Tnbc and raised ca125??

FormerMember
FormerMember
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Hi ladies

Bear with my story....

Diagnosed Feb 17th 2020, 4cm tumour, TNBC 

Chemo started March 4th

CT scan march 5th or 6th

4 carboplatin and 10 taxol but very poor response to chemo so proceeded to mastectomy, was actually 7.5cm at removal, 30% dead cells, 70% active cells on histology. Lymphs clear of the 6 they removed during surgery for testing under microscope 5 weeks ago.

About mid April during oncology review I asked about ct scan and I was told it was ok, delighted. 

2 days later when in for my treatment oncology nurse asked if I ever had cysts on my ovaries, I said I don't think I ever was scanned before in that area, proceeded to tell me that she did my ca125 the previous week and it 111, told me oncologist wasn't worried about it and had referred me to gynae as non urgent. She said she'd repeat it that day which she did and it was 132....not so delighted with this.

Seen oncologist the next week, i was quite direct with her about telling me ct was ok and she said scan was non specific. Oncology nurse said I had 2cm cyst on left ovary. Got gp to get actual result to findout I had 5cm cyst on right ovary too! 

Anyway surgery was planned and went ahead on May 28th. I got my gp to refer me for private mri of pelvis and had it on May 19th, pre op...no cysts seen, no nothing, all was clear, delighted again. 

Post op oncologist review last week, she decided to give me remaining chemo from my original plan, 4 AC...had 1st of those today. Asked for my ca125 to be checked...it's 1900!!! Not so delighted, in fact I'm petrified!

Now I know it can be raised for many benign reasons too. I'm going on the positive of all my clear investigations so far but an odd negative slips in too! It can also indicate something elsewhere from what i read. It could be raised from post op inflammation, I'm only 5 weeks post op today. Still feel tender and internally bruised around scar and ribs. 

I'm waiting on genetic testing. I've no family history. I absolutely feel 100%, no symptoms of anything. 

Has anyone else experienced this??

Has anyone ever had a poor or no response to chemo??

Could this AC do nothing for me either??

But surely chemo would be zapping cells somewhere in body?? It made my hair fall out so it's worked like they said on that! But in fairness I had zero other side effects thank God. 

It's 8 weeks since my last chemo, could something have started since I was off chemo??

Any thoughts, similar stories, advise (I'm trying not to worry but it's not easy, stress can make it worse!!) Would be greatly appreciated....Thinking#feelingconfusedanddeflatedabit

  • FormerMember
    FormerMember

    Hey

    I had a similar situation at the end of my treatment I finished my 6 months of chemo last June followed by a mastectomy in June then radiotherapy in October. 

    I ended up with cysts on both my ovaries and had to be scanned twice and they just seem to have disappeared. I had one in November and one one in January. 

    I had the same chemo as you and am sure I read that it can cause cysts on your ovaries amongst other things. I’m sorry I couldn’t help you with your response but everyone is different and we all react differently to Medicine. You are in the very best hands and I know it’s a very scary situation hopefully you’ll be more responsive to the AC chemo. I had AC first then carbo/taxi after. 

    I hope everything goes well for you and wish you all the best.

    xx 

  • FormerMember
    FormerMember in reply to FormerMember

    I had my first AC yesterday, God I had a bad night and morning with acid reflux and nausea! Hadn't any side effects at all with carbo or taxol....wondered if I'd had ac first then may have had better response as it seems to be the rolls Royce of chemo but maybe having it post mastectomy will kill off any other cells from my body that may be lurking around so maybe it's 50/50.

    Do you know out of my own curiosity what your ca125 level was?

    Many thanks for your reply x

  • FormerMember
    FormerMember in reply to FormerMember

    Bless you, it’s pretty strong stuff and I guess that’s why you can only have it every 3 weeks.

    sorry I do not have any information on my ca125. It’s not something I had even heard of back then so never asked. Sorry I can’t help you there. Hope you start feeling better soon.

    xx

  • FormerMember
    FormerMember in reply to FormerMember

    I'm in Ireland and here it's given every 2 weeks generally, unless bloods dip it's rolled out 3 weekly.

    No problem 're result...just curious...

    Thank you again...x

  • FormerMember
    FormerMember

    Hello!

    We were diagnosed the same week with the same cancer and same size tumour but I had my surgery before chemo.

    Before I had cancer I had lady problems with wild periods, no periods and every symptom of menopause you can imagine. My CA125 was raised so I had pelvic scan etc and had a 5cm cyst on my ovary - no symptoms. I had womb biopsy etc etc and nothing. GP said she had been sure it would be cancer. Well yes it was cancer, just not in my downstairs, more in my upstairs but they don't check your breasts while they check everything else do they? You said yourself there are loads of reasons why it is elevated and while you are having chemo I wouldn't worry unless they do - but I would push for the BRCA testing just so you know. Mine was negative by the way. 

    Chemo is definitely wreaking havoc in your body although it had a poor response on your tumour. Your lymph response was excellent even though it didn't work so well on the tumour which is really good news for you. My 4cm has 1/5 lymph involvement and vascular invasion which they said isn't so good. But the AC will mop up anything and is the main one for breast cancer so don't be too despondent. 

    I know a woman who had a poor response to chemo, had a lumpectomy, more chemo and radiotherapy and she is still here 3 years later and doing amazing. I equally know a woman who had a complete pathological response and a mastectomy and radiotherapy and she has a recurrence after 2 years. I have decided TNBC is the fate of the universe and there is no rhyme or reason to it. All we can do is crack on with the treatment and hope for the best. 

    xx

  • FormerMember
    FormerMember in reply to FormerMember

    Thank you so much for your reply and reassurance. I have gynae appt tomorrow, so fingers crossed. I feel absolutely fine, no symptoms of anything and recent clear mri scan. My gp tells me she has a few women with raised ca125 in the thousands like me and no reason or cause for it. I'm hoping it's just an inflammatory response to recent mastectomy. They really should do these bloods at staging stage to spot trends. Oncology said they don't do them routinely so they don't know of any others it may have happened to. Yes the ac is strong, the rolls Royce of chemo seemingly, pity I wasn't put on it in the first place, deflating to be told you have a poor response to chemo regime. Anyway I've most of my journey over me with this TNBC, 3 more ac and radiotherapy. 

    Again many thanks x