HER2 and Preventative Chemotherapy

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I have so many questions I feel sorry in advance....

I was diagnosed with breast cancer on 11th Dec, I had 2 tumours one hormone and the other due to HER2 I'm guessing. I am fortunate that the lymph node  removal was negative and I had a full right side mastectomy and reconstruction on 23rd Jan. My post operative markers are clear but there was a high level of precancerous cells, and I have been referred to oncology. I was wondering if anyone had any idea what sort of chemo and the schedule I may have? What can I expect? Will I lose my hair (least of my worries but still bothering me)? How ill can I expect to be from the side effects of the chemotherapy?

If anyone can give me any information at all I would be really grateful.... just feeling in limbo again

  • Hi Scamper

    Every person’s situation is assessed based on their own circumstances - how big the tumour, HER2 or hormone positive, age, pre- or post menopause etc. However suggesting you wait until you see your oncologist probably isn’t going to help you feel any less anxious right now!

    I had a small HER2+ tumour and a larger area of DCIS - I had a lumpectomy on 11th Nov. Sentinel nodes were clear so stage 1, but grade 3.

    I’m 8 weeks done of 12 weekly Paclitaxel, I’ll have Trastuzumab every 3 weeks for a year and Zoledronic Acid once every six months for 3 years (every 6 weeks to start with)

    At the end of the Paclitaxel I’ll have a week of daily radiotherapy

    The good news is I am nowhere near as unwell as I expected to be. I dont have a lot of stamina, but I don’t feel sick or very ill. I have probably lost 85% of my hair but it was very thick to begin with and the rest may well still fall out  

    I found the prep I needed for the chemo programme quite heavy going - just before Christmas: blood tests, ECHOcardiogram, Covid and flu jabs, check up by the dentist (for the ZA) and finally the installation of the port.

    This last bit was possibly the most hard-going. I’m pretty squeamish and it was done just with local anaesthetic. Having said that, I would certainly recommend it if it’s needed/offered - it makes it so much easier to administer the drugs/take blood etc once it’s in.

    Everyone I have met on my cancer adventure has been absolutely lovely. Take as much care as you can of yourself - eat healthy, drinks lots of water, get out for a walk every day if only for a few mins.  It’s not always easy but I’m really aware of how much breast cancer treatment has advanced. 

     Good luck

  • Hi

    It does depend on so many different factors what chemo regime you have. All I can tell you is my experience. I was ER/PR8, and HER2 positive. No lymph node involvement. Had lumpectomy and therapeutic mammoplasty and reduction on other side at the same time. I had 6 chemo treatments. The first 3 were EC, and the second 3 Docetaxel. I tolerated EC far better. I was given anti sickness meds which I took and which worked. Whilst I felt a little nauseous I didn’t vomit. The first few days felt like a bad hangover. I started losing my hair around 15 days after my first chemo, so I had the rest shaved off. The chemo was every 3 weeks. After the first week I started to feel normal and was quite well until the next treatment. Some tummy upset but nothing that I could not cope with. Docetaxel did cause me more problems however. I did have a reduced dose for treatments 5 and 6 because of the side effects that I had. I finished on 10 December and have since had radiotherapy, which was a breeze compared to chemo.Because I was HER2 positive I am having Herceptin injections every 3 weeks until October. I am also on letrozole for 5 years. Both of these treatments have not caused me any problems.