Wednesday, February 15, 2012
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Monday, May 12, 2008 Honie Golden asks

Q: Is TC chemotherapy as effective as CMF chemotherapy?

I am 40 yrs old and recently had a lumpectomy to remove a 1.4cm invasive ductal carcinoma and now am faced with choosing a chemotherapy regime.  My nodes were negative and the tumor was ER positive (35%).  The oncologist wants me to choose between 4 rounds of TC chemotherapy and 6 months of CMF chemotherapy.  Any guidance on how to pick between the 2 would be appreciated!

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Answers (3)
5/12/08 3:58pm

Honie, ask your doctor if you can have the Oncotype-DX test, which predicts how effective certain kinds of chemotherapy will be for you. I know more and more women are finding that this test has really helped them make a decision.

 

For more information about CMF, see our FAQS:

http://www.healthcentral.com/breast-cancer/c/78/10884/chemo-faqs-cmf/

 

As for TC, I don't know what that is - haven't heard of it. But take a look at this FAQ on AC+ T chemo:

http://www.healthcentral.com/breast-cancer/c/78/10887/ac-act-tac/

 

Hope this helps, Honie. Good luck -PJH

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6/15/08 12:02pm

Hi,

I had the oncotype DX test done. My score was 27- an intermediate result meaning I have a 17% chance of recurrence in 10 years. So additional TC adjuvant chemotherapy will give me an added 5% reduction in possible metastasis over 10 years. My oncologist thought that this number is worth going through TC chemo. (Mastectomy, no nodal involvement, ER/PR positive, HER2 negative, 3.5 cm mucinous breast cancer).

You should start adjuvant chemo within 8 weeks of your lumpectomy. My first chemo was on June 3, 2008. The TC protocol went surprisingly smoothly. It felt like a 3 day flu, and I think the next 3 will go by quickly. I am 52 years old and only missed one day of work so far.

 

Good luck with your decision. TC chemo seems very do-able to me.

June Chan

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9/ 5/09 10:01pm

Hi, I had the oncotype DX test also and my score was 25.  16% chance of recurrence in 10 years.  (Lumpectomy, no nodal involvement, ER/PR +, HER2/-, 6 mm Invasive Ductal Carcenoma with LVI.)  I guess that means it invaded the breast lymph nodes but didn't get to the lymph nodes.  The doctor's recommend TC adjuvant chemotherapy.  This has been an awful decision for me.  The worst has been knowing I will lose my hair.  You sound like you didn't lose your hair.  I am 48 years old and I hope I do half as well as you.  Thank you for sharing.  Filene Lehman, Lake Worth, Fl.

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9/ 7/09 2:38pm

Dear Filene,

 

Your Oncogene test score is lower than mine. Your doctor is being cautious- just like mine was. 

 

I had 4 rounds of Taxotere Cytoxan chemotherapy from June-August 2008. I did lose all of my hair by September. It grew back very nicely and I got so many compliments that I'm keeping it short now. 

 

I felt tired for two days (crash days 4-5 after TC) but went to work otherwise. The dexamethasone (steroid) made me really hungry. My taste buds went for about 5 days each time, so I planned evenings out with friends to avoid those days. I experienced no nausea!  I remember taking over-the-counter tylenol or advil on just a few days during those months. 

 

Stay positive! I used baseball caps, skullcaps and do-rags to cover my head for three months. My friends and family sent me a variety. 

 

You can get through this!

 

June

 

 

 

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8/18/10 12:47am

June, your response just made my day. I received my Oncotype score of 31 today and I'm deciding between TC and CMF. I am disappointed that I will need to undergo chemo, but your experience with the TC regimen is encouraging. I'm 44yrs old, dx 6/30/10, DCIS and 1.8cm IDC mucinous type, ER/PR+, HER2/neu negative, node negative, underwent a total mastectomy and sentinel node biopsy on 7/28/10, no family history of BC. My surgeon and oncologist were leaning towards no chemo until the Oncotype score came back as high as it did, which surprised all of us. So, thank goodness that we have this test to help make this decision. The mucinous type is rare as you know so there is not a lot of data on how it factors into the treatment options with an intermediate/high Oncotype score. Generally chemo is not indicated for a small mucinous type tumor with clear nodes, but due to my Oncotype score, and age, we feel it is better to err on the side of caution as you and your doctor did. I'm glad your TC experience went as well as it did all things considered. I just wanted to let you know that your positive experience and response is helpful to me. Thanks!  Terri

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8/18/10 4:57am

I always love to hear that someone has been helped by reading about someone's experience on this site.  If you haven't seen it yet, this article about mucinous breast cancer may give you some more information.  As a person with a different type of rare breast cancer, I know how difficult it can be to find information on breast cancer's subtypes.  I'm so glad that the Oncotype test had the information you need to find the most effective way to treat your cancer.

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8/18/10 6:14am

Terri, TC chemo is generally better tolerated than most other types, thankfully; it's becoming the "go to" chemo for many women. I'll be posting shareposts in September on both TC chemo, and neuropathy, one of its bothersome potential side effects, so stay tuned on this site, OK? Best of luck to you - PJH

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5/ 2/11 10:31pm

Filene, I'm in almost the same parameters as you - had the surgery March 15.  How did the TC work for you? I'm terrified of the side effects and losing my hair too (finally got it past the shoulders).

 

Please help!

 

Roberta Lipman NYC

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5/ 3/11 5:49am

Roberta, you might want to click on Filene's name at the top of her post, and send her a private message; since it's been nearly 2 years since she wrote that post, she might not be visiting the site regularly anymore...

 

Chemo is tough, no doubt about it. But it's also "do-able." Somehow, you put one foot in front of the other and get through it - because you have no choice, and you're stronger than you think. Being afraid of losing your hair is completely natural, and we all went through it; luckily, the reality is NEVER as bad as your fears. Once it happens, you deal with it.

 

Have you read our chemo series? I think you'll find a lot of helpful information there... Best of luck to you, and please visit again with any questions you may have, or for support - we're here for you. Take care- PJH

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5/14/11 11:14pm

I am looking for as much information as I can find. I was diagnosed in April with stage 2 BC with 3 lymph nodes involved. Had partial mascetomy and lymph nodes removed and now am looking at chemo. My oncologist is looking at either TAC or a study that has TAC, TC, and TC/Bev. the more I read about TAC and then the drug BEV I am thinking I just want to do TC. but doc did not just give me that option. Does anybody know if I have to be in a study to receive TC or can I ask for it?

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5/15/11 6:50am

There's a clinical trial underway comparing TAC to TC alone, but results won't be complete for anouther 4 years; perhaps your oncologist is on the conservative side, and wants you to go with the "tried and true" TAC vs. the less-proven TC.

 

It looks like he's also giving you the option to participate in a trial: TAC vs. TC vs. TC/Bev (I'm sorry, I can't figure out what "Bev" is). It's true, when you're in a trial, you can't decide which of the protocols you'll receive; so joining the trial might mean getting just TC, but it also might mean you receive either of those other two options.

 

Some oncologists do prescribe TC for their patients. If that's what you feel you want, given the options you've researched, then your best bet would be a referral for a second opinion. See if you can access an oncologist at a Comprehensive Cancer Center. These large centers treat thousands of patients every year, and thus have lots of data about outcomes to pull from. You're more likely to find a doctor offering more chemo options there than you would be at a local hospital. Best of luck to you - PJH

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11/ 9/10 9:16pm

I wish I had seen this before  to have helped you. I have had so many doctors make mistakes and i have done so much research i have become an expert on what doctors should tellus and donot and how to ask and to never fear so much that you rush in and do somethign without waiting to get as much understanding as you can and then check in thru prayer and meditaion and stillness to ask your body and heart and to see if you have real peacefulness. then to observe carefully the effects of it on your body and the way the days go and what ever side effects rise too high and or remian during the relaxation or rest periods...

 

I have IBC her2 positive the most aggressive and the most fast cancer ..and i have been able to hold on still ..but due to  too many mismangements looking for the recent treatemnts as cancer grows back too fast in between treatments and surgery is ot a good option for me. I have found by researching some promising things.. in the process for example when they offered radiaiton i found that becuase i had received adryamiacin..that there has been a recal recently on not getting radiation if youhave had it as the chemiical can still be in body and has altered cells and the radiation can cause an adverse effect of a secondary cancer and or neucrosis that then leads tomore complications. doctors didnot advise of this and the treatmentis normally thst and then radiaiton..so it is now understood and so nothign is perfect and youmust use your mind and rest and take time ..it is best to go slow and research andponder well the basic practicality of the  way nature works to ask yourself always what is the end result of this treatment and what is the effect the actual physcal effect and how will i be damged if at alland what is the price or pay off of one treatment versus another. then see if there is one that is good and has the least amount of damages. use that first always and then move to harsher ones for otherwise we have to contend with anger bitterness and pain and best to know up front and adress he will than to know by hindsight especially in somethign so dangerous as this. there is always a way with God and matching up to you the appropriete situation. and since the doctor hasnot had chemo you have to observe the situation and discuss and ponder and listen to your voice and then shift when you have to to a different one if one is presenting toomuch damage. you are the main important person...do nothing our of fear it does not lead to a good end...find the one that brings peace inside your inner self knows if you take the time to relax and ask and pray and use all the logic and all the information you have researched as well and listen to all and match up the one that aligns best ...but her is what i know from experience. also note the m in the cmf is a bit worse and i chose to go lower on it to see how a lower dose worked and it was just fine than a larger dose and over time less and given slowly causes better results and less damage than faster and more at times..and you can ask for this and actually demand it.  you are paying doctor to serve you and it is inhis interest when you do this as it cuts back on mistakes and his own ignorance really as i said they do not take the chemo. I have studied chineese medicine and  in it ihad to take all herbs and concoctions so i woudl know before ever giving them to another wether i was ill or not to be rsponsible and know its effect sont he body so i coudl identify them in the patient. Western doctors arenot trained in compassion and sensitivity to observe your body and to knwo and take the drugs so that they really know the drug..only you know it now and in that are greater than the doctor....so honor yourself without fear and find the point of balance between what he knows and your own knowing and research to bridge the gaps...

I then see if it works and if not more can be given increase is always possible.

I  have been thru so many

Tc if that is taxitere and carboplatin  then it is a rough treatment and can damage nerves and go to neuropathy that may be permanent or temp.

I had a rough time with it being sensitive to it it burnt me up too much.

I iwsh i had begun with CMf because according to a nurse recently she said it has no side effects of nere damage with is a plus becuase then you do not have to worry about hurting some vital part of yourself that can leave you damged and impair yourlife once you heal. NO reaosn to to have such a high price trade off. i always say start with the least damaging then go to the larger guns. they do it in reverse. but all real healing starts with using less and then rising up ..like forplay because the body doesnot do well being over whelmed and no point in damaging when it migh work with something moe benevolent. Cmf is an old treatment and works will for this cancer. ihave had good results and not much side effects i chose a lover dos than my wieght and the tumor meted on first day in half. my dose was to be 64  960 and 960 roughly for a 130 pounds and i took 50 700 and 70 and it was plenty for my body tonot have bad results and for tumor to get good results. i just startd but i am IBC and that is the toughest cancer...

I would  do the CMF  research it and ask the quesitons and consider the effect s and research the effects TC is a very strong drug and it has good results but can damage alot of the rest of you. so if  consider a lower dose if the one is too harsh and or consider doing the other one...so you do not have such damages.

love in Christ and sending you prayers....

 

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11/10/10 5:22am

Melina, I agree with the way you make your medical decisions by gathering as much research as possible and then taking some time to sit quietly and meditate on what is right for you.  For each type of tumor there are several possible chemo treatments that might work.  The taxane chemos kill cancer cells in a different way from the chemos in the anthracycline group, so doctors will often want to use both.  I'm also an IBC survivor, and I do agree with the doctors' big gun theory.  With an aggressive cancer starting strong can offer the best chance to kill those cells before they travel to another part of the body.  I'm glad your gradual approach has worked well for you, but it might not be best for everyone.

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