Triple Negative a Second Time

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  • bak94
    bak94 Member Posts: 1,846
    edited June 2011
    i was stage 2b and did chemo and radiation the first time, sorry I didn't mention that,  I was mainly pointing out the rads, but I did do ac then taxol every 3 weeks 4 rounds each. This time I am stage 3, found with routine mammaogram, almost missed because of very dense breast. Tumor is smaller this time. last time it was 3.4 cm with 2 nodes positive this time it is 2 cm with internal mammary nodes positive, but no axillary nodes posistive, at least by ct/pet scan, mri and ultrasound. Both were triple negative grad 3 8 out of 9 on the bloomrichards scale. Very similiar tumors each time, second time had 3% er, first time was 0% er. I am told this is not a recurrance, as I also had dcis, which is how it started according to the docs. Did I mention I am brca1 positive, whcih made my risk for a new primary in opposite breast extremely high. My lumpectomy side has been just fime for over 8 years, and is not as dense due to the radiation so mammo's have been easier to read on that side. I ma not sure what I woud do in your situation, but I was very happy with lumpectomy until my new primary! At the time I did not want all of that other surgery, so for me at the time it was the right choice. I may have regrets now, but I was happy with m choice for a long time! Good for you for really thinking this through, you will come up with an answer that is right for you. And true, I did not come to these boards very often when everything was going good, just stopped by once in  awhile to encourage newbies, now I live hear!
  • MsBliss
    MsBliss Member Posts: 536
    edited June 2011

    How many of you ladies with tnbc a second time have had your vitamin D levels checked? 

  • Towny
    Towny Member Posts: 111
    edited June 2011

    I think all of us have.. at least I get mine checked on a regular basis and try to keep it up around 80-100..

  • rella40
    rella40 Member Posts: 45
    edited June 2011

    Mine wasn't checked until  a year or so ago, and it was in the 20's I think. I was put on 5000 a day, and last check it was in the 40's, but was told to continue taking it.  I think (chemo brain) 44 might be the "normal" number, but I am not 100% on that

  • Suze35
    Suze35 Member Posts: 1,045
    edited June 2011

    Mine was 19 at diagnosis. I've been taking 4000 D3 daily, and it is up to 42. My doctor wants it in the 80 range, so I'll keep taking the larger dose, and I sit in the sun for 15 every day I can.

  • teresat18
    teresat18 Member Posts: 1
    edited June 2011

    So sorry to hear your news Redgrldj.  I too had BMX in Sept 2010, finished chemo only. Your post answered some of the question that I can't seem to find an answer for, and that is where the cancer may recur in the body if you have had an BMX.  I think about it everyday and wonder what signs I should be looking for if it may show up elsewhere in the body.

    I will say a prayer for you and thanks for sharing.

  • kittycat
    kittycat Member Posts: 2,144
    edited June 2011

    I was dx with BC twice, 10 months apart.  My first dx I decided to have a bmx because I have that nasty BRCA1 gene mutation.  I did recon and didn't need chemo or rads because I had DCIS.  8 months after my bmx and 4 months after my exchange surgery, I found 3 small lumps in the approximate area of the same breast. I got a 2nd opinion at Sloan Kettering and found a new onco here in Vegas.  They told me it was a new primary because they got widely negative margins on my bmx.  I guess it's a good thing I had the bmx.  God knows what else might have come up.  The bc was in my scar capsule and had spread all the way to the implant.  Luckily it wasn't in my nodes and was very small (still early Stage 1).  I had chemo and rads after that.  I'm also getting a ooph/hysterectomy next month.  I am a very rare case, but I'm finding that with TNBC, you never know what's going to happen!!!

  • Lynne925
    Lynne925 Member Posts: 5
    edited June 2011

    I too was recently diagnosed with a 2nd (recurrance) triple neg bc.  Orig was Dec 2002, had lumpectomy, chemo and radiation.  was no big deal about trip neg back then, now that it's back in same breast, same spot, they all said highly unlikely - they said it was calcification due to lumpectomy and radiation, so everyone was surprised when it turned out to be cancer.  fortunately very small, only .8cm, but there was also a larger 2.2 DCIS.  Had bilateral mastectomy on June 3 with reconstruction.  they found one lymphnode and it had cancer, so now I guess I need chemo.  Dr is working on what type of chemo, need to heal from surgery before this can start,  17 lymphnodes were taken in 2002 and all were negative.  No one can say if this is new cancer growth or recurrance of same cancer.

    I had mastectomy and reconstuction done at Moffitt Cancer Center in Tampa because my surgeon said I should go to where they specialize in this procedure because of radiation back in 2003.  Even though my breast looked normal they said once radiated the effects never go away and all kinds of complications can occur.  I opted for bilateral because I want to minimize my chances of it coming back and since I had to have one removed why not just do both...they can reconstruct and will look better than they did before.  On the right breast (the one with cancer) they did lattisimus dorsi - they took skin and muscle from my back and transplanted to breast - this way they could remove all radiated tissue, scars etc.  on the left (healthy) breast they simply did a mastectomy and then put expanders in both sides.  I am now in the process of getting saline fills every 2 weeks until I reach my desired size...yes - I get to pick the size!  Only problem is this whole process gets put on hold when chemo starts...so looks like I will need to live with these expanders for a while. 

  • tibet
    tibet Member Posts: 545
    edited June 2011

    Lynne

    Mostlikely this time yours is a new primary. I heard it is extremely unlikely to recur a triple negative ex after several years like in your case it's almost 10 years ago.

  • Lynne925
    Lynne925 Member Posts: 5
    edited July 2011

    Newalex,  thanks for your opinion.  I have some Dr's who agree and others who say its recurrence.  I am not sure which it is...I just hope they get the chemo cocktail right this time!

  • netty46
    netty46 Member Posts: 296
    edited July 2012

    Hi what has been done for you so far? Did you get chemo? I have a recurrence now after 12 yrs. Same breast.

  • tibet
    tibet Member Posts: 545
    edited July 2012

    hi Netty 46

    sorry to hear you had a local recurrence after such a long time. Maybe its also a new primary not a recurrence ? Did you have a lumpectomy after 1st dx and any follow up scans during the past 12 yrs?

  • Karen3
    Karen3 Member Posts: 307
    edited July 2012

    Hi all

     I can see that this is an old thread but it caught my eye. I was first diagnosed with TN in Sep 2009 and had lumpectomy Jan 2010 after nil response to neoadjuvant chemo. I felt lump in my other breast summer 2011 but mammos and ultrasound where CLEAR. I knew there was something wrong so the breast surgeon did a biopsy - long story but 4cm of grade 3 TN cancer was found which had not yet broken through the ducts i.e. DCIS. I could pinpoint the exact area to them because it was painful (as was my first TN cancer). Please ladies, keep checking yourself so that you know when changes occur - DO NOT automatically think all is well if you have a clean mammo and ultrasound. I was told that the new tumour did not show calcifications as it was 'moving fast'. I feel that I saved my own life. By the way, I have a mutation in BRCA1 of 'unknown significance' and history of pancreatic, breast and ovarian cancer on mums side (mum had ovarian). The point being that if you do have another diagnosis of TN and it is a new primary, the chances are that you have some form of BRCA mutation aswell - so get it checked out and have a blood test. I am due to have my ovaries removed next year (I had a bialteral mastectomy in Dec 2011 so want to recover fom that first!). Take care all and be vigilent!

     

  • netty46
    netty46 Member Posts: 296
    edited August 2012

    No I never had scans. Just mammos and ultra sounds for 12 years. Bloods.  So far all scan are clear now. All 6 of them. So tired of test. Will start chemo soon. The chemo I got way back was CMF.

  • netty46
    netty46 Member Posts: 296
    edited August 2012

    Regarding primary or recoocureence I have my old doc at Sloan reviewing Pathology today. She will defenitely know.

  • netty46
    netty46 Member Posts: 296
    edited August 2012

    Lynn How did it all go with the recurrence. What chemo will you be in?  I am also being seen at Moffit. I need a good surgeon who did you use there?

  • netty46
    netty46 Member Posts: 296
    edited August 2012

    How are you dong now since recurrence?  Sloan is a good place. What chemo did they place you on? 

  • burge
    burge Member Posts: 18
    edited August 2012

    I was 6 &1/2 years out . diagnosed w/TNBC again. New cancer not the same one. Had B/L mastectomy & reconstruction. small tumor (< 1cm). no chem/no rad.  Now I am 1 year out!. Good Luck.

  • anamerty
    anamerty Member Posts: 195
    edited August 2012

    I too was dx with triple neg. I am having double mastectomy this Monday. I was a 13.5 year breast cancer survivor with er/pr/positive, this time dx on opposite breast with the triple neg. so I don't understand it too much.So having a double mast, reduces my chances of a reoccurrance?I am told I will still need chemo after this because the grade is 3 and triple neg, a BRCA1 carrier and have had breast cancer before. This this all correct?

  • Pookie4
    Pookie4 Member Posts: 1
    edited November 2012

    Hi,

    Triple Neg Breast Cancer not in my genes diagnosed July 2010 Rt Masectomy Dr Warde Greenwich CT She was concerned it would reoccur, because chemo 1st to shrink 4.7 centimeter breast cancer tumor failed with regular FDA Protocol AC and Tax with affiliated Sloan Kettering Oncologist. Chemo had just sunburst the tumor and my surgeon had to remove fifteen lympnodes five were cancerous and in my mysectomy she scrapped and removed the cancer. Originally, I was told I had one lymphnode. In April as I was walking with my children I began to experience pain backside of arm. Xray showed tumor in right lung with nodules in both. Several MRI and hospital stays never determined how my arm continued with pain and concluded with being paralyzed. Never had lymphodema perplexed between neorologist orthpedic hospitalists and new oncologist all a guessing game because the several umteen mri's did not show cause except for enlarged nerves in armpit. Took Xeloda by mouth, fighting custody safety of my children, did not want to loose my hair, pet scan showed it had helped with the nodules. The 5 minute visits with new oncologist and sloan kettering oncologist made me believe I had 3 - 5 years left to livE. iN  JULY I met with re-known surgeon Andrew Ashikari who directed me to an oncologist who scientifically thinks out of the box. Dr. Ashikari confirmed my cancer had spread to my brachial plexis, main nerve from the neck down into the arm. He told me he had witnessed two women beat this kind of triple negative invasive carcinoma, with Dr Ambinder Yorktown Heights NY. I have received three treatments carboplatinum reduced swelling, getting pet next week. But most important my cancer number in my blood began 106 and it has dropped to 96, 10% less cancer...supposedly the no cancer range is between 30 and 40. He believes this is the marker, and that pain during chemo shows signs it is working. He is a spiritual man and I am very meditative in prayer myself. I believe with triple negative there is 4 cells growing rapidly and his goal is to kill the rapid cell growth. Aside from his reatment through Dr. Ashikari I found Dr Chiti Moorithy who freezes tumors and radiates without chemotherapy at WestchesterMedical Center. I am a single mother who has fought through Domestic Violence and Breast Cancer. My two children are the gems of my heart and as I can see my current oncologist Dr. Ambinder has recommended the carboplatinum so opposite of what each Oncologist recommended the same approach of chemo. As for next week, the pet scan will be administered and if need be I will include Dr. Moorithy treatments, I haven't been too thrilled with sloan. I plan on killing the cells, and my goal is to see my grandchildren and have this be the last time. I wish all of you well.

    Pookie4  (44years old) Italian decent no history in ancestors except for 50yr sister estrogen positive lumpectomy Tamoxifen for 5years very rough, opposite of my diagnosis, a friend had the same as my sister before Sandy she had a heart attack 44yrs old passed away suddenly. (Tamoxifen?)

  • dayzoo
    dayzoo Member Posts: 55
    edited January 2013

    I too have a TN recurrence. Same breast, almost 4 years after original diagnosis.



    No one has mentioned vitamin D levels to me at all...will be asking my onc about this.



    Start TC x4 next week. Getting nervous about it, as it seems most have had a tough time with it..



    Anyways, just letting you know you're not the only one out there. Thank goodness we have these forums to help us...



    Take care..

  • sheila63
    sheila63 Member Posts: 38
    edited January 2013

    I had TN in the left breast, and three years later in the right.   After the first diagnosis I had a mammogram every six months for the left, but yearly for the right. My surgeon gave me a choice of a lumpectomy, and radiation or a mastectomy. If I had only known how aggressive this cancer was I would have opted for a double mastectomy, and then hopefully been done.  I was so relieved for a lighter treatment that I did not look any further.

  • 5andcounting
    5andcounting Member Posts: 232
    edited April 2013

    I was diagnosed with local recurrence last week. Original tumour 1.8 cm -had lumpectomy, chemo , and rads. I am 3.5 years out and was feeling great. Diagnosed by my routine mri, biopsy showed 1.2 tumour with triple negstive path. Pet scan clear.

    Trying to find a surgeon near Louisville Ky to do diep flap. Probably will go bmx. Very scared about distant mets. Some say local doesn't indicate that more likely but I feel like its a bad omen. I am curious if any of you had chemo for recurrence and what your onc said about prognosis. Hate to be in this boat but sure glad there's someone to talk with.

  • kdschroller
    kdschroller Member Posts: 1
    edited December 2017

    I had tnbc in 2003 treated aggressively with TAC .and xrt.  done well until oct 2017 and have it in opposite breast.  tnbc grade 2 or 3 lymphnode positive and will need Adriamycin Cytoxan and taxol again depending on cardiotoxicity ffrom before.  bummer.

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

    Kdschroller-

    We want to welcome you to BCO, and tell you we're sorry to hear of your recurrence. A diagnosis is never easy, but it's particularly difficult the second time around. We wish you the best with your treatment and look forward to seeing you on the boards.

    The Mods

  • aluklan
    aluklan Member Posts: 3
    edited January 2018

    I just had a mastectomy on my left breast went with the tram flap reconstruction at the same time...tumor was 2.5 cm or close to that. My surgeon told me I would never even need a mammogram on that side because the breast tissue was gone now it’s stomach tissue. Actually both surgeons told me that. They wanted to do chemo to shrink the tumor and do a lumpectomy but I refused and had them just take the breast they also took three lymph nodes all clear. I didn’t have the chemo before the surgery however now they are pressuring me to do both chemo and radiation but I’m having reservations since they found no sign of cancer in surrounding tissue even checked chest wall and had every possible scan. If I had the choice I would have had both off now I still need to worry about the other side. Bad enough going through this once I can’t imagine a second time. Best of luck to you

  • Itssounfair
    Itssounfair Member Posts: 3
    edited January 2018

    has anyone had triple negative reoccur weeks after chemo and surgery. With lymph nodes by collarbone involved. Can anyone help me with diagnosis.? I'm sick.

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