TNBC diagnosis in April

Hi,sorry to hear you are going through this.if it helps immunotherapy is meant to be very effective for tnbc it is a relatively new treatment I believe.I opted for immunotherapy along with chemo and I had no issues throughout the 17 rounds (got one round every three weeks) I did however develop under active thyroid  but this is managed by taking a thyroid tablet daily which really isn't an problem.my understanding of immunotherapy is that it boosts the immune system to attack the fast growing cancer cells but in doing so there is also a chance that it can also attach healthy fast growing cells in body so it can cause other issues.I personally would recommend,but do your own research and/or ask doctor/oncologist questions about it and how it might effect you given your current health etc so as you can make an informed decision.I was 33 when diagnoised with tnbc and had no other health issues prior to starting it .you will get regular bloods done prior to getting it and docs will decide to give it based on this every three weeks.You can also choose to stop taking it if you decide to at any time but think it is recommended to get it for 17 rounds.As for side effects like being sick or that I had none with it.I believe side effects like that are not very common with immunotherapy most people can tolerate it very well.best of luck what every you decide to do 

Thanks for your response Breast. Much appreciated. I've done my research and spoken to consultant but still feel betwixt and between. Glad to hear the treatment well for you. Thanks again G

I was in a slightly different position as I was offered Pembrolizumab for metastatic TNBC. As you probably know, it’s a PD/1 checkpoint inhibitor. Our cancers are using the PD1/PD-L1 pathway to ‘hide’ from the immune system. The drug makes the cancer visible to the immune system, but also removes the immune privileged zones around critical organs, so side effects can include serious organ damage. I had 6 doses. It significantly reduced my liver mets to the point where I was left with what was probably scar tissue, which was ablated. Almost 2 years on from having to stop treatment, I remain in remission. Ir also caused an acute kidney injury - which is why I had to stop treatment. That needed 9 months of steroid treatment to recover, but it did recover. I also lost thyroid function and have to take levothyroxine for life. I had a myriad of other issues from inflammation which mostly fully resolved. Any regrets? Absolutely none. I almost certainly wouldn’t be here now if I hadn’t taken it. The care my oncology team took in monitoring me and getting me through the issues was exemplary.