Results Category

Wednesday, June 3rd, 2009

Tumor Markers #2

An appointment with Dr Deleon today… did some “routine” blood work.

On April 15, my baseline CEA tumor markers were 63.1 ng/mL

Today, June 03, my tumor markers were 35.9 ng/mL

A 27.2 drop!  I’m told that lower numbers are excellent!

Is this a result of the chemo?

Is it the new treatment?

Or some twisted combination of both?

I’m not sure. I wish I knew just how much this meant…

I’m going to have another PET scan in about a month, and we should have some answers at that time..

Til then

My Dragons are protecting me!


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Thursday, April 30th, 2009

Consultation – Dr Salloum

The consultation with Dr. Salloum was… interesting.
To Say The Least.

It has been brought to my attention that,
while the science of medicine
is an established science,
The practice of medicine
is an individual philosophy.

The Friday before the appointment, I sent Dr. Salloum a complete set of all my records – everything I had.  Including CD copies of the 2 PET/CT scans.  And brought copies of more info I acquired in the few days since I sent the original packet to him.

According to Dr Salloum, he…:

#1. …would have treated me for a staph infection no more than 2 weeks before he did more tests, biopsy, etc.  With my Family history, he would have much more proactive.
With my family history, I should have been more proactive, but I Trusted my Doctor to be knowledgeable and make appropriate suggestions / decisions regarding my treatment .  He said it was a staph infection – I Believed Him.

#2. …believes that I have Inflammatory Breast Cancer.  (reference Feb 25 2009 Breast Needle Core Biopsy Results which indicate “Infiltrating Ductal Carcinoma”, page 1, page 2, page 3, page 4, page 5)
This is stunning (like a gun) news to consider, but many of the common symptoms are certainly more closely related to what I experienced.  It just gets better and better…

#3. …is hopeful that the 4 vertebra tumors (supposedly indicated in PET/CT Scan #2) are a “false read” due to the large amount of Neulasta (the bone marrow stimulator) that is currently in my body. Dr. Salloum indicates that one Neulasta shot is good for up to 3 weeks (I had been told only 3 days); getting a shot every 2 weeks for 8 weeks would probably add up to a “large” amount.
While that would be a Great change of fortune and would certainly explain the increased back pain, I’m gonna stay realistic until I get test results that say otherwise.  Bottom line – I have Breast Cancer, That will not change.  However… one can certainly Hope for a better result for the metatastic bone cancer diagnosis!

#4. …strongly suggests that I continue to follow the traditional treatment / recovery of chemo – surgery – radiation; he recommends a smaller dose of chemo, administered every week for 12 weeks, vs a larger dose administered every other week for 8 weeks.
If I continue on the chemo path of treatment / recovery, this is definitely something I’d look into.

And That is the new information that I got to put into my pot and stir…  Here’s a copy of his “doodling notes”

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Monday, April 27th, 2009

Good News!

Went to the Burzynski Clinic today… Good News! It Does NOT appear that the cancer has spread to my liver!!  YAY!!!

With That said, they feel pretty confident that it has Not spread to my brain.  I will still feel better with test results in-hand.  That will come in several weeks (a month+?), after the chemo has had a chance to leave my body and we see if the headaches, nausea and dizziness can be attributed to chemo or maybe more.  Hope not more.  More would not be good.

It still appears to be in my bones.  That has not changed.  But “only the bones” is less than we thought, and that is something good to hold on to.

I still have not decided if Burzynski is the path I will take… the “alternate” path, leaving further chemo treatments behind me, in the dust, a bitter memory of a failed trust.

I can only Hope.

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Friday, April 17th, 2009

PET Scan #2 – Results

It’s like I’m in some cosmic toilet that just keeps flushing, and I’m the turd that just manages to hang on.

Yes, the preliminary results are in, and they are not good. They could be worse And I imagine they will be, cuz we are waiting on more results.

Let’s present the “good” news…


While the size/condition of the breast tumor has not diminished enough to be considered significant, the activity within the 6 lymph nodes Has decreased considerably. So, the “evil of chemotherapy” seems to have done Some good Despite the “totally wrong” vitamin regime I was on.


Now, on to the Bad News…


We appear to have Metastasis


There are (most probably) 4 vertebra tumors – T9, L2, L3, L5 and possibly the mid sacrum (definition of sacrum) or see this illustration


So… the backache I’ve had the past 6 months is Not attributed to my weight or being out of shape, it’s most likely attributed to cancer in my bones.


Metastastic Bone Cancer.

Secondary Bone Cancer.

Bone Cancer.


Unfortunately, the Neulasta, which promotes the production of white blood cells, also makes it difficult for the PET to distinguish between healthy bone overproducing cells and cancer.  So it will be 2-3 months after I stop taking the Neulasta before we can get a truly accurate reading for the bones.  The vertebra are pretty definite in reading, it’s the long bones that we are not sure about…


But wait boys and girls, there’s more.


My liver enzymes are up very high. Too high. So high in fact, that it’s indicative of metastasis to the liver. Those results won’t be in til early next week (April 20-24), but it’s pretty much a given.


And… for the cherry on top of my party


Since we have activity in the bones and (probably) liver, we need to do a scan to check the brain cuz breast cancer typically metastasis to the bones, liver and brain.


At this point, I’m looking less like a Stage 2

and more like a Stage 4.


It’s a party.

In my Body

A cancer Party.

It’s my party and I’ll cry if I want to.

I’m screaming.

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Friday, April 17th, 2009

Tumor Markers – Baseline

I had some blood work done which will chart my tumor markers, specifically something called CEA… My last oncologist never did this test, so I have idea what my baseline was, but Burzynski Clinic uses them, as does MD Anderson, so I have to hope they mean Something.

From what I’ve found online, it appears that some Drs find Tumor Markers a good resource, while others don’t place much weight on such tests as a diagnosing tool.

My EGFR (Epidermal Growth Factor Receptor, aka HER1) is 86, reference range is 67-87, so it appears that I am “borderline”.

EGFR: The protein found on the surface of some cells and to which the epidermal growth factor binds, causing the cells to divide. This epidermal growth factor receptor is found at abnormally high levels on the surface of many types of cancer cells, and may be why these cells divide as actively as they do. Also known as EGFR or ErbB1.

My HER2 (Human Epidermal Growth Factor Receptor) is 2.8, reference range is <11.5, so it appears that I am good on that one…

HER2: A gene that helps control how cells grow, divide, and repair themselves, important in the control of abnormal or defective cells that could become cancerous.

My CEA as of April 15 2009 is 63.1 ng/mL

I’m told that is high…

The cost is pretty expense, I’ll look around at other labs and see if I can get a break…

What is a Carcinoembryonic Antigen (CEA) Tumor Marker Test?
Question: What is a Carcinoembryonic Antigen (CEA) Tumor Marker Test?

A carcinoembryonic antigen (CEA) tumor marker test is a blood test that is done during treatment to monitor your progress. The results of this test may show how effective your treatment is on your cancer.

Answer:
About Carcinoembryonic Antigen (CEA)
The carcinoembryonic antigen is a protein that shows up in your blood, and is normally found in the tissue of a developing fetus. After birth, the mother’s blood levels of CEA should disappear. Smoking produces higher than normal levels of CEA, so you should abstain from smoking for several days prior to your test.

Normal and Abnormal Results of Your CEA Test
A normal value of CEA is a range from 0 to 2.5 micrograms per liter (mcg/L). For a smoker, expected levels of CEA range from 0 to 5.0 micrograms per liter (mcg/L). High levels of CEA may be an indication of cancer, but some people will test high, even though they do not have cancer. The results of a CEA test must be considered along with your symptoms, general health, lifestyle factors and the results of other tests.

Uses For the CEA Blood Test
Doctors may use the CEA blood test for a variety of reasons:

Other Tumor Marker Info:

Tumor Markers; AFP, HCG, CA-125
Tumor markers are molecules occurring in blood or tissue that are associated with cancer and whose measurement or identification is useful in patient diagnosis or clinical management. The ideal marker would be a “blood test” for cancer in wich a positive result would occur only in patients with malignancy, one that would correlate with stage and response to treatment and that was easily and reproducibly measured. No tumor marker now available has met this ideal.

Tumor markers can be used for one of four purposes: (1) screening a healthy population or a high risk population for the presence of cancer; (2) making a diagnosis of cancer or of a specific type of cancer; (3) determining the prognosis in a patient; (4) monitoring the course in a patient in remission or while receiving surgery, radiation, or chemotherapy.

No test meets all of those requirements. Specifically, no marker has been established as a pratical cancer screening tool either in a general healthy population or in most high risk poulations. The reason for this is the relative lack of sensitivity and specificity of the available tests, given the low prevalence of cancers in most population groups. Given the low prevalence of cancer in general, even tests that are highly sensitive and specific may have low predictive values.

Tumor markers include many substances that are not readily systematically organized.Those discussed here are generally products or the cancer cell, although none is unique to cancer cells; they represent aberrant tumor production of a normal element. Some markers are produced by the organism in response to the cancer’s presence.

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Wednesday, March 18th, 2009

Needle Aspiration Biopsy – July 18 2008

I had the Needle Aspiration Biopsy back in July of 2008.  It was not too painful, but Definitely necessary.

I remember when Dr. Keller told me that the pathology report showed a benign cyst and “only” a very bad staph infection. Given my Family history of cancer, I was So Very Relieved.

Looking at the report I don’t see where it says anything about a staph infection at all… obviously I don’t know how to read a pathology report.

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Friday, March 13th, 2009

PET Scan – Results

Dr Keller FINALLY called with the PET (Positron Emission Tomography ) Scan results today.  Seems there was a miscommunication between him and the Radiologist as to who was to contact me.  I Would have thought it would be Dr. Keller, since he IS my Dr.  But better to get the info late Friday than to have to wait out the weekend.


Despite how I feel cuz of the chemo, it’s not such a bad day for me. According to what Dr. Keller read to us (both me and Mom) from the report, the results show that the cancer has not spread! He said that there was no evidence of the cancer having spread (aka metastasis), that it was all contained within the breast!!!  We Are Sooooooo Relieved!!!  Now I can get a bit more normal sleep!!!!!


Not all good news – a tad of slightly bad – Dr. Keller did say that there were 2 lymph nodes which look to have some cancer activity. Dr. Keller stated that the chemo should address them, they will most probably be removed when I have my surgery and then be hit with the radiation treatment after surgery. He said that I have been staged at a “Stage 2″. YAY!


The most common areas that breast cancer spreads is the brain, the liver and the bones. With a full year of incorrect treatment for a staph infection, I was Very Scared for a negative result. Seems I dodged a bullet, A Big Bullet, so I can sleep a little easier!! And I Will!!


I may have breast cancer now, but I will be a Survivor.


Cancer Glossary:

https://www.breastcancertreatmentcoach.com/glossary.html

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Friday, March 6th, 2009

BSGI Test – Results

The BSGI Test confirms that I have a large mass in my left breast.

The Monster has been revealed.
It is breast cancer.

My right breast looks normal.  Yay!

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Monday, March 2nd, 2009

Its Bad

Got the News today – March 02 2009.
From Dr. Keller
“Its Bad.”

The words I heard, at work, sitting at my desk.
WTH?
Cancer?
Wasn’t this supposed to be a “Very Bad Staph Infection”?
This orange-sized mass in my breast.
Wasn’t it treated that way for a year… antibiotic after antibiotic, $ after $.
Didn’t he assure me that “we could beat this with antibiotics”?

Now…
Its Bad
Its Cancer?

You need to come into the (Dr’s) office asap.

Infiltrating Ductal Carcinoma
Breast Cancer.

Same type my Mom had
26 yrs ago
Bi-lateral… both sides
A “death sentence” back then
but
She is a Survivor.

Now I have to be a Survivor.

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