the kitchen sink
I I'm a HUGE planner and like to anticipate as much as I can around me. I just turned 35 and am looking to start a family, but not in the next year or two, sadly. This whole journey has made me feel SO lost, so it has been (somewhat) helpful for me to plan and map out what the next several treatments look like for me so I have some sense of control that I'm "doing something" to get better and make sure I'm around until my unborn children are married. That said, I wanted to ask what your stage III "kitchen sink" treatment looked like.
I've told every doctor I've visited so far that I will LITERALLY DO ANYTHING. So, I've started to plot out roughly what that is. I'm interested to hear what your aggressive treatment path looked like?
- Left Mastectomy (did not take out more than the effected 4 lymph nodes)
- Started dose-dense AC/T chemo last week
- Followed by Radiation (rounds TBD)
- Oophorectomy (have 8 frozen embryos)
- Hormone therapy (would like to take a break to get pregnant OR find a surrogate) - I'm reading a lot about the types of HT and was interested to hear what was the most aggressive in pre or post-menopausal women.
Anything else I am missing, trials or otherwise? I will still continue to run, workout regularly, eat a healthy diet and keep away from sugar and refined foods. Also looking into a naturopathic oncologist soon, in addition to a therapist (first session tomorrow).
Thanks for all the help and support… being so young and knowing I'm going to have to think about this for the rest of my forever has not been easy, so this "planning" and control over the situation has been helpful.
xx
Comments
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You are doing a great job... I think you have got it all covered.
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I believe some stage 3 people have added Xeloda to their treatment plan. Something to ask your oncologist.
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You sound like you're doing brilliantly - this is very positive and that in itself helps your health! There are trials of adjuvant Ibrance for ER+ stage 3 - it looks very promising, I would definitely be on that if I could. There's a thread in these boards for those on the trial. Ask your onc. Also bisphosphonates. My hospital has got that approved - six-monthly infusions for 3 years. Risk reduction of around 5% (protects your bones). First treatment made me achy and feverish but after that nothing - walk in the park and well worth it. Going forward, exercise has been shown to significantly reduce recurrence (see main site for latest guidelines). Look out for results of trials on Aspirin, Metformin and statins. All easy to take low cost common prescriptions all being trialled for their impact on cancer. As for complementary, people accept evidence for green tea and curcumin. There's a lovely book 'Anti Cancer' by a wonderful doctor who got a brain tumour himself and delved into all the research on different approaches for himself. It's a kind intelligent uplifting and empowering book. And if you can find a way to have that baby o hope you do it. Can't think of anything more life affirming. Good luck.
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Hi VMB, It's awesome you are being so proactive. I am the same way by nature. I agree wih exercise and diet adjustments. I strictly followed the BC diet found on line, just google it. Stay away though of soy and other plant estrogens as they are contra for er/pr pos. ladies. I stopped all foods with preservatives , nitrates, diary, alcohol, sugar , white flour etc.
When i finished my chemo I started on supplements,as alot of them inhibit the efficacy of chemo. I aso did bisphoshonates
I did metformin, but stopped after a clinical trial results were published that concluded no benefit
This was all over 14 years ago from my Stage IIIC "poor" prognosis.
I am well and enjoying life , and so are many of us stage III oldsters here .
Wishing you a gentle ride through this time.
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lkc - just wanted to hop on and say that soy is actually highly recommended now for women with bc. My breast surgeon recommended soy as part of my daily diet. I also read Dr. Kristi Funk's book "Breasts - The Owners Manual" and she goes into detail on why soy is good for us, whether you are ER positive or not. Dr. Funk shows that every single soy study since 2009 has shown a decrease in breast cancer occurrence/recurrence/mortality rate in women who consumed soy vs those who did not.
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Ask your onc about chemo pill Xeloda. I took it for 6 rounds after radiation for extra protection, as my onc suggested, due to the fact that I still had one node positive after neoadjuvant ACT chemo.
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Be careful with soy. It depends on whether you are ER/PR positive or negative is soy is recommended.
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As others have said, Xeloda. (It's my favorite chemo, really!)
Also, there are clinical trials where you can add Ibrance or Kisqali to your hormone meds for non-MBC. Hope that helps, best wishes.
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Did you take a hormone blocker while on xeloda?
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Yes, I did take xeloda with aromasin for those 6 cycles.
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I have the COC protocol (there is a topic in the stage IV forum here and I'm in the FB group).
My MO think I should be stage IV and I get a Petscan every 3 months.
For the moment, I'm not.
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Why does your onc think you should be stage 4??
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rndiana, in my case my MO did this: I was on ovarian suppression (Zoladex) during my Xeloda cycles, because I was still pre-menopausal at that time. After I finished all my Xeloda cycles, we added an aromatase inhibitor to Zoladex.
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My MO think I should be stage IV because I had a first recurrence in my reconstructed breast which contained 7 tumors. And after the error of my RO (who forgot to radiate a zone which contained cancer, nothing less than that!), and then a second recurrence (in the forgotten zone) of a 5 mm fat cyst containing really bizarre tumor cells (these cells were "very rare" according to the report and were not ER+ anymore).
All the doctors in the hospital don't understand this strange cancer. They are waiting new metastasis to decide what is the type of my erratic cancer : ER+ or triple negative ? While waiting, they give me Faslodex, just in case.
With 7 metastasis in my skin and parenchyma, it would be a miracle if I was not stage IV (this is what they says).
This is the reason I get of all these petscans and have my COC protocol: I have absolutely nothing to loose... And for the moment, it works ! [fingers crossed]
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Buttonsmachine:Thank you:) I appreciate u getting back with me. I am headed yo Mayo clinic soon to get their opinion. My oncologist said no more chemo which is great but just want to make sure I throw everything i can at this that could potentially work without overtreating or hurting my body/immune system mor
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I'm glad you're going to Mayo clinic. Hopefully they can help you select appropriate treatment without over-treating it. That can be tricky for some of us - treating the cancer is important, but maintaining quality of life is really important too. Best wishes.
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