Radiation post DIEP
Hello all, I am exactly 4 weeks post double mastectomy and DIEP (including complete node clearance) which I had after 6 months of neo-adjuvant chemotherapy. I had TNBC in my right breast with 3 nodes involved on the same side. My pathology report said I had clear margins and a complete pathological response š I have now been given the option of skipping radiation if I want to. A new study (B-51 study) published last year found that patients with complete pathological response to chemotherapy and a double mastectomy donāt benefit from radiation therapy. My question is has anyone skipped radiation or was given the opportunity to skip it and chose not to? Also, has anyone with a double mastectomy and DIEP done radiation and what were the side effects on the breast? Lastly, has anyone received radiation in the neck region and what were the side effects like? Difficulty swallowing? My radiation specialist suggested if I choose to go ahead with radiation she would recommend the sub-clavicle nodes in the neck (along with breast and armpit) as theyāre the only nodes I have not checked surgically. Would be keen to hear anyoneās opinion or lived experience. Thanks š
Abemaciclib Verezenio side effects
Hi Ladies, I have recently started on Letrizole/Hormone Therapy, and Verenio / Abemaciclib and am struggling with the side effects. I am in the fortunate position in that both these drugs are being given as a preventative measure. I donāt have Mets, but am at very high risk of re-occurrence. Originally diagnosed with bi-lateral early breast cancer back in March 2023. Had a small 1cm triple negative tumour, and a larger (5cm), more aggressive (grade 3) oestrogen positive tumour with lymph node involvement. After initial breast reduction to remove both tumours and additional auxiliary clearance, I had 6 months of chemo, plus radiotherapy to both breasts. I managed to keep fairly positive throughout these treatments, and while at time a struggle did manage to work albeit at reduced pace throughout. Just as I finished radiotherapy my oncologist recommended abemaciclibb as part of a trial that is showing reduction in recurrence rates of around 6%. Iāve only been on these for 5 weeks, and while the side effects are manageable, they are not a lot of fun - diarrhoea, fatigue, vertigo, and just generally feeling unwell. Hot flushes and insomnia with the hormone therapy which again are manageable and on their own no big deal, but the combination has me exhausted. I was soooooo looking forward to end of my active treatment and getting some energy back, getting back to working full time aswell, but now with two years ahead of me on this regime, I am wondering if it is worth it. Oncologists reluctant to reduce dosage and are keen for me to stay on the Abemaciclib, but Iād love to hear from anyone else is in a similar position and how you are managing the pros and cons of the treatment options versus quality of life, and from anyone whoās been on Abemaciclib for a while to know if side effects improve over time. Thanks JenniDupuytren Contracture
Moderator moved @jaynie_000 comment to dedicated discussion post: This is my first post on this platform. I see my oncologist tomorrow, but I have developed a painful and growing nodule on my ring finger / knuckle on the underside of my palm. Itās getting larger and more painful. I am on femara since 2020 when I got diagnosed with stage 4 metastatic breast cancer at age 53. My first / initial diagnosis with early breast cancer was in 2009 and I was 42. I took Arimidex for 9 months but couldnāt cope with the pain in my feet. I changed to Aromasin and it ultimately dissolved my Achilles tendon. I required it to be grafted after it broke. I was on Aromasin for 6 years and gave up on AIās due to their effect on my tendons and continued pain in my joints and feet. Fast forwards to now and I have had plantar fasciitis (pain in arch of foot) and now Iāve discovered the nodule on my palm. I canāt hold the steering wheel of my car well or open a jar with a tight lid. Any action that requires grip hurts. My oncologist has previously said that Femara can cause tendinitis so Iām ready for her to say give femara a rest for a while. But she has also told me that aromatase inhibitors essentially are the only drug that holds the cancer at bay. Because my cancer is hormone receptive. Ultimately my cancer will recognise an AI and work a way to get around it. When that happens itās a whole new approach to treatment. So Iām not keen to go off Femara for any period of time. I will put up with side effects. I live in Sydney close to the CBD. I have most of my treatment and appointments through the Mater hospital at north Sydney. I have huge trust for my onc. a professor and specialist when it come to MBC. I am keen to know how you have found the radiation treatment. Did it work? I know an excellent hand surgeon but if I can avoid surgery then I will pursue that option. And my biggest question is ā¦Femara the cause of your DupuytrensStarting Radiation
Hi All, Tomorrow I will starting my first of 15 rounds of Radiation. What recommendations for creams post treatmen for skin burn. I was given samples of QV cream and LaRoche-Posay Lipikar baume and Cicaplast Baume B5. I already have Dermaveen and Sorbolene Cream at home. Thanks All
Radiation, driving and fatigue
I was hoping to hear about any experiences of driving and fatigue while undergoing radiation. I've been told to be aware of fatigue. The radiation oncologist and nurses have raised concerns and eyebrows when I've told them it's a one hour drive door to door, so two hour round trip x 15 sessions. I'm also maintaining hope that I can continue working part time in an outdoors job where lately I'm doing 14k+ steps a day. Ultimately I'm going to see how it goes. I'm not going to break myself. If I get too tired then I have backup people to help with the driving (public transport isn't an option around here), reduce my activity at work or take leave, or get accommodation near the hospital for some of the sessions. I'm wondering if some people have got through radiation without fatigue? Or if fatigue has occurred has it affected driving? And how fast the fatigue appears - might you have been okay one morning and zonked in the afternoon?
PostāSurgery Fluid Leak on One Side
Iām 48 and one week postābilateral wide excision with rightāside axillary clearance for invasive lobular breast cancer on R) side. I still have one drain on the right, but my left breast (which has no drain) is leaking a large amount of serous fluid. Itās very uncomfortable, and the nurse has now placed a wound drainage bag post second visit to hospital and discussion with the surgeon. Has anyone else experienced this after surgery, and how long did the leaking last for you?Radiotherapy and exercise
Hello everyone - After a DCIS diagnosis and lumpectomy with a re-excision I now have clear margins and, although I could have refused radiotherapy, I have opted in as it is still standard treatment. And I wasnāt prepared āto roll the diceā as my surgeon put it. I will have about a three-quarter hour train commute and a 10 minute walk each way from the train station. So all up I reckon itās going to be three and a half or so hours each day. I have heard that exercise helps combat the fatigue. My question is - yoga? Iāve found a fabulous YouTube yoga by Lisa Moore which is about thirty minutes, gentle stretches etc. Walking I could definitely do in fine weather. I also have a rowing machine at home that I enjoy. Have people kept up resistance training while going through radio? I work four days a week but I can be fairly flexible about hours. Any survival tips welcome!Taxol side effects
Hi all, Iām starting paclitaxel chemotherapy this week (once a week for 6 weeks). Iām wanting some insight into how I might feel. Itās a busy time of year and Iām a single mum. We have dance concerts and holidays booked. Is it like a hangover? Or more like a bad flu where Iāll struggle to get out of bed. What are the main things I will struggle with? I am going to do ice and to try avoid neuropathy and hair loss. Many thanks for your insights šš½
Giredestrant - SERD
Hello there, Reading the news coming out of the San Ontonio Breast Cancer Symposium this year (happening right now) and there is a very positive, yet early, study on a new SERD on Early stage BC in the Lidera trial. Does anyone know about this or is part of the trial? It seems that there was recruitment in Victoria? Keen to hear.
