TC vs TAC

GSDlover
GSDlover Member Posts: 4
Ok here goes....I was diagnosed 3/1/2010 with Stage 2 Estrogen Positive BC, went to MD Anderson, had a partial. At first, I was told I wouldn't need chemo, but after Oncotype, the cancer was very aggressive and chemo was recommended. When I saw the onco at MD Anderson Houston, we didn't get along at all.... it's weird, I get along with almost everyone, but couldn't stand this guy. Anyway, he recommended 4 A/C then 12 weeks Taxotere.... this would involve a 1 1/2 hour drive each way to MDA, then stay there all day, and leave Houston at 5 p.m. on Friday to drive 1 1/2 hours after chemo to get home. So.... I decided to look in the Woodlands for onco close by. Found one... liked her, and she recommended 6 Taxol/Cytoxan instead. Told me the Taxotere route was not so good for me... I'm 57, overweight, and Taxotere harms heart in 10% of patients.... also possibility of peripheral neuropathy, and the TC route would only increase my recurrence chance by 1%. So.... I took her advice, did TC for 6 treatments, then went immediately to radiation treatment. During that time, MD Anderson opened a satellite in the Woodlands, 30 min. from my house, so I 'interviewed' a couple of oncologists, found one I liked, and saw him immediately after radiation. He was surprised that I went with TC vs. Taxotere and looked REALLY surprised when I mentioned that the other onco told me it only increased by recurrence chance by 1%. SO NOW I'M REALLY WORRIED.... I've been trying to ignore it, but, from what I understand, you only have one chance at chemo. Even with the TC I have peripheral neuropathy in my fingertips... they're numb all the time and, 2 1/2 months after chemo ended, haven't changed at all. Now I'm starting Arimidex, and my joints are killing me, but I figure I've just got to muddle through this....

It looks to me like a lot of women on this board are taking TC..... but a lot are also doing AC with Taxol.... anyone know why the difference?

I don't do a lot of posting, but I definitely have spent a lot of time reading posts the last year... the people here have helped me SO much... just knowing I'm not alone. Thanks for any help/ideas you can give.

Also.... I don't think I would have done the partial with radiation if anyone had actually told me what the radiation was like ahead of time. My incision was at 6 o'clock on the breast... and I have large breasts.... NOT a GOOD IDEA.... should have done the full mastectomy.

Thanks for letting me vent!

Comments

  • MyTurnNow
    MyTurnNow Member Posts: 2,686 Member
    Welcome GSD!
    This rollercoaster we get on when we hear those three terrible words is constantly changing. Just like the onco's you dealt with before chemo, they all seem to advise different treatment regimes. I, too, had IDC, estrogen positive and I did 4 rounds of TC which is even different from you. Don't try to second guess yourself. There are so many variables that go into the recommendation for chemo. Unless a doctor has ALL your information, I believe they are speaking in generalities.

    As far as "one chance at chemo", I don't believe that is accurate. There are several kindred spirits on this board that have had chemo numerous times. Bless their hearts....once is enough!

    Glad to decided to post. Come back often and ask any question you have, someone here can provide their experience, I'm sure.

    Also, make sure your onco is aware of your joint pain. There may be other alternatives to Arimidex. Good luck!
  • GSDlover
    GSDlover Member Posts: 4
    MyTurnNow said:

    Welcome GSD!
    This rollercoaster we get on when we hear those three terrible words is constantly changing. Just like the onco's you dealt with before chemo, they all seem to advise different treatment regimes. I, too, had IDC, estrogen positive and I did 4 rounds of TC which is even different from you. Don't try to second guess yourself. There are so many variables that go into the recommendation for chemo. Unless a doctor has ALL your information, I believe they are speaking in generalities.

    As far as "one chance at chemo", I don't believe that is accurate. There are several kindred spirits on this board that have had chemo numerous times. Bless their hearts....once is enough!

    Glad to decided to post. Come back often and ask any question you have, someone here can provide their experience, I'm sure.

    Also, make sure your onco is aware of your joint pain. There may be other alternatives to Arimidex. Good luck!

    Thanks!
    Thank you! This has been such a weird journey... and I'm sure it will continue to be one. It's always great to get some perspective from someone who's been through it, and it's wonderful to know that it's not a one-chance deal. I see my onco in 3 weeks and will definitely talk about the joint pain... I've got psoriatic arthritis and this seems to be aggravating it tremendously.

    Thanks for your comments!
  • MyTurnNow
    MyTurnNow Member Posts: 2,686 Member
    GSDlover said:

    Thanks!
    Thank you! This has been such a weird journey... and I'm sure it will continue to be one. It's always great to get some perspective from someone who's been through it, and it's wonderful to know that it's not a one-chance deal. I see my onco in 3 weeks and will definitely talk about the joint pain... I've got psoriatic arthritis and this seems to be aggravating it tremendously.

    Thanks for your comments!

    You are welcome.
    I forgot to add to my previous post, I just LOVE your "progressive" photo!