TRIPLE POSITIVE GROUP

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  • MACTAZ
    MACTAZ Member Posts: 597
    edited December 2019

    CONGRATS Willa, so glad to hear the good news.

  • willa216
    willa216 Member Posts: 165
    edited December 2019

    Thank you all for such support about my MRI! 

    Much love.

  • Cowgirl13
    Cowgirl13 Member Posts: 1,936
    edited December 2019

    Ingerp, I felt so much better after I stopped taking arimidex. One of the first things I noticed was that I could kneel on the floor (as in changing cat litter, wiping things off the floor). My knees didn't hurt! I also think I had quite a bit of neuropathy in my feet--mainly my feet would hurt and kind of have hot spots and I wouldn't feel steady at times. That is gone. The biggest change is how much, much better I feel mentally and emotionally. I had quite a lot of anxiety, and I was on meds for that, but I still felt anxious and also depressed. I also lost about 45 lbs--a bit of that has come back but that ok because I don't have the facial wrinkles I had when my weight was lower. So it does get better and I just want to say to those of you who feel like you are just slogging through, I felt that way too. It does get better and I know you can do it. Much love to you all.

  • Ingerp
    Ingerp Member Posts: 2,624
    edited December 2019

    Cowgirl--that is really good to hear! I can't say my SEs have been horrible, but I am <much> more tired and definitely have some brain fog going on. I feel like I'm resigned to living like this for the next four years (at least). Congrats on making it through, Cowgirl!!

  • AngelsGal57
    AngelsGal57 Member Posts: 145
    edited December 2019

    Hello my friends, Angels Gal here,

    Sorry I haven't posted lately. I have been connected, reading the posts that come in. With working a full time (40 hrs) and the fatigue that comes with AI's I enjoy coming home and taking a long nap every day.

    Today is a big day for me. My 4 month check up with Oncologist. We shall see if I continue to be the healthy girl my Dr said I was back in September where my numbers were very good. I know that the first 5 years are the most critical for us Her2 triple positive gals so I will be ticking off in March 2020 the beginning of year 3 since Diagnosis and chemo began.

    This is such an amazingly supportive place. I love the virtual hugs and affirming words even when times are confusing and tough.

    A very merry Christmas to all, and may we have a blessed New Year too!

    AngelsGal

  • MACTAZ
    MACTAZ Member Posts: 597
    edited December 2019

    Cowgirl, thanks for chiming in. It is nice to know that there are people who made it through this. It gives me hope I can also do it

  • AngelsGal57
    AngelsGal57 Member Posts: 145
    edited December 2019

    I received my first Christmas gift yesterday. 4 month check up report is I am in full remission. There is no indication of disease any where in my body. Numbers and cancer marker test are all at normal levels! I can now move forward without the dark clouds of doubt shadowing everything I do. I know there is always the possibility that it will return Her2+++ is just like that. Yet for now, this moment I am rejoicing and enjoying the moments. Merry Christmas everyone, do not loose heart or be discouraged. Hope is a powerful thing! Love and prayers, Angelsgal

  • rlmessy
    rlmessy Member Posts: 137
    edited December 2019

    Whew, I am finally done with surgery! Last Wednesday was the big day and it went well. Surgeon opted to not put port in at the same time as DMX so I will still need that done before treatment starts. Ended up with 2 drains but boy are they a pain.

    Got prelim pathology back and left breast is clear with just some junk that could have turned ugly. Right breast just had known mass that ended up being around 2.6cm. The great news is that the SN was negative!!! The only gray area is that there is an area suspicious of lymphovascular invasion. Don't know if that is bad since node was negative??

    Have not seen my incisions yet. Dressing gets changed tomorrow at surgical follow up.

  • ElaineTherese
    ElaineTherese Member Posts: 3,328
    edited December 2019

    rlmessy,

    Glad to hear your surgery went well. Yeah, those drains are a pain! I had a lumpectomy and ALND, and had one drain. But, it took me forever to get rid of my drain because I didn't rest enough so take it easy.

    Congrats on the clear SN! That means no ALND for you and a smaller chance of lymphadema. Here's hoping you have an easy recovery.

  • rlmessy
    rlmessy Member Posts: 137
    edited December 2019

    Ok... need some help and to talk this through. I am recovering from my DMX so nothing to do but think too much.

    Initial biopsy said 1.9cm, triple+, no lymphovascular involvement.

    Surgical pathology says 2.6cm, triple+, SLN negative but areas suspicious for lymphovascular involvement.

    Surgeon says stage 1b and not to worry about lymphovascular because node was negative. Says C was contained to breast.

    But doesn't lymphovascular mean it has begun to travel by lymphpahtic system and vascular or blood system too? And while lymph node is clear is there a test to see if it is moving via my vascular system?

    I just don't know if the lymphovascular issue is something to worry about and consider when deciding on future treatment???

  • neeli
    neeli Member Posts: 83
    edited December 2019

    rlmessy - Does that mean you have residual tumor from the surgery?

  • rlmessy
    rlmessy Member Posts: 137
    edited December 2019

    neeli...I don't think so, I had a double mastectomy with clear margins all around.

  • hapa
    hapa Member Posts: 920
    edited December 2019

    rlmessy - I assume you will be getting TCHP and tamoxifen/AIs,which should treat anything that has moved via the lymphovascular systems. That is the whole point of systemic treatments like chemo and hormone suppression.

  • neeli
    neeli Member Posts: 83
    edited December 2019

    rlmessy - Sorry i thought you had chemo first and then surgery. You might need chemo or radiation.

  • Lulu44
    Lulu44 Member Posts: 37
    edited December 2019

    Rlmessy- You should be offered plenty of systemic treatment that is likely to take care of any stray cells, like Hapa mentioned. Unfortunately there are currently no blood tests or imaging that can determine whether microscopic cancer cells are circulating or hiding elsewhere in the body. Luckily the systemic treatments are extremely effective and although none of us has any guarantee, Stage 1b has a very good prognosis. Also Triple positive can be treated with targeted therapy (Herceptin and/or perjeta), chemotherapy and hormonal therapy- it’s quite the arsenal. I hope you’re healing well. Hugs to you, we’re right here with you

  • Lulu44
    Lulu44 Member Posts: 37
    edited December 2019

    AngelsGal57 - Congrats on your 4month check up! That’s a wonderful Christmas Gift. Have a merry one!

  • Paloma1211
    Paloma1211 Member Posts: 103
    edited December 2019

    Hello friends! I’m currently on a Kadcyla regimen & have a serious (and seriously annoying) cough. Dry, unproductive hacking. It goes away when I lie down to sleep. Can’t seem to get my MO on the phone to ask what I should take to calm it. Anyone have any advice/experience

  • ElaineTherese
    ElaineTherese Member Posts: 3,328
    edited December 2019

    Paloma,

    Someone should be on-call at your oncologist's office, even if just a nurse. When you call the office, does anyone pick up, or is there a message with instructions about how to reach someone on-call?

    I'm a big cough drop fan, but I'm not sure drops would work for dry hacking.

  • FNPMom
    FNPMom Member Posts: 46
    edited December 2019

    Hello Paloma - could be allergic cough? might want to try OTC antihistamine like cetirizine, it doesn't interact with kadcyla and doesn't impact liver function but make sure to confer with your MO; also, cough seems to occur as a side-effect of kadcyla like (18%) - today I'm having my long delayed and now dose adjusted 2nd kadcyla dose - hopefully my liver stays calm on the lowered dose

    Does anyone have joint pains after chemo? - have recently noticed that when in a prolonged position like I was sitting on the floor wrapping presents, moving from that to get up was just a slow achy thing, caught me by surprise as my last TCHP was 09/13 and I'm not on the tamoxifen yet

  • Paloma1211
    Paloma1211 Member Posts: 103
    edited December 2019

    Thank you ElaineTherese & FNPMom. They do pick up at the office, and I’m able to leave a message on my mo’s non-urgent voicemail. I will check out that antihistamine and see if it helps. I also read somewhere that ginger tea may help e we it’s inflammation. I’m going to give that a shot while I’m at work today. Fingers crossed!

    Good luck with your second Kadcyla dose, FNP! I hope it goes well. I feel a little stiff after sitting in the same position for a while, too (like driving for an hour, or sitting at a restaurant). I guess I just chalked it up to getting the crap out of my system. Are you doing any dedicated stretching or exercise? Wondering if that would hrlp

  • rlmessy
    rlmessy Member Posts: 137
    edited December 2019

    Paloma..a couple of things to try...hot shower, menthol cough drops, tea with honey or some pineapple juice solo. Those are my go to remedies for a dry cough.



  • LaughingGull
    LaughingGull Member Posts: 560
    edited December 2019

    rlmessy: areas suspicious of lymphovascular involvement means that there could be cancer in your lymphovascular system, not that necessarily is. If the cancer had gone to your lymphatic system, the first place it would go to from there would be the axillary sentinel lymph node(s); however, those lymph nodes were clear. That is good, which is why your MO sounds confident that the cancer was confined to your breast, even if for you the situation still sounds terrifying.

    For comparison: my pathology report said: lymphovascular invasion present; I also had two nodes with macro-metastases (i.e. cancer in the nodes that can be seen by the naked eye, without a microscope), with signs that the cancer was extending beyond those nodes (extranodal invasion present); this sounds bad, more ominous and doesn't sound reassuring of the cancer not having traveled beyond the breast. Nobody wants to have residual disease, but as far as residual disease go, your results are not bad. And there are new treatments now for residual disease. So, I think you can be optimistic!

    dry cough: I was thinking antihistamins or asthma meds but since I have no idea if that is compatible with Kadcyla I would also leave a message explaining the issue and asking for a call back.

  • MACTAZ
    MACTAZ Member Posts: 597
    edited December 2019

    FNPMom, just curious if you had some joint pain before your diagnosis? I had problematic knees before and during chemo it seemed like all my achy joints were completely healed. After chemo, it magically reappeared. My OC said that the chemo attacks everything including inflammation in your body so actually helps with aches and pains. Not sure if others have head this but I found it interesting.

  • Jumpship
    Jumpship Member Posts: 305
    edited December 2019

    Paloma-I used a blue tube if homeopathy pills for dry cough that I purchased at the Nugget market. After two doses my dry cough was gone. In case nothing else works

  • FNPMom
    FNPMom Member Posts: 46
    edited December 2019

    Hi guys - no achy joints prior other than my left hip hurting when running, which made me switch to cycling - have not cycled since the diagnosis (afraid of falling and breaking something, delaying plan of care - just power walking for now) it feels like my joints get stuck and achy - I feel it even in my hands - avoiding NSAIDs because of my liver so, I've been using peppermint oil and it helps

    I got done with the 2nd Kadcyla dose yesterday; this time, I felt so cold after - loaded up on warm drinks and a dedicated portable heater - felt tired but woke up today feeling normal - lab check on 01/10/19 - my fingers are crossed that liver enzymes stays stable - my onc can lower it further from 3.0 to 2.4, but after that he'd have to herceptin/perjeta me - I really want this drug though - my HER2 was in the DCIS and I think that was the remaining 11 mm (they no longer did prognostics after neoadjuvant and I agreed since it wouldn't change plan of care)

    On another topic - the things we tell each other lol - but as I was wiping after voiding this morning there was a trace of blood on the tissue. I'm not on tamoxifen yet (waiting to get stable on my kadcyla dose) - I think my ovaries are turning back on, I have 2 daughters and they're on their cycles this week - I'll have to talk to my onc - anyone contemplating doing complete hyst with bilateral ovaries/fallopian tubes being removed too?

  • Lulu44
    Lulu44 Member Posts: 37
    edited December 2019

    Hi FNPMom - happy to hear you woke up feeling normal after the 2nd Kadcyla. My liver enzymes went way up a couple oftimes with TCHP so I’m hoping it doesn’t mess up Kadcyla for me either (starting 1/2). Fingers crossed for your enzymes to be stable on 1/10. I’m tentatively scheduled to have my ovaries and tubes out on the 10th so I can go on an AI. My last chemo was over a month ago but no signs of a period yet. My MO was pretty firm about putting me into menopause & doing AI, she never even mentioned tamoxifen.

  • Bheg79
    Bheg79 Member Posts: 54
    edited December 2019

    FNPMom - my ovaries turned back about 1 year after my last chemo and my period returned - luckily I was due to see my onc a couple weeks later so when I mentioned it to her she had me start zoladex injections to shut my ovaries back down (plus I was on tamoxifen for 10 months already) - at this point she thought removing my ovaries was not necessary as it’s a big decision and permanent unless I felt I’d rather do that - at this moment, for me, I don’t feel like having another surgery if I don’t have to so I’ll do the injections for now - I hate having to make these decisions - I never know if I’m making the right one lo

  • Adhoney
    Adhoney Member Posts: 66
    edited December 2019

    Hi FNPMom,

    The Kadcyla can cause muscle & joint aches, which I have developed. It’s manageable yet annoying. I didn’t have any aches or pains prior to cancer. When I was on an AI together with the Kadcyla, it REALLY intensified. For now I’m just gonna finish the Kadcyla and then we’ll try the AI again.

    Angie


  • Kimmh012
    Kimmh012 Member Posts: 87
    edited December 2019

    I am reading more and more TPBC women are getting Kadcyla and not Herceptin and Perjecta regimen ...I thought Kadcyla was only after H&P and residual disease? But reading some are getting Kadcyla right after Chemo.

    Those of you on Kadcyla, what side effects do you have?

    I have had 4 rounds of just H&P with ever side effect of both medicines except diarrhea, I am severely constipated instead.

    I may ask to either drop Perjeta or switch to Kadcyla. TIA.

  • opievanbeek
    opievanbeek Member Posts: 1
    edited December 2019

    I will be starting Kadcyla this week, hopefully. I have an infection in my left breast (still have expanders in) and praying it will subside enough to start treatment. My concern with this drug is whether or not it will allow me to work. What has everyone else done to tackle this? Or have the side effects been too severe for some people that you just weren't able to work? I realize the side effects can vary, but just looking for a consensus I guess? Thankyou!

    Laurie

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