Triple Negative Breast Cancer: What treatments are you having?

Posted by thielmann1 @thielmann1, Dec 9, 2021

I have just been diagnosed with Triple Negative Breast Cancer after having Estrogen Positive Breast Cancer for 21 years. Is anyone familiar with this diagnosis and treatment that you are having for it?

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

@lynnj3

Thanks for the feed back.
2020🙏 how are you doing now? What was your status? I’m stage 3 with no metastasis to the lymph nodes
Are you taking any meds to prevent recurrence?
Also how old is your baby (bright spot in your life I bet)’

Jump to this post

Doing really good, but took a long while. I was Stage 3B with lymph nodes, chest wall, and skin involvement.

After the chemo/surgery/radiation process plus a year of Keytruda from 2020-2021 I did a year of Xeloda, 1 week on and 1 week off for reoccurrence prevention. Last summer I was good on .my PET/CT so now I just get bloodwork every 3 months, and alternate mamo or MRI every 6 months with a yearly CT.

He's now 3 and 5 months - so much fun. I had some radiation side effects last year, so this year I'm finally able to spend some days with him without treatments and doc appts every week and it's been awesome. 😊

It was so tough, and even stuff that now make my life really great, like my reconstruction, were sooo frustrating at the time. It's a crazy journey. Hugs, hugs, hugs.

REPLY
@seathink

I started chemo in Aug, too (2020) for TNBC. I bought a wig but ended up using hair coverings until my hair grew out. It was easier with my baby and with the heat that way. Friends bought me head coverings over the Internet and there was a free basket at the infusion center.

I wore the wig out a couple of times in the fall and winter. If I had been in a colder spot I would have worn it more, I think. Our cancer wig shop was closed all through my treatment because of lockdown, but bought a wig at a costume shop once non-essential shopping was allowed again.

Good luck with the shave today! I actually really was happy when I finally got it all off - a lot less itching and no more micro hairs everywhere.

Jump to this post

Thanks for the feed back.
2020🙏 how are you doing now? What was your status? I’m stage 3 with no metastasis to the lymph nodes
Are you taking any meds to prevent recurrence?
Also how old is your baby (bright spot in your life I bet)’

REPLY
@lynnj3

I start my second round of chemo and keytruda 8/24 . I’m now experiencing hair loss, any suggestions on shampoo and conditioner to use before and after. I plan to have what’s left shaved on 8/28 , do y’all use a wig or just head coverings.

Jump to this post

I started chemo in Aug, too (2020) for TNBC. I bought a wig but ended up using hair coverings until my hair grew out. It was easier with my baby and with the heat that way. Friends bought me head coverings over the Internet and there was a free basket at the infusion center.

I wore the wig out a couple of times in the fall and winter. If I had been in a colder spot I would have worn it more, I think. Our cancer wig shop was closed all through my treatment because of lockdown, but bought a wig at a costume shop once non-essential shopping was allowed again.

Good luck with the shave today! I actually really was happy when I finally got it all off - a lot less itching and no more micro hairs everywhere.

REPLY
@thielmann1

Thank you for your reply. Since this surgery was difficult because they had to take part of my back dorsal flap to close the wound, it was a bit invasive. the radiation following caused my chest wall to tighten up as it was a second radiation on top of this invasive surgery. I live with an uncomfortable tight chest wall daily that has affected my quality of life. I am still in process of accepting what happened and moving forward in my life. despite the discomfort. Myofascial massage has not worked, nor lazer therapy and 2 other therapies I have tried. Qijong seems to be a good therapy for my mind, body and soul right now. Best of luck to you, Nancy

Jump to this post

I'm sorry to hear about all you have been through. When I read this, I can better appreciate the things my own surgeon has said, that it is important to treat the cancer enough but not over-treat it. (I'm not passing judgment on your providers, just considering it in light of my fears of having been under-treated.) I did not have chemo before surgery - or after. I have not had any radiation. I was fortunate to have a small tumor and no lymph node involvement. I'm assuming that your TNBC was more advanced than mine, but I am regularly struck by how differently oncologists and surgeons view treatment when I read others' stories. There will always be risks, surgery has them, chemo has them, radiation has them, doing nothing has them. While there is a lot of information that can go into calculating the relative risks of each of these choices, in the end, we don't know what will happen until it happens. Many blessings to you as you journey through these hard times.

REPLY

Thank you for your reply. Since this surgery was difficult because they had to take part of my back dorsal flap to close the wound, it was a bit invasive. the radiation following caused my chest wall to tighten up as it was a second radiation on top of this invasive surgery. I live with an uncomfortable tight chest wall daily that has affected my quality of life. I am still in process of accepting what happened and moving forward in my life. despite the discomfort. Myofascial massage has not worked, nor lazer therapy and 2 other therapies I have tried. Qijong seems to be a good therapy for my mind, body and soul right now. Best of luck to you, Nancy

REPLY
@thielmann1

Thank you for your reply and the details of your treatment. Unfortunately, the oncologist I had did not try chemo before the surgery. Had this happened, my tumor would have disappeared and surgery could have been avoided. It was a complicated surgery followed by radiation, which left my chest wall fairly tight and paralyzed. After he went on medical leave, another oncologist was assigned to me at Stanford and sent my tissue to be further diagnosed. The results showed that I had 11 mutations which put me in another category for chemotherapy. He put me on the correct chemo medication, and the leftover small tumors just disappeared. I am not on any medication at this point as I don't have any active breast cancer going on at the time. Best of luck with your breast cancer.
Nancy

Jump to this post

My TNBC was four years ago so protocol may have changed since then, but my tumor was gone as a result of chemo and I still had lumpectomy and radiation as was recommended by my oncologist, surgeon and radiologist. I don’t know if that makes you feel any better.

Best wishes to you, Cindy

REPLY

I start my second round of chemo and keytruda 8/24 . I’m now experiencing hair loss, any suggestions on shampoo and conditioner to use before and after. I plan to have what’s left shaved on 8/28 , do y’all use a wig or just head coverings.

REPLY
@eurojones2

@thielmann1
I was diagnosed with triple negative breast cancer on Sep 20, 2023. I was seen quickly at the Mayo as it's a very aggressive cancer. The treatment follows the the KEYNOTE-522 study. It was a study evaluating the combination of (CHEMO) consisting of weekly paclitaxel 1 + carboplatin (AUC1. 5 weekly or AUC 5 every 3 weeks) followed by AC every 3 weeks, with or without pembrolizumab in a 2:1 randomization. In laymen's terms it's about 5 months of chemo, the first 12 weeks it's once a week and then the last 4 treatment is every 3 weeks. You will most likely have chemo before surgery unless you tumor is very small. Mine was almost 4 cm so I had chemo first to shrink the tumor and the surgery. I was given KEYTRUDA, an immunotherapy drug at the end of my 12 weeks. You do Keytruda every 3 weeks for about 9 months. I had a double mastectomy only because I tested positive for the BRCA1 gene mutation. Before I found out I was positive for BRCA1, the surgeon was going to do a lumpectomy. Depending on how you respond to chemo and how much the tumor shrinks and if any cancer remains after surgery, you might be finished with treatment or you may have to take a pill for 6 months to a year to prevent cancer recurring. Sometimes the recommend radiation depending on if cancer is in lymph nodes or when you have a lumpectomy. Your oncologist and surgeon will help you better understand your treatment as you will soon discover, everyone is different. I can tell you though, that Keynote 522 is what they follow for triple negative breast cancer. Good luck and I will be praying for you! One day at a time!

Jump to this post

Thank you for your reply and the details of your treatment. Unfortunately, the oncologist I had did not try chemo before the surgery. Had this happened, my tumor would have disappeared and surgery could have been avoided. It was a complicated surgery followed by radiation, which left my chest wall fairly tight and paralyzed. After he went on medical leave, another oncologist was assigned to me at Stanford and sent my tissue to be further diagnosed. The results showed that I had 11 mutations which put me in another category for chemotherapy. He put me on the correct chemo medication, and the leftover small tumors just disappeared. I am not on any medication at this point as I don't have any active breast cancer going on at the time. Best of luck with your breast cancer.
Nancy

REPLY
@lynnj3

Thank you so much for the suggestions. I did request to see a nutritionist for some suggestions like just how much protein I need. And a few other questions I see them next week. I start my second round of keytruda and chemo 8/24. And see the surgeon on 8/29 . So far the side effect have been minimal so lucky I guess. Hugs have a good day y’all

Jump to this post

Good luck with your continued treatment and your appointment with your surgeon! Hugs to you!!

REPLY
@seathink

I got a cookbook when I started treatment - "The Cancer Fighting Kitchen" - which had tons of great recipes and suggestions for eating during treatment, how to account for loss of appetite and change in taste.

The recipe we used the most was for "Anytime Bars" which were great for on the go/infusion center snacks.

Jump to this post

Cookbooks really help! I was given 3, What to Eat during Cancer Treatment, Cooking Through Treatment to Recovery, and Eating Well Through Cancer.

REPLY
Please sign in or register to post a reply.