Just diagnosed with Her2+ positive level 3 Stage 1 breast cancer

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babsmac13
babsmac13 Member Posts: 1

Hi All,

So overwhelmed and scared. The protocol scares the heck out of me, surgery, chemo, radiation & Herceptin for a year.

Anyone out there who has lumpectomy and nothing more? Also, anyone refuse sentinel biopsy?

The protocol seems so aggressive for stage 1.

Appreciate anyone who refused all those poison chemcials and still here to tell.

Thanks,

Barb

Comments

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

    Hi!

    I'm sorry that you have to join us. Yes, treatment for HER2+ cancer is a marathon not a sprint. As you can see from my signature, I did not refuse all those poison chemicals. And, that is because HER2+ cancer is very aggressive. Before the development of Herceptin, the five-year survival rate for HER+ breast cancer was 40%. At stage 1, you might be able to get "chemo lite" -- Taxol, Herceptin, Perjeta (THP). You might also check into getting just Herceptin and Perjeta. Deni1661, who posts on the triple positive board, is part of a study where she is just getting Herceptin and Perjeta, targeted therapies that are usually well-tolerated. You might want to send her a personal message to find out more.

    Good luck, whatever you decide!

  • kae_md99
    kae_md99 Member Posts: 621
    edited March 2017

    i am clinically stage 2a. her2 positive. my onco told me in the beginning that her2 positive nowadays have a very good chance of full recovery thanks to Heceptin and recently Perjeta.. i am just in the beginning of this journey and i am very thankful for the advancement in science when i was diagnosed. chemo is no fun but there are meds to help with side effects. plus there is this wonderful wonderful online community that has been very helpful to me from the beginning. goodluck!

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

    Her2+ is a more aggressive, faster growing cancer. In the past, those with this dx were given a much worse prognosis. Because of Herceptin and Perjeta, survival is much more likely. The fact that the tumor was still small and not found in the lymph nodes does not mean cancer cells are not already circulating in your blood or hiding out in an organ, too small to be noticed yet.

  • Tara17
    Tara17 Member Posts: 386
    edited March 2017

    I have recently diagnosed 0.9cm node negative her 2 positive breast cancer. Underwent lumpectomy and sentinel node biopsy.now got my first taxol plus herceptin. The worst body aches from the taxol but thankfully short lived. Will be better prepared next week.


    Elaine Therese --you mention that there are ladies getting only herceptin and perjeta for stage 1? I asked my oncologist about Perjeta but she said she would only use perjeta for women with tumors >2cm.


    Barb --please do not refuse sentinel node biopsy or herpcetin based chemotherapy. Her 2 cancers are not good actors and herceptin has changed the face of this disease. As much as I hate the fact that I am in this place in my life, I am glad I have a treatment like herpcetin available to me


    Thank you ladies for sharing your experiences. It's a tough place to be in at a relatively young age in life for me, still I take it one day at a time. It's a difficult place emotionally --- one is to be grateful for curative intent therapy ( and I am! ) but at the same time, one gets resentful at this diagnosis --it's a physical and mental journey .

  • Tessscott6
    Tessscott6 Member Posts: 7
    edited March 2017

    hi Barb,

    I'm also HER+ and had a mastectomy Dec 2. Started 12 weeks of weekly Paclitaxel and every 3rd week Herceptin for a year. After chemo I'll have 25 days radiation. Whatever it takes. I know it is mind blowing at first. Praying for you.

    Tess


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

    Tara,

    Deni1661 is getting just Herceptin + Perjeta, but that's because she's part of a study. Otherwise, yes, most of us get Perjeta as part of neoadjuvant treatment when our tumors are over 2 cm in size. I also got some body aches from Taxol; hope your side effects continue to be manageable!

  • Tara17
    Tara17 Member Posts: 386
    edited March 2017

    thank you Elaine Therese for the good wishes regarding the side effects. I take it you are two years out from finishing treatment ? Do the fears and the inner angst get better with time ? Thank you

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

    I had my last Herceptin in December 2015. I DO think the inner angst gets better with time. I've been on hormonal therapy for two years now, and I have mammograms every six months (had a lumpectomy). The mammograms have been clear, and I don't experience much in the way of side effects from hormonal therapy other than hot flashes. So, all is good!

  • Germangirl16
    Germangirl16 Member Posts: 97
    edited March 2017

    I was diagnosed July 5th 2016 with stage 1 her2+. I had a lumpectomy, then had to have 2nd surgery because margins were not clear. I then had 12 weeks of taxol and herceptin which I tolerated very well. I then had 33 radiation treatments, again, did very well. I am now receiving just the herceptin every 3 weeks, and taking arimidex, all with no problems. I am 66 years old, and this protocol is very doable. For me, this was an easy decision because her2+ is a nasty little cancer, hit it with everything you've got!

  • Tara17
    Tara17 Member Posts: 386
    edited March 2017

    thank you Elaine --so glad you are doing well and all is good with you! It's reassuring to hear from ladies who have gone through treatment and are moving on with life! Especially good to know that the inner journey gets easier with time

    Germangirl1 --so nice to hear you have tolerated this protocol well! I am 44 years old going through the same protocol as you. I too will need a second surgery as margins aren't good enough, but I plan to choose mastectomy instead of radiation( very dense breast which didn't show the lump on mammogram, I happened to feel the lump ) --don't want the anguish of worrying about imaging studies in the futur


    For those of you who had taxol herpcetin ---did you experience hair loss /eyebrow /eyelash loss ? Or was it only hair thinning ? Nail issues ? I understand these are temporary --but these are what announce the disease to the world at large, so am trying to prepare myself for how much hair loss I shoudl expect on the taxol/herpcetin protocol


    Any specific tips on dealing with the bone pain of taxol? It seems like more than the taxol itself, the steroid premedication causes lack of sleep and other side effects --still grateful to get the steroids to prevent any reaction to the taxol,


    Wishing all the ladies on this thread the very best!

  • Germangirl16
    Germangirl16 Member Posts: 97
    edited March 2017

    Tara17, I did lose my hair around 4th treatment. I had it cut very short before I started. Neuropathy and nail issues can be a problem with taxol. I iced feet and hands during infusion, plus took glutamine powder 30 grams and vitamin b6 100mg. I had no problems. Did not have any aches or pains throughput, but understand claritin helps with bone pain. I did take 1 claritin daily for the clear drippy nose that is common with herceptin. I think it's important to eat lots of protein and drink plenty of water/fluids to flush out toxins, and exercise. Good luck to you as you start this journey, and let us know how you're doing.

  • Tara17
    Tara17 Member Posts: 386
    edited March 2017

    Germangirl 16--thnk you for the tips and sharing your experience. I will ask my doctor about glutamine and thanks for the Claritin tip for the bone pain as well. Shall make sure to hydrate and exercise . Thansks for the good wishes and will keep you updated --feels really nice to have this support and good wishes here.

  • JCS28
    JCS28 Member Posts: 153
    edited March 2017

    Hi HER2+ sisters! I'm not on here much anymore, b/c my life is back to normal! But I wanted to jump in and say that I was also in the study where I got herceptin and perjeta ONLY before surgery. And there was no tumor left at surgery! I still did 6 rounds of taxotere, herceptin, perjeta after surgery. And then I completed the year with herceptin. I had ZERO side effects with herceptin and perjeta. Both are truly miracle drugs. You can do it! Also, I went ahead with a double mastectomy, so I avoided radiation as well. It was not a fun year. But I did it. And I was 39 at diagnosis with 2 small children. I'm glad to answer any questions!

  • Jewels3
    Jewels3 Member Posts: 1
    edited March 2017

    Hi Barb, I was just diagnosed yesterday with invasive her2 + breast cancer, I am also worried . I had a lumpectomy a week ago and the pathology report was not what I accepted. I hope we can both overcome and fight this cancer. I also hope to read positive stories of women who are survivors and are still here with us. Hope you do well in your care.


    Julie


  • Moderators
    Moderators Member Posts: 25,912
    edited March 2017

    Jewels,

    Welcome to our amazing Community! We're so happy to have you here, despite the reason for you being here. We know you'll find great support, inspiration, and answers.

    Please let us know if we can do anything to help. Looking forward to hearing more from you soon!

    --The Mods

  • Nothappy
    Nothappy Member Posts: 11
    edited March 2017

    "No stone unturned." Yes, I agree, very aggressive. With Stage 1 I believe that your chances of living long will be the same with or without chemo. and radiation. You should be able to opt for just the herceptin for a year with your lumpectomy. Regardless of +++. I think radiation is overrated and does more harm. I don't believe in chemo. for Stage 1 or 2 if there are other options. If they don't consider this request above then I would do a mastectomy and pass the chemo AND RADIATION. It's too radical to me. You can rebuild the breast and have a better chance of living without all that extra unnecessary stuff.

  • Tara17
    Tara17 Member Posts: 386
    edited March 2017

    JCS28 - glad to hear that you are doing well . Can you tell me the name of the study which you were on and got only herceptin and perjeta before with taxotere herceptin and perjeta afterwards for a stage 1 tumor ? I have asked my oncologist about perjeta but she refuses to consider it for any tumor less than 2cm and she didn't mention this study when I asked her about any new studies or data that would become available.please let me know the name of your study

    SO glad you are doing well !

  • Tresjoli2
    Tresjoli2 Member Posts: 868
    edited March 2017

    her2+ is not something to mess with in my opinion! I had only 1.5mm of her2+ IDC. But I had a very high FISH score, and lots of comedo necrosis, so it was an aggressive bugger. So I went ahead with taxol and herceptin. I tolerated it very well and worked full time and took care of my two small children. It's not so bad. I was only 40, so I threw the book at it. Good luck with your decision.

  • Lindacim31
    Lindacim31 Member Posts: 15
    edited April 2017

    Tara I will be seeing my oncologist for the first time this week. I had lumpectomy and margins were clean . Sentinel node biopsy results were 1/8 had microscopic tumor cells. I will need chemo and herceptin as well as radiation. I am anxious to get started but at the same time I am scared to death. Glad to have found this site.

  • Maggieroe1
    Maggieroe1 Member Posts: 16
    edited April 2017

    It is very overwhelming isn't it, and trying to decide the best treatment options adds to your stress. I was diagnosed last summer, had surgery, and decided to go with the weekly Taxol and Herceptin for 12 weeks followed by radiation as well as every 3-week Herceptin until next September. I did get a port put in which I am really glad about - so much better for me than having the nurses trying to find a good vein each time. I managed the Taxol very well and the side effects which were tolerable went away very quickly once the treatments ended. I have no side effects from the Herceptin except an bit of fatigue (could be also because I'm older). My thoughts were to utilize everything that was offered to me so that I could be confident I had done everything possibly to ward off a recurrence.Good luck with your decisions and treatments!

  • Moderators
    Moderators Member Posts: 25,912
    edited April 2017

    Dear Maggieroe1,

    Welcome to the BCO community. Thanks for reaching out and sharing your story here. We hope that you will stay connected and keep us posted. We look forward to seeing you around. Let us know if you need any help navigating the boards. The Mods

  • Beatmon
    Beatmon Member Posts: 1,562
    edited April 2017

    I have to share with you the story that happened to me. Surgery 5 years ago BMX. Large dcis ...2 very tiny 4mm IDC. These two separate tiny tumors did not meet protocol at that time for chemo. Onco struggled with it because he knew how sneaky her2+. How the path rechecked and even sent out. He did not recommend chemotherapy due to side effects could include leukemia etc. My sentinel node was negative.

    2 years later accidentally found over 50 tumors in my lungs bilaterally. Of course now chemo without reservation.

    I am only sharing to tell you beware of Her2+....it can be very sneaky and devastating.

    Good luck on your mission to find out what is right for you. That is the only way to do this

  • ReneeBeanie
    ReneeBeanie Member Posts: 2
    edited April 2017

    hi Tara,

    I am on Taxol/ Herceptin and after four weeks my hair started coming out in chunks. I wear my hair short normally, but the thinning and texture were awful. My hair also hurt which sounds crazy. Once I had my wig, I went to my son's barber and had him buzz it off. My head looks like a sparsely, newly seeded lawn. I'm hopeful hair starts growing in another five weeks when I stop the Taxol. Still have my brows and lashes (though they were kinda sparse to begin with!) Hope this helps

  • justkelly2
    justkelly2 Member Posts: 5
    edited April 2017

    Hi, Barb,

    Hope you are over your initial shock...I had the same reaction as you---all this for a tumor the size of a pea? But I'm so glad I decided to have chemo----I just finished my 12th and final Taxol/Herceptin combo last week and didn't have any problem tolerating it. I still went to work and played tennis...I didn't lose any hair at all until the 10th infusion and while its shedding a lot now I predict I'll keep about 80 per cent of it. My friends tell me I look great and I think I do too---I thought I would look ten years older by the time I was finished but no! My blood counts dipped a little but I felt fine and never caught so much as a cold. Herceptin has managed to turn a very aggressive cancer into something very treatable in the early stages, and this protocol is not to be feared! I hope you decide to go ahead with treatment. I think you will rest easier for the next 5 years knowing you did all you could to eradicate and CURE your cancer

  • sariphilly
    sariphilly Member Posts: 1
    edited April 2017

    Hi there, I'm in a similar situation. I was diagnosed in March with IDC, ER+, PR+, Her2+ - tumor 0.3 cm. I'm 48 years old. I had a lumpectomy on March 21st, and am now in a limbo period of what treatment to have. My oncologist has now said that his tumor board agrees that taxol/herceptin is not necessary (although I can choose it), based on the size of the tumor. I'm just not sure. So I'm seeking a few other medical opinions - one in NYC, and the other at another respected hospital in Philadelphia. It's a very tough decision. I want the best chance, but I'm really scared of the chemo. I might just do the radiation and get it over with, and buy some time to decide.

    How is your treatment going?



  • Drained6513
    Drained6513 Member Posts: 82
    edited April 2017

    Hi, I was diagnosed with Stage1A, Grade 2 HER2+, like you.  My grade is different.  I too thought this is sooo aggressive, the treatment for a Stage1.  But. I finished my 12 taxols, and am on Herceptin for the rest of the year now, like you.  I opted to do a mastectomy, so I didn't need radiation. Mine was extensive though, with a large DCIS with some focal invasion. But I had Paget's of the nipple, as well.  The whole thing is scary, but it goes by so quickly, before you know it, it will be finished.  Just being on the Herceptin is ok at the end.  I only have joint stiffness.  I didn't want to do my treatment either, who does?  But, in the end, I would not be able to sleep if I hadn't done what the Oncologist had suggested.  He gave me two scenarios to pick from for treatments, and not doing it was not one of them.  So, that was not an option.  So, I chose the less aggressive 12x taxols.  And trust me I was devastated, scared and upset about the whole thing. Why or how could this happen to me?  But once it is all done, it's done. Just focus on the end.  I'm 5 weeks out of finishing the taxol.  You can do it.... prayers and hugs, take care.   

    Also, as for the side effects of the 12 Taxols.  My hair did shed starting on the 6th treatment and onward.  Everyone is diff with this.  I never really lost my hair, but I chose to cut it down quite a bit to keep the tangles at bay.  I'm 5 weeks past my last Taxol, as I said, and it is growing in all over.  Hair does grow back in. And trust me, that was the most devastating part for me.  It just shows you, you can get through anything, if you have to.  Again, good luck... you will do ok.

  • Daisy16
    Daisy16 Member Posts: 16
    edited May 2017

    I was diagnosed in oct 2014 initially with pagets . After a double mastectomy a 50 mm tumor was hiding at the back of my breast that hadn't shown on ultrasound or mammogram . I also had early cancer in the other breast . I too was her2 positive and the nurse but the fear of god in me and she doubted my survival ! Well I'm 2 and a half years out and very fit and well . At my last one appt he told me " I think you're going to be ok now " of course I still worry but it does get easier x x x
  • Kitty777
    Kitty777 Member Posts: 11
    edited May 2017

    I had a 6mm her2 positive, grade 2 tumor. I had radiology only and have been taking Anastrazole for a few months with no side effects. It's such a hard decision. I opted to not do the Chemo and I am pretty comfortable with my decision.

  • O_Focus
    O_Focus Member Posts: 1
    edited May 2017

    Thank you for this thread! (First time poster here). I was diagnosed last October, right after my 46th birthday: stage 1, grade 3 HER+. Aside from lymphedema side effects, my lumpectomy was fine and margins clear. I however do not think I did well on the weekly Taxol and Herceptin for 12 weeks. Bone crushing fatigue, skin reactions (dark brown rashes on my hands and face, severe acne, then excema), black toenails, fingernails peeling off the nail bed (gross!!), but for an active person like me, the fatigue is the worst. I look back and hard to believe I worked (albeit on a reduced schedule) through that nightmare. I lost nearly 30 pounds; fortunately, I had "stored energy" to begin with!

    Funny before I started treatment, I was most concerned about hair loss; that's happened but became the least of my worries. Finished Taxol 5 weeks ago, and while I'm starting to get soft fuzz on my head, my eyebrows and eyelashes are nearly non-existent all of a sudden. I'm looking forward to not looking like a cancer patient anymore! So far, radiation is going well as I start week 3; the chemo fatigue is finally starting to wear off, and I've learned to listen to my body and rest when needed. This forum has been really helpful to me during this crazy journey!

  • TriplePositiveAt40
    TriplePositiveAt40 Member Posts: 2
    edited June 2017

    New here and I have a lot of anxiety, esp. about the HER2+ part of my diagnosis, since HER2+ seems to be aggressive from what I've read. I am nearly half-way through neoadjuvant TCHP. I feel so fortunate to have health insurance, I can't believe how expensive chemo is. Wow.

    I did the OvaNext genetic panel and was negative for all of that, and my twin sister was too. I pray she never gets cancer. The doctors wanted to know genetic results before I make a surgery choice. So, I'm not sure what my surgical options will be after the chemo - lumpectomy? Mastectomy? I'm leaning toward mastectomy because I'm a worrier and have very dense breast tissue. Too much to think about. I wish you all well!


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