Calling all TNs
Comments
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rdeesides, thanks
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I had a sentinel node biopsy during surgery which was negative. So surgeon stopped there.also no vascular invasion.. And clear margins...Does that mean for sure no other nodes could be involved? I'm always questioning this.... I keep forgetting to ask my onc!
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cccmc2 - from what I've been told, there is never a 'for sure'.
It's always a balance of probabilities. The odds are that it the sentinel is clear, the other nodes are not affected. But there is no guarantee and I read a report which reminded surgeons to do a visual inspection of the area as in this case study the sentinel was clean but something further on was not. We also have lymph nodes in the center of our chest, in the cleavage. Nobody tests those but if you have a tumor in the lower inner quadrant (LIQ), apparently that can be a route of potential spread.
I'll be discussing with my RO whether there is an benefit to doing rads to the internal mammary nodes as I had a LIQ tumor. -
Hollywood19, I went straight to taxol after my ac was finished. hope this helps.
val
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valstim52
Thanks, it appears we same type and stage. Did your tumor shrink after chemo
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me again with another question... I notice most have radiation as part of their treatment plan. My onc says I don’t need it. She also says I don’t need a body scan either which I’m confused about. I plan to ask when I see her next week. Just curious for your thoughts. My sentinel node biopsy was negative. Clear margins, Maybe that’s why? I just want to make sure I do all I can
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cccmc2, I'm not having radiation either. My lymph nodes were clear, and I had a BMX. The tumor board met and agreed that radiation wasn't necessary. I also had a pCR and was declared NED. With limited treatment options for TNBC, I worry about not using every tool in the toolbox, so to speak. But I have to trust my team of doctors.
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I had radiation because I had lumpectomy. It’s my understanding that if I had done a mastectomy, I wouldn’t have needed rads.
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My understanding is that radiation is determined by lymph node status, size of tumor & surgery. My lymph nodes were clear but I had radiation b/c of size of my tumor. I had a bilateral mastectomy.
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thank you for responding
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My RO said three factors determined if needed when having a BMX.
(1) Tumor was 5 cm or larger (2) Any evidence of cancer in lymph nodes (3) Any evidence of lymphovascular invasion
Its not recommended for me.
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Hollywood,
I had pcr which they thought would be impossible. Almost 3 years out from dx and I'm NED. I did have 33 rad treatments though. With my case I'm glad I did.
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Hello, everyone! I just had my pre-op visit. Pre-op mammogram shows not much change in the calcifications. Surgeon said it could be scar tissue and microcalcifications often don’t change in appearance on mammo. He said there’s still a 50% chance I got a pCR. Has anyone else had this happen? I read a study that said microcalcifications are associated with residual DCIS, which I had at diagnosis.
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I had microcalcifications in both breasts, before and after chemo. No DCIS.
I also had cysts and duct ectasia in the non cancer breast listed on pathology report. Made me glad I chose to get a BMX
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Report from check up mammogram 2 years post treatment was clear. No evidence of disease. I’m starting to think that maybe it won’t come back. It’s not always easy to stay positive, because fear comes more naturally than hope at times, but I’m definitely feeling more hopeful than fearful onmost days now. It’s taken me a long time to get to this state of mind. X
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Hello ScotBird,
I regularly read TNs and post from time to time. I just wanted to say congratulations on your clear mammogram two years post treatment. May you have many more of the same.
Best wishes.
Sylvia xxxx
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Hello everyone, Im still going thru chemo and finding myself confused about radiation.. Do u need it if u had biopsy that showed cancer present in lymp nodes, but its possible to be a stage 0 after chemo.
Also if radiation is a must after bmx is implants the best way to go or is it a better out come with DIEP? Lets just say Im confused...
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Hi y'all. I finished my Savi radiation June 22,2018. Finally feeling normal with very little discomfort.I have chosen not to do chemotherapy. I'm 67 and they say only 4% benefit just doesn't sound worth it. Has anyone else decided not to do chemotherapy?
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urdrago71 - I have a pathological complete response (PCR) after chemo, meaning there were no residual cancer cells in my breast tissue or lymph nodes at the time of my BMX. However, that didn't change my original treatment plan, which included radiation. Talk to your doctor for more clarification.
Hugs,
Kathy
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urdrago, my treatment plan was determined by my situation pre-treatment. Our decisions did not change after we saw response to chemo. I’d touch base with plastic surgeon about reconstruction. Everybody’s situation is different so I don’t think there is a set best choice.
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Lovemyyorkies, I would ask my oncologist for specific information on how much chemo would increase your risk for cardiac issues, secondary cancers, neuropathy, falls, etc., so you can balance that against the 4% benefit. If your cardiac risk is, say, 3-5% against the 4% figure, that may make your decision easier. I'm sorry that you are having to make this difficult choice.
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Thank you VLH. I go Tuesday to talk with oncologist but I really don't think benifits will out weigh the risks. Will let you know how it goes
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I am currently going through treatment. I start my 4 DD taxol next week. I was having strange pains in the breast I still have (my left), and so my Dr ordered an ultrasound. Happy and beyond thankful it was clear. Not sure what the pain is, but it looks unrelated. I still find myself scared of the unknown. will I ever not be petrified of this disease coming back for me? I have days my mind will convince me it’s back. I try really hard not to go there....I hope this feeling lessens over time. So scary!
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Hello, I'm the daughter of a 73 year old with TNBC, and mostly hang out on the UK thread, but I thought I'd say hi here- and comment on lovemyyorkies' situation.
Lovemyyorkies - my mother's tumour was a bit bigger than yours- 2 cm-but otherwise her situation is similar. She also had no nodes affected. She has had a mastectomy, which she is recovering well from , and we have had three opinions on whether she should have chemo!
The first indicted that she shouldn't because she is over 70 and breast cancer chemo is harsher than others (for e.g. bowel cancer)
The second and third (both more experienced in breast cancer and in particular TNBC) said she should.
The second one said that, if it was his mother, he would advise her to have it. His reasoning was that, although it had been caught early, this was an aggressive cancer and relatively likely to return. If it does come back it is more "tricky" to treat (though clearly there are new treatments in the pipeline for Stage 4). He felt that it was best to throw as much as possible at it at this stage where the intent is still to "cure" it. She is a relatively fit and healthy 73 with no relevant co-morbidities so he felt there was no strong reason for her not to at least try chemo. He felt that it would reduce her chances of the cancer coming back by about 8%.
The third was also perplexed by the first opinion not to treat - and echoed much of what the second said. She also said that, if my mother really cannot tolerate chemo, they could stop it, but that any chemo she managed to have would reduce the chances of it coming back. So they are going to start with the "supposedly" easier regime and delay the more aggressive one until they see what her response is.
I just thought I would let you know all that so you can maybe take it to your next consultation.
Of course, your tumour was smaller than my mother's- so this may change the risk/benefit ratio in the direction of not having chemo. However, unless you have co-morbidities, I feel that the oncologists we saw might say that, at 65, there is no reason for you not to have it.
Good Luck anyway!
Flora, Oxford, UK
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hello
Just found this site and created an account. 58 years old; diagnosed 4/30TNBC; fast tracked to First AC treatment on 5/21. Completed 4 AC. Started Taxol, completed 1 of 12.
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Welcome Rachelle, sorry you found need to join us, but this group is very helpful.
Made my six month follow up appointments. I have a small lump under my port incision, anyone else have that? Not sure if I should have my PT use the cold laser on it, or wait until I see the oncology PA. Probably scar tissue, but why this far out?
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first taxol treatment tomorow. Any advice or thoughts on what I can expect?
Thanks!!
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cccmc2, Taxol was easy for me but because it wasn't hard I wasn't as diligent with drinking water and ended up getting constipated. Keep up the water!!! You should do fine. It is so much easier than AC.
R
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after AC, I found taxol pretty easy. They did pump me full of antihistamines so I was super drowsy. I started bringing extra caffeine so I wouldn't sleep through it because I hated how that screwed up my sleeping patterns. I definitely needed someone to drive me home as I was too groggy.
The other thing is that for the first 3 taxols at my center they have a dedicated nurse watching you for the first 15 minutes the taxol is flowing. It's to monitor for allergic reactions and it's not a big deal but it's kind of odd to have someone literally staring at you. Once you make it through the first 3 with no problems, they just have the general nurses keeping an eye on you.Do report any weird feelings, feeling hot, palpitations, rashes, breathing probs etc....
I didn't start icing until I began the first signs of neuropathy but some people start icing right from the start. HAve you decided?
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thank you Ladies! I didn’t plan to ice until I noticed any signs that I should. I’m looking forward to this being easier on me than the AC. My 3rd AC wiped me out so badly they slightly reduced my 4th and last treatment. I’m feeling excited to Be At the halfway mark, and after tomorrow past the halfway mark!! I’ve heard From some that hair sometimes will start to grow back on taxol... I hope this is true for me (
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