Stage I, but Her2 pos, ER-/PR- AM I DOOMED???
I need help! I just came back from my final post-op appointment and I am so down!!!! I was initially dx with DCIS back in June, then after 1st lumpectomy in July, 2nd lumpectomy one week ago, dx with Stage I (cancer was invasive after all), very small tumor, clear margins, SNB with negative nodes, Her2 positive, ER and PR negative. I begin chemo in a couple of weeks with Adriamycin & Cytoxan every 2 week x 4 tx, then Taxotere 2-3 weeks x 4 tx, then Herceptin x 1 year, then rads. My doctor, whose skills I trust but I am not sure about his bedside manner, seemed very reluctant to be encouraging that I can beat this! He kept saying the cancer is aggressive, small doesn't really mean anything, etc. I know this sounds crazy, but I am so low right now that he might as well have told me I had Stage IV!!! I know no one has a crystal ball, but am I just doomed to have a low survival rate because of the Her2 positive thing? Gee this question sounds so crazy, even to me. I appreciate anyone's input on this! BTW, the nurse at the cancer center was nice enough to tell me "not to plan my funeral yet". I know I have to pull myself up by my bra straps and get a grip and a positive outlook, but right now it's so hard!
Also, is my chemo regimen unusually strong, or fairly standard?
Thanks and best wishes to everyone!
Mary Jo
Comments
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Welcome Mary Jo. Congratulations on finding a small tumor and having no positive nodes. The markers you mentioned help your doctors select the best treatment for your cancer.
Know that every case is different and NO ONE can tell YOU what will happen. At this stage you are probably madly looking at survival tables and worrying about things that may never happen.
You will likely read that the Drug Herceptin has greatly improved the recurrence and survival rates at the 2 year mark in recent studies and this trend is expected to continue.
I had very similar treatment to yours and am still NED at the 2 year mark. There are other regimes for your cancer, it might be worth while exploring the other options with you oncologist. I think many people are receiving their Herceptin with the Taxotere...some are getting TCH(taxol,carboplatin and Herceptin).
Becoming more positive will hopefully start soon for you. I think I felt better once my chemo started, thinking I was blasting away any stray cells. I still worry but much less so and for short periods.
Stages 1-3 all have people that are cured, why not you?
Fists up! -
Sorry you had to be here, but you picked a good place. There's also another site her2support.org that was very helpful to me. I have a similar diagnosis and on Sept 7, I will be at my 3 yr cancerversary. So don't think of the negatives and just think of all of the advances they have now.
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I am ER- PR- Her2 pos, and have been told that I'm Stage IV, and I don't feel doomed.
Your tx does seem strong, but strong is good if you can hack it.
I had 4x A/C at 3 week intervals, then 33 rads and now 1 year of Herceptin.
I have had bad days, both mentally and physically, but I have reached a point to where I am looking forward to and planning for my future.
I hopes this helps you. -
Quote:
Sorry you had to be here, but you picked a good place. There's also another site her2support.org that was very helpful to me. I have a similar diagnosis and on Sept 7, I will be at my 3 yr cancerversary. So don't think of the negatives and just think of all of the advances they have now.
Thanks, Juanita and congratulations on your 3 YR Cancerversary!!! And I am definitely working on focusing on the advances that are being made. -
Quote:
Welcome Mary Jo. Congratulations on finding a small tumor and having no positive nodes. The markers you mentioned help your doctors select the best treatment for your cancer.
Know that every case is different and NO ONE can tell YOU what will happen. At this stage you are probably madly looking at survival tables and worrying about things that may never happen.
You will likely read that the Drug Herceptin has greatly improved the recurrence and survival rates at the 2 year mark in recent studies and this trend is expected to continue.
I had very similar treatment to yours and am still NED at the 2 year mark. There are other regimes for your cancer, it might be worth while exploring the other options with you oncologist. I think many people are receiving their Herceptin with the Taxotere...some are getting TCH(taxol,carboplatin and Herceptin).
Becoming more positive will hopefully start soon for you. I think I felt better once my chemo started, thinking I was blasting away any stray cells. I still worry but much less so and for short periods.
Stages 1-3 all have people that are cured, why not you?
Fists up!
Hi Mary-Anne and thank you for your encouragement! I think you have put things into perspective for me, especially with your attitude about the chemo "blasting away" the cancer-- I will remember that! I am working hard on being positive-- this evening is already better than this morning was. Again thanks and blessings to you!
Mary Jo -
Quote:
I am ER- PR- Her2 pos, and have been told that I'm Stage IV, and I don't feel doomed.
Your tx does seem strong, but strong is good if you can hack it.
I had 4x A/C at 3 week intervals, then 33 rads and now 1 year of Herceptin.
I have had bad days, both mentally and physically, but I have reached a point to where I am looking forward to and planning for my future.
I hopes this helps you.
Hi Brenda,
Thank you so much for your encouragement. Yes, you have helped me very much. It really means a lot to hear how others deal with this rollercoaster ride of emotions and I feel pretty ashamed of myself when I whine. You have inspired me already to be more positive! I hope you continue to do well!
Mary Jo -
Hey, there is no need to feel shame when whining. This disease is horrible and it doesn't play fair.
Just ban the word "doomed" from your vocabulary.
I am stage 4 (at age 29). I am now NED for almost a year.
I whine everyday. Don't like that it was EVER in my body.
However, I keep reminding myself I am one of the lucky ones. I responded to treatment.
A 5cm. tumor I found under my arm was gone with 3 weeks of treatment.
My onc. said this doesn't happen. He was shocked and he has been doing this a long time.
I was not planning on being here this summer, but I am .
If you saw me you would not say she has cancer, maybe just wow, she likes her hair really short. Is that a way to save money on shampoo?
Keep your head up,
Jan -
Hi...I had a 2cm tumour, and I am er/pr- and her2+. I've been finished all my treatments (same as yours) since May and I feel good, like life is good, like I am on top of this. And have done since the first day of diagnosis. I have never felt "doomed", though I have to say, when my surgeon kept saying that her2 cancer is very aggressive, I hated to hear it. But I accepted it and absorbed it. And I reminded myself, and everyone else, that I am not my pathology. Those are scientific statistics that we can't get away from, but I am still me and I have too much fight in me to just say "oh, okay then". I never allowed my cancer to be bigger than me.
Herceptin is a marvellous, wonderful added bonus for those of us with her2. I'm so grateful to have it and don't feel that we have been left on our own with this "aggressive" form of cancer. I still say, I'm aggressive too. I believe it is very important as part of the treatment that we feel as positive about what we are doing for ourselves as we can.
You can do this...and don't let terms and phrasology bring you down. They are only words!!! Choose others that work better for you and your emotional/mental well being.
Sending you positive thoughts for your journey. -
Quote:
Hey, there is no need to feel shame when whining. This disease is horrible and it doesn't play fair.
Just ban the word "doomed" from your vocabulary.
I am stage 4 (at age 29). I am now NED for almost a year.
I whine everyday. Don't like that it was EVER in my body.
However, I keep reminding myself I am one of the lucky ones. I responded to treatment.
A 5cm. tumor I found under my arm was gone with 3 weeks of treatment.
My onc. said this doesn't happen. He was shocked and he has been doing this a long time.
I was not planning on being here this summer, but I am .
If you saw me you would not say she has cancer, maybe just wow, she likes her hair really short. Is that a way to save money on shampoo?
Keep your head up,
Jan
Wow Jan, you are an inspiration! And I will ban the "doom" word. But can't promise I won't keep whining ;-)
I am so happy to hear that you are doing great! Thanks for your reply and I wish you all the best!
Mary Jo -
Quote:
Hi...I had a 2cm tumour, and I am er/pr- and her2+. I've been finished all my treatments (same as yours) since May and I feel good, like life is good, like I am on top of this. And have done since the first day of diagnosis. I have never felt "doomed", though I have to say, when my surgeon kept saying that her2 cancer is very aggressive, I hated to hear it. But I accepted it and absorbed it. And I reminded myself, and everyone else, that I am not my pathology. Those are scientific statistics that we can't get away from, but I am still me and I have too much fight in me to just say "oh, okay then". I never allowed my cancer to be bigger than me.
Herceptin is a marvellous, wonderful added bonus for those of us with her2. I'm so grateful to have it and don't feel that we have been left on our own with this "aggressive" form of cancer. I still say, I'm aggressive too. I believe it is very important as part of the treatment that we feel as positive about what we are doing for ourselves as we can.
You can do this...and don't let terms and phrasology bring you down. They are only words!!! Choose others that work better for you and your emotional/mental well being.
Sending you positive thoughts for your journey.
Wow what an awesome reply! You put it all into perspective so well! I don't know what I'd do without ladies like you and your encouragement. I did some further reading last night about Herceptin and its results and they are truly exciting. To me, the "aggressive" word means that it can come back or spread, but even if that word wasn't there, that is something I would be concerned about anyway. But I am determined not to let it rule me now! I love the way you put it about the "words" and I intend to choose others that work better. You'd think at 51, I'd have all this figured out already, but that just shows you can always learn no matter what your age. Again, thank you, and I am truly glad to hear you are doing very well after your treatments! -
That's what we're here for Bluewillow...to help one another, to share our experiences with one another.
That's part of this cancer journey...I believe we are given a chance to look at the world through a different view finder ~ to see the things we were missing out on and reclaim the time that we have on this earth (someone on the board, Biondi I believe) calls this "God time" which I think is brilliant. I'm the same age as you, diagnosed when I was 48, thought cancer would never happen to me (don't we all?). I've come such a very long way since the day I heard I had a mammogram that showed suspicious calcifications, and I've learned so much.
You will too.
And herceptin? The best news for those of us with her2. It also works wonders at late stage, metastatic cancer.
If you have no nodes involved (I had 1), and your scans are clear and the cancer hasn't travelled, that puts you in a better position. It might come back, it might not. You might develop heart trouble, you might not. You might fall down the stairs, you might not. All part of life. I just choose not to dwell on the "what if" and as my screen name says, I live for each day. It's the only one that counts.
I love hearing you say that you are determined not to let this rule you now. Remember, you will have good days and bad days and the bad days can be really bad. They'll take you to the bottom of the well. But the good days? We hope they will last forever and we learn to make the most of those.
You go girl!!!! -
Hi Mary Jo
Yes your treatment seems tough to me...but that's good...do everything possible now so you won't have any regrets later...I did 4 rounds of Taxotere/Cytoxin/Herceptin and still taking Herceptin until Dec...I was Her+++ er+ & pr+...thinking maybe I should have added Adramyacin...No you are far from doomed, actually you are one of the luckier ones! -
Mary Jo-
We have similar dx......do not let it get you down just do ALL you can to fight and stay positive. I was DX at 39, had bi-lat Mas, 4 a/c, 4 taxotere/herceptin, then continued Herceptin for a year and finished in late June. midst herceptin I had 35 rads. I, too was originally stage 1, dcis then found IDC 2mm in breast no lump then we found it was also in 3 lymph nodes 3mm, 4mm, 7mm.....er-/pr- her2+3.8...I too have worried about the aggressiveness, but I have done absolutely all I can do and plan to sign up for clinical trials at the university hospital in a few months very interested in what tykerb is showing with herceptin. I had a second opinion at Sloan Kettering and the Oncologists and my oncologists agreed except Sloan thought Taxol instead of taxotere....they are sister drugs and from my understanding Taxol usually is physically tougher???!! I went with taxotere. I just had my first of 3 surgeries for reconstruction DIEP....I am moving forward. Stay positve get through your treatment, then I think it is important to exercise, eat right and keep going there are many many tough DX out there.......fists up gal you can do this!!!! Hugs JoAnna
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Hi JoAnna and thanks so much for your kind words and encouragement! You are one courageous lady to have such a positive attitude! I wish you the best for your reconstruction recovery and hang in there! I think your advice about exercising, eating well,and keeping on is excellent advice and we should all follow it! Yes, we can do this!!!
Hugs back to you!
Mary Jo
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For what it's worth Mary Jo, my surgeon at UCSF --the director of the breast cancer program -- told me to be it was better (!!) to to be Her2+ than not because Herceptin is doing such a good job of extending life expectancies in early stage tumors like ours. I, too, was stage I. Imagine what the research will produce in the next couple of years at the rate things are going. We'll be around long enough to be a pain the butt for our great-grandkids! Ha!
Trish
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Mary Jo,
I echo what everyone else has said. When first dx'ed I was also told I had a very aggressive form of cancer and it would most likely return as stage IV etc. etc. etc. Then the results of the Herceptin clinical trial I was in came out and I learned that a 3 to 4% improvement is considered a successful trial. Ours had a whopping 52% improvement! We have conducted polls among ourselves on this board and have even better results. When first dx'ed I was told the er/pr- component was really the pits because I could not do hormone therapy and after chemo and rads there was not much else left; however, then the big H kicked butt and now it seems that it is better to be er/pr- because those who are positive in that respect have a greater chance of having cancer in the ovaries etc., and as someone said, Herceptin is proving to be a successful treatment so far. And, Tykerb has now entered the picture and appears to be even more powerful, if Herceptin doesn't do the trick. So think happy thoughts and the mind is a powerful thing.
Hugs,
Janie
dx 3/11/04 5/4 lumpectomy NED at 3.5 years stage IIIA 5CM HER2+++ grade 3's 7 positive nodes with two wrapped around the supraclav
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Wow, Trish, thanks for that great news from your surgeon!!!!!!! And gosh, it's worth many pots of gold to hear that after all the "negatives" us HER2+ ladies have had to listen to. I realize now it is a matter of when the information is dated that we can apply it to our situations. Sounds like there's so much hope for us, and to go along with that hope is the actual proof of the drug working!!!!
Again,thanks for your encouraging words! Continued best wishes to you!
Mary Jo
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Hi Janie and thanks for you great news too!!! I've learned a lot from you, since I hadn't realized the thing about the ER-PR- thing being "better" to have than ER+PR+ because of the greater chance of ovarian cancer. I'm seeing how the Herceptin is leveling the playing field for all of us HER2- and HER2+ ladies. The great thing is we've all got HOPE for a great long life!!! And yes, I am thinking happier thoughts now and using the wonders of a positive mind. Again, thanks ever so much for making my day so much brighter!
Hugs and best wishes,
Mary Jo
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I'm sorry your doctor is not more supportive. My diagnosis was stage 1, node negative, her2+. My surgeon and oncologist have always been encouraging. My surgeon told me I had a better chance of getting killed by a bus - LOL and my oncologist told me I have a great prognosis especially with Herceptin. I had the same treatment you will be having - a/c, tax/radiaition/herceptin and was diagnosed Jan,2005. Keep your spirits up!
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Hi Mary Jo,
I was dx'd right at 6 yrs ago with idc, 2.4 cm, neg nodes, highly HER+++, ER-/PR-, Grade 3, Stage 2 and I too felt doomed! Back then you couldn't find anything written about being HER+ that was good and it was so discouraging. Only about 20-25% of us are HER+++ and there were only a few of us on these boards. It could become very overwhelming at times and with every little ache and pain I was sure I had a recurrence.
BUT....in just 1 month .... I will celebrate my 6 year anniversary of being NED!!! I know there are a number of long term survivors out there who have stayed NED. There are also a lot of long term Stage V survivors out there as well because of Herceptin.
When I was first dx'd, herceptin was only offered to Stage 4 so all I had was 4 rounds of AC and 35 rads.
Hang in there....it will get better and it will get easier.
Debbie
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Hi Mary Jo,
I had a similar dx, of HER2+ and ER-/PR- almost a year ago. Due to the small tumor size, 3mm, I was advised not to do chemo (by 3 oncologists). So here I was with this very "aggressive" form of cancer, and no treatment! I was a little panicked, felt like a time bomb waiting to go off! But my onc said, even with the HER2+ issue, the tumor size is most predictive- the smaller the better. That made me feel better. It's about one year since dx, and I feel wonderful. I completely revamped how I eat- lots of cancer-fighting foods now, and I try to get more excercise in. When you feel down, always remember what Janie said- that HER2neu is where all the advancements have been made! At the her2support site, someone did a poll, and NOONE that had been on herceptin had had a recurrence so far. It's not scientific, but isn't that exciting! Some of those women were diagnosed in later stages. I've decided to look at HER2+ as an advantage....it doesn't matter how aggressive it is if we have treatment that can knock it out. My very best wishes to you,
Jill
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No you are not doomed. I was diagnosed in 2002 with Her2 breast cancer. I had a mastectomy and AC plus T. I am now on Arimidex. My onc and surgeon are very positive. Don't go by your docs horrible personality! You are using an aggressive regimine and you will kick this cancers butt. Hang in there!!!
Barb
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Hi MaryKay--
You are yet another great inspiration to me and I do so appreciate you sharing your experience!!! This is the way I am learning that my doc just probably doesn't have the reassuring manner that I have needed. I am really relieved by what your surgeon and onc have told you-- that Herceptin must be a gift from the Heavens above!!! Again, thanks and I am so glad to hear you are doing well! Keep in touch!
Hugs,
Mary Jo
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Debbie,
Thank you for responding and for understanding my overwhelming feelings also! And I am SO HAPPY for your 6 yr NED anniversary!
It sure sounds like the plan your doctors chose for you is working beautifully! Thanks again for your kinds words and reassurance that things will get better and easier. They already are, thanks to ladies like you!!!
Mary Jo
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Hi Jill,
Thank you for more GREAT and exciting news about herceptin!!!!! And you have a great attitude and approach to taking care of yourself and staying well. I would love to hear more about your diet plan with your cancer-fighting foods. I plan on creating and sticking with a super healthy anti-cancer regimen as well as exercise as soon as I get through my treatments. I am still trying to be as active as possible during, and it is sure helping with the SE's.
Again, thanks so much and bless you for your help!
Mary Jo
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Hi Barb and thanks for your story and encouragement, and I no longer have that awful feeling of doom hanging over my head!!! I'm happy for you that you have positive and encouraging doctors--and thanks for sharing them with me! And it's great to know my regimen is indeed considered aggressive so I can get on with my life!
Again, many thanks and best wishes to you!
Mary Jo
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Mary Jo
I will be honest Her2+ is a very aggressive form of cancer, However being early stage is extremely positive. There are many early stage that DO NOT recur later down the road. The key is being aggressive with your treatment plan.
It sounds like you could benefit from the website http://her2support.org
There are many there like you early stage. Look under the message boards under her2group.
Ctg
dx fall05 stage4 liver and bone mets
dx fall06 brain mets / spring07 brain mets gone -
My your doctor is a bit of a gloomy gus isn't he?
I'm er-pr- her+ and did DD ACx4, DD taxolx4, rads and a year of herceptin. Sound familiar?
My tumour was larger than yours, I had positive nodes and I'm pretty sure I'm older than you, but my onc, rads doc, and surgeon all think I'm doing fine. So do I.
I don't keep track of anniversaries of bad stuff but I think its been about 18 months since diagnosis. Chemo was no walk in the park, but herceptin didn't cause much trouble. BC sucks, no two ways about it, but you certainly aren't doomed. Forget about reading stats on-line. Everything is years out of date. Only recently have stage 1 people been treated with herceptin, diagnostic tools are better and more treatments are available.
BC may well get me in the end (after all something will), but I think I'll be around for some time yet. It's not that I believe in the power of positive thinking or anything, that's just my opinion of the probabilities for me. Your odds are better. Enjoy life.
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Hi MaryJo,
I don't get on as often as I used to, so this is a bit late, but I wanted to share that I also was dx'd as her2+, er/pr neg, 15/23+ nodes, 3.5 cm tumor, stage IIIC in Dec 2004. I did the exact regiment that you are scheduled to do. 4 dd a/c, 4 dd taxol with weekly herceptin, then herceptin every 3 weeks for a year, 6 weeks of rads. I have been NED since completing chemo and plan to stay that way for a long, long time. Herceptin is a wonder drug and I actually felt lucky to be her2+ and to receive it rather than to be triple negative without it. There have been survey's on bc.org at different times over the past few years asking about how many of "us" who did herceptin were still NED? The results were extremely positive! The polls were for women without metastatic breast cancer - stage I - III. I think that old statistics are inaccurate now that new drugs are here for us. Try to focus on living. Get through chemo & rads as best you can. I wish you the best of luck.
Kimf
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Hi ctg, Thank you for the link to the website and for the encouragement! Thinking positively and focusing on the new breakthroughs is a big part of all this, as well as the aggressive treatment, which is what I hope I am getting (A/C, Taxol, Herceptin). Hope you continue to do well.
Take care,
Mary Jo
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