Pathology addendum - could this change my chemo?

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Bejeweled
Bejeweled Member Posts: 49
edited November 2019 in Chemotherapy - Before, During, and After

Hi everyone,

I had 2 areas biopsied in August - one was HER2 negative and one was HER2 positive. I also had lymph node involvement in 1 node. I am beginning AC-T chemo on 12/4. Yesterday, I saw an addendum of the pathology from my recent surgery (10/28) in my patient portal that indicated HER2 negative.

I haven't heard from the oncologist yet, but I'm wondering if this could change the chemo plan? Since I had 2 areas biopsied with different results, I'm not sure how much to trust this current result (I don't know how many areas they tested etc).

I'm sure the oncologist will call next week, but in the meantime...Thoughts?

Thanks

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  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited November 2019

    Bejeweled - Usually they treat HER2+ as a priority and start Herceptin. You can't take Herceptin with Adriamycin - since both can cause heart issues. That's why I had the combo chemo TCHP (Taxotere, Carboplatin, Herceptin & Perjeta).

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  • Bejeweled
    Bejeweled Member Posts: 49
    edited November 2019

    Hi MinusTwo, Thanks for your response. My treatment plan calls for 4 rounds of AC, then 12 rounds of Taxol plus Herceptin, and then continuing on with Herceptin by itself for a year. I am just wondering if it's now HER2 negative, if things might change with the plan they already established. If it's now Her2 negative, maybe I don't need the Herceptin? I am going to chemo education appointment on Tuesday so maybe I will hear something then.

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