UPDATE - please help --- Triple Negative bc Questions for a Friend

Options
LoveBabyJesus
LoveBabyJesus Member Posts: 1,679 Member
edited December 2011 in Breast Cancer #1
Hi ladies! Another friend of ours was dx, 34. Her type is triple neg. I would like some feedback about what kind of chemo you got for this type and what the side effects were, and if you have any suggestions as to how to deal with them. I was estrogen + so they gave me AC/T, not sure if they do the same for all bc, or if it varies depending on the type. Your feedback would be very helpful. And as soon as I confirm which chemo regimen she's getting, I'll let you know.

Thanks for your help.

Hugs
«1

Comments

  • MAJW
    MAJW Member Posts: 2,510 Member
    Options
    Triple negative...
    Is what I am...I had a lumpectomy...stage IIa....with clean clear margins and NO lymph node involvement.......then Cytoxan/Taxatere..followed By 33 radiation treatments....now dealing with a recurrence...came back in my lymph nodes...shocked my physicians...me too! Triple negative is a particularly aggressive type of bc...and the younger the woman, sadly,the more aggressive it can be....Tell your friend to stay off the Internet looking up triple negative....it can scare her even more so than she already is....also being triple negative, there is no Tamoxifen, etc...to take once treatment is finished as it is not estrogen driven....

    Wishing your friend the best...keep us posted...
    Hugs, Nan y
  • LoveBabyJesus
    LoveBabyJesus Member Posts: 1,679 Member
    Options
    MAJW said:

    Triple negative...
    Is what I am...I had a lumpectomy...stage IIa....with clean clear margins and NO lymph node involvement.......then Cytoxan/Taxatere..followed By 33 radiation treatments....now dealing with a recurrence...came back in my lymph nodes...shocked my physicians...me too! Triple negative is a particularly aggressive type of bc...and the younger the woman, sadly,the more aggressive it can be....Tell your friend to stay off the Internet looking up triple negative....it can scare her even more so than she already is....also being triple negative, there is no Tamoxifen, etc...to take once treatment is finished as it is not estrogen driven....

    Wishing your friend the best...keep us posted...
    Hugs, Nan y

    Hi Nancy -- Yes I know some
    Hi Nancy -- Yes I know some of you have the triple neg. (I hope you're doing well). Thanks for your feedback. What were the side effects of the chemo regimen? Also, my friend is getting 6 months of chemo, is this normal? - looks like she might be stage 2a.
  • MAJW
    MAJW Member Posts: 2,510 Member
    Options

    Hi Nancy -- Yes I know some
    Hi Nancy -- Yes I know some of you have the triple neg. (I hope you're doing well). Thanks for your feedback. What were the side effects of the chemo regimen? Also, my friend is getting 6 months of chemo, is this normal? - looks like she might be stage 2a.

    Side effects...
    Wow! Six months of chemo...probably every three weeks....as young as she is they are probably being very aggressive with her treatments...good...I had 4 rounds of chemo...my side effects were....severe diarrhea starting 3 days-after the first infusion...then constipation for the remainder of treatment...lovely huh?lol. Had severe bone pain and muscle spasms after first infusion and the first Nuelasta injection....but not with the remainder of infusions....lost my taste buds for a week after every infusion....felt tired and fatigued..the steroids caused me nasty heartburn and insomnia...lost my hair, after having it buzzed beforehand on exactly day 14 after The first infusion...the side effects as we all know are cumulative....and everyone is different in how they react....on the bright side...I was religious in taking the anti nausea drugs and steroids...which also act as an anti nausea meds...and I never had the very first wave of nausea...which I feared...I was 58 when first diagnosed...just being as young as your friend is, perhaps that will make things easier to tolerate...she naturally has more energy...lol

    My best to your friend...
    Hugs, Nancy
  • linpsu
    linpsu Member Posts: 747
    Options
    TNBC
    I am triple negative - diagnosed at age 56 with DCIS - had mastectomy because of size, but no radiation or chemo. I had reconstruction with an expander put in at the time of the mastectomy, then an implant. Then a reoccurence at 58, this time stage 3C; had dose-dense chemo first (every 2 weeks) of adriamycin/cytoxin (4 rounds), then 4 rounds of taxol. Chemo gave me neuropathy, which I still have 2 years later, diarrhea, nausea (controlled by drugs), yucky taste in mouth (I lost 40 pounds b/c I couldn't eat), sores in mouth, blisters on feet. I know that not everyone gets all these side effects - I don't want to scare you - everyone is different but these were mine.
    Then I had surgery to remove the implant as well as 14 more lymph nodes - one was positive, then 33 rounds of radiation.
    Emotionally, I was a mess after treatment was over since there was nothing like Arimidex or Tamoxifin or Herceptin or anything else to keep it from coming back. I had a real tough time, but the wonderful ladies on this site got me over the hump and encouraged me to live for each day and not to worry about what may be in my future.
    Right now, I am doing well physically and emotionally, and hope to do so for a long time!
    hUGS,
    Linda
  • MAJW
    MAJW Member Posts: 2,510 Member
    Options
    linpsu said:

    TNBC
    I am triple negative - diagnosed at age 56 with DCIS - had mastectomy because of size, but no radiation or chemo. I had reconstruction with an expander put in at the time of the mastectomy, then an implant. Then a reoccurence at 58, this time stage 3C; had dose-dense chemo first (every 2 weeks) of adriamycin/cytoxin (4 rounds), then 4 rounds of taxol. Chemo gave me neuropathy, which I still have 2 years later, diarrhea, nausea (controlled by drugs), yucky taste in mouth (I lost 40 pounds b/c I couldn't eat), sores in mouth, blisters on feet. I know that not everyone gets all these side effects - I don't want to scare you - everyone is different but these were mine.
    Then I had surgery to remove the implant as well as 14 more lymph nodes - one was positive, then 33 rounds of radiation.
    Emotionally, I was a mess after treatment was over since there was nothing like Arimidex or Tamoxifin or Herceptin or anything else to keep it from coming back. I had a real tough time, but the wonderful ladies on this site got me over the hump and encouraged me to live for each day and not to worry about what may be in my future.
    Right now, I am doing well physically and emotionally, and hope to do so for a long time!
    hUGS,
    Linda

    Linda...
    I have had horrible neuropathy in my breasts due to rads...I just finished a second go round due to a recurrence...and one area of the breast had to be overlapped for the first 10 rads....and oddly the neuropathy is much worse in the "good breast". ..perhaps because the other is numb...the pain has been excruciating at times...like someone poured gasoline on my breast and set it on fire...I've actually cried from the pain.... started Gabapentin two weeks ago....what a blessing this drug has been for me....the pain is gone....if you don't know about it please ask for it and try it....it's been a life changer for me....!

    Hugs, Nan y
  • jessiesmom1
    jessiesmom1 Member Posts: 915 Member
    Options
    Triple Negative Breast Cancer
    I was diagnosed with TNBC Stage IIa, Grade 3. I had an excision biopsy, complete axillary dissection (22 lymph nodes with 2 being cancerous), Tissue of Origin Test and a right mastectomy with a tissue expander implanted. Next came chemo. 4 rounds of A/C then 12 rounds of Taxotere. No radiation. I tolerated the A/C pretty well so the oncologist expected the Taxotere to go even better. Was he ever wrong. It was awful. Vomiting, diarrhea, teary eyes, lack of desire to eat were amongst the side effects. On the plus side, I did lose 45 pounds. There is something to be said for being overweight to start with. My blood counts remained reasonable so I did not miss a single treatment. I had significant problems with range of motion in my right arm/shoulder and ended up having shoulder surgery once chemo was over. My last chemo was in 8/2010. Shoulder surgery 11/2010. Reconstruction surgery 6/2011. Will be having revision reconstruction surgery next month 12/2011.

    Please send your friend to this site. You are a good friend to look here for information and support. If you need more personal info feel free to send me an private message.

    IRENE
  • DianeBC
    DianeBC Member Posts: 3,881 Member
    Options

    Hi Nancy -- Yes I know some
    Hi Nancy -- Yes I know some of you have the triple neg. (I hope you're doing well). Thanks for your feedback. What were the side effects of the chemo regimen? Also, my friend is getting 6 months of chemo, is this normal? - looks like she might be stage 2a.

    I'm not triple negative
    I'm not triple negative LoveBabyJesus, but, I wanted to tell you that I will be praying for your friend!


    Hugs, Diane
  • joannstar
    joannstar Member Posts: 403 Member
    Options
    Me Too
    I'm triple negative, stage 1C, Medium Grade, no node involvement. I had 2 lumpectomies (2nd to get clean margins) but the surgery center called them partial mastectomies--guess they took more and could charge more. I had 4 rounds of Taxotere/Cytoxan until my ankles swelled and was switched to Taxol/Cytoxan for the last 2 rounds. In addition to the other side effects mentioned, my eyes and nose ran constantly which was hard to handle (especially having no nose hairs left to stop the flow). The soles of my feet burned so I sat with my feet on ice pads at work. Only missed 2 days of work each round (3 weeks apart). I also had 33 rad treatments which ended on 4/1/11.
    So far so good...
    All the best wishes to your friend.
    JoAnn
  • Megan M
    Megan M Member Posts: 3,000
    Options
    MAJW said:

    Linda...
    I have had horrible neuropathy in my breasts due to rads...I just finished a second go round due to a recurrence...and one area of the breast had to be overlapped for the first 10 rads....and oddly the neuropathy is much worse in the "good breast". ..perhaps because the other is numb...the pain has been excruciating at times...like someone poured gasoline on my breast and set it on fire...I've actually cried from the pain.... started Gabapentin two weeks ago....what a blessing this drug has been for me....the pain is gone....if you don't know about it please ask for it and try it....it's been a life changer for me....!

    Hugs, Nan y

    Nancy, is Gabapentin a
    Nancy, is Gabapentin a prescription?
  • MAJW
    MAJW Member Posts: 2,510 Member
    Options
    Megan M said:

    Nancy, is Gabapentin a
    Nancy, is Gabapentin a prescription?

    Yes...
    It is prescription only...it's for Nueropathy, which I have in both breasts...strange place to have it but I had rads 2 1/2 years ago and now have a recurrence...I underwent 25 more treatments ending in September....one area was radiated again for 10 of the 25 treatments...so it caused nerve damage...it became excruciating at times, as if my breasts were on fire...and always present to some degree or another...Gabapentin has changed my life! This drug was originally prescribed for seizures but somewhere along the way they discovered it works for nueropathy....again, it has changed my life.....My bc came back in my lymph nodes...very surprising, since I had clean nodes when I had my lumpectomy in May, 2009...

    Hugs, Nancy
  • LoveBabyJesus
    LoveBabyJesus Member Posts: 1,679 Member
    Options
    Thank you all SO MUCH for
    Thank you all SO MUCH for your responses! I'll be sure to share this information with her.
  • Brooklynchele
    Brooklynchele Member Posts: 123
    Options

    Thank you all SO MUCH for
    Thank you all SO MUCH for your responses! I'll be sure to share this information with her.

    TNBC Tx
    Hi. I am TNBC, Stage IIB - no node involvement. I was diagnosed June 2010. I had a lumpectomy in June and a partial mastectomy/sentinel node biopsy in July. I started what was supposed to be a 4-6 week regimine of Taxotere/Cytoxin in September. I completed 2 rounds but was allergic to the Taxotere so it was discontinued. I was never offered a different chemo. I had no radiation. I had a mammogram in October 2010 that came back ok.

    This spring I had a questionable area of pain in my other breast. A double biopsy was done that thankfully came back negative. I return for mammogram again in Feb 2012.

    You asked about "things she may need to know". As you know everyone reacts differently to treatment. There is a wide range of reactions from none to being allergic like me. Many women have nausea and other stomach issues, I had none. I had debilitating bone pain that has continued. I guess it's just helpful to know there's a lot of "typical" reactions. If she ever has a question she should immediately ask her onc - and of course we will do our best to respond and let her know if we experienced the same thing.

    As I'm sure you know by now, many docs don't always convey that certain things are associated with chemo but coming here we find out that what we are experiencing is something others have as well. Seems that sometimes we have a broader base of information than many docs provide.

    Wishing your friend only the best -
    Michele
  • Hubby
    Hubby Member Posts: 325
    Options
    My wife is triple negative
    My wife is triple negative and was stage 1; node neg;had lumpectomy followed by dose dense AC/T (4 rounds AC/4 rounds Taxol)then radiation.

    Though technically triple negative, her oncologist has her on Tamoxifen. He said the new protocols coming out will say that any positive (even though not technically enough to call her positive) would make it worthwhile to take the Tamoxifen.
  • Angie2U
    Angie2U Member Posts: 2,991
    Options
    MAJW said:

    Yes...
    It is prescription only...it's for Nueropathy, which I have in both breasts...strange place to have it but I had rads 2 1/2 years ago and now have a recurrence...I underwent 25 more treatments ending in September....one area was radiated again for 10 of the 25 treatments...so it caused nerve damage...it became excruciating at times, as if my breasts were on fire...and always present to some degree or another...Gabapentin has changed my life! This drug was originally prescribed for seizures but somewhere along the way they discovered it works for nueropathy....again, it has changed my life.....My bc came back in my lymph nodes...very surprising, since I had clean nodes when I had my lumpectomy in May, 2009...

    Hugs, Nancy

    Wishing your friend the best
    Wishing your friend the best in her treatment!


    Hugs, Angie
  • mbirriel
    mbirriel Member Posts: 1
    Options

    Triple Negative Breast Cancer
    I was diagnosed with TNBC Stage IIa, Grade 3. I had an excision biopsy, complete axillary dissection (22 lymph nodes with 2 being cancerous), Tissue of Origin Test and a right mastectomy with a tissue expander implanted. Next came chemo. 4 rounds of A/C then 12 rounds of Taxotere. No radiation. I tolerated the A/C pretty well so the oncologist expected the Taxotere to go even better. Was he ever wrong. It was awful. Vomiting, diarrhea, teary eyes, lack of desire to eat were amongst the side effects. On the plus side, I did lose 45 pounds. There is something to be said for being overweight to start with. My blood counts remained reasonable so I did not miss a single treatment. I had significant problems with range of motion in my right arm/shoulder and ended up having shoulder surgery once chemo was over. My last chemo was in 8/2010. Shoulder surgery 11/2010. Reconstruction surgery 6/2011. Will be having revision reconstruction surgery next month 12/2011.

    Please send your friend to this site. You are a good friend to look here for information and support. If you need more personal info feel free to send me an private message.

    IRENE

    TNBC
    I don't have bc, but in the same week both my mother and mother-in-law was diagnosed with bc. My mother-in-law was diagnosed with Triple Negative.

    My mom was lucky enough to have 8 children that love her dearly and we all are taking turns to help her through this.

    But my mother-in-law lives with me, she only has my husband and me. She has Grade 2, she had a lumpectomy and they also removed 27 lymph nodes none was cancerous. She had her first round of chemo, 3 days after her 1st round of Taxotere she vomiting, teary eyes and doesn't want to eat or drink anything. It's been 8 days since her treatment and she is still in bed, barely eating and in constant pain. What can I do to make her more comfortable and help her through this. The past couple of days I find myself getting frustrated with her.

    I'm scheduled to go to NY next week to take care of my mother, who is getting radiation. I'm afraid to leave my husband to tend his mother. I don't think he can handle it. What advice can I give him before I leave.

    margie
  • Noel
    Noel Member Posts: 3,095 Member
    Options

    Thank you all SO MUCH for
    Thank you all SO MUCH for your responses! I'll be sure to share this information with her.

    I hope that what was written
    I hope that what was written will help your friend in some way. Let her know that she has the prayers of the pink sisters on here!
  • kclarke4
    kclarke4 Member Posts: 1
    Options
    TN BC
    I was diagnosed 1 year ago. I had a partial mastectomy and 21 lymph nodes removed. I had AC4. Started treatments every other week with Neulesta injections. I lost all my body hair day 22. I began weekly Taxol treatment and made it through 9 treatments. I got too sick to continue and got bi-lateral chemical induced pneumonia. I was hospitalized for 10 days. I also found out, from a bronchoscopy, that I have emphysema. Go figure! I guess it's from all those years of working at a state psychiatric facility that had aspestose.
    Here it is November and I must say I am beginning to feel like my old self.
    Yes I have bilateral neuropathy in both feet. I did have it in my hands too but it went away. Since I had a discectomy in June 2010 I expected the neuropathy in my left foot.
    Anyway, I am thankful for where I am today. Yes Gabapentin (Neurontin) is a god send. Not only does it help with neuropathy but it helps with night sweats.

    I was also in a clinical trial that gave me hypertension and bloody noses. That is gone now since I had to stop the clinical trial.
    I consider myself a strong person. I worked throughout this entire experience. Yes I had some nausea ( Zophran helped with that)and severe fatigue but I could not stand to be home in bed after spending the entire summer of 2010 in bed due to the back surgery. So I pushed myself as much as I could.
    I am a psych nurse and stubborn Italian. But I believe my interactions with peers from work helped my sanity.
    I have days where I cry, still, and I do fear the return of this type of breast cancer.
    Having said all that I take one hour at a time not just one day. Again, I am thankful for being alive. I hope this helps if someone else is feeling like they are an emotional roller coaster. What can I say other than it is normal and do not let it take you over. If you are too depreseed or withdrawn it's okay to reach out and just talk or scream.
    I like to scream when alone it helps.
  • DebbyB
    DebbyB Member Posts: 86
    Options
    another triple negative
    I was diagnosed at 49 with stage 2b, grade 3, triple negative BC in April. No nodes involved.
    I had a lumpectomy, chemo and finish radiation today and see the surgeon tomorrow to discuss next steps.
    Chemo was 4 A/C every other week, then 4 Taxol every other week.
    Chemo side effects with A/C weren't bad for me. Lost all my hair just after the second A/C and took the nausea meds for the first few days after chemo and was even able to work from home.
    Taxol was another story. Neuropathy in both feet and hands. Lost my a few nails on both my hands and feet. I would have chemo on Friday and by Sunday morning I was in a lot pain for a few days. I had a hard time sleeping and my body temp was spiking about 6:00 every night. I taking the generic for Neurotin and it has helped with the body temp spikes, sleeplessness and neuropathy. No more neuropathy in my hands and my feet are not near as bad as they were.
    30 radiation treatments.
    Radiation side effects have been the usual, burnt and itchy skin and fatigue. I have been using aloe vera gel and whining.
  • LoveBabyJesus
    LoveBabyJesus Member Posts: 1,679 Member
    Options
    Please help
    Ok...so as you know my friend was dx and the dr. suspected it was triple negative. But she has been waiting for a long time for her pathology report, and so far they can't confirm where the cancer is coming from - they think its not the primary. :( This is difficult to grasp and she is a total mess. Has anyone experienced this where you had a lump in the breast and it wasn't the primary cancer? They did a PET and it was clean, but they are certain it isn't the primary (it is not breast cancer). Maybe she needs several tests of the body not just PET? Any feedback would be appreciated!

    And please pray for my friend...she's only 34 and has 3 kids.

    Thank you.
  • MAJW
    MAJW Member Posts: 2,510 Member
    Options

    Please help
    Ok...so as you know my friend was dx and the dr. suspected it was triple negative. But she has been waiting for a long time for her pathology report, and so far they can't confirm where the cancer is coming from - they think its not the primary. :( This is difficult to grasp and she is a total mess. Has anyone experienced this where you had a lump in the breast and it wasn't the primary cancer? They did a PET and it was clean, but they are certain it isn't the primary (it is not breast cancer). Maybe she needs several tests of the body not just PET? Any feedback would be appreciated!

    And please pray for my friend...she's only 34 and has 3 kids.

    Thank you.

    Only..
    Two tests left would be an MRI and. CAT scans..even though they're not sure if this is the primary set, she should have the path report from her biopsy...usually a PET would show other "hot spots" unless to small to pick up..this is odd....

    You're a good friend...wishing your friend the best outcome and prayers!

    Hugs, Nancy