welcome

(photo of my sister's backyard fence...all photos are thru my lens)

This is just a way to express my thoughts as I walk this path and journey through as a breast canSURVIVOR.

Make cancer mad, just piss it off by misspelling it..... like "canzer"

In remission ~ December 2012

Invasive Moderately Differentiated Ductal Carcinoma T1cN0M0 Stage 1

Estrogen receptor-positive cancer - Here is how it began



Showing posts with label HER2. Show all posts
Showing posts with label HER2. Show all posts

Wednesday, November 7, 2012

It's All About Christie

Ok, now to collect all my thoughts and my notes.  (I'm a horrible note-taker)

Christie is going to be fine

She has a tough road ahead, but she is also a tough cookie, just like her sister.

They are waiting for the HER2/neu test results (hopefully before the week is out). This will identify which type of treatments will be needed. HER2/neu protein is found on some types of cancer cells. This test shows whether the tissue either has too much HER2/neu protein or too many copies of its gene. If the breast tumor has too much HER2/neu, then targeted therapy may be a treatment option. This can include chemotherapy with drugs thru a vein or by tablet form. (My Herceptin is targeted therapy.)  We know the hormone receptor test is positive.

We will know the full name once all the tests have come in and which cocktails she will be taking.
Clues about the nature of a tumor come from how abnormal its cells look and what percentage of them is dividing. These and other factors are summed up as a grade of 1, 2 or 3. The higher the grade, the more aggressive the tumor. Cancers are also classified by stage -- a measure of how extensive the disease is. The system often used is called TNM, for Tumor (size), Nodes (cancer present or not) and Metastasis (cancer spread to distant organs). A number is assigned to each category. Once the TNM categories are determined, this info is combined with the grade to create an overall stage, from 0 for noninvasive to IV for the most invasive.


T2N1M0=IIB
T = (tumor size) = 2
N = Nodes (cancer present or not) = 1
M = Metastasis (cancer spread to distant organs) = 0
Stage 2 B
 
 
Part of the waiting we had to endure was getting clarification on lesions that were found on her spine and on her liver.  Doc said the spine was clear! The liver was inconclusive and she feels that it will prove clear as well.  First, another scan to be sure. Double-check the stomach area as well.
 
Red blood count was good
Cyst on the spleen
 
Next
Chemo Class
MRI - stomach and liver
Implant port
Echo
 
Plan - chemo first, see how much the tumor shrinks to be able to determine if surgery will be lumpectomy or mastectomy. From this, the type of surgery will determine if radiation will be part of the treatment.
 
Today, they gave her a flu shot and pneumonia shot.  She met the social worker, Denise, who helps coordinate insurance, billing, and find resources such as nutritionists, etc. She received her scripts for the nauseous meds, handicap sign, wig, and work orders (above).
 
When things "settle down" a bit, both of us have to get Oncotype DX test.
 
Doc's recommended homework: Living will
 
Doc's recommended reading:
 
 
 
Yes, siree, she is a FIGHTER!
 
I saw this smile today!
 
 
 




Tuesday, January 3, 2012

Post Surgery Follow-up

My Rose Bush
Doc Partin said I'm healing just fine.  She hasn't released me to work just yet until she consults with the chemo doc.  My appointment is tomorrow morning with Doc Esther.

The HER2 status did come in as positive, which means chemo treatment.  How much and what kind is something Doc Esther will plan out with us. 

That's all to report for now on the canSURVIVE.

Friday, December 30, 2011

Meeting my Radiation Oncologist

To make a long story short, we still don't know the exact treatment plan just yet. 

They are waiting for the HER2/neu test results.  This will identify which type of treatments will be needed.  HER2/neu protein is found on some types of cancer cells. This test shows whether the tissue either has too much HER2/neu protein or too many copies of its gene. If the breast tumor has too much HER2/neu, then targeted therapy may be a treatment option. This can include chemotherapy with drugs thru a vein or by tablet form.

The treatment that's right for me depends mainly on the state of the cancer (Stage I), the results of the hormone receptor tests (positive), the result of the HER2/neu test (still waiting), and my general health (generally good).

For now, we do know that I will have radiation therapy.  If I don't need chemo, then radiation will begin approximately Jan 20.  It will last 6-7 weeks and will be done 5 days a week.

Hopefully, the results of the test will be in by the time I meet with the medical (chemo) oncologist on January 4.  Her name is Esther (which is a good Biblical name) AND she is the department head.  I kinda like that idea. If I do need chemo, that is first .... then radiation.

My radiation onc. gave me a copy of my surgery report and the pathology report.  Clues about the nature of a tumor come from how abnormal its cells look and what percentage of them is dividing. These and other factors are summed up as a grade of 1, 2 or 3. The higher the grade, the more aggressive the tumor.  Cancers are also classified by stage -- a measure of how extensive the disease is. The system often used is called TNM, for Tumor (size), Nodes (cancer present or not) and Metastasis (cancer spread to distant organs). A number is assigned to each category.  Once the TNM categories are determined, this info is combined with the grade to create an overall stage, from 0 for noninvasive to IV for the most invasive.

  • My diagnosis is T1cN0M0 stage I

More to tell you, but it will have to wait until tomorrow ~ wiped out.

By the way, tomorrow is our wedding anniversary :)