After breast cancer: 12 years out, questions about recurrence

Posted by bigfootx2 @bigfootx2, Mar 18, 2022

I had ER + stage 3 bc 12 years ago. Within 2 months of chemo after a double mastectomy i developed severe myasthenia gravis and rhumatoid arthritis. I get plasmaphoresis every 6 weeks a year ago had my thy.us gland out to see if it would help and my treatments went from every 2 weeks to every 6 weeks and rituxan every 4 mo ths. My question is , i have small hypodensities in my liver, inditerminate, could be nothing, probably is nothing but my tumor markers for 27-29 went fromm 11 to 38 even though in normal tange they are on the edge. My question is can plasma phoresis lower the tumor marker count as protiens are replaced? Just curious as my body is complex. My onocologist said reoccurance doesnt happen at 12 years, but i read an article that it can happen at 15,and even 20 years. My tumor was over 5 and no lymph node, 2 areas in left breast and pre cancer in right breast although i understand bc doesnt spread from on side to the other so that was different in itself. I also have MlH1 lynch syndrome , my mother,sister,2 uncles had colon cancer, aunt stomach cancer, uncle breast cancer, uncle brain cancer, aunt ovarian and throat cancer. Wondering if following up with just my gastro doctor is enough with another CT in 6 months. My BC ono pretty much said my tumor markers are ok and even though I have lost 24 lbs without trying there is nothing to worry about.

Interested in more discussions like this? Go to the Breast Cancer Support Group.

@boathouse

Hello
I start another round of chemo on Monday 4/11.
I had a successful bi lateral mastectomy.
For HER2 + invasive breast cancer stage 3 on 3/22.
I am healing and recovering well.
Herceptin and per(sp) are what my targeted chemo drugs were and I will continue with them.
Radiation will start soon for 5 weeks.
I feel sore but great, i had very little side affects from my 7-8 hour chemo on the first round.
This round should be 4 hours, yeah.
I have requested with my Dr. That my lymph node tumor be sent to the tumor board to confirm what type of breast cancer - they did not respond well to chemo and what may be the plan…
Xeloda meds orally?
Waiting for some summer flowers to start blooming.

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Glad you'll be here when they do, your post is reassuring that life goes on and cancer just a part of it.

A friend's mango tree is abloom with a bumper crop. I don't have a photo but they look and smell lovely and the bees in his yard look a tad drunk so might be busy pollenating. I'll think of you at his first harvest. Cheers!

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@auntieoakley

Hello, I am glad to hear you are doing pretty well after your chemo. Herceptin in your frontline is a good thing even with all the possible issues. Having to go back through to get it wasn’t really great either. I am really happy that you can tune out some of the noise and look at the positive. You can do 4 hours easy after the marathon infusion! I thought I would send you some flowers today. Do you have a scheduled start date for radiation? Are they waiting until after chemotherapy?

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Thank you for your comments, I have a radiation. Consult 4/14 and I will have a schedule at that time, it will overlap chemo.
Staying strong in attitude and have an amazing family support system
Looking forward to time at the lake I. July - keeping me motivated

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Hi everyone, there is a lot of information, some of it conflicting, that is being shared here. The good news is that everyone has shared information that can be interpreted as correct. Let me try to summarize.

From the American Cancer Society https://www.cancer.org/cancer/breast-cancer/treatment/hormone-therapy-for-breast-cancer.html
"Because AIs drastically lower the estrogen level in women after menopause, they CAN also cause bone thinning, sometimes leading to osteoporosis and even fractures. If you are taking an AI, your bone density may be tested regularly and you may also be given bisphosphonates (zoledronic acid [Zometa] for example) or denosumab (Xgeva, Prolia), to strengthen your bones."

Key takeaway
Not everyone experiences the same degree of bone thinning, loss or osteoporosis. But bone health must be closely monitored for all women (and men) taking anti-estrogen therapy.

BreastCancer.org explains anti-estrogen therapy very clearly in plain language.
- Hormonal Therapyfor Breast Cancer https://www.breastcancer.org/treatment/hormonal-therapy

(I encourage everyone to include links to the studies or information you are citing so that all members can read the original source and do their due diligence in researching for themselves.)

Breast cancer treatments have come a long way. We are luckly that there are different options for estrogen-positive tumor types of breast cancer, including the option to not take estrogen suppressing therapy.

Forums like Mayo Clinic Connect can provide valuable insight into first-hand experiences of other survivors like you. However, we are all different. Even if you have the same breast cancer type and stage, there will be other personal medical histories and personal preferences that contribute to your choice of treatment. Not everyone experiences the same side effects.

As stated in the forum's disclaimer (https://connect.mayoclinic.org/blog/about-connect/tab/disclaimer/):
"All information shared by members on the Mayo Clinic Connect, such as messages, images, advice, URLs, and any other material, is for informational purposes only and is not a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your health. Never disregard professional medical advice or delay in seeking it because of something you have read on the community."

I encourage you to use the experiences shared in the Breast Cancer Group to inform the discussions that you have with your oncologist to choose the therapy that is right for you and to discuss options when side effects are affecting your quality of life negatively. There are options that are right for you.

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@monigue

I found your respond is very interesting and wander if you can refer to material ( where can I find it?)
I have bilateral lumpectomy in July/2021 . No chemo or radiation.
The pathology report and MRI soon after surgery showed some residue of cancerous cells.
The last one this month doesn’t show ones.
Though it is a good news , It echoes with your comments about specialist’s narrowing observation .
Therefore, I prefers to
do my home work before talking to a doctor..
Thank you

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Hi Monigue, if you're referring to the oncologist who posits that a second breast cancer (which is a kind of cancer and can be discovered outside of breast tissue) might not be a recurrence in a true sense, but an independent event, I'll try to find it again. When I came upon it, I was in the shock of having breast cancer and preparing for surgery and recurrence was the last thing on my mind. I didn't realize until later that it his is an interesting speculation ....he seemed to be questioning the process by which breast cancer can later occur in a different area of the body years later without somehow spreading to that area but the spread theory wouldn't account for the time lag. As I say, when I read it, my focus was on the immediate present so I read it half forgot about it. It's probably a moot point for anyone but research scientists as no matter how cancer shows up, the only thing we can do is deal with it and hope to not have it again.

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@callalloo

Hi Monigue, if you're referring to the oncologist who posits that a second breast cancer (which is a kind of cancer and can be discovered outside of breast tissue) might not be a recurrence in a true sense, but an independent event, I'll try to find it again. When I came upon it, I was in the shock of having breast cancer and preparing for surgery and recurrence was the last thing on my mind. I didn't realize until later that it his is an interesting speculation ....he seemed to be questioning the process by which breast cancer can later occur in a different area of the body years later without somehow spreading to that area but the spread theory wouldn't account for the time lag. As I say, when I read it, my focus was on the immediate present so I read it half forgot about it. It's probably a moot point for anyone but research scientists as no matter how cancer shows up, the only thing we can do is deal with it and hope to not have it again.

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Thank you Callallo
You right. We deal when it come!

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@colleenyoung

Hi everyone, there is a lot of information, some of it conflicting, that is being shared here. The good news is that everyone has shared information that can be interpreted as correct. Let me try to summarize.

From the American Cancer Society https://www.cancer.org/cancer/breast-cancer/treatment/hormone-therapy-for-breast-cancer.html
"Because AIs drastically lower the estrogen level in women after menopause, they CAN also cause bone thinning, sometimes leading to osteoporosis and even fractures. If you are taking an AI, your bone density may be tested regularly and you may also be given bisphosphonates (zoledronic acid [Zometa] for example) or denosumab (Xgeva, Prolia), to strengthen your bones."

Key takeaway
Not everyone experiences the same degree of bone thinning, loss or osteoporosis. But bone health must be closely monitored for all women (and men) taking anti-estrogen therapy.

BreastCancer.org explains anti-estrogen therapy very clearly in plain language.
- Hormonal Therapyfor Breast Cancer https://www.breastcancer.org/treatment/hormonal-therapy

(I encourage everyone to include links to the studies or information you are citing so that all members can read the original source and do their due diligence in researching for themselves.)

Breast cancer treatments have come a long way. We are luckly that there are different options for estrogen-positive tumor types of breast cancer, including the option to not take estrogen suppressing therapy.

Forums like Mayo Clinic Connect can provide valuable insight into first-hand experiences of other survivors like you. However, we are all different. Even if you have the same breast cancer type and stage, there will be other personal medical histories and personal preferences that contribute to your choice of treatment. Not everyone experiences the same side effects.

As stated in the forum's disclaimer (https://connect.mayoclinic.org/blog/about-connect/tab/disclaimer/):
"All information shared by members on the Mayo Clinic Connect, such as messages, images, advice, URLs, and any other material, is for informational purposes only and is not a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your health. Never disregard professional medical advice or delay in seeking it because of something you have read on the community."

I encourage you to use the experiences shared in the Breast Cancer Group to inform the discussions that you have with your oncologist to choose the therapy that is right for you and to discuss options when side effects are affecting your quality of life negatively. There are options that are right for you.

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Well said. Thank you.

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@callalloo

Thank you, I'm blushing. I don't have a medical background but my mom was a doctor. And I'm curious about a lot of things so a researcher by nature. When I got the Bad News Biopsy last fall, it was my habit to dive into the literature. For one thing, I wanted to learn as much as possible so my doctors' consults didn't waste time on the basics but we could spend the time looking at treatment possibilities. I took quantitative analysis coursework in school so that helped put the studies' statistics in perspective.

There was a brilliant article by the New York Times writer, Natalie Angier, about medical statistics. She wrote about the scientists Stephen Jay Gould was diagnosed with a rare, vicious cancer in his 30s and, basically, could expect to die soon. He analyzed all of the studies and found a lot of holes in the studies, bad statistics, corrupted data pools, etc., and picked his own treatment path and decided the data against survival were basically junk. Then he lived another 30 or so years and died of something else.

I read that article in a book of her science essays and never forgot it. All studies of human subjects are inherently flawed because we are not perfect substitutes for each other so isolating just one variable and freezing all the other identical variables is impossible. If we can do our best to get, and remain, healthy, we're already better than the mean (average) versus most study data universes. I find that very encouraging. And liked Stephen Jay Gould. And Mark Twain's, "There's lies, damn lies and statistics?"

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I totally agree.... I could not tolerate any of the AIs prescribed. They made me swell up, couldnt stand on my feet, couldnt use my hands, they swelled like baseball mitts, dizziness, and basically bedridden. I tokk myself off of them. My oncologist said all I could do was pray and at least I managed 6 months on the pills..... I did all the herbal things and improved about 40%. Then I went all in on diet and excercise. I eat plant based whole foods no oil starch diet, and I have lost 51 pounds since June. I can walk 2 miles every day right now, and while my fingers still dont bend, I have no arthritic pain. I also do chair yoga. I feel better than I ever have, and am no longer afraid of recurrence. I am in my 3rd year out. I plan to repost for the next 20 years!!! Good luck on your journey. There is nothing wrong with thrying medication free. My blood pressure which was always 170/95 while on blood pressure meds is now an even 110 to 120 over 80 to 90. I have never felt better. Good luck on your journey!!

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@jeaniebean

I totally agree.... I could not tolerate any of the AIs prescribed. They made me swell up, couldnt stand on my feet, couldnt use my hands, they swelled like baseball mitts, dizziness, and basically bedridden. I tokk myself off of them. My oncologist said all I could do was pray and at least I managed 6 months on the pills..... I did all the herbal things and improved about 40%. Then I went all in on diet and excercise. I eat plant based whole foods no oil starch diet, and I have lost 51 pounds since June. I can walk 2 miles every day right now, and while my fingers still dont bend, I have no arthritic pain. I also do chair yoga. I feel better than I ever have, and am no longer afraid of recurrence. I am in my 3rd year out. I plan to repost for the next 20 years!!! Good luck on your journey. There is nothing wrong with thrying medication free. My blood pressure which was always 170/95 while on blood pressure meds is now an even 110 to 120 over 80 to 90. I have never felt better. Good luck on your journey!!

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Good for you jeaniebean! That's really positive results supporting the old duet and exercise recommendation. And your results are further nudging me that my diet, while improved since lumpectomy, has a long way to go, sigh.

My mother's med school professor liked to remind his students that the human body has a powerful propensity to self-heal if given the right environment. He used to say food is medicine. That might have been truer before so many chemicals are sprayed on crops or in the soil and it most everything was, by default, organic though...

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@jeaniebean

I totally agree.... I could not tolerate any of the AIs prescribed. They made me swell up, couldnt stand on my feet, couldnt use my hands, they swelled like baseball mitts, dizziness, and basically bedridden. I tokk myself off of them. My oncologist said all I could do was pray and at least I managed 6 months on the pills..... I did all the herbal things and improved about 40%. Then I went all in on diet and excercise. I eat plant based whole foods no oil starch diet, and I have lost 51 pounds since June. I can walk 2 miles every day right now, and while my fingers still dont bend, I have no arthritic pain. I also do chair yoga. I feel better than I ever have, and am no longer afraid of recurrence. I am in my 3rd year out. I plan to repost for the next 20 years!!! Good luck on your journey. There is nothing wrong with thrying medication free. My blood pressure which was always 170/95 while on blood pressure meds is now an even 110 to 120 over 80 to 90. I have never felt better. Good luck on your journey!!

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Congratulations! Are you following Dr. McDougall’s diet?

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@pbnew

Congratulations! Are you following Dr. McDougall’s diet?

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I sure am! Best thing I ever did!

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