery and radiation and hormonal fol-de-rol. After that...we do our best to live a healthy lifestyle, maintain vigilance for strange pains and coughs and itchy teeth, and get on with life.

    There just is nothing to be gained by trying to nail down a number for yourself. Ki-57 score, Luminal A or B, residual cancer, it's all very tempting to try to read these tea leaves but they don't tell you much about what's going to happen for YOU in 3 or 5 or 30 years.

    I've stayed pretty current with research and have urged my MO toward Xeloda, Prolia, Metformin, and she has willingly cooperated. But at some point, I've found, you must stay informed but live your life. Try to let the "what if" anxiety trickle out of your heart. You have no expiration date stamped on your forehead.

    Stay plugged in, read about current research, but enjoy your days.

  • Meow13
    Meow13 Member Posts: 4,859
    edited January 2017

    Momof twins, Mine was 23% based on oncodx and taking tamoxifen. I think it is lower than that because I did AI treatment.

    I think having positive nodes may sound scary but I think tests like oncodx look more at the makeup of the cancer.

    For your Dx and treatments it doesn't sound like you should worry too much 10 to 15% sounds about right maybe even a little on the high side.

  • Mom_of_twins
    Mom_of_twins Member Posts: 180
    edited January 2017

    Meow, thank you for your reassuring words!! I don't see your details in your signature...what was the pathology of your BC? I think having neoadjuvant therapy has its advantages and disasvantages. I feel like those who have gotten it, don't have the definitive picture of our initial cancer burden (actual size of mass, extent of nodal involvement, etc.). Also, I didn't have the oncotyoe because of my positive nodes and neoadjuvant chemo, so I guess I feel like I don't fully understand the biology/gemonics of my tumor. The unknown and uncertainty are tough. And having residual disease after a "complete clinical response" was so disappointing!

    And then reading the below meta-analysis that analyzed almost 12,000 patients. Those that had residual disease with my biomarkers only had a 50% disease-free survival at 9 years. Yikes!!

    http://www.fda.gov/downloads/Drugs/NewsEvents/UCM3...

    Sbelizabeth, You are right and I totally agree with you. And I so want to get to the point of moving forward and not researching stats, etc. I really am trying. I have four very young girls (all 6 y.o. and under) and just want so desperately to be there for them, and sometimes need to release these fears i a safe place and try to find hope. I wish my MO (and the 4 others I consulted with) would give me some of the drugs I asked for: Xeloda and Metformin. All have refused. Although I realize there's no hard "proof" that they would help me, it would mentally make me feel good to know I did all I could. I really want 6 months of Xeloda but don't know where to go! How did you get your MO to agree??



  • Meow13
    Meow13 Member Posts: 4,859
    edited January 2017

    Mom, I took my info off my profile due to unknown use of information with outbrain. Anyway I had two tumors one IDC and one ILC, 1.2 cm and 1.1cm, no nodes 95% er and less than 1% pr, her2 negative. I did not have any in my lymph nodes. My oncodx was 34, meaning 23% chance of distant recurrence in 10 years with tamoxifen. I did not do the recommended chemo just took AI drugs for a total of 4 years. I am 5 years NED and I find myself wondering if the cancer will come back.

    I find myself wondering what my risks are now that I have made it 5 years. I don't think there is anyway to get a reasonable idea of our risk at this point.

  • Meow13
    Meow13 Member Posts: 4,859
    edited January 2017

    Momoftwins, I have known several people who have been diagnosed, one friend in particular was diagnosed stage 3C in 1995, I think she had 10+ positive lymph nodes and er+, she did bmx, diep reconstruction been thru 33 radiations twice, chemo and just finished AI drugs. She is doing fine no recurrence. Two others that were stage 2 doing fine. I had one coworker that was diagnosed within 1 month of me, she had only one ILC tumor, no nodes and an oncodx of 4, she got cancer back in her hip, bone mets within 6 months.

    My friend with stage 3c never dreamed she would be fine 20 years later and my coworker was sure she would be fine based on statistics. So don't worry too much, you've done what you can

    What is clear to me is the medical community doesn't understand why we get it or why we recur. I read the link you provided, having a large database of survivors is important.

  • Momdin
    Momdin Member Posts: 25
    edited January 2017

    hello everyone, I'm going to ask a question,I feel foolish for asking. I finished chemo in November, had surgery in December. I had my right breast removed and 12 lymph nodes, 7 of them were still showing signs of cancer. I am due to start radiation next week. Now my question, will radiation take care of the cancer cells that are still in my lymph nodes? I keep thinking that with many lymph nodes there is no hope for me.

  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited January 2017

    Momdin, the radiation is there to mop up any leftovers from chemo and surgery. Whatever cancer cells might still be lurking about your chest or axilla will be blasted into oblivion. A lot of us had residual cancer after chemo. Please don't lose hope.

    I had six affected lymph nodes and many of the same stats as you--ER+, Grade 2. I was diagnosed in 2011 and I'm still NED (no evidence of disease).

  • weesa
    weesa Member Posts: 707
    edited January 2017

    Momdin, I too have a similar diagnosis to you, a very high Ki-67, lymph nodes were surrounded by tumors at least 2 cm, and probably a Luminal B. Am continuing with my tawdry life going on 15 years!

    I still go to dark places...and look for reassurance, but there really isn't any. I've watched women with diagnoses I have envied recur quickly and not make it. Likewise, women here who seem to me to be on the verge of stage 4 often do well.

  • wintersocks
    wintersocks Member Posts: 922
    edited January 2017

    Weesa,

    Love your approach, must try harder to adopt it! We have a very similar tx. 'tawdry life' ha ha! - I like that and want one of those too!

    Best wishes

    WS

  • stephilosphy00
    stephilosphy00 Member Posts: 386
    edited January 2017

    Weesa,

    Thank you for coming back here to give us hope! I don't think about recurrence that often now. Life is so short I just want to stay as happy as I can for the rest of my life :).



  • Meow13
    Meow13 Member Posts: 4,859
    edited January 2017

    We all worry about recurring from time to time, the only one I know that doesn't worry about it is my husband's 100 year old aunt. She had BC when she was in her early 60s.

  • Kicks
    Kicks Member Posts: 4,131
    edited January 2017

    I had 19 pos. nodes of the 19 noddes removed after neoadjuvant A/C. I did adjuvant Taxol and rads. That was 7 yes ago and still NED.

    I don't worry about a recurrence. If it happens - it happens and I'll 'fight'just as hard again IF I have to. Life is too precious to waste and time and especially energy, on what might never happen. There are no guarantees on anything in life - I'm going on a bus trip Sat. -who knows what might happen just as don't know what might happen from my Stage IIIc IBC. Just how I look at life and living every second I am blessed with to the utmost.

  • stephilosphy00
    stephilosphy00 Member Posts: 386
    edited January 2017

    That's so amazing!!!!

  • Mom_of_twins
    Mom_of_twins Member Posts: 180
    edited January 2017

    Yes, thanks for sharing! So inspiring!

  • Artista928
    Artista928 Member Posts: 2,753
    edited January 2017

    It's such a crap shoot. As someone said, you see folks in 'better' situations than you not make it and folks who are end stage III going on for years. That's why there's no cure for cancer, and I don't believe there ever will be. No rhyme or reason. It's so individual. I do have hope that identifying it before it can even get to DCIS will be found like through blood tests. I read somewhere they are working on that.

    As for risk.... my onc told me yes by the size of the tumor alone. She's very proactive. I like that. I feel she is very on top of what's going on with me so I take solace in that.

  • sugarplum
    sugarplum Member Posts: 318
    edited January 2017

    I asked my oncologist about my recurrence risk and she said "15-20% chance within the first 5 years." My husband & I turned that around and asked ourselves: if the weatherman said there was an 80-85% chance it wouldn't rain, would we worry about carrying an umbrella? That twist in perspective really helped me. He would also say that actually my odds were 50-50: either I would recur or I wouldn't!

    As you can see by my stats below, SO FAR SO GOOD - but even now I'm always looking over my shoulder.

    Best to us all - Julie

  • Carolehebert
    Carolehebert Member Posts: 14
    edited January 2017

    Omg you give me so much hope xo

  • YATCOMW
    YATCOMW Member Posts: 664
    edited January 2017

    When I was diagnosed with an 8cm tumor and 17 nodes positive...plus other not so good stuff.........i hit the oncologist circuit......I must have met a dozen oncologist before settling on one in Dallas ( I live in Florida). One of these oncologists wanted to know if I wanted to enter my stats in "cancer math"......I told her that I knew I was in big trouble and doing cancer math wasn't going to assist me in surviving longer so NO....I didn't want to do cancer math......what I wanted was an oncologist that was going to do everything possible for me to beat this......

    I am heading into 13 years-----I feel I have done everything possible to beat this.....honestly that is all I can do. What is left is to live my life and enjoy every minute of it.......if and when it comes back.... I will rinse and repeat. But I refuse to worry about it until I have to (yes this sounds easier than it is).

    There is so much in the pipeline to be hopeful for......I live with hope as my guide.

  • lkc
    lkc Member Posts: 1,203
    edited January 2017

    For me personally, I had terrible prognosticators , and although concerned and fearful, I was determined not to have BC take me too( my mom, grand mom, and only mat aunt died of it)

    the dear long timers here gave me so much hope, and I try to provide this to the new ladies going down this road.

    It's now almost 12 years and despite the odds given back then I am here , well, living large and grateful every day.

    Stay positive, there is so much hope


  • Mom_of_twins
    Mom_of_twins Member Posts: 180
    edited January 2017

    Wow, YATCOMW and lkc!! So inspiring!! Would you mind telling me what your treatments were? That is amazing and gives us so much hope.

    I feel the same with a lot of "unfavorable" numbers/biomarkers, etc, and it's so easy to get lost in it. I try so hard to live for today, but so much easier said than done. I think having really young kids is the hardest part for me. All I want in this life is to see them grow up.

    I have met with several oncologists, too. All of whom have been very consistent regarding my treatment, so that brings peace of mind. They all unanimously recommended a Palbo trial, but I am in the control arm (boo). Was hoping I would havesomething else to fight with; praying the antihormonals are enough.

    Thanks so much for taking the time to give us all hope. I know I'm not alone when I say it's people like you that carry us through the dark days

  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited January 2017

    Stories of hope are such lifelines to those in the early days. I was blessed to have a friend who was an 8-year veteran who met me for breakfast and let me sob into my hash browns, and who served as my beacon of hope and survival.

    For those who are struggling with the fear and grief of recent diagnosis, just know that for each of us here who are the "old ones," there are a gazillion more out there who don't post on BCO.

  • Goincrzy8
    Goincrzy8 Member Posts: 387
    edited January 2017

    feeling sad went to RO today for consult haven't even started chemo waiting for port auth. MO ordered cat scan now I have mass on kidney and need to see a urologist plu something on t11. I hate going to the Dr I have not been sick. I have not been to Dr till I found hardness in breast sailed thru mastectomy now this I just want rx started so I can gst this cancer out of my body

  • Momy4ever
    Momy4ever Member Posts: 30
    edited January 2017

    Momoftwins, same as you, having young kids is very hard, I have 3 kids (6,4 and 2 years old). Every time I look at their faces I can't hold my tears. I hope it will get better with time. Dealing with residual disease after chemo is very depressing. I will meet my MO tomorrow to beg for more chemo. I too don't like to know my odds or do cancer math. After all it's in God's hand.

    YATCOMW, Ikc and Sbelizabeth thank you so much for giving us so much hope. I search and follow your posts everywhere. Thanks for being here for us.

    Goincrzay8, I hope everything turns out to be fine with you.

  • Mom_of_twins
    Mom_of_twins Member Posts: 180
    edited January 2017

    Momy,

    Please let us know how your oncologist appointment goes today. We all know how hard this is...I'm hopeful your appointment brings you a sense of reassurance.

  • gardengypsy
    gardengypsy Member Posts: 769
    edited January 2017

    Momy~ We are thinking of you. Hoping you are wrapped in loads of support and love.

  • Momy4ever
    Momy4ever Member Posts: 30
    edited January 2017

    saw my MO, he agreed to give me Xeloda, I will have 6 cycles. He told me to live life and don't stress about the future, we are doing all we can and hopefully it will be enough. I will start the xeloda in a week or two as soon as my wounds from the surgery heel.

    Thanks a lot ladies for thinking of me.

  • Mom_of_twins
    Mom_of_twins Member Posts: 180
    edited January 2017

    Momy, great news! Xeloda has shown promise in risk reduction, particularly with triple negatives! Keep us posted!! Best wishes

  • gardengypsy
    gardengypsy Member Posts: 769
    edited January 2017

    Goincrzy8- For support, stay with us on these discussion threads

  • kathleen1966
    kathleen1966 Member Posts: 793
    edited January 2017

    I was told I had a 50 percent chance of the cancer coming back to a distant sight WITHOUT chemo. With Chemo, this went to a 30% percent chance. I am currently in my seventh year of remission.

  • gardengypsy
    gardengypsy Member Posts: 769
    edited January 2017

    I was told that I had an 80% chance I'd never see this cancer again.

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