Comprehensive Update--Good News!--Almost NED (only two small lung nodules to go)--through Megace and

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Comments

  • bell_ella
    bell_ella Member Posts: 7
    What do U mean by my tumor cells were ER and PR
    What do you mean by 'since my tumor cells were strongly ER and PR +,'?
    How do you find out about it and then wheat do you do with that information?
  • daisy366
    daisy366 Member Posts: 1,458 Member
    bell_ella said:

    What do U mean by my tumor cells were ER and PR
    What do you mean by 'since my tumor cells were strongly ER and PR +,'?
    How do you find out about it and then wheat do you do with that information?

    Bella - Hormone testing
    My doctor suggested doing hormone testing on my tissue (samples are saved from surgery). Doctor will use this info (as they do with the tissue assay/functional profile) to determine if hormone therapy will be beneficial.

    My results were 95% hormone negative - my doc said that hormones would not benefit me.

    It makes sense to have these tests early on so docs have information to help with decisions. Sadly not all doctors do this. That is one major benefit of this website - gaining information for us to be proactive in our own treatment.

    I encourage you to talk to your doctor about this and perhaps even ask if there are any other tests that can be done. Definitely discuss the functional profile too (test chemo sensitivity).

    My best to you. Mary Ann
  • JoAnnDK
    JoAnnDK Member Posts: 275
    daisy366 said:

    Bella - Hormone testing
    My doctor suggested doing hormone testing on my tissue (samples are saved from surgery). Doctor will use this info (as they do with the tissue assay/functional profile) to determine if hormone therapy will be beneficial.

    My results were 95% hormone negative - my doc said that hormones would not benefit me.

    It makes sense to have these tests early on so docs have information to help with decisions. Sadly not all doctors do this. That is one major benefit of this website - gaining information for us to be proactive in our own treatment.

    I encourage you to talk to your doctor about this and perhaps even ask if there are any other tests that can be done. Definitely discuss the functional profile too (test chemo sensitivity).

    My best to you. Mary Ann

    Sara....
    Thinking of you today - it is today that you have your CT scan, right? Will you get results soon?

    Keep us posted, please.

    JOANN
  • TiggersDoBounce
    TiggersDoBounce Member Posts: 408

    Your wonderful update
    I am overjoyed at your wonderful results. Especially since you became your own best doctor! I pray you will dance at your grandchildren's weddings and see Great Grandchildren!

    Sadly, and not to rain on your parade but to soften the blow to readers or lurkers who don't have such great results,I am writing as a fly in the ointment. After four taxol Carbo treatments I had two Doxil carbo. Then Meggace for maintenance. Was NED, but Within eight months after chemo ended, five months after CT, and on megace the whole time, felt pressure on my bowels, constipation, and got a CT. I had a tumor the size of a grapefruit. All my bloods and Ca 125 were dandy even the day before surgery!
    It was end of Oct oh first thing Doc said is stop Meggace.

    I had switched to a Organic Mediterranean, mostly no red meat and only some chicken and more fish diet a la Servan Schreiber AntiCancer book.
    I also do half an hour on the treadmill six days a week. My Dx after first surgery was and is Stage IV Grade III Uterine Clear and Mixed cell adenocarcinoma.

    In Oct. Had tumor out and colon resected. Now on Gemzar and Carbo but my white and platelet count quite low as well as red blood count, anemic. Seems like last year 's chemo compromised my system. The chemo protocol now is Gemzar Carbo, then eight days later Gemzar. Then two weeks later both again. Twice my system couldn't take it, extreme 'wet rag syndrome' ,me, for three weeks that I ended up having Gemzar carbo once every three weeks which I had last Thursday.. Now waiting for Thursday blood tests and next Monday's results of next Sunday's CT.
    Am not 'up' self 'cause I can't get to work or out of the house as I need to rest pretty much all the time in between two hour activities.

    Wishing us all years of NED, joy, good news and health,

    Sara

    Sara
    Sending you continued prayers...

    Please remember, we dance with the great news and embrace with the not so great news...

    We are here to listen, comfort and help. Please keep us posted on your next round of test results....Hang in...

    Laurie
  • Sara Zipora
    Sara Zipora Member Posts: 231
    JoAnnDK said:

    Sara....
    Thinking of you today - it is today that you have your CT scan, right? Will you get results soon?

    Keep us posted, please.

    JOANN

    Update on me ,CT was Sunday last, Results yesterday, Tuesday
    Well,
    There was an increased size of a very small lymph node. But the problem seems to be near surgical entry/exit of most recent recurrence surgery and colon resection and debulking of 8 cm mass.
    It seems near internal staples , sort of x marks the spot there is 'spongy ' round 2-3 cm mass. They are now suggesting PET scan.
    I am still somewhat experiencing diarrhea from drinking 'dye' stuff three days later and am not looking forward to rebeginng with similar stuff early next week.
    A second oncologist suggested waiting three more weeks so I can finish fourth round of 1 per three week Gemzar/ carboplatin and in three weeks Pet will be more definitive.
    Another Onco, mine is insistent that I do pet next week which will be two weeks from last Tx and a few days before next one, Thursday.
    Blood, whites,platelets and reds still Very Low !

    Radiologist who read scans feels cancer growing and chemo not working so why delay radiation treatment for magical number of four chemo set. But he does say he isn't an Onco.

    So warriorettes, what do you guys say?

    Sara

    P.s. ironically my mood is better as I feel there is data and beginnings of plan!
  • HellieC
    HellieC Member Posts: 524 Member

    Update on me ,CT was Sunday last, Results yesterday, Tuesday
    Well,
    There was an increased size of a very small lymph node. But the problem seems to be near surgical entry/exit of most recent recurrence surgery and colon resection and debulking of 8 cm mass.
    It seems near internal staples , sort of x marks the spot there is 'spongy ' round 2-3 cm mass. They are now suggesting PET scan.
    I am still somewhat experiencing diarrhea from drinking 'dye' stuff three days later and am not looking forward to rebeginng with similar stuff early next week.
    A second oncologist suggested waiting three more weeks so I can finish fourth round of 1 per three week Gemzar/ carboplatin and in three weeks Pet will be more definitive.
    Another Onco, mine is insistent that I do pet next week which will be two weeks from last Tx and a few days before next one, Thursday.
    Blood, whites,platelets and reds still Very Low !

    Radiologist who read scans feels cancer growing and chemo not working so why delay radiation treatment for magical number of four chemo set. But he does say he isn't an Onco.

    So warriorettes, what do you guys say?

    Sara

    P.s. ironically my mood is better as I feel there is data and beginnings of plan!

    Thinking of you, Sara
    Firstly, Sara, I am so sorry you are facing this so soon after surgery.
    But it does seem from what you have said that two opinions concur and are suggesting an immediate PET? Perhaps it is worth asking them all what risks there would be in waiting to do the PET versus doing it now. Would a delay of 3 weeks(and possible increase in size of tumour) make a significant difference to the effect of the radiotherapy? I guess there's no right or wrong way to go here - just what feels right for you
    Wishing you well
    Helen
  • Sara Zipora
    Sara Zipora Member Posts: 231
    HellieC said:

    Thinking of you, Sara
    Firstly, Sara, I am so sorry you are facing this so soon after surgery.
    But it does seem from what you have said that two opinions concur and are suggesting an immediate PET? Perhaps it is worth asking them all what risks there would be in waiting to do the PET versus doing it now. Would a delay of 3 weeks(and possible increase in size of tumour) make a significant difference to the effect of the radiotherapy? I guess there's no right or wrong way to go here - just what feels right for you
    Wishing you well
    Helen

    Your note
    Dear Helen,
    Thanks so much. Made a PET appointment for Sunday, but can postpone if need be, put in call to my main Onco and will raise questions.
    Thanks for your input.

    Sara
  • Rewriter
    Rewriter Member Posts: 493 Member

    Your note
    Dear Helen,
    Thanks so much. Made a PET appointment for Sunday, but can postpone if need be, put in call to my main Onco and will raise questions.
    Thanks for your input.

    Sara

    Your main onco
    Sara--

    I seem to remember that your main gyne-onco is Peter Dottino at Mt. Sinai Hospital in NYC. Is this correct? If so, then I would trust anything Dr. Dottino says; he is one of the finest gyne-oncs in the country and the mentor of my fantastic gyne-onc.

    Best of luck to you.

    Jill
  • Sara Zipora
    Sara Zipora Member Posts: 231
    Rewriter said:

    Your main onco
    Sara--

    I seem to remember that your main gyne-onco is Peter Dottino at Mt. Sinai Hospital in NYC. Is this correct? If so, then I would trust anything Dr. Dottino says; he is one of the finest gyne-oncs in the country and the mentor of my fantastic gyne-onc.

    Best of luck to you.

    Jill

    My main Onco
    Thanks. Sent him CT info.
    I live out of the US, my main Onco is here, but he is all for my consulting with anyone I think can help.

    Sara
  • Sara Zipora
    Sara Zipora Member Posts: 231
    Rewriter said:

    Your main onco
    Sara--

    I seem to remember that your main gyne-onco is Peter Dottino at Mt. Sinai Hospital in NYC. Is this correct? If so, then I would trust anything Dr. Dottino says; he is one of the finest gyne-oncs in the country and the mentor of my fantastic gyne-onc.

    Best of luck to you.

    Jill

    My main Onco
    Thanks. Sent him CT info. Dottino is my surgeon, did original (2010) and recurrence surgery (2011).
    I live out of the US, my main Onco is here, but he is all for my consulting with anyone I think can help.

    Sara
  • Kaleena
    Kaleena Member Posts: 2,088 Member

    Update on me ,CT was Sunday last, Results yesterday, Tuesday
    Well,
    There was an increased size of a very small lymph node. But the problem seems to be near surgical entry/exit of most recent recurrence surgery and colon resection and debulking of 8 cm mass.
    It seems near internal staples , sort of x marks the spot there is 'spongy ' round 2-3 cm mass. They are now suggesting PET scan.
    I am still somewhat experiencing diarrhea from drinking 'dye' stuff three days later and am not looking forward to rebeginng with similar stuff early next week.
    A second oncologist suggested waiting three more weeks so I can finish fourth round of 1 per three week Gemzar/ carboplatin and in three weeks Pet will be more definitive.
    Another Onco, mine is insistent that I do pet next week which will be two weeks from last Tx and a few days before next one, Thursday.
    Blood, whites,platelets and reds still Very Low !

    Radiologist who read scans feels cancer growing and chemo not working so why delay radiation treatment for magical number of four chemo set. But he does say he isn't an Onco.

    So warriorettes, what do you guys say?

    Sara

    P.s. ironically my mood is better as I feel there is data and beginnings of plan!

    Sara:
    Here is something to

    Sara:

    Here is something to ask your radiologist (By the way is he/she a raadiologist/oncologist?

    1. Ask where will the radiation be directed and what is the expected results.
    2. Once you have radiation in that area, can you get radiation there again in the future
    if needed. (Most of the time it is a no).
    3. Benefits of additional surgery over radiation.
    4. Should you try a different chemo first prior to radiation.

    Sara, I am glad your mood is better. Once you start making the decisions and the plans you will gain the strength you will need!

    My best to you and strength to all of your decisions.

    Kathy
  • RoseyR
    RoseyR Member Posts: 471 Member
    daisy366 said:

    Bella - Hormone testing
    My doctor suggested doing hormone testing on my tissue (samples are saved from surgery). Doctor will use this info (as they do with the tissue assay/functional profile) to determine if hormone therapy will be beneficial.

    My results were 95% hormone negative - my doc said that hormones would not benefit me.

    It makes sense to have these tests early on so docs have information to help with decisions. Sadly not all doctors do this. That is one major benefit of this website - gaining information for us to be proactive in our own treatment.

    I encourage you to talk to your doctor about this and perhaps even ask if there are any other tests that can be done. Definitely discuss the functional profile too (test chemo sensitivity).

    My best to you. Mary Ann

    Mary Ann,

    I assume that tissues "saved" from surgery are good for only a few weeks, if that? (No chance of having tissue tested long after a surgery>)

    Thanks,
    Rosey
  • daisy366
    daisy366 Member Posts: 1,458 Member
    RoseyR said:

    Mary Ann,

    I assume that tissues "saved" from surgery are good for only a few weeks, if that? (No chance of having tissue tested long after a surgery>)

    Thanks,
    Rosey

    Rosey
    I beleive samples are saved for years. I think JoAnn mentioned 8-10. I'd check with your doc. One downside to consider: since cancer is so unpredictable, how long are those assays really accurate? If cells mutate then the original drugs may not be effective. These are just my thoughts - don't know if they are accurate but you might check with your docs.

    Let me know what you find out. Mary Ann