TRIPLE POSITIVE GROUP

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  • ElaineTherese
    ElaineTherese Member Posts: 3,328
    edited March 2017

    Hi!

    My blood pressure went up after chemo, and then I began to have appointments with my GP about my blood pressure. Are you on any blood pressure meds? I'm on a three-drug protocol (Lisinopril, Hydrochlorothyozide and Amlodipine besylate) and it has cleared up my high blood pressure.

  • Suburbs
    Suburbs Member Posts: 429
    edited March 2017

    Blownaway, Hurrah! Best news I have had today. Fantastic!

    Deni1661, I am reading the January and February surgery topics and learning lots. Your surgeons comment that a repeat on the other side would be a new cancer and not a recurrence has me thinking very hard. I had better get healthier before surgery and spend more time on the treadmill. The one thing about neoadjuvant TCHP is the fatigue just comes in waves and takes me out of commission due to the steroid crash. Now the skin rash sent me back on steroids. I wish I had researched surgery earlier in this process when I felt better. Tissue expanders just sound awful. I just have no interest in multiple surgeries. And implants have a shelf life. Argh! Like you, I am prepared for both to go.

    Again, I really appreciate the posts here. I'd need a day with my doctors to get all this information. I feel like I am being fed information piece meal on a need to know basis. That does not work for me. I need to know everything to make my own informed decisions.

    Another point, if Herceptin is cardiotoxic and I am stuck with it for a whole year, this makes recovery from surgery more risky, I would imagine.


  • Kattis894
    Kattis894 Member Posts: 218
    edited March 2017

    So my fine needle biopsy is done on the bump on my chest. I felt it while putting on lotion on my radiation area. Showed it to my onc at the time for herceptin shoot a week after. It is approx. 1 x 1,5 cm. The fact they sent me for immediate testing scares me beyond. The way he asked me "if I want to know?" I did mentioned in the beginning of this journey I have to take it step by step and not get all the information at once perhaps that was the reason he asked. It was too overwhelming then and it is now as well but I do want to know. I want to know if I am going to live or dye. Now I am waiting for a respons...my first waiting nightmare for what might be devastating news. I am preparing myself for the worst. I understand a recurrence so shortly after/during treatment is considered extremely serious. Of course I used google and now I am paralysed with fear. Dr. Google is not on your side. My brother whom is a general doctor and maybe not the most sensitive just commented "it makes sense considering the aggressiveness of your cancer". That word again "aggressive" that I have had issues grasping during the hole process. I have remained hopeful during my entire treatment but now I am paralysed with fear, sobbing buckets..I have been holding on to the fact my nodes were clear, this might just change all my hopes immediately. I am devastated. I am sure many of you have gone threw worse scares than this but this is my first and it is so awfully painful. Hope is fragile. I started having a pounding head ace a few days ago and now that scares me too. Everything scares me.

  • kae_md99
    kae_md99 Member Posts: 621
    edited March 2017

    i am curious, is there a diagnostic that your MO ordered ( MRI, ultrasound,etc)while on neoadjuvant chemo to check if chemo is working or shrinking the tumor?also, can you tell me what exercises you are doing while on chemo aside from walking?thanks

  • Robin1234
    Robin1234 Member Posts: 45
    edited March 2017

    Hi Ladies I find out I had BC in Nov 7 2016 dcis I was 41 and had a bilateral mastectomy Dec 27, 2016 the final report came back was stage1A ER 30% PR 15% her2 positive. I had 2 opinion with a medical oncologist. I'm so confused of what to do about they said my out come is good either way. My opinion with the first was tamoxifen, tamoxifen and herceptin, taxol + herceptin +tamoxifen or remove ovaries. One of my oncologist think chemo is overkill for me and other one is ify because I have IBS and had C diff being on antibiotics for two weeks after my surgery. I see some ladies like me have had everything, some done just the pill or just herceptin only and some no treatment just the surgery. I know I'm in a gray area. Love to how your guyses experience and decision? Thank you

  • Robin1234
    Robin1234 Member Posts: 45
    edited March 2017

    Hi Ladies I find out I had BC in Nov 7 2016 dcis I was 41 and had a bilateral mastectomy Dec 27, 2016 the final report came back was stage1A ER 30% PR 15% her2 positive. Ive seen 2 medical oncologist. I'm so confused of what to do!! They said my out come is good either way. My opinion with the first was tamoxifen, tamoxifen and herceptin, taxol + herceptin +tamoxifen or remove ovaries. One of my oncologist think chemo is overkill for me and other one is ify because I have IBS and had C diff being on antibiotics for two weeks after my surgery. I see some ladies like me have had everything, some done just the pill or just herceptin only and some no treatment just the surgery. I know I'm in a gray area. Love to know your guyses experience and decision? Thank you

  • cjs9473
    cjs9473 Member Posts: 37
    edited March 2017

    I sit right now receiving my last TCHP treatment. I am so happy to almost be done with the first hurdle if triple-positive breast cancer.

    I will be seeing the plastic surgeon on March 16 about having the reconstruction immediately after my bilateral mastectomy. I am hoping I can get the implants right away instead of getting tissue expanders beforehand. I am somewhat large breasted and would like to get smaller implants. Has anybody ever gotten their implants right away?


  • PatinMN
    PatinMN Member Posts: 920
    edited March 2017

    Robin - what was the size of your IDC? Mine was 5mm, which is just below the point at which (at the time) chemo and herceptin were commonly done - 6mm. I'm not sure if that has changed. It was a tough decision for me, but in the end I decided to do chemo and herceptin. I did 12 weekly taxol, and my decision was made easier when I learned that I could save my hair using cold caps. I think I would have done herceptin only if I could, but my MO would not authorize that. Again, that may have changed since 2012. I don't regret doing the taxol and herceptin - it wasn't bad at all, and after reading more about HER2 + I was glad to have done the chemo. I was 29% ER+, PR-, and strongly HER2 +. My MO told me that tamoxifen (and presumably aromatase inhibitors too) is not as effective on weaker ER and PR tumors like mine. Maybe there's more research on that topic available now - it seems like something that should be investigated. I ended up taking tamoxifen for only about a year; my MO told me that for my particular tumor the herceptin was the important thing. Good luck with your decision - I well remember all the anxiety as I was going through that process.

  • Robin1234
    Robin1234 Member Posts: 45
    edited March 2017

    HI PatinMN thank you for responding mine IDC was 2.5mm and on my 2nd opinion they found one more 1.5mm all widely clear margins. Hi Cjs9473 I had a bilateral mastectomy and I had reconstruction at the same time and my plastic surgeon put permanent plants in.

  • Suburbs
    Suburbs Member Posts: 429
    edited March 2017

    Robin, my MO told me that normally a DCIS biopsy does not typically get tested for HER2 which really confused me; however, my DCIS was found secondarily on an MRI and later confirmed by a second biopsy. Since the original tumour was +++ HER2, I was being slated for Herceptin anyway. Everything I have read about HER2 has scared me greatly. I only want to do this once and will suffer through anything if it prevents metastatic disease later. Your situation is clearly been addressed much earlier. I hope you get more feedback or research tips from some other participants here. I have found this board to be very helpful, especially from those women who are further along in their recovery but have kept up with current protocol on all facets of HER2 positive BC. I hope you find peace and enough clarity to make a decision you are comfortable with. All the best

  • cjs9473
    cjs9473 Member Posts: 37
    edited March 2017

    Hi, Robin1234 - thanks for the response. It gives me hope the PS will be able to put the implants in immediately! I wish you well with whatever treatment you choose.

  • Robin1234
    Robin1234 Member Posts: 45
    edited March 2017

    I was very scared as I never had major surgery before but wow it was not bad at all. I never had to take any pain meds because I wasn't in any pain just sore I only took tylenol for 3 to 4 days. I healed very nicely never had any problems. The drains was very easy to take care of and when my plastic surgeon took the drains out never felt it. I wish you well and God bless

  • Kmjb
    Kmjb Member Posts: 4
    edited March 2017

    Kattis894, I'm sending positive thoughts and prayers to you! I'm so sorry you are having this scare.

    I was diagnosed on 1/20 and just began treatment 2/23. I first felt a lump which was removed by excisional biopsy. It came back Stage 11A (2cm) IDC and cancer was positive in the margins. My surgeon and oncologist agreed chemo/targeted (TCHP) therapy would give me amazing results. Oncologist feels this treatment will destroy what cancer was left in the margins and any that may have gotten into the nodes. My lymph nodes will not be biopsied until after treatment. I'm waiting until the genetic testing results come back to decide surgery options.

    Before treatment began I had a breast MRI, abdomen and pelvic CT, chest x ray, and full body bone scan. All came back negative. I only had to wait a full day for results and I was an emotional wreck. I can't even begin to imagine how I'm going to handle the ongoing worry of a reoccurrance.

    The first treatment went well. Then the Nuelasta hit me, then the nausea! I hurt all over for days. This is day 7 and I finally feel human. My WBC count is really high so I guess Nuelasta did it's job, and oncologist promises the first time is usually the worst.

    I'm so thankful for you and this board. I gathered tons of information from you the past few weeks! You have given me strength and guidance. Given me lots of questions to ask the doctors and many hints on how to handle the side effects. I seem to be the odd man out in regards to hair loss though. I cut my hair short for the first time and feel so good. I am looking forward to showing off really cute scarves this spring!

    I am receiving the same therapy as most, but see some are receiving Lupron during chemo. I am not and it hasn't even been mentioned (all hormone options after treatment have been discussed). Anyone know why there could be a difference in plans (I am premenopausal but don't have my uterus)?

    Again ladies, Thank you for posting! I wish you all the very best.



  • deni1661
    deni1661 Member Posts: 463
    edited March 2017

    Robin - I am on a clinical trial doing Herceptin and Perjeta, no chemo. I'm at the 6 month point, cleared for surgery, then 6 more months HP. I had 2 tumors, one >2cm and other .5cm. Both are no longer visible on scans. Other ladies on trial seeing similar results. I feel the HP is a good thing, side effects minimal so far. I completely agree with Suburbs; this HER2 triple is scary and I only want to do this once as recurrence does not sound good. I am finding the experience and information shared in this group has been extremely helpful. Keep asking questions until you're comfortable with your decision! I wish you the bes





  • deni1661
    deni1661 Member Posts: 463
    edited March 2017

    Robin, thanks for sharing your surgery experience - all the info I received from the surgeon was overwhelming and I started to zone out after awhil. I feel better about it after reading your post

  • deni1661
    deni1661 Member Posts: 463
    edited March 2017

    Hi cjs9473 - my surgeon told me the implants could go in right away, one surgery. That gave me a sense of relief. I wish you the best

  • Robin1234
    Robin1234 Member Posts: 45
    edited March 2017

    Thank you so much ladies ( Suburbs and Deni1661 ) yes I want to treat the hormones ER and PR and I want to treat the hers2 too just didn't know if I could skipper the chemo or if you have to take the chemo for the herceptin to work.

  • deni1661
    deni1661 Member Posts: 463
    edited March 2017

    Kmjb - I really like your positive attitude! Sounds like you are off to a good start and staying strong. I believe positivity, faith and forward thinking is the key to complete recovery. And information! The ladies here and all the shared experiences has been very helpful for me. I wish you the best

  • deni1661
    deni1661 Member Posts: 463
    edited March 2017

    Thanks Elaine! Praying for good results on your upcoming mammogram

  • deni1661
    deni1661 Member Posts: 463
    edited March 2017

    kattis894 - I'm so sorry you're having a difficult time. This cancer business is scary and fear is always waiting in the wings. I started meditating to clear my mind and alleviate stress. You want to minimize stress as that gets your hormones churning. I use an app called "Calm" and I find it very helpful. The app is free or you can upgrade for additional sessions. I also find exercising to be a good distraction plus it helps with the pain I'm having from taking Arimidix. I limit my "cancer" reading to 30 minutes a day otherwise I get a headache. I'm sending you a hug and wish you the bes

  • debiann
    debiann Member Posts: 1,200
    edited March 2017

    Hello knowledgeable ladies. My GP prescribed Cipro for a UTI, but upon reading the warnings I'm thinking it may not be so good for someone who already has neuropathy from chemo. Anyone else run into this problem? The side effects on this drug sound awful, I'm wishing she would have prescribed something else.

  • amargoodwin06
    amargoodwin06 Member Posts: 1
    edited March 2017

    If you look at people with recurrences most have had lumpectomy only. I did double mastectomy last May for my piece of mind. I only had ca in right breast. I had choice of lumpectomy vs mastectomy. You have to do what's best for your piece of mind. You can get new boobs but cannot get a new you. Jmo.

  • Tunegrrl
    Tunegrrl Member Posts: 196
    edited March 2017

    amargoodwin, all the current evidence says lumpectomy + radiation is equal to mastectomy.

    There are good reasons for each, but a survival advantage is not one of them. I've seen several women here with recurrances after mastectomy. The odds are equal.

    Reconstruction is a long road for most people. I am happy to have had the good fortune of being able to choose between lx and mx. Being able to choose treatments helps make all this crap a little more bearable.

  • ElaineTherese
    ElaineTherese Member Posts: 3,328
    edited March 2017

    Debiann,

    I did Cipro for a UTI. It was prescribed by my MO, shortly after I had started my AI (and while still on Herceptin only). It did not have any impact on me, neuropathy-wise. I had developed mild neuropathy while on Taxol, and to this day, my fingertips are still a bit clumsy.

    I didn't really suffer the SEs from Cipro. But, it did bring me UTI relief! Best wishes.

  • cjs9473
    cjs9473 Member Posts: 37
    edited March 2017

    Thanks deni1661! I'm hoping that's what I hear

  • SpecialK
    SpecialK Member Posts: 16,486
    edited March 2017

    debiann - did they culture the urine sample to determine which antibiotic is needed for the strain of bacteria present? Most of the UTI I have had have been treated with Batrim successfully - which is a pretty side effect free drug other than some people are allergic to it, but a couple have needed a more specific antibiotic.

  • debiann
    debiann Member Posts: 1,200
    edited March 2017

    Special K, they did a culture. Sulfa drugs would have been ok, but I have a sensitivity to those. Last time I gad a sulfa drug was over 30 years ago. I don't even remember what my reaction to the drug was, I just know my doctor at the time said to not take sulfa again so when asked I always say I'm allergic. I'm thinking however I may not be "allergic", just maybe get a bad tummy reaction. I could live with that. I think I may ask about trying it again.

    For the weekend I'm drinking lots of fluids, taking probiotics, cranbery supplement and AZO for the pain. Hoping to maybe flush it out without antibiotics.

  • BeautifullyBroken4284
    BeautifullyBroken4284 Member Posts: 45
    edited March 2017

    Hey ladies. So yesterday I had my second round of chemo. This time they changed my regimen up. As I said before and I'm now on Perjeta, Herceptin, and Taxol. Along with all of the fabulous pre meds. I know it usually doesn't hit till day 2 or 3 for me after chemo, but as of right now I can happily report a mild tummy ache and fatigue and that's it. It's not like my first round where my mouth got burned and was so sick. Feeling like my prayers to God to help this go smoother this time around have been answered. Fingers crossed it stays this way

  • kae_md99
    kae_md99 Member Posts: 621
    edited March 2017

    Hang in there Beautifully...my prayers are with you!

  • ElaineTherese
    ElaineTherese Member Posts: 3,328
    edited March 2017

    Beautifully,

    I did the Taxol/Herceptin/Perjeta combo, too, and it was bearable. It did give me mild diarrhea, but Imodium took care of that. I also was pretty tired by week 12. But, I didn't feel as spacey or "out of it" as I did on my first combo (Adriamycin and Cytoxin). Hope you continue to feel pretty good!

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