Forum Discussion
sandramj
9 years agoMember
Chemotherapy or natural?
Tomorrow I go to see oncologist for first time after surgery removal of invasive ductal carcinoma (12mm) and finding cancer in the only lymph node they found. Had CT Scans and bone scan yesterday so get those results then too tomorrow.
Question - has anyone on here tried any alternatives to chemotherapy?
Any thoughts please I am very concerned as I'm 66 and unfortunately not a great genetic heakth background.
AND IM AS SCARED AS HELL OF THE SIDE EFFECTS
also my cancer is HER2 negative but oestrogen & progesterone positive.
Question - has anyone on here tried any alternatives to chemotherapy?
Any thoughts please I am very concerned as I'm 66 and unfortunately not a great genetic heakth background.
AND IM AS SCARED AS HELL OF THE SIDE EFFECTS
also my cancer is HER2 negative but oestrogen & progesterone positive.
23 Replies
- brightspaceMemberHi again
I am er /pr pos and Her2 neg
Er and prog positive means our type of cancer can be treated with AI or anti hormone drugs. So if post meno this is the standard therapy for 5 to 10 years?i have had minimal side effects..minr joint pain in winte r so going ok
As you have had IDC and lymph node involvement the protocol is usually rads/chemo
I am post meno so on Letrozole it prevents the production of estrogen which is also produced in fat cells (reduce weight if you can).
Her negative means our cancer is slow in growing or better than
her2 positive which is faster growing.
While stats percentages are for the most part used to predicate can cer return ..to be vigilate with post treatment checks is more important
In aust mammograms are done every two years ..mine showed up in that time frame..in uk every five years they are thinking og of 3 years But costs prevent changes
I had dcis no node involvement and mastectomy..protocol states no treatment just mamo ultrasound checks dvery 6 months for five years.
4 years later I had ct scan for spleen and showed lung nodules.as low tumour burden..to reappear this is rare for dcus (99.99 perctage not usally !)
So er positive for me means that the cancer mets has reduced in size after 6 mths ..lots of new treatments available
Talk again B - sandramjMemberThanks Bright. It's like learning a second language, AFTER landing in that country. The more I read the more I need to learn. There's so much info and yes I agree there's so much more than just what the medical team can do for us. I'm doing guided meditations every day, living positively as possible, eating well, exercising and letting go of stuff that isn't a REAL necessity. I agree no one is CANCER FREE FOREVER, unfortunately.
- brightspaceMemberHi Sandramj..sometimes stats and percentages can confuse the big picture.
Quality of life is important ..be kind to yourself..enjoy family n friends have a good diet .improve mind matters
some of our treatments can effect us more than the cancer itself so your mo is recommending dont do chemo yet
while we have been diagonised and gone through treatment there is always the possibility of the c returning.I personally do not agree with the phrase ..cancer free..use by some when they have finished treatment .
What we have to be are strong people who are realistic and vigilant about having had cancer and it could reappear. Some are lucky and some not so.
We are very lucky to have access to the best of treatment available to us
Goodluck with your treatment
Continue to post
Huggs Bright - sandramjMemberThanks Aine. Yep before BC I presumed treatment was 99.9% and presumed that when it came back the people hadn't done EVERYTHING or it was another cancer somewhere else. It's a shock when oncologist explains the % of it not returning is not ever 99.9%. We, the general public do not know that!
- AineGMemberHi sandramj, so I'm not alone in thinking that the surgery & treatment would the answer, it is a shock to the system when you find it's not 100% foolproof, but I guess if it was no-one would ever have a recurrence, so I guess in hindsight it makes sense. Hormone responsive with a low Ki67 is a good out come tho,. and if only one node affected that's great!
Mine sounds very similar to yours, I had stage 2b grade 2 IDC with a few dcis on the other side. Hormone responsive with low Ki67 (5%) given the area affected I had a double mastectomy and radio, and am now on aromatise inhibitors, cos I'm still in my forties I have an ovarian inhibitor once a month to allow me to take the extremasine. 8 months on, it's been great, once you are through all the early treatment the hormone is just a daily tablet, and life starts to get back to normal. believe it or not you stop worrying about recurrence - at least you stop worrying as much, about recurrence once you get to the other side of all of this.
the others are right, research just released shows that 75% of all cancers are random.
Good luck with the journey, sounds like you have a good team and a great plan.
Aine - primekMemberFantastic news. I know that a low proliferation rate (ie slow growing) don't get much benefit from chemo and that sometimes is shown in pathology in a test called Ki 67. Mine was really high (like 68%)...as it was a her2 positive but other types can vary a lot.
Sounds like a good treatment plan and at least now you know what will happen. Take care. Kath x - AfraserMember
Sandra
Recent reports seem to support the notion that whatever causes cancer may not be to do with your lifestyle or family history exclusively. Like you, I have no family history of any cancer, was healthy, had breastfed, had my breasts checked etc etc. That's why ALL women are encouraged to have mammograms regularly. Current stats I think are that 75% of women who get breast cancer are post menopausal. That seems a significant stat to me but we are still not clear on what it means. Herceptin is considered to be effective for HER2 positive cancer - it's usually a three weekly infusion for 12 months. I had no side effects from it at all. I did get an arrhythmia (irregular heart beat) during chemo. My newly acquired cardiologist did not think that my health or age made this at all likely, BUT that a combination of surgery (mastectomy), chemo (my side effects were limited but it still has an impact on your body) and age combined might be enough to tip the balance. I am fine and the condition is quite manageable but I have no actual heart disease (it's the electronic circuit of the heart that's gone a bit daffy). So that MIGHT be why your oncologist is being cautious.
- melclarityMemberHi Sandra,
Unfortunately alot of what he says is correct, the stats are like 90% of Breast Cancer is NOT genetic completely random. Makes zero difference, if you breast fed or didn't , took the pill or didn't, ate a healthy diet or exercised regularly. Zip!! They've tried to find common denominators but there aren't any...clutching at straws. They only SUGGEST post treatment to eat a healthy diet and exercise as you would with any illness to help any risk of recurrence, but let me tell you again...none of that comes into it at all. My Oncologist told me that there is no guarantee even if I do chemo...
Sandra, I had aggressive treatment in 2011 Lumpectomy DCIS High Grade wasnt even IDC but made to do radiotherapy 6 weeks!!! and TAmoxifen for 4yrs...inspite of all of that it still came back in 2015 in my scar tissue that were pedantically wide and clear originally. 2.5cm Stage 2 Grade 3 aggressive a recurrence hmmm. How?? my Specialists cannot answer it. So ER+ only BRCA Gene negative did Chemo 4.5 months and Arimidex since...because of recurrence so as to not gamble again they suggested a mastectomy/diep flap recon which Im 6 weeks post. Pathology from the breast was NEGATIVE. Latest statistics from the National Breast Cancer Foundation state that Tamoxifen doesnt work in 1/3 of cases, to which my Oncologist recently said, Im guessing thats what happened to you...
All you can do is, whats best for you at the time and be guided by your Specialists. Im thankful to be 18 months clear and on my way...but after 6yrs of being blindsighted as in never been sick at all apart from what treatment has done is a very harsh mental reality for us all. I've learned alot and some things I would do differently.
Onward we go and you absolutely will get through it all and move on. Hugs Melinda xo - au0reiMemberHi Sandra, I am not sure why the chemo % is so low for your case. Maybe it's the cell type? 80% of all diagnosed BC are hormone +ve and HER2-ve like yours. And I would say 11mm is awesome news, it's not bigger which is great you found it early. I can't offer any advice, but for my case which is hormone neg and her2 pos, 2.5cm tumour and 3 lymph nodes clear, the % i got for chemo was much much higher but I can't remember the figure now (cos I don't want to be too affected by the statistics). For me, apparently Herceptin treatment is of greatest significance, even higher than chemo. xxx
- sandramjMemberPlease excuse this if it is annoying cos its a copy & paste of the latest from my other discussion.Well finally some GOOD news for the first time AND from the oncologist - I met Dr [removed by moderator] yesterday - He had received by CT SCAN &NBONE SCAN results - 'NO FURTHER CANCER" found. Yay!
He explained the statistics for my breast cancer as follows:-
As the cancer had invaded the one lymph node they removed - carcinoma lump was size 11mm, Grade II,
100% both Oestrogen & Progesterone POSITIVE and Her2 Negative that it was the best result I could get meaning it could be treated very well with hormone therapy and has suggested Aromatase Inhibitors for ten years, together with radiation starting four weeks after surgery for 6 weeks. H said the surgery alone reduced my chances of getting cancer back in the next 10 years to 20%. Using the radiation and the hormone therapy reduces the risk further to 13%. Then if he added chemotherapy (TC - Taxotere & Cyclophosphamide every 3 weeks for e weeks it would reduce my chances a further 2-3%. However given my family history of heart disease and meds I take already for it, a large scarring on. my left lung from a previous clot on the lung, and my history with depression he felt he wouldn't suggest I do the chemotherapy as the chance of it doing more damage than good is 1-2% therefore reducing the best outcome would be 1-2% further decrease in chances taking it to 11-12%. He didn't think that small percentage reduction was worth the risk, particularly with my heart and prior health issues.
I thought that once you had surgery, radiation, hormone therapy and chemo it was like a 99% CURE of cancer. But its not at all. Even if I were younger and healthy and had all the treatments he said is available its still only a 90% chance it wont come back somewhere else. Is it just me who did not realise this? Its a glass half full and glass half empty to a degree in my thinking but the reality is NOTHING is even 98%. 🙁.
Id love feedback on this. Im beginning to think I had NO CLUE about breast cancer and treatment at all. I thought if I had no family history, had breastfed three kids, had regular mammograms, I was 99.9% sure of NOT getting breast cancer. But the surgeon tells me over 90% of his patients with BC had no family history, beast fed and had regular mammograms. So why does the average person think this??? Media??? SO, the mammograms should be done annually really FOR EVERYONE OVER ?? SAY 25?
Next question about ER2 negative. Anyone else here have positive both hormones and Negative Her2 - whatever that is. Ive tried to read about it and what treatments are used but I just got more confused.
I am intersted in YOUR thoughts on these numbers as I am 95% sure Im going with the radiation and hormone therapy and back into healthy living, food, exercise, meditations relaxation etc. But id like others point of view as sometimes it seems obvious but being in the BC forest now for 5 weeks I can't see the trees, just a green fog.....
Thanks in advance.
Sandra