metaplastic breast cancer statistics questionnaire

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Page 1: Metaplastic breast cancer statistics questionnaire

Date of Diagnosis(month/year)

Age atDiagnosi

sTumor Size

(cm) StageLymph Node

Status ___/___Microanalysis of

Tumor

Wasthere

metastasis at time

ofdiagnosi

s?

If yes, pleaseexplain where

MBC hadmetastasized

Did youhave

chemotherapy?

What type(s) ofchemotherapy did

you receive?

Please givespecific

information onchemo given and

schedule

Waschemotherapygiven before orafter surgery?

What type ofsurgery did youhave to remove

the tumor?

Did youreceive

radiationtreatmen

t?

If yes, how manyradiation

treatments did youreceive?

What is yourfollow up scheduleafter finishing all

treatments?

Have youhad a

metastasisor

recurrencesince

finishing orduring

treatment?

If yes, what wasthe date of

metastasis orrecurrence?

Location ofmetastasis or

recurrence

Please feel free toadd any other

details about yourmetastasis/recurre

nce

What type ofchemo was givenfor metastasis?

Did you receiveradiation formetastasis?

Did you havesurgery formetastasis?

Explain below.

Had youhad anypreviouscancersbeforebeing

diagnosed withMBC?

If yes, pleaseexplain.

Are you taking anynatural/homeopath

icremedies/treatmen

ts? Explain.

Please explain anylifestyle changes

(diet, exercise, etc)since firstdiagnosed

Please use thisspace to add any

additionalcomments that

you feel isimportant for

others to knowabout your MBC

experience. Grade

How long afteroriginal MBCdiagnosis did

metastasis/recurrence occur?

12/2008 46 2.9 2a 0/6 Squamous Cell No Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 2 weeks x4, Taxol everyweek x 12

AC every 2 weeks,received 3 of 4treatments.Taxol, weekly,received 9 of 12treatments.

Had to end chemoearly due to sideeffects. After surgery

Bi-lateralMastectomy No

Oncologist every 4months for firstyear. Moved toevery 6 months.No scheduledscans, only ifneeded. No Yes

3/2004, DCIS,Stage 0,Lumpectomy,Radiation x 33 None Exercise. 3

november 2010 42 4.6 cm ? 0/30 Spindle Cell No Yes FEC6 doses 100%fec at3 weekly intervals After surgery Mastectomy Yes 15 every 3 months No Yes

cervical 1998 earlystages.hysterectomythroat cancerstage not knownradiation 15 3

1/2011 46 .9 cm 1 0/3 Spindle Cell No No Mastectomy No

Oncologist visitevery 3 months.CT scan every 6months, PET scanyearly. No Yes

11/06, IDC Stage 1,Grade 3, triplenegative.Lumpectomy, A/Cand Taxol,Radiation x 34

11/07, thyroidcancer.Thyroidectomy,radioactive iodinetreatment

11/10, coloncancer. Subtotalcolectomy.

Since my MBCdiagnosis I havechanged my diet tohigh fiber/low fat. Iam also trying toexercise more. 3

12/24/2010 59 5.6 IIB all clear No Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 2 weeks x4, Taxotere, Xeloda

AC every twoweeks-4treatments;Taxotere everyweek- 33treatments total After surgery Mastectomy Yes 33

Oncologist visitevery 3 months Yes No

02/2008 55 1.5 cm 1 0Spindle Cell,Carcinosarcoma No Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 3 weeks x4, Taxol every 3weeks x 4

AC q 3 weekscompleted 3 out of4Taxol q 3 weekscompleted 4 out of4 After surgery Lumpectomy Yes 33 treatments

oncologist every 6months with labsand CT scan No No No

Lower fat diet /exercise moreregularly

Oncologists notfamiliar with MBC 3

chad 47 2.5 3 1/16/2012Chondroid,Carcinosarcoma Yes left axillary area Yes

Taxotere, Cytoxan,Epirubicin

Cytoxan,Epirubicin,Taxotere every 3weeks, completed6 treatments out of6. I did not have aport installedbecause of myprognosis being 6months to live. Myveins begansclerosing at the3rd treatment and Ilost my immunesystem completelyeven though I washaving Neulastashots after eachtreatment. Jan2008 I had to alsohave Neupogenshots and almostdied twice thatmonth. I refused toback off scheduleeven with the manyside effects and thesetbacks and itmay have helped. After surgery Lumpectomy Yes 35 treatments.

1st 2 years Oncevery 3 months,years 2-5 Oncevery 4 months.The originalsurgery began as alumpectomy butbecame a partialmastectomy andwas notreconstructed as Iwas not expectedto live. I also hadthe whole axillaryarea removed twoweeks after the firstsurgery due tomets and havelymphedema in myleft side now. Ihave completepanel blood tests,CA27.29 tumormarker blood testsand cbc bloodtestseach onc visit,have had extratesting for D3vitamin level, andlipid panels each 6months. I tookTamoxifen for 2years for anyopportunisticcancers and thenam onAromasin(exemestane) for 3 years forsame reason. I was%15 progesteronepositive which theyconsidered non-hormone postivebut we wanted totry everything. I willhave a Pet scannext year and a CTscan to compare toan earlier one nextyear. I was given achoice on when tohave tests as'knowing' is notgoing to cure menow. My Onc justordered acolonoscopy whichrevealed two pre-cancerous polypswhich was anotherthing he considersimportant becausethe breast andbowel similarities incancer causes. No No

Chlorella,Bluegreen algae,astragalus,turmeric,Bcomplex, D3,Cal/mag/zinc,Omega 3's twice aday, probioticcomplex, cranberryextract, garlic.

I have eliminatedany alcohol, dietsodas, white bread,etc... I have justbegun to be able toexercise as therewas so much Ciprotaken during chemothat I have tendondamage andsevere joint painfrom chemo still. Ido stair stepperand a treadmilldaily at my home.

I have had a veryhard time from thechemo. It was veryvery hard on meand I have notrecovered from thechemo-fog due tothe chemo crossingthe brain/bloodbarrier (as theynow admit it does).I fatigue easily andhave a lot of pain inmy body. I haveperipheralneuropathy andlingering fingernailissues. Iexperience'phantom' smells ofthings which arenot there and'phantom' crawlyfeelings all whichare so realistic thatat this point I stillhave to look andmake sure there isnothing there. Myvision changedfrom perfect toneeding glasses fordistance afterchemo and I have'Ocular Migraines'now about every 6months or so. 3

8/10/2012 54 2 1 0/3I don't know thisinformation No Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 2 weeks x4, Taxol every 2weeks x 4

AC every 2 weeks.Completed 4 of 4.Taxol every 2weeks. Completed4 of 4. After surgery Lumpectomy Yes

10 with amammosite device.

Oncologist every 3months.Mammogramsevery 6 months. No Yes Just a skin cancer.

Exercising more,drinking green tea,attempting toincrease turmericuse in cooking.More olive oil, lessanimal fat. Takingmelatonin, calcium,Vitamin D3. Lessalcohol, red meatand processedfoods. Moreberries. 3

06/2010 34 1.5cm 1 0/2 Chondroid No Yes TAC

Taxol weekly x6,Adriamycin every 2weeks x3, Cytoxinevery 2 weeks x3,then one moredose of Adriamycinand Cytoxintogether. Before surgery

Bi-lateralMastectomy No

Oncology every 6months, no furthertesting scheduled. No No 3

9/11/2012 52 6 2 1 Spindle Cell No YesCarboplatin,Avastin, Abraxine

12weeklytreatments.Carboplatin andabraxine giveneach week andavastin gven everyother week for atotal of 5 doses Before surgery No

Will receive aftersurgery

Not known at thistime No No No

Lifestyle hasslowed downconsiderably due tochemo side effects.I was eatinghealthy prior todiagnosis and wasa faithful exerciser.Can't wait to beable to get back tomy routine. 3

6/11/2012 29 5 3 0 No Yes TAC

Tac every threeweeks for sixsessions. After surgery Mastectomy Yes

Monday to Fridayfor four weeks. Unsure yet. No No No None

I feel that mycancer occurreddue to pregnancyand diet andlifestyle change! Istarted to feelunwell at the end ofmy pregnancy andhad breast pain 8months after shewas born. This isjust my opinionthough no doctorhas linked it to this. 3

05/2011 64 1.8 I 0/16 Chondroid No Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 3 weeks x4

AC every 3 weeksX 4 - CompletedTaxol every 3weeks X 4 -Completed one outof 4. Severe sideeffects so stopped. Before surgery Lumpectomy Yes 36

Still on treatmentso not sure. No No 3

Page 2: Metaplastic breast cancer statistics questionnaire

10/10/2012 45 2 Not given 1/32 Squamous Cell No Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 2 weeks x4, Taxol every 2weeks x 4

AC x 4 every 2weeks completedall. paclitaxel x4every 2 weekscompleted all. After surgery Wide Excision Yes 25

Annualmammogram/ultrasound.Mammograminconclusive soMRI scheduled No No

I'm taking vitaminD3I've lost 16lbsfollowing a low fatdietI'm not able toexercise as muchas i used to due tojoint problemsexacerbated bychemo but I walk atleast once if nottwice a day for 40minutes

MBC does notseem to berecognised in theUK as a raresubgroup of breastcancer. Myoncologist does notsubgroup below thetriple negativepathology level ashe feels it is nothelpful and wouldnot change hischoice ofchemotherapy. Iwonder if this putsus at adisadvantage interms of futuresurveillance andtreatment options. 3

Feb 2011 66 1 cm 1 0/4 No No Lumpectomy Yes 35

Oncologist every 6mos., Surgeon at 6months then 1year, radiationoncologist every 6months. Seesomeone aboutevery 3 months No No

2/3/2012

12/2004 53 2.5 unstaged nonSpindle Cell,Carcinosarcoma Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 3 weeks x4, Taxol everyweek x 12

a/c every threeweeks for 4months. Followedby taxol After surgery

Lumpectomy, WideExcision No

oncologist visitevery threemonths, then everysix months. Yes 12/2009 Lung, Same breast

external beamradiation forrecurrence 35sessions.

weekly for fivemonths taxol,carboplatin forrecurrence.For metastasis,avastin/doxil/temsirolimus every week,forever. This ispart of a PhaseOne study and hasthus far beensuccessful instopping thecancer. SinceAvastin and doxilwere so hard totake, I completed12 months, thenwithdrew fromstudy. I am nowtaking m-Torinhibitor only. Yes

For recurrence,same breastexcision ofinterior/exteriorcapsule, implant.Ten months laterbiopsy ofmetastasis to lung. No 4 years - 5 years

7/2010 35 2.1 cm 2a Negative Squamous Cell No Yes Taxotere, TAC

Had six cycles ofTAC all giventogether every 3weeks. After surgery

Lumpectomy, But alot was taken,decent size incisionand tissue removedall the way to thechest wall in thatarea. Yes

37, 10 boosts toscar line.

Oncologist every 3-4 with blood workand tumor markers,yearly scans. Alsowill scan ifsymptomatic. No No

I was diagnosed 8weeks after givingbirth to my thirdchild. Gestationaldiabetes with thispregnancy also. 3

18/2011 43 2 IIa 3/18/2012 Squamous Cell No Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 2 weeks x4, Taxol every 2weeks x 4

Did Taxol first thenAC--finished all 8Dec 29, 2011 waslast treatment After surgery

Bi-lateralMastectomy Yes

Starting in January2012 will receive 30

not sure...thinkevery 4 month toONC No

was using HCGdrops for weightloss when foundlump 3

January 2011 66 2 1 clear No Yes Abraxane

once a week for 3weeks, off 1 weekrepeated this 6times for a total of18 treatments After surgery Mastectomy No

check-ups withoncologist every 3months forindefinite period oftime. No Yes

July 2010 -diagonosed withtriplenegative...Hadmastectomy andtook Taxotere andCytoxin for 6treatments.No lymph nodeinvolvementTumor size 1.5State 1Grade 3 None

5/16/2011 40 1.1 1 0/6 Chondroid No Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 2 weeks x4, Taxol everyweek x 12 Completed all After surgery Lumpectomy Yes Will have 33.

Oncologist every 3months. Not sureof the rest. No No 3

10/2010 51 2.1 2A -0- Squamous Cell No Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 2 weeks x4, Taxol every 2weeks x 4

AC every 2 weeksfor 4 treatmentsand then Taxolevery 2 weeks for 4treatments.Completed alltreatments withoutmissing any weeks Before surgery Lumpectomy Yes 33

Oncologist vistevery 4 months.No ct or PET scansscheduled. Myoncologist isn'tdoing tumormarkers anymore. No No no no change 3

12/10/2012 45 2.1 IIa 0/3 Chondroid No Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 2 weeks x4, Taxol every 2weeks x 4

AC every 2 weeks,completed all four.Taxol every 2weeks, completedall 4. After surgery Lumpectomy Yes 21 rounds

Oncologist visitevery 3 months, notsure of tests asfollow up. ONlymentionedmammograms andultrasounds. No No

I just drink E3 Liveeach day. 1tablespoon withwater. It is animmune boostermade of Algae.

Cut down onalcohol, removed"white" from diet,except potatoes,switched to freerange meats,poultry, eggs. Buyorganic alot,eatmostly greenvegetables andread labels to avoidpreservatives andchemicals. TakeHot Yoga to relievestress, strengthenmy body andremove toxins. 3

06/2008 31 4.9 3 0/6 No Yes Taxotere, FEC

FEC x4, thenTaxotere x4three weeks inbetween eachcompleted all 8chemo After surgery

Lumpectomy, WideExcision Yes 21 treatments

Right now I haveone last 6 monthappointment withmy oncologist thenI go to yearlyappointments. Ihave a yearlymammogram andjust now moved toyearlyappointments withmy surgeon. No No No

Exercise 3-5 timesa week now, eatless red meat(oncologist'ssuggestion), lost alittle weight, tryingto lose more,making more of aneffort to decreasestress and anxietythan before.

notsure

Sept. 2010 64 2.1 cm IIAnegative/2sentinels Spindle Cell No No

Bi-lateralMastectomy No Yes Aug. 2011 Same breast, Skin

33 radiationtreatments (5 wereincision boosts).My recurrence waslocal, a little knot atthe end of theincision that Iinitially thought wasscar tissue. none Yes

had implantremoved & radicalmastectomy. Yes

basal cellcarcinoma onchest. Removedyears ago with notrouble.

germanium twice aday. none high 6 months - 1 year

04/2007 50 1.8 0/2 Spindle Cell No Yes Taxotere

every 3 weekscompleted 5treatments out of 6 After surgery Lumpectomy Yes 33 every 6 months Yes 03/2009

Lung, Liver,Outside of lung inChest

After completeremission, Ireturned home12/09 and Ireceived Toriselonce a week forone year. I am nowtaking Afinitor(everolimus) onetablet daily. I havebeen on Afinitor forone year and so farstill Cancer free. Igo back to MDAnderson every 6months. My nextvisit is in April2012.

Phase 1 ClinicalTrial at MDAndersonDoxil,Avastin,Torisel No

No, the mass waslocated betweenmy heart and lungand also on myliver. No None 3 1 year - 18 months

09/2009 45 4 2a 0/15Spindle Cell, BasalCell No Yes FEC

FEC every 3weeks, completed5 treatments out of6 After surgery Lumpectomy Yes 30 No No

Curcuma tabletsdaily, Mistletoe 2times aa week,Selenium 300,

excercise 2-3 timesa week (running,weightlifting)Wouldhave loved a doctor

would have loved adoc who was moreused to MBC.Actually I was thefirst MBC patientfor my gyn in 10years. Felt that Ihad been given astandard treatment. 3

11/2007 47 2.1 2b 1/7/2012 Squamous Cell No Yes Taxotere

4 treatments ECevery 2 weeks,Taxotere 4treatments every 2weeks. After surgery

Lumpectomy, Bi-lateral Mastectomy Yes

25, after recurrence10/2010

Still going formetastasis. Ialmost made it tothe sixth monthvisits when myrecurrence began. Yes 11/2009 same side nodes

I have hadsomething eversince therecurrence in somenodes. Hilar,axillary (right side),mediastanial,supraclavical, andin my neck on theleft side.

Xeloda 6 cycles.This was a studyfor a cream toprevent hand/footsyndrome. Youknow my insuranceloved not paying forthe chemo. Yes

Axillary dissectionin July 2010. No

I actually get lessexercise now sinceI drove a postalroute for a coupleof years beforehaving to quit. Iactually quitdelivering mailbecause theXeloda made mevery dizzy trying tocase the mail. (sorting it fordelivery)

My radiationoncologist said thatI have basal celland that his sister-in-law had thesame kind. It wastricky and wouldpop up outside thetreatment area,which it did. 3 1 year - 18 months

Page 3: Metaplastic breast cancer statistics questionnaire

06/2011 37 3.3 2a 0/10 Squamous Cell No Yes Taxotere, FEC

FEC every 3 weeks, 3 timesTaxotere every 3weeks, 3 times.Completed allsessions After surgery Lumpectomy Yes

16 radiationstreaments4 boosters

Still in treatment atthis time. No 3

Jan 2010 57 3.4 2 0/1 Spindle Cell No Yes EC

EC - (Epirubicin &Cyclophosphamide) every 3 weeks -completed 6 of 6treatments After surgery Mastectomy Yes 15 treatments

Alternatingbetween Oncologistand Surgeon every3-4 months No No No 3

September 2011 68 3.2cm 2 0/2Squamous Cell,Spindle Cell No Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 2 weeks x4, Taxol every 2weeks x 4

AC every 2 weeks,completed 3 of 4 -discontinued due toserious side-effects. 4 Taxolsplanned beginning1/12/12. Every 2weeks. After surgery Lumpectomy

Scheduled for 6weeks - five times aweek. To begin inApril.

Do not have afollow-up plan yet. No No

Trying to adhere tothe "whole foods,cancer diet" - takinginto considerationdiabetes anddiverticulitis asadditional dietchallenges.

Plan to usetreadmill on aregular basis whenI regain my energy.Gave up tennis forthe time-being aftertaking a hard shotto the same breastthat had beenoperated on.

ER and PRnegative, Her2negative

Histologic: 2 of3

3/10/2012 54 3.6x2x2.9 0/3 Basal Cell No Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 2 weeks x4, Taxol every 2weeks x 4

AC every 2 weeksfor 2 monthsfollowed by Taxolevery 2 weeks for 2months. Completed8 treatments out of8. Supported by 8injections ofNeupogen for whiteblood strengthduring every 2week time span.

after lump./beforemast

Lumpectomy,Mastectomy No

I was given achoice. Mast orradiation. Chosemastectomy.

Oncologist apptevery 4 mo.CT/PET the firstyear. Waiting tohear at my nextappt if they feel thisis necessary tocontinue given mycurrent good stateof health. No No

Initially I refusedtreatment, had alumpectomy andwent for 80,000mgVit C and ozone IVfor 5 months. Aclinical studystrongly advisedchemo due to thehigh rate of MBCreturns. I continuedwith 80,000mg VitC IV 6x/month(480,000mg/month)while undergoing 4months dense dosechemo. Also took afull supply ofvitamins,Resveratrol. I nowonly do Vit C IVs acouple times amonth but stillingest vitamins.

I have eliminateddairy, gluten, andsugar as much aspossible. Only eatorganic red meat ornot at all. Focus onlamb, organicchicken or fish.Lots of beans,greens, vegetablesand fruit. I powerwalk over 1 hour to2 hours/day, rain orshine.

I was fortunate as Ihad no reallynegativeexperiences orillnesses duringtreatment. I hadchemo, took myanti-nausea pillsfaithfully, myvitamins andwalked miles andmiles. Other thanno hair I lookedfabulous and trulyfelt amazing. Oh,and my tastebudswere poorlyaffected so everyevening beforedinner I took aglass of red wineand my appetitewas remarkablyimproved. I had alittle bit ofneuropathy but itwas quicklyalleviated withwalking. 3

05/2011 64 4.5cm 3A 4/18/2012 Squamous Cell No Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 2 weeks x4, Taxol everyweek x 12

DD Ac every 2weeks for 4treatments - allcompleted; Taxolevery week for 12weeks - allcompleted. After surgery Mastectomy Yes

I am scheduled for28 treatmentsfollowed by 5boosts. I have abolus every otherday and regulartreatment onalternate days.Have completed 10treaatments.

Oncologist visitevery 6 weekscurrently. Not surehow follow-up willcontinue. Will have2nd visit this week. No No No None

Only side effectsfrom chemo werehair loss & slightneuropathy startingafter the 10thTaxol. I tookClaritin with thechemo andprevented all bonepain that isassociated with theNeulasta &Neupogen.

Would like to beable to update thisafter completion ofthe radiation andsee some sort ofway to do follow-upin the comingyears. 3

January 2011 49 2.5 2A 0/2 Squamous Cell No Yes Cisplatin

Cisplatin &fluorourocil every 4weeks, completed3 Txs out of 4.4 weeksradiotherapysandwichedbetween 2nd and3rd TxPaclataxol everyweek, completed 9out of 12 After surgery Lumpectomy Yes 20 No No Not really

My lifestyle wasalready quitehealthy! Regularexercise andhealthy diet. Havereduced stress! 3

2/10/2012 45 2 2 0/1 Basal Cell No Yes FECFEC every 21 days.6 treatments After surgery Lumpectomy Yes

was to be 25 days,due to skin reactiononly completed 20

Oncologist visitevery 6 months.Mamogram in ayear (i think) No No No Nil 2

11.2009 37 4cm 2b 2/25/2012 Can't differentiate No Yes Taxotere, FEC

Every 3 weeksFEC-D (taxotere)from a clinical trialwith differentgradients - PantherTrial Germany andSweden. After surgery Lumpectomy Yes

7 weeks oftreatments daily. Icouldn't finish andstopped after 32days.

Oncologist every 3months for 3 years.Mammogram andPET, CT, Bone firstyear. Mammogramand ultra-sountsecond year (everysix months). Thirdyear oncologistevery 3 months andthen mammogramand ultra-soundevery six months. No No

Schulssler Salz - 2,11, 9

Vitamin D3,Silenium

Had lymphdrainage for oneyear during andafter chemo.

Vegan=Vegatariandiet. Trying nosugar (withdifficulty) runningand lots of sportand pilates. Don'teat any processedfood.

My cancer hurt andit grew very veryquickly. Everyonethought it was acyst but it wasn't. 3

11/27/2008 42 2 4 Squamous Cell Yes Liver Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 2 weeks x4, Taxol everyweek x 12

A/C every 2 weeks,12 weekly Taxolonly finished 9 dueto nuerapathy After surgery

Bi-lateralMastectomy No

Pet Scan every 4months for 2 yearsnow going to every6 months. Yes 02 /12/2009 Liver No

Removed livertumor No no 3 0 - 6 months

11/2007 41 1.7 cm 1 0/3Chondroid,Carcinosarcoma No Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 3 weeks x4, Taxol everyweek x 12

completed 4 dosesof a/c 3 wks apartthen 12 doses ofTaxol given once aweek After surgery Lumpectomy Yes 54

Oncologist followupevery 3 monthsmammogramsevery 6 months. No No none none

my paternal andmaternalgrandmothers hadbreast cancerPaternal GM dx inher 60's, MaternalGM dx in her 40's.My BRAC 1 wasneg but my BRAC2 had a variant ofunknownsignificancepresent. 3

9-2010 66 2/1/2002 2a 0/2 Carcinosarcoma No Yes Taxotere, cytoxan

Cytoxin andtaxotere every 3weeks , completed4 out 4 After surgery

Bi-lateralMastectomy No

Oncologist visitevery 3 months.CT/PET only ifsymptoms arise. No Yes

6/1999, IDC, Stage2, Grade 2,Lumpectomy,Radiation + 33Adriamyacin andcytoxin, every threeweeks . 4 out of 4 none

11/2011 38 4 2? 0/1?I don´t have apathology report No Yes

I´m having chemosoon

I´m having 3 chemotreatments, oneevery other week.That is for 6 weekstotal. After surgery Lumpectomy Yes

I´m having radiationtreatment afterchemo treatment.

once a year, in twoyears. Thenmammographyevery other year. No

Cancer CAN hurt!You CAN move atumour! A tumourCAN be found in acyst! Alwaysdemand to removea cyst by surgery!

B?

3/9/2012 54 5 2 0/12 Squamous Cell No Yes Taxotere, cytoxinEvery 3 Weeks 4treatments After surgery Lumpectomy Yes 30

Onc every 2months for 1 yearthen every 6months Yes 12/11/2012 Bone, Lung

Just startingcisplaton/epositide. Yes No No uk 2 years - 3 years

May 2009 33 2.5 2a 0/5 No Yes FEC

Fec every 3 weeks,4 pre-surgery, 2post-surgery Both Lumpectomy Yes

25 daily treatments,of which the final 5were boosters

Annual appt withsurgeon/consultantwith Mammo.Access to myoncologist if I needthem tnough No No

Currently takingiron supplements,vitamin D andcalcium, omega 3oil tablets (fortreatment relatedjoint pain), monthlyaromatherapymassages withreiki.

Trying to eathealthily - lots offruit and vegetablesand cutting downthe bad foods.Started at gymbefore my joint painstarted and amkeen to get back toit as soon as I feelable to. Walkinglots.

My oncologistdecided mytreatment for MBCby other factors, iegrade and stage, Ihave not been ableto get muchinformation fromhim about MBC. Mycancer was 4/8Oestrogenreceptive which Ifind unusual as itseems others thatI've come acrosshave all been triplenegative - I'mcurrently ontamoxifen (2 yrs outof 5 through) andwas on Zoladex for14 months butcame off it as itdidn't agree withme physically oremotionally. 3

Page 4: Metaplastic breast cancer statistics questionnaire

6/14/2010 56

2.5 cmunder arm& 1.5 inbreast 2A 0/all remaining

Squamous Cell,Chondroid, matrixproducing No Yes

Taxotere, &cytoxan

every 3 weeks for 5treatments, wassupposed to have 6but last one wascanceled, Dr said Ihad been beat upenough. After surgery

Mastectomy, underarm tumor removed No

every 2 monthsthen every 3 12/8/2011 Bone, Lung

Dr. thinks thisrecurrence in notmetaplastic but arecurrence of theoriginal triplenegative invasiveductal carcinomafrom 2007. Therewas not enoughtissue taken atbiopsy to be sure.

taxol andcarboplatin Yes no Yes

In Jan. 2007 I wasdiagnosed withinvasive ductalcarcinoma,stage 1,intermediate grade,histologic score of7, high grade, triplenegative. I hadlumpectomy, 6rounds of chemowith cytoxan andepirubicin, and 28radiationtreatments. no none

I could not haveradiation treatmentfor the MBC as Ihad already had itto the same area in2007. They willonly treat any areawith radiationonce. 3

18 months - 2years

Sept 2011 32 1.5 1 0/3 Carcinosarcoma No Yes FEC

FEC every 3 weeksfor 3 treatments.Taxol weekly for 9treatments After surgery

Bi-lateralMastectomy No

Surgeon every 6months for checkup.

Not sure about oncyet. No No 3

July / 2010 34 2.9 cm 2B

1/11 + 0/3(sentinal axillaryLN) Squamous Cell Yes Lymph Node Yes Taxotere, FEC

3 Fec every 3weeks, sometimesdelayed due toinfections3 Taxotere every 3weeks, sometimesdelayed due toinfections After surgery Mastectomy Yes 16

Seeing RadiationOnc and ChemoOnc once per year.A yearlyMammogram onthe existing breast.No scans or bloodworkIf anything alarmingto see family doctor No

Multi vitamin daily2000 units ofVitamin D

Eating more Vegi,No beef or porkTrying to exercisemore, not reallysucessful as of yetTrying not to stress

Every countrytreats MBCdifferently, in themeans ofmonitoring andtreating. With theunknown of thiscancer there shouldbe more monitoringof us and standardcare for us. 3 of 3

02/2011 52 1.7cm 1 0/8 Spindle Cell No Yes TAC

TAC every 3 weeksx 6 rounds allcompleted, withNeulasta 2nd dayafter in each round After surgery Lumpectomy Yes

35 5 of which were"boost"s

one month postblood work (not formarkers) and chestCT with full bodybone scan - allclear to date (endDec 2011).I requestedoophorectomy/salpingotomy (ovariesand tubes) to beexcised (I havebeen menopausal x3 years and wantedthe "silent killers "OUT!) This wasdone 10 /11. No No No No

Yes - multiple typesof supplements,including higherdose Vit D3 and B-12/complex as wellas Metformin500mg daily, Evistafor bones.

Diet - will go onHcg diet today (asa matter of fact) -lost 65 pounds theyear before findingthe lump(probablywoundnt havewithout the weigfhtlost), now need toget rid of an extra10 and then 25more ...so farresearch shows nonegative (but ratherpositive) effectswith the hcg (oursis not hormonallytied...

This is on the rise -have in 6 mosfound out about 3other TNmetaplastic womenin our area - anyideas regardsgeographicincidence studies? 3

11/2011 34 6cm IIIChondroid,epithelial No Yes

Taxol every week x12, only got toweek 7 whenchondroid partseemed larger,hence surgery

Goal: taxol weeklyx 12 weeks, thenAC every 2 weeksfor 8 weeks.Completed 7 of 12taxol before havingmastectomy.Tumor decreasedby 40% volumeinitially, thenstarted to grow.Having mastectomyin about 36 hours!(hooray!)

Plan is to return tochemo about 3-4weeks postmastectomy.Depending on path,will see whatchemo I will returnto. (ie may notcomplete taxolcycle. Will def doAC. May do otheragents.)

Looking so forwardto being inremission.

Before surgery Mastectomy Yes

I will have radiation.I believe 7 weeks-q day. unknown No

No. Consideringhaving vaccine.

No real recs givenmy team. I haveincreased exercise.working onincreasing fruitsand veggies,decreasing redmeat. Limitingalcohol- used tohave 2 glasses ofwine a night 5-6nights a week.Now closer to 3-4nights a week.Was vitamin Ddeficient. Nowsupplementing.

01/2011 58 up to 6 cm IIB 0/15 Carcinosarcoma No No Mastectomy Yes 30Oncologist visitevery 3 months No

Highhistologicalgrade

1/13/2011 39 3.5 2a 0/4 Carcinosarcoma No Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 2 weeks x4, Taxol every 2weeks x 4

AC every 2 weeksfor 4 treatmentsfollowed by Taxolevery 2 weeks for 4treatments After surgery Mastectomy No

Oncologist every 4months.Mammogram everyyear w/ followupwith breast surgeonevery year. No No 3

3/9/2012 54 5 2 0/12 Squamous Cell No Yes Taxotere, cytoxan

taxotere/cytoxanevery 3 weeks for 4treatments After surgery Wide Excision Yes 30

onc visit every 2months for firstyear, than every 6months Yes 12/11/2012 Bone, Lung

had 10 high doserads overChristmas, still welltanned in the area.Having cat/ct scanon 4/16/12 to see iftreatments havedone any good atstopping/slowingthe mets.

have had 4 cyclesof cisplatin/gemsar.Each 3 week cycleconsisted on 2sessions on day 1and day 8, thanaweek off. Can't sayif I'm finished withchemo yet. Yes no No b 2 years - 3 years

9/11/2012 50 4cm 3 0/1

Basal Cell,Chondroid,Carcinosarcoma No Yes

Taxotere,Carboplatin,Avastin

Every Mondaytax/carbo... everyother Mondayavastin added for 3months...completed all 12 Before surgery Mastectomy Yes

Still in txtment...18done 33 tocomplete..rads tochest wall. Fomboth sides withproton beam inmiddle of chesteach txtment

Ono q 3months..mammogram q6monthsrotating. U/Sqmonths No

Juice. With macro/micro greens...allfood organic.. No plastic....

Your notalone...research.research. Research...2nd opinions.. 3

09/2011 51 3 2 0/3 Spindle Cell No Yesadriamycin/cytoxan/taxoter every 3 x 6

tac every 3 weeks,completed 6treatments out of 6.taxoter,andriamycin andcytoxan. After surgery

Lumpectomy, Bi-lateral Mastectomy No

ct scan 2 monthsafter last chemo.next ct scan asneeded. oncologistvisit every 6months. No No

not yet, starting todiet andexercise....onemore surgery first.

hospitalized 2 timesdue to chemo andcritically low bloodcounts. wasadmitted for 4 dayseach time andgiven antibioticsthru port. a

02/2012 47 2.3 2a 0/8Squamous Cell,Spindle Cell No Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 2 weeks x4, Taxol every 2weeks x 4

A/C x4 and taxol x4completed all. After surgery

Lumpectomy, WideExcision Yes 30 scheduled.

BS every sixmonths, Onc threemonths for firstthen every sixmonths No No

My MBC doesn'tinclude any breastcancer component.Just Spindle CellCarcinoma and InSitu Squamous CellCarcinoma. No IDCor ILC.

February/2012 49 1.6 1 0/1 Squamous Cell No Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 2 weeks x4, Taxol every 2weeks x 4 After surgery Lumpectomy Yes 30

Onc every 3months, bloodtesting every 3months No 3

August 2012 63 9 1/12/2012 Yes

Before surgery ACevery 3 weeks x 2after surgerystarting on 23November 2012Taxotere every 3weeks x 4 Before surgery node excision

Radiation will beafter Taxotere -probably end ofFebruary 2013 TBA No

April 2011 49 4.1 cm 2

Zero positiveout of fourtaken. Chondroid No Yes

Adriamycin/Cytotaxin/Taxotere every 3weeks x2

The tumor nearlydoubled in sizewithin the first tworounds ofchemotherapy sothey went forwardwith surgery beforethe third round anddidn't give mechemotherapyfollowingmastectomy. Before surgery Mastectomy Yes 32

Oncologist visitevery 3 months,mammogram every6 months. I havealso had full bodysince finishingtreatment. Also,nodules have beenfound on my thyroidalthough the biopsywas negative. No No No.

11/16/2013 55 2.8 33neg nodes outog 3 taken Spindle Cell No Yes

Cytoxin & taxolevery wks complete2 cycles radiationafter for 6 wks. After surgery

Lumpectomy, WideExcision No

Onc visit evey3month mamogramevery 6mo No No

Haven't changeanything yet

Its new to me righhtnow still in learningphases 3

12/2012 36 1.4 1 0/2 Pseudosarcomatic No Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 3 weeks x4 After surgery Lumpectomy Yes 35

6 months onc visit,6 monthsultrasound, 12montsmammogram No

Potassiumascorbate

No sugar, noglutine, no dairyproducts, addedsome more fish andorganic chickensince beingvegeterian fo 12years

For a decadebefore my diagnoseI was exposed tovery high levels ofstress and involvedin an extremelycomPlicatedrelationship, whichled to depressionand poor selfesteem. In myopinion, that mighthave led me Intoillness 3

Page 5: Metaplastic breast cancer statistics questionnaire

2/15/2012 37 10cm

not sure, 3or 4...am.spotsshowing onhip on PETscan butMD notsure ifcancer

PET showedseveral nodesactive but SNbiopsy doneafter chemoshowed 0 of 3nodes taken tobe positive Carcinosarcoma Yes Bone Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 2 weeks x4, Taxol every 2weeks x 4

Dose dense AC, 4doses- 1 every 2weeksDose dense Taxol4 doses- 1 every 2weeks

Finished All Before surgeryLumpectomy, Bi-lateral Mastectomy Yes

28 targeted atchest and sternallesion

Still monitoringsternum, MRI 1month postradiation showedpossible lesion stillpresent. Won'tknow if active tilPET in march whentissue will yieldmore accurateresults postradiation. Thenplan is PET scanevery 3 months. Yes Oct/2012 Bone None Yes

Bone biopsy x 2,then radiation No Turmeric daily

Diet, trying to cutback sugarIncrease greens,cruciferous, juicing

I was pregnantwhen I found lumpin Feb. 2011, wasdismissed tilAugust chemodemanded biopsy,surgeon told me itwas afibroadenoma to goahead andbreastfeed afterbaby was born.After baby was 5months, lump wasHUGE and I askedto have it removed.The rest isexplained above... 3 0 - 6 months

Nov/ 2010 42 40.6 ? 0/30 Spindle Cell No Yes FEC

FEC given every 3weeks, completed6 treatments out of6 After surgery Mastectomy Yes 3 weeks / 15 days

either oncologist orsurgeon every 3months, ct andbone scan 6monthly for firstyear. 2nd yearoncologist orsurgeon 6 monthly- no more scans No Yes

1997 - cervicalcancer,hysterctomy1998 - throatcancer, Radiation x15 3

28/06/2012 46 2.7 2A 0/17 Spindle Cell No Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 3 weeks x4, Taxol everyweek x 12

AC 4 out of 4,Taxol 12 out of 12. After surgery Mastectomy No

Mammogram 12months formdiagnosis. No No

I am takingTamoxifen for 5years as my tumourwas 30% ER+ and5 % PR+ 3 6 months - 1 year

april 2012 46 3.5 cm 2a 0/3 Spindle Cell No Yes

FEC for 3 cyclesevery 3 weeksfollowed bydocetaxel for 3cycles every 3weeks. completedtreatment. After surgery Mastectomy Yes 15 x 2.67 ug

onc/surgeon every3 months rotatingbetween them fornext two years. Butalso having followup preventativesurgery on accountof being BRCA1.Will have bilateralsalpingooopherectomy andmastectomy ofremaining breast. No No

multivitamins,omega 3, l-glutamine,acidophilus and vitD

Have switched tototally organic foodand drinks. Cutback on red meatand meat generally.And cut back onalcohol. Upped myfish, veg and fruitintake. Juiceregularly. I haven'tchanged exerciseso much onaccount of havingvery young childrenbut will exercisemore as they getolder.

That it did not showup on my yearlymammogram. Ithink it would behelpful to add aquestion aboutBRCA status andtriple neg status onthis survey. Willmessage you. 3

6/2012 61 3/4 3 x 3 x 3.5 T2 0/1 (sent. only) Spindle Cell No Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 2 weeks x4, Taxol everyweek x 12

A/C ever 2 weeks,completed 4 out of4.Taxon every week,11 out of 12completed -skipped the 9th or10th scheduled dueto nerve pain. After surgery Lumpectomy Yes

28 treatments - nobooster due to widemargins

Oncologist/surgeon/radiologist - told tosee one of themevery 3 months.They're a team andare in touch witheach other.Mammogram every6 months. Forinstance, I finishedradiology - 3 weekslater saw theoncologist for a 3month followup.Will see radiologistfor a 2 monthfollowup and theneither oncologist orsurgeon 3 monthsafter that. No No no n/a 3

26/09/2012 39 4.1cm 3 O put of 6 No Yes FEC 6x FEC After surgery Lumpectomy Yes 20Unsure at theminute No

Food - being morehealthyJuicing

I will completemore when I haveit. 3

7/12/2013 44 5.6 II B 0/7Spindle Cell,Carcinosarcoma No Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 2 weeks x4, Taxol every 2weeks x 4

AC every 2 weeksfollowed by 4weeks of Taxol.Completely finishedall treatments. After surgery

Bi-lateralMastectomy Yes 28

Blood test andoncologist visitevery 3 months.No plans for scans.I was told to payattention to mybody and if I have aproblem thatpersists longer than2 weeks to contacther. No No

I am paying closeattention to mysugar intake andhave cut down on itdrastically. 3

September, 2010 66 2 1/2 cn 2A

02/2012 49 1.6 1 0/1 Squamous Cell No Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 2 weeks x4, Taxol every 2weeks x 4 After surgery Lumpectomy Yes 30

Onc visit every 3moths, 2 normalmammas, nowonce a year. No No

taking turmericpills daily

trying to eat better,limit alcohol andexercise regularly 3

October 2011 28 4 cm 3 21/28 Squamous Cell No Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 2 weeks x4, Taxol every 2weeks x 4,Herceptin

AC every 2 weeks,completed 4 out of4 treatments. Taxolwas started 2weeks after lastdose of AC, every 2weeks, completed4 out of 4treatments.Herceptin wasgiven with Taxol.After Taxol wascomplete,Herceptin wasgiven every 3weeks for 1 year. After surgery

Bi-lateralMastectomy Yes 33

Oncologist every 6weeks. PET scanevery 6 monthswhich was changedto every 3 monthsfollowing asuspicious scan. No No

April 2012 53 7.5 II B0 positive nodesout of 4 taken Squamous Cell No Yes

Taxotere, Cytoxan,Neosar

TC every 3 weekscompleted 6treatment out of 6.Plus Trastuzumabevery 3 weeks for 1year.(ARandomized PhaseIII Trial Of AdjuvantTherapyComparingChemotherapyAlone toChemotheropy PlusTrastuzumab inwomen with NodePositive or HighRisk Node-Negative HER2-Low InvasiveBreast Cancer.) After surgery Mastectomy Yes 33 N/A No no II

Jan. 2013 41 1.3 1 0/6 Spindle Cell No Yes Taxotere 4 every 3 weeks After surgery Lumpectomy Yes 2

12/2010 45 2.1 2 0/3 Chondroid No Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 2 weeks x4, Taxol every 2weeks x 4

AC every 2 weeks,completed all.Taxol every 2weeks, completedall. After surgery Lumpectomy Yes 21

Oncologist every 3months for 2 years.mammogram everyyear. No 3

july 2012 39 5 3 10/14/2013 matrix producing No Yes Taxotere, FEC

fec every 3 weeksfor 3 rounds thendocetaxal every 3weeks for 3 rounds Before surgery

Lumpectomy, Bi-lateral Mastectomy Yes 25

tba as I am still inradiotherapy. hasbeen discussion ofcontinued chemo(low dose ) orallyfor a year after Ifinish primarytreatment. Notsure how regularchecks will be. Iwill be doing scans(CT) for chestabdomen and brainat end ofradiotherapy at myoncsrecommendation.Also I will be doinga CTC count bloodtest at my ownexpense to Yes oct 2012 Same breast

fec d

No

I had a localrecurence aftermastectomy ( at thescar site and skininvolvement) beforeI started chemo asit was delayed dueto pneumonia andpleurisy contractedjust aftermastectomysurgery. Had tohave anothersurgery in oct 2012to remove localrecurence andaffected lymphnodes.mastectomy was inaug 2012. originallyhad lumpectomy injuly 2012 but noclear mains. No

After localrecurence I cut outall meat and dairy.After chemofinished I begandaily excercisemostly bike ridingabout 40 mins aday as I put on afew kgs duringchemo (die tosteroid shots) 3 0 - 6 months

March 2011 66 1cm 1 o/6 matrix producing No No

Lumpectomy,central nippleexcision Yes 33

check up every 4monthsmammogram oncea year No No

exercise 40 min. 4times per weeklow fat low sugardietorganic whenfeasible

would like to knowothers with matrixproducing MBC 3

June 2011 44 No Yes

Adriamycin evey 2weeks and then itwas suppose to betaxol 4 every 3weeks i had areaction to taxol soi had 7 AC total After surgery

Bi-lateralMastectomy

Page 6: Metaplastic breast cancer statistics questionnaire

April. 2012 71 1.9 cm 1 0/1 Spindle Cell No Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 3 weeks x4, Taxotere

4 treatment everythree weeks After surgery Lumpectomy Yes 33

Oncologist every 6months.

.Surgeon every 6no.Mammogram every6 months. No Yes

Sarcoma...alsospindle cells..infatty tissue ofabdomen....surgeryCT scan every sixmonths for fouryears. Now everyyearOccurred 2009

October,2012 58 3.2 pT2 noneSquamous Cell,Spindle Cell No No Lumpectomy Yes sixteen treatments

oncoligist vist threemonths afterfinishing radiation.Ct scan six monthsafter surgery No No

I lost my son in Julythen was dianosedwith MBC inOctober 2012. Ihave this to be ascary journeybecause there is nospecific treatmentfor metaplastic andnot enoughresearch on it. 3

03/2009 45 4 2a 0/15Squamous Cell,Spindle Cell No Yes FEC

5 x FEC every 3weeks After surgery Lumpectomy Yes 30

Gynecologist every3 months,mammogram every6 months No No

I was injectingmistletoe for rhefirst 3 years afterdx, now dailyTurmeric, Selen200 mg, Vitamin D

decreased meat, Ilost 5 kg's, I amexcersing 2-3 timesper week 3

1 Sept 2012 39 5 3 10/14/2013 matrix producing No Yes Taxotere, FEC

given 3 fec everythree weeksfollowed by 3docetaxal everythree weeks. Didcold cap. Before surgery

Bi-lateralMastectomy Yes 25

every three monthsto see the onc andradiation specialist.May also do lowdose chemo oralform for 12 months(MTX) -to beadvised once Ifinish radiotherapy.Will also do ct scanchest abdo andbrain after radsfinish as well as actc count test. Yes oct 2012 Same breast, Skin

as above was dueto delay in chemostarting. Also dueto not clear mainsat time ofmastectomy.

not applicable aschemo was sameas originallyscheduled andadvised in previousanswer. Yes

yes. . removed therecurrence(multiple smalllumps at themastectomy scarsite (skininvolvement) in oct2012. Thisrecurrence occuredjust before I beganchemo (due todelaying chemo toovercomepneumonia andpleurisy post initialmastectomysurgery ). Also dida round of IVF prechemo. No

excercising about20 mins a day now.Also h havecompletelyeliminated meatand dairy since oct2012.

was diagnosedwhilstbreastfeeding. lumpinitially showed upas mastitis. after 4months would notgo away I hadultrasound and wastold it was just fluidfiled cyst. 3 monthslater it had doubledin size andhardened. so I hadit removed vialumpectomy andthen it was tested.came back benignoriginally, thenafter a second labtested it it cameback as mbc. soopted for bilateralmx at that point addmy had bc and alsoI got rested and ambrca1 positive. 3 0 - 6 months

9/11/2013 52 5 2 1/6/2013Spindle Cell,Chondroid No Yes

Carboplatin,Avastin, Abraxine

12 dense doseweekly treatments.Avastin given everyother week Before surgery

Bi-lateralMastectomy Yes 30

Medical oncologistand radiationoncologist andsurgeon visit every3 months. Nowevery 6 months andwill move to once ayear. No scansunless symptoms. No Yes

Basal cell skincancer No

None as I waseating well andexercising regularlybefore. 3

12/2013 55 3.5 II 0/2 Chondroid Yes Yes

Adriamycin/Cytoxan(Cyclophosphamide) every 2 weeks x4, Taxol every 2weeks x 4

Completed theabove withoutinteruption; ac 1st After surgery Partial Mastectomy Yes 33

Ct scan and followup with oncologistin Sept 2013Full mammogramand follow up withsurgeon Dec 2013Jan 2014 follow upwith oncologist. No No No

Taking vitamin d,fish oil and multiplevitamins.8 hours rest eachnight, 40 minutefast walk everyday,drink lots of water,eating lots ofvegetables,especially greenveggies, low fatdairy, whole grainsand protein.Avoiding beef,processed andcanned foods.Eating mainlyorganic Fruits andveggies. Have cutway back on sugarexcept strugglingwith chocolate.Quit smoking April2013!

Planning for a fulllife! High

12/1/2009 42 3.1x2.5 IIb 1/14/2014

Squamous Cell,Infiltrating ductalcarcinoma No Yes

FEC,5FU/Adriamycin/cytoxan 3 weeks on, 1off x 6 cycles

F/A/C weekly for 3weeks, then 1 weekoff for 6 cycles After surgery Mastectomy No

No radiation the 1sttime, Did have 35xrads the 2ndoccurrence.

This was my 1stoccurrence. Mylocal oncologistsaid see you in 6months.

After 2ndoccurrence, MDAnderson was 6weeks, then every3 months, thenevery 6 monthswith PET scans. Yes

Palpitated August2010, Diagnosedwith PET October28, 2010

left chest wallbetween 2nd and3rd ribs, adjacent toleft side of sternum

After receivingradiation from myhome townoncologist, CTshowed that themain chest walltumor shrunk to 2.5cm, and theysuggested prettymuch permanentchemotherapy.Also, they said thatthey would notcheck my progressor do any type ofscans for 6 months.The local surgeounalso said that therewas nothing thatcould be done forme surgically. Ididn't like this. Wereported to MDAnderson inJanuary 2011.They initiatedabraxane & set upthe surgery thatwas successful.NED for 15 monthson estrogenablation because atthis time my cancerwas mildly ER+.

November, 2012:PET scan showeda small tumor in myright lung middlelobe. Pathologycame back as"Poorlydifferentiatedcarcinoma,sqamous cell,metaplastic,probably metastisof breast primary"."Tumor cells areweakly positive forcytokeratin 7,negative for TTF-1,Napsis A, GCDFP-15, estrogenreceptor,progesteronereceptor and HER-2."

So this occurrencemy pathology haschanged to triplenegative,metaplastic.

for the secondoccurrence,afterradiation, I receivedabraxane 3 weekson, 1 week off x 5cycles. Goodresponse. NED, Yes

Yes. After radiationand chemotherapy.August 1, 2011.removed exposedtissue thatpreviously wastumor, Resectedleft side of sternumbone, 7.0 x 6.0 x2.0 cm, withattached portion of2nd & 3rd rib, 1.2 x0.7 x 0.5 cm eachand attached softtissue. Left upperlobe wedgeresection, 4.5 x 3.5x 1.2, of asuspicious area inmy l lung they hadbeen watching.Pathologyconfirmed nodisease. Resectedmammary chain aswell since thesenodes had beenpositive for diseasebefore treatment,too.Next surgeoncovered this gapinghole with mesh forprotection as wellas tram flapreconstruction frommy abdomen. 18hour surgery. Yes

1. December 2009,IDCw/sqamouscell, stage IIb/grade3, ER+. Leftmodified radicalmastectomy,Chemotherapy(F/A/C) x 6 fourweek cycles. Taxoldaily x 3 months(d/c'd due to notworking).

2. PalpitatedAugust 2010, PETconfirmed October28, 2010. Left chestwall tumor, can'tfind measurementsbut do remember itwas referred to astennis ball size.adjacent mammarynodes also positivefor disease. Poorlydiff. carcinoma.Radiation x 35weeks, followed byabraxane 3 weekson, 1 week off x 5rounds, followed bysternum resection& tram flap surgeryon 8/1/2011.Followed withestrogen ablationfor next 15 monthsand was NED untilNovember, 2012.Then along cameMetaplastic andtriple negativestatus.

I increased eatingraw fruits andvegetables,especiallycruciferousvegetables such asbroccoli, Kale,cauliflower,cabbage. Sometimes I juice them.

Even though I havebeen with canceron and off for 5years-ish, I am newto MBC. I'mwondering howmany are like meand did not start offas metaplastic, butchanged like mycancer did. My Dr.at MD A triedCarbo/gemcitabine,then eribulin, thennavelbine, then inAugust 2013, Istarted a trial ofavastin,temsirolimus, & doxil. I hadseveral months ofgood response withminimal sideeffects, and a fewweeks ago therewas diseaseprogression, so I'moff of it. Looking forthe next trialbecause I'm notgoing any where!Feel free to ask meabout anything Iwasn't clear on.Glad to share. 3 6 months - 1 year

04/14 43

6.5 beforechemo 3.4after 3 0/5 Squamous Cell No Yes Taxotere, FEC

4 x FEC every 3weeks2 x taxotere every 3weeks (was due tohave 4 but tumourstopped respondingand started to growso chemo stoppedso I could havesurgery). Before surgery Mastectomy Yes 25

Surgeonappointment in 6months No No

Tumour respondedreally well to FECchemo shrinkingfrom 6.5 cm tounder 2 cm in 4doses. Once Istarted taxotere thetumour grew to 3.5cm in 5 weeks.

Notsure