Triple Negative? Recurrence? What was your original treatment?

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Sadie-Rose
Sadie-Rose Member Posts: 222

Hi Everyone,

These questions keep coming up for me and I wondered if women who have had a recurrence of their breast cancer (triple negative)would share their information with me. 

Did you have a lumpectomy or mastectomy? Did you have chemo therapy? What was your cocktail? AC, TC, etc. Did you have radiation? How long was it before your cancer returned? How was your second cancer detected? Where did it recur? What is/was your treatment now?

Do you have insights you would share with women who have completed their original treatment?

Thanks for sharing.

Sadie

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Comments

  • fd411
    fd411 Member Posts: 398
    edited November 2007

    Hi Sadie,

    I had TAC, lumpectomy and radiation. A CT scan of the chest detected mets to both lungs, chest and neck nodes and mediastinum 4 months after rads was completed. It has since progressed.

    I've been on Xeloda, Avastin and Navelbine with no success. I'm on Abraxane now, 3 weeks on and one off.

    I think scans are very important and would suggest that these are done to keep an eye on things after treatment is completed.

    Ferne 

  • Sadie-Rose
    Sadie-Rose Member Posts: 222
    edited November 2007

    Hi Ferne,

    Thank you for sharing your informations.  Can you tell us more about your history? What grade and stage were you when you were first diagnosed?  Did you have any positive nodes?

    I will keep you in my thoughts and if positive energy heals, I sending some your way.  Please keep us posted on how you are doing.

    Warmly,

    Sadie

  • AlaskaDeb
    AlaskaDeb Member Posts: 2,601
    edited November 2007

    Hey Sadie-

    I am a triple neg gal.  Fortunately, I have not had a reoccurrence or mets.  I just read your post and wanted to chime in...

    I made a post almost identical to yours when I was in treatment.  I was trying to collect data on who had reoccurrences and who got mets.  I realized after obsessively asking everyone I knew who had a reoccurrence what their story was that what I was really asking was "what is going to happen to me".  I was trying to build a case study to prove to myself that I had a chance, that I was dong the right treatment and would keep myself from getting cancer again.

    My stats sucked...stage 3C, 27 of 32 nodes positive, multi focal disease...you name it, the news was bad.  I was desperately trying to prove that the people who got cancer again were somehow different than me.

    After months and months I finally realized that it is a crap shoot.  I know women who had tiny little stage one cancers that now have mets.  I know a lady who had HUGE tumors in both breasts, had mastectomies and refused all other treatment. That was 3 years ago and she is NED.  None of that tells me anything about my cancer and whether it will come back again.

    I have decided to try and live each day and quit obsessing about statistics.  The only one that matters is that I am 100% alive today....so today I am going to try and live as if I will continue to be.

    I am not trying to tell you not to collect the information you are seeking.  Hearing stories of woman that have beaten the odds still raises my spirit.  I am just hoping to share some hard-earned insight.  You are not your statistics. 

    Hang in there!

    Deb C.

  • FloridaLady
    FloridaLady Member Posts: 2,155
    edited November 2007

    Your so right DebC and Sadie maybe you should ask what is the history of the ladies who beat this thing. That is the most important part.  Is it diet & exercise or natural healing?  If you don't have disease right now knowing other drugs will not help you.  The next drugs will change depending on the recurrence place. Hopefully if you should... it will be years out and they will know a lot more on our kind of bc.

    Here is a example of my weird treatment history. 

    DX 11/25/6   StageIIIc 7cm tumor spread to entire breast while taking dose dense ACT.  Right side radical mast. 27 nodes positive (was told 3 to 6 mths to live it was so aggressive) 33rads,  I found cancer left breast  and than a week later in the skin of right chest wall.  Cancel 2nd mast. Start 4 mths weekly of Gemzar & Avastan & carbop.  This did clear up skin but not other breast. Went to MD Anderson Houston drug trials no help. 6/1/7 2nd radical mast  24 nodes positive.  9/1/7 recurrence right side 3rd surgery.  Now waiting for Dec to run new test.  I do not have measurable disease.

    I've had 51 nodes positive with no mets!  I never got really sick with chemo and worked through 27 tx in 16 months.  I have never met anyone like me.  I chose to do natural treatment along with chemo.  As you see we all are so different so do not put your hopes and fears into others treatment history.  Make sure your scanned regularly the first year. Push if you have to. I know this is hard...just get into the best health you ever been and you will be ready for anything.  Enjoy your life!

    Living in hope

    FlaLady

  • Sadie-Rose
    Sadie-Rose Member Posts: 222
    edited November 2007

    Hi Everyone,

    Your information is really helpful to me. I think "AlaskaDeb" is right about me asking these questions because I was pondering how I would respond if I had a second cancer.

    I am fairly new to this site and some of the information here has made me alert to the fact that I need to keep tabs on current information. The debate over the need for a mastectomy has made me question my decision to have a lumpectomy. I have wondered if I made an adequate choice.

    I am currently three years out from treatment, so things are going pretty well. I guess I just wanted to hear from some women who have had their cancer come back, to see if they had only had lumpectomies, to see what their treatments were and to see if there is a pattern connecting treatment choice and recurrence.

    I wish I had some control over this, even though I thought I gave up that idea a long time ago. The wish creeps back in once in awhile.

    I had surgery a few weeks ago and had to enter the hospital again with blood clots in my lungs. The idea that I could die was clearly presented to me again. I am still a little overwhelmed with that. Florida Lady- I am enjoying life, spending lots of time with my family and noticing all the richness in everyday things. Thank you for taking the time to help me.

    I so appreciate your responses--from all of you!Innocent

    Warmly,

    Sadie     

    Just to share-I am triple negative, stage II b, and grade 3, one positive node. I had a sentinel node biopsy, chemo therapy-3 AC with no impact on the tumor size-then 6 T and Carboplatin with a somewhat positive response-surgery to remove the tumor, and 39 radiation treatments.

  • sharebear
    sharebear Member Posts: 332
    edited November 2007

    I am trip neg and had my first cancer 12 years ago. I had lumpectomy, radiation and my chemo was 5FU. This year's cancer was also trip neg in the other breast. This time I had bi-lateral mastectomy, tram flap recon, and my chemo was 4 dd of AC and 12 weekly of taxotere. I've now been done for about 1 1/2 months and am feeling pretty good. I've had my first series of scans and all are clear (except for the arthritis that my bonescan detected in my lower back and pelvic area). The arthritis lit up on my scan and I had been complaining of some pain. Upon further x-rays of the area, it was found to be arthritis. Kind of funny actually. Years ago during one of my bone scans, the technician said everything looked clear but he could tell me where I was going to have some arthritis later if I wanted to know. I laughed and told him no, I've got enough issues right now, Let that be a surprise.    SURPRISE!!!!!

    My mamms were always clear. As a matter of fact, I had one in Oct 06 that was clear and in Jan 07 I found the lump. I also found my first lump at age 32. My sister found a t-shirt online that says "Feel your boobs" Breast Cancer Awareness. Very appropriate in my cases.

    Sharon

    Trip Neg, Stage I, No nodes (both times) 8/95 and 1/07 Invasive Ductal Carcinoma

  • CalGal
    CalGal Member Posts: 469
    edited November 2007

    Hi Sadie-Rose -

    My first bc dx was 9/04.  I had bi-lat lump's, SNB (all clear) and then 38x rad'tn.

    Less than 1 yr after rad'tn, I found a lump (it was evident on the mamm that was misread) ... Again, I had to ask for a CT scan ... but this time, I finally got one ... and more than I feared:  bc mets to the liver and likely unrelated renal cell carcinoma.

    Dose dense AC shrunk the recurr bc into oblivion and the liver mets were reduced.  RFA finished them off.  I then did Taxotere & Carboplatin.

    Although dx'd again .. my liver mets are still gone (!) but I have a lung met.  I'm on a clinical trial - PARP Inhibitor pills - and after 8 wks, my met reduced by 25%  After my recurr & mets dx, I found out that I'm pos for BRCA1.

    In my opinion, I'd consider:

    1) MRI's instead of mamm's;

    2) Push for a CT scan; and

    if you were pre-menopausal when dx'd or have a fam hist or early onset bc and/or oc, then 3) BRCA test.

    CalGal

  • efox1117
    efox1117 Member Posts: 3
    edited November 2007

    I'm new to this site, but am now almost a year out from my original diagnosis.  I started out thinking they had found a tiny cancer that I would have a lumpectomy for.  Then after the lumpectomy I was triple negative and BRAC negative.  I had 4 rounds of AC and 4 rounds of Taxol.  Then I opted for bilateral mastectomies.  I am 6 weeks out from that surgery now.  Another nurse at the hospital I work at just got diagnosed and she's getting two new drugs, that are usually used to treat Pancreatic cancer, plus the AC and T.  Things just move so quickly, treatments change so fast....every one of us is different, but in the same boat.  We all want to be the ones that don't have a recurrence.  I struggle with living the healthiest life I can.  I've always struggled with my weight.   I'm one of the ones who gained 25 pounds during chemo....I am 47 and want to live a long, long healthy life....Here I thought it was going to be heart disease that got me....So I'm going to strive to lose the weight and live the best, healthiest, kindest life I can.

    Em

  • Sadie-Rose
    Sadie-Rose Member Posts: 222
    edited November 2007

    Em,

     I struggle with my weight too.  I thought the one positive thing about having cancer was that I would lose weight during chemo therapy.  My oncologist informed me I wouldn't lose weight and that I could gain weight I was disappointed.  She also told me that most people who have had chemo don't lose weight during the first year after treatment.  She said she has had fire men who work out everyday not lose weight that first year.

    Your comment about heart disease struck me with a little humor.  I had been thinking that cancer was my challenge then I had surgery and had blood clots move into my lungs.  So I am just going to enjoy each day as they come and today is a beautiful one in the Northwest!

     Warmly,

    Sadie

  • Babyface
    Babyface Member Posts: 91
    edited November 2007

    Hi Sadie

      Alaska Deb is so right about statistics and the crap shoot we're all dealing with. My pathology back in 04 was triple neg, grade 3 and for extra measure metaplastic BC. I' ll bet you've never heard of it, and for good reason. It is a pretty rare variation which when I was first diagnosed I saw some pretty scary statistics in the studies. Well, I did my will, transfered property to my husband, got my affairs in order, and now, my biggest gripe is that Ive had 5 jaw surgeries and continuing pain after the infection that got into my jawbone when I did chemo back in 04/05. Doesnt mean Im outta the woods by any stretch, although I like to remind myself that with every month that goes by my odds get better Smile And to make me even happier there have been recent studies on metaplastic that seem to indicate that recurrences tend to be quick, so that the longer I go the better my chances. Unfortunately for all of us the statistics wont tell us what we want them to say, which is, that we'll make it. You never know where you'll fit in to the numbers, and for the first while if you're like me it'll drive you nuts. After a while though it will get easier, the worry probably wont ever completely go away, but you'll find yourself thinking about it less and less.

     For my 1st year, I read these boards every day, my second year was a couple of times a week, and now maybe once or twice a month....but I gotta admit I still read the studies and statistics on metaplastic Wink

      If it helps btw, my tumor was left side, 3 cm's, grade 3, triple neg, metaplastic IDC with sarcomatous elements I had a lumpectomy, followed by 4 dose dense AC's, was suppose to do 4 Taxols as well but had an allergic reaction to the AC and ended up on significant prednisone and couldnt do the T's, and followed it up with rads including a boost.

  • Sadie-Rose
    Sadie-Rose Member Posts: 222
    edited November 2007

    Hi Babyface,

    So glad to hear you are doing so well!Wink Your information does help.  It has been interesting to read each person's story.  It seems our treatments have varied, but many women are doing very well.  I love to hear that!  For women who have had a recurrence their stamina is encouraging.

    Thank you for sharing,

    Sadie

  • vmd
    vmd Member Posts: 37
    edited November 2007

    I haven't posted for some time.  My ex-wife recently completed her radiation treatment after a partial mastectomy.  She is a triple -negative and the cancer was very advanced when she was diagnosed, although I don't believe she was actually told her staging. I'm assuming it was stage 3, given the size of the original tumor. She was given Taxol and tumor shrinkage was very pronounced. I hoped she would have chosen a radical mastectomy, but she did not. Recently, she has been complaining of pn and off headaches in the front part of her head and I wonder whether this could be mets to the brain? Her next appointment is December 6 and I have asked her to definitely mention her headaches to the doctor.  What do you ladies think? Should she talk to the doctor before then?  thank you.

  • rumoret
    rumoret Member Posts: 685
    edited November 2007

    My mom dx in 1999 at 69...triple neg. Had a lumpectomy, no nodes involved, grade 3, and was 2.65 cm. She had I think 6 CMF and radiation. She is now 77 years young and doing fine.

    Love,

    Terry 

  • Sadie-Rose
    Sadie-Rose Member Posts: 222
    edited November 2007

    Terry,

    It is so wonderful to hear your mom's story.  Sounds like she is doing great at 77!  Laughing How are you doing?  Have you had any special screenings? 

    Warmly.

    Sadie

  • Babyface
    Babyface Member Posts: 91
    edited November 2007

    vmd,

      When you say "recently" what do you mean by that. If you are talking about a couple of days, then I would say give it some time and perhaps wait until her Dec app't. I dont know how old your wife is(chemopause/menopause), or exactly what treatment she has had, all I can tell you is that from chemo and rads I had a problem with almost every part of my body including some pretty significant headaches, dizziness, and loss of consciousness after my treatment, knock on wood not mets though. If on the other hand it has already been a couple of weeks she shld prob. move up the app't. The rule 'round here seems to be wait 2 weeks for any new symptoms that dont go away

  • chumfry
    chumfry Member Posts: 642
    edited November 2007

    My situation was kind of weird, so I'm not sure it will help you much, but I'm up for sharing! Laughing

    My first tumor was dx around Labor Day 2005. It was big and growing fast (and I was scared for some reason of the radiation required for lumpectomy), so I opted for a mastectomy.

    It turned out to be a 4.5cm medullary tumor, a rare variety of triple negative. Stage 2, grade 3, negative sentinal nodes. I had four dose-dense ACs, followed by four dose-dense Taxols.

    In April 2007, a routine mammogram found a small tumor in my other breast. The second tumor was triple-negative, too, but IDC. So it definitely didn't travel from one breast to the other. At that point, I figured my breast tissue must be prone to cancer so I had another mastectomy. 

    One of the nurses asked me if I regretted not getting a double mastectomy in 2005, but I don't. Medullary tumors rarely travel and I made the right decision in 2005 with the information I had. My chemo this go-round was 12 weekly doses of Taxol and Carboplatin.

    Not another member of my family has ever had any type of cancer. For us, it's heart disease. Imagine my surprise! (Even though I *knew* 80 percent of the women who get breast cancer have no family history for it.)

    I think the hardest part of this journey is coming to grips with the fact that you can't control your destiny. You have to learn to deal with life's uncertainties. For what it's worth, I had a much easier time with my second tumor than my first. I knew more about what to expect and how to cope.

    I wouldn't wish a second tumor on anyone, but if you've done it once, you can do it again. It sucks but you get through it fine.

    --CindyMN

  • rumoret
    rumoret Member Posts: 685
    edited November 2007

    Sadie, to answer your question....I'm doing fine...your questions was for triple negatives, and I am a double positive ER+ and PR+. I just wanted to let you know about my mother the Triple Negative Survivor.

    Just for your info......my mother never even knew what Triple Negative meant.....so she has never worried about it! She does not even like to talk about cancer of any kind......so we do not discuss much. I also would never tell her when one of my husband's relatives passed away.....did not want to upset her. So today she is very happy and is enjoying her life to the fullest! I will say that she started to complain about her aches and pain lately...I can tell that she is getting worried if it my be something more serious.....so she is just like all of us. I told her.......to make it to 77 and just start to complain about your aches......well your way ahead of me....I'm 50 years young Cool and I've been aching since my teen years!

    Love,

    Terry 

  • vmd
    vmd Member Posts: 37
    edited November 2007

    babyface:

    It's been about a week or more since her last radiation treatment.  She said she has been having the headaches on and off for some time, however.  It's difficult to say what may be  a side effect of the treatment or the underlying condition.  She is 46 years -old and had a hysterectomy two months before her lump was discovered.  I suppose I could encourage her to set up an earlier appointment, but I don't want to alarm her either.

  • Sadie-Rose
    Sadie-Rose Member Posts: 222
    edited November 2007

    VMD- I think it is worth a call to her doctor.  They can help you decide if she should be seen earlier.  My oncologist always encourage me to call if I had a symptom.  She knows it reduces anxiety if it is nothing and that helps healing.

    Sadie

  • Sadie-Rose
    Sadie-Rose Member Posts: 222
    edited November 2007

    CindyMN,

    Everyone's story is so helpful because we don't know what path our cancer will take.  I appreciate your sharing.  I've wondered how I would handle a second cancer.  I know I could do it, but i wondered if it would be harder or easier knowing just what to expect.  Your comments were encouraging.

    Warmly,

    Sadie

  • Sadie-Rose
    Sadie-Rose Member Posts: 222
    edited November 2007

    Terry,

    I think your mother sounds like a great example of just moving forward with life.  She must be an inspiriation for you!  Thanks for sharing. I'm glad you are doing well too.

    Warmly,

    Sadie

  • Negative3Grade3
    Negative3Grade3 Member Posts: 111
    edited November 2007

    Sadie,

    I had a conversation with my 10-year old son about my chemo tonight (I just started T after 4 dosages of AC as you know) and he said "I just hope that it doesn't come back, mama". I said I hope so, too. But then he hasted to add: "But if it comes back, it won't be as bad, because we'll know what we have to do". And then he comes close to me, gives me a hug and said: "I'm trying to give you courage, mama". Maybe he is right. Since I've lost the innocence of "I'm not at high risk, I'm thin (125 lbs), I exercise, I eat relatively healthy, no family history of BC", nothing can surprise me anymore but I hope I won't have to go through this again but if I do, I hope I have the courage and the positive perspective I managed to develop for the first time thus far.

  • ocinny414
    ocinny414 Member Posts: 123
    edited November 2007

    I was first diagnosed April 3, 07,  11 days before my 38th bday.  I chose left side mastectomy,  was suppose to do 4 treatments of adriamyacin/cytoxin then 4 treatments taxotere.  I was allergic to the adriamyacin so I did cytoxin/taxotere.  I finished chemo August 10, had a clear CT scan August 27.  Started Tomoxafin, for month and half.  Not sure what my staging was my onc never said.  I was ER+ but bairley.  PR neg and HER2 neg.

    Middle to end of October I found a lump on the same side as my mastectomy,  it was in the muscle tissue.  Had a CT scan and sonogram of the chest.  My onc didnt say anything about liver and lungs was just concerned with the lump.  I read my CT reports to my ex.   I switched docs because I was unhappy with what the old one wanted to do he just wanted a needle biopsy of the lump.  My new onc ordered a PET scan.  It showed spots in my liver and lungs and also the lump that I could feel.  ( my ex new that from the reports I had read him)  The cancer board at my new docs office met and I was the topic of discussion.  They determined that my ER was so low it could be considered negative.  I'm now Stage IV and triple negative.  I will find out tomorrow what course of treatment I will have.  I had the lump removed on Wednesday and they were going to do a hysterectomy but since the docs at boards deteremined I was ER neg  I didn't have the hysterectomy. 

    I'm in a state of shock but dealing with it pretty well.  I can actually tell someone now with getting teary eyed.

    Praying for the best.  Hang in there everyone,

    CindyKS

  • Sadie-Rose
    Sadie-Rose Member Posts: 222
    edited November 2007

    Negative3Grade3,

    I love the way children have such insight.  He couldn't have said anything more perfect.  It made me think that he has such empathy at such a young age.  You could feel his love for you in his words.

    We do have courage, but once in awhile it is nice to be reminded of that.

    Give him a hug from all of us.

    Warmly,

    Sadie

  • Sadie-Rose
    Sadie-Rose Member Posts: 222
    edited November 2007

    Cindy,

    I'm so glad you changed doctors. You trusted your own intuition and you were right.  We constantly have to advocate for ourselves.

    I am sending you positive thoughts and good energy on your jouney.  Please keep us posted on how you are doing.

    Warmly,

    Sadie

  • snowyday
    snowyday Member Posts: 1,478
    edited November 2007

    Hello again everyone;  Ocinny, I loved that you said you can say it now without getting tearyeyed, that's true, me too. So I guess through all the chemo, pain and complaining I've adjusted so much more than I realized.  I do still have a few meltdowns usually over forgetting things, tripping, today while talking to my sister on the phone I knocked a full glass of water into my purse, yup this time though I didn't lose it, looks like I can throw away the grumpy pills. But reading about all the reacurrances and talking to women  with it at my cancer clinic it does make you think.  But if you think to much it can make one nuts.  Fine line to walk, but I've learned so much from this site and my onco is going to get soooo many questions and requests for scans.  I want grandchildren and want to be hear when they're finally born.

  • Shirlann
    Shirlann Member Posts: 3,302
    edited November 2007

    Hi, I am 9 years post treatment, had lumpectomy and radiation.  I am a Triple Neg and so far, so good.

    Gentle hugs, Shirlann

  • Sadie-Rose
    Sadie-Rose Member Posts: 222
    edited November 2007

    Hi Shirlann,

    I've read some of your posts on other threads.  I enjoy your sense of humor and your spirit.  Your success story is very encouraging.  I see from your comments that you did not have to do chemotherapy, right?  Lymphnodes were clear?  Did they know nine years ago that you were triple negative?

    Thank you for sharing.

    Warmly,

    Sadie

  • FirstEdition
    FirstEdition Member Posts: 24
    edited November 2007

    My Mom had full masectomies in 1996 and 97 respectively. The first one was estrogen positive and maybe one lymph node? She had adriam/cytoxan. The 1997 one no lymph nodes and no chemo, don't remember hormone status on that one. Now just this year July 07 she had fluid around heart and lungs and diagnosed triple neg. So far it seems to be localized in the pleural area, no mets or lesions, though we go tomorrow for latest scan results. She has been doing real well on initial treatment of taxol/carbo, but we are afraid fluid might be trying to build back up...I  am new to these forums and just want to say how great they are and how much I appreciate them, Rod.

  • Sadie-Rose
    Sadie-Rose Member Posts: 222
    edited November 2007

    Hi Everyone,

    I hope we can continue to get people to add their comments to this thread. I know treatments change, but it is informative to hear your challenges and your successes!

    Happy Thanksgiving.

    Sadie

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