Over dozen years since stage 2 A DX and now Mets to lung???
I did all treatments and was compliant with my doctors and still got Mets. This is just overwhelming!
Comments
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I am so sorry that you now have mets. I’m sure it’s quite a blow. Sadly, not uncommon. The beginning of learning about mbc and living with it is difficult. Give yourself time and learn S much S you can. I am 8 years out from my mbc dx. Never a day goes by when I don’t think about it, but I do what I have to do, in terms of tx, and grab ever bit of happiness that I can. Take care
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Barteelis,
I remember when you were writing about tumor markers increasing several months ago. This was the same story for me. My tumor markers rose for a year before they found the source, in my liver. You cannot puzzle over why this happened despite your best efforts to follow doctors' instructions. I am 16 years out from my original diagnosis in 2003. We all have similar stories -- no one was trying to get Stage 4 cancer. For now, as exbrngrl writes, the best thing for you in moving forward it so learn as much as you can about metastatic breast cancer through this forum and by educating yourself through reading research papers on pubmed and through other sources. You can also look at the Metastatic Breast Cancer Network site, look at the National Cancer Institute information, look up information at various big name cancer hospitals like Memorial Sloan Kettering, and just basically inform yourself fully. Don't depend upon your docs to do that for you -- you need to get yourself in the game.
Good luck to you.
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Hi Barteelis,
I’m so sorry you find yourself on the stage IV thread. Unfortunately it is more common than most realize. There is a wide spread misconception that if you make it to five years you are clear. Generally those numbers, five years and ten years, are related to the length of clinical trials.
Like you, I was diagnosed stage IV as a result of pleural effusion in my right lung. At that point I was almost 16 years from my original diagnosis and had aggressive treatment in 2001 (aggressive chemo, radiation, five years of Tamoxifen followed by three years on an Aromatase inhibitor). The important thing to keep in mind is that a long gap between original diagnosis and stage IV diagnosis is usually predictive of good efficacy of treatment. My MO told me he expected me to do well for a good long time. I’m almost three years from my stage IV diagnosis and going strong.
I know the next few weeks will be hard as you come to grips with this diagnosis. We’re all here if you need a shoulder.
Hugs.
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This disease is ridiculously sneaky and unpredictable. I was staged IIB after my bmx, but on an unrelated PET scan my bone met was found by accident and later biopsy confirmed. All of the docs were stunned because both breast and bone were grade 1. So the moral of the story is, we never know what might happen yet somehow we forge ahead. There may be glitches and setbacks and times of despair but many of us are living longer and better each year. Yes, there’s quite a ways to go before we can declare victory over bc and too many will suffer in the interim, but there is more hope today than when I was dx’ed eight years ago. Take care
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Thanks Everyone with the remarks and positivity with your experiences, it sure helps to hear people out there have had a long time between DX and progression and are doing so well. BevJen, I remember we had the same thing going on with the TM’s I definitely think they alerted me of a problem as I did not and still do not have symptoms. I am however very anxious about the surgery for the biopsy, because the nodes are in the pleura they have to do a VATS procedure which sounds just awful, but my MO feels it better to know what subtype we are dealing with for treatment options. I have several nodes so not sure if they can resection and get all of them but I will ask the thoractic Surgeon on November 6 at my appoint. My best friends brother is a radiologist and has offered to view the scans cause he thinks it is a possibility to take them all out at once. Only one is 1 cm the rest are under 1 cm. When my MO said on Thursday he can keep me alive and well for decades i was shocked and I’m not sure it isn’t being overly optimistic, but I will take it!
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Barteelis,
I would take advantage of that friend's brother to do a second read of your scans -- you are very fortunate to have that opportunity.
I still have no real symptoms, other than those brought on by Ibrance. But it's better to know than to to know, I think, because now you can treat it.
Good luck with your early November appointment.
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29 years after initial ER+PR+ dx at age 34, sneaky bastard comes back as MBC in July. MO is hopeful that since it sat dormant for so long, it will be slow in progressing.
It IS shocking. This board has been a wonderful resource. Some days are better than others. Praying that you find many better ones
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GoldensRbest,
Wow 29 years, how did you know about the Recurrance? Is it in the lungs? Did you have the biopsy? It just sucks!!
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It's very frightening to be diagnosed with MBC, and I'm sorry to hear you are going through this. I was diagnosed with lung mets and malignant pleural effusion 18 years after my early stage diagnosis, and had a VATS procedure that was challenging yet do-able. If you have any pleural effusion, it may be possible for it to be drained and examined to determine the pathology in terms of ER, PR, and HER2 expression in lieu of undergoing surgical biopsy.
If you are interested in learning about approved treatment options for all subtypes, cutting edge research, and symptom mitigation, you want to consider obtaining my eBook or paperback, "The Insider's Guide to Metastatic Breast Cancer," which is also available in a complimentary .pdf. For more information, visit https://www.insidersguidembc.com/about
We've all been where you are now, which is admittedly a very challenging time. Once you know your test results and begin a treatment plan, the acute anxiety will diminish and you'll begin to feel better!
With warm wishes.
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bestbird
Thanks you for the info no. I do not have pleural effusions so I have to have the wedge section. I have already ordered your book but haven’t had a chance to read it yet. It is amazing to me how many get Mets years after early stage BC. It has knocked me off my feet for sure. I look forward to reading the book. Just delivered from Amazon! Thanks again.
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Barteeellis -
Spent 2weeks in July treating bronchitis which turned out to be a malignant pleural effusion. Have mets in lungs and bone mets in sternum.
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Bestbird,
What in your opinion is the best treatment for the pleura lung nodules? I was originally highly 100% ER+ and Progestrone+ 99% Her 2-negative. Thanks for any imput you may have. Kare
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ughh so sorry to read this. MBC is one sneaky jerk. I recurred in the lungs about 6 years out roughly. It is a gut punch. I’ve been living with MBC just over two years now.
Have you had the biopsy yet? I ended up getting a biopsy through bronchoscopy as I had lymph nodes that were malignant near my airways as well. My biggest tumor is also accessible via bronchoscopy as its in the center of the lobe.
Hoping for a smooth biopsy procedure for you. Once you get confirmation of ER etc status you’ll have a plan. The first six months I found the hardest after the mets diagnosis.
Deep breaths.
Hugs. -
I just had Pet Scan on Monday. The results show activity in a couple nodes in the chest areas and in right side lung only near pleura. My MO feels strongly that he needs enough tissue for different tests. He calls it next generation testing. Not sure what that is. So confusing. I’m scheduled for wedge section 6Dec. Did not like reading on pet scan of additional areas being active very scared. Can’t help reading the stats online they are very scary. My MO says I can live for years but everything I read online is so different than what he is telling me.
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Imagine -- My sorry you're going through this. My wife was diagnosed with MBC in her lungs in April. It was difficult for me not to freak out once I started reading the statistics online; however, what I've discovered is that the online stats are often dated and don't take into account recent advances in treatment. Everyone is different and every cancer is different, but the advances in treatment are real and many women are indeed living years with their MBC. I truly hope you are one of them. Best of luck.
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Imagine,
I had a wedge resection, the worst part is the chest tube for the first 24 hours. Once they remove that you will be fine. I had a little trouble using my abdominal muscles to sit up and get out of bed but that didn't long. They took @10% of my total lung capacity, I am a runner and don't miss it at all.
Take care!
Stacey
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Sbaaronsin
How long did it take you to recover from the wedge surgery? What are you treatments now? Thanks Kare
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Imagine,
I had the surgery on a Wednesday, overnighted at the hospital. On Saturday I went to the gym and did a powerwalk/slow run on the treadmill. Once they removed the chest tube, my only issue was engaging my abs to get from lying to sitting. I think a week post-op that stopped. I would say 7-10 days maximum.
Right now I am stable on Afinitor/Aromasin and Metformin. I was on Ibrance/Faslodex prior to this and had some progression in the bones; I only got 5-6 months from that drug combo. In hindsight, I think we might have given it a little more time. It's my feeling that I am a slower responder to these drugs, it seems to take a long time for the SE's to kick in.
Best,
Stacey
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stacy
My vats surgery has been a challenging but going home today Monday afternoon. Had chest tube removed yesterday. Still have moderate pain and very tired. She only got our what she could safely. Did not get the fat pad below my heart as there was nerves near the area that cannot be disturbed. I guess at this stage it is systemic treatments and. It surgery for treatment. I have to wait till next week to find out pathology. Etc. where where your Mets. Mine are more in chest area. Thorastic area.
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Imagine,
With the removal of the chest tube you will begin to feel better quickly!
When I was re-staged 8 years after my original stage 2 disease I had a 1cm lesion in my right lung, some mediastinal nodes, and a few very small nodes in the left supraclavicular region. I only had the wedge resection on my right lung, my recollection is that the mediastinal nodes were too close to an artery or something like that.
Yes, this is systemic disease, you need systemic treatment. You can and will do this. Focus on what you have to live for and hold on to it when it feels unbearably difficult. There are so many women here to support you.
Best,
Stacey
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I had my VATS on the 6th of December and am now home recovering. This surgery seems so extreme just to get tissue for pathology. I am so disappointed I am crying and cannot stop. My surgeon said the largest mass that was on the right side outside of the epicardium, they said it was on the epicardium fat pad and there was nerves too close to remove safely. The surgeon did say she got the pleura nodules and some areas on chest wall. They send tissue intrasurgical to the lab and it is confirmed to be cancer. Do not have all the genomic and subtypes back yet from pathology. This surgery is the worst I have every had, I wish they could have gotten this tissue another way less invasive. I am ill having a pity party today, I have gone thru all of this and still am stage 4 and my life is cut short. Have no idea of treatments, if they will be effective and what side effects I will have. So now I’m also left with just where are the mets, it seems it is in chest wall area when i asked my surgeon she just said it is a thorastic Metastases all on the right side. I can not find anything on these forums that talks about what i have. Feeling very alone and depressedabout what i have.
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