Herceptin
My wife has triple positive breast cancer. She has completed chemotherapy, radiation therapy, a double mastectomy with lymph nodes dissection, and a second lymph node dissection. She is currently on er therapy daily and herceptin every three weeks. After her last herceptin treatment her wbc counts plummeted once again under 1. She has been diagnosed with neutrapenia due to her neutrophils being at .40 now and in the past. Her first rounds of chemotherapy she was having a similar problem with her counts going from 4 to the 40s after treatment. And then plummeted back to 1 overnight. I personally think she has a allergy to hercepton. The doctors say no but they don't even know what's going on most of the time. She had a bone morrow biopsy and aspiration and her marrow is suppressed. No disease present. Please help I'm lost. She is 36 years and is currently kicking cancer out. But, her immune system isn't cooperating. Any experience with this?
Comments
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Hi Marine, and welcome to Breastcancer.org!
We're so sorry to hear of your wife's diagnosis and her problems with treatment. You've come to the best place for advice and support; we're sure others will be by shortly to offer their suggestions and experience.
Thanks for posting and please continue to let us know how your wife is doing! We're all here to support you both!
--The Mods
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Bump for Marine -- can anyone weigh in with their thoughts/experiences?
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Hi Marine2000:
Please do not hesitate to post your question here in this very active thread for triple-positive members:
Triple-positive group: https://community.breastcancer.org/forum/80/topics/764183?page=1011#idx_30301
BarredOwl
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In June 2016, I starting on therapy for HER2+ (Positive) Breast Cancer consisting of six infusions of TCHP every 3 weeks, then surgery, then 17 infusions of Herceptin alone every 3 weeks. For the 1st six infusions, I had to wait to see if my blood counts were good enough for each one. My blood counts went down drastically, and I had Neutropenia and Anemia because of them among other side effects. I had to have a blood transfusion after the fourth infusion because the blood counts were so low and I felt so bad. Now I am on Herceptin only, and the side effects are much better, but there are still plenty of them. My blood counts are slowly but surely going up, but I am still neutropenic and anemic . I have read on the internet that Neutropenia and Anemia are still common with Herceptin alone also. I have 12 more Herceptin infusions to go, and I don't even want to leave the house for fear of catching something! I can't imagine going to work with this! I know I need to exercise and get out, but I am still too unnaturally cold and fatigued and weak due to this Anemia, not to mention this Neutropenia and my fear of catching something. The doctor says it's okay, but I don't really trust doctors that much. I just know what I'm reading and thinking. You have to be your own advocate. Right?
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Didn't they give her some shots to rebuild her cells? !!!
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Didn't they give her some shots to rebuild her cells? !!!
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Thanks
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Nothappy, She received Neulasta ONPRO while receiving her strong chemotherapy. Hasn't had one since. Her doctor States it could compromise her immune system even more to rely on Neulasta. She is currently receiving immunotherapy (Hercepton) and Hormone therapy still here counts are extremely low. And she's having back pain also now. Swelling on her right side(which is not lymphedema). For some reason they don't want to give her cbcs either even if she asks for one. Just a little more information also. Her tumor was odd and aggressive apparently. She's just super tired of going through all the treatments.
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Joy66 your story is pretty similar. It seems that this is something that does happen. All I get from the multidisciplinary team is they don't know. I don't understand why more research hasn't been done on this. She will have a problem and they will say it's not them. I personally don't think some Doctors care. But, if it was them or their loved ones the would most definitely care. My wife is 36 years old with three kids and a job we have a life to live. Y'all are some tough women let me tell you. Much respect. Down with the c word.
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Anyone doing their year of Herceptin weekly instead of every three weeks? How's that going? Side effects? Hematologist/oncologists think that Herceptin might be what caused my ITP back in December. But I need it. So now they're testing me with a small dose, 1mg/kg, all by itself and then 2mg/kg tomorrow. If my platelets hold I think that's where they plan to keep me. Which is fine except for the weekly commitment. Whatever. I have no life.
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Hi,
I just finished my six infusions, every three weeks, of herceptin, perjeta, Taxotere, and carboplatin (sp?). Next treatment is to continue Herceptin infusion, every three weeks, until December. During this course I will have a lumpectomy in May and then radiation for five weeks (M-F). Can anyone tell me how the Herceptin-only infusions will go? Will they be easier than the six combo. infusions? Will my hair continue to fall out? Will life normalize a bit?
Thank you for your support,
WarriorPrincess1
DX November 23, 2016, IDC, Left breast, 2.4 cm, Stage IIB Grade 2 1/5 nodes positive, Triple positive, Neoadjuvant TreatmentSurgery: Sentinel Lymph Node Biopsy/Port placement Chemotherapy: Six Infusions of Herceptin, Perjeta, Taxotere, and Carboplatin Completed April 6, 2017, Now begin Herceptin-Only Infusion every three weeks until December 2017 Surgery: Lumpectomy scheduled for May Radiation: Scheduled for June for five weeks daily (M-F)
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warrior - your hair should start to grow back on Herceptin only, but you may have a runny nose for the duration of Herceptin. Toward the end of my year I did have a frequent low grade headache, but that was my only other issue - and it was solved with Tylenol. H only infusions are much easier, but I will add this word of caution. Some have experienced bone/joint/muscle pain with a fast (30 minute) Herceptin only infusion, and have found that pain was lessened or resolved with a longer infusion (60-90 minutes) time. Infusion time of 30 mins is within the dosing and administration guidelines, but it is not mandatory - many centers do it to get you out of the chair and on your way, and patients like it because it is a short visit after having had long ones with TCHP. I did not have bone/joint pain during chemo and Neulasta, and my H was run for all six of the first infusions at 90 minutes. My first H only was 30 minutes and I felt like I had been run over by a truck. The next one I asked to slow back to 90 minutes - problem solved. I found it much easier to show up for H only infusions because I knew I would not feel ill afterward - I started to feel stronger and more normal the longer out from chemo I got - particularly by the second H only infusion, it was a relatively brief visit as I did not need to see my MO each time, and things did resume some normalcy.
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