Thanks so much for these fact based videos . Please share info about use of medical acupuncture for treatment of radiating bone and muscle pain from hormone therapy treatment ie letrozole and Cdk4/6 inhibitor - fatigue, pain I have benefited from treatment at Olivia Newton John wellness centre in Australia
Thanks for watching and for your question. Acupuncture is, as you know, an ancient healing art. There have been many studies of acupuncture with mixed results. It is extremely challenging to do placebo-controlled trials with acupuncture. This is because even "pretend" acupuncture, people benefit from this treatment. So there's no real "control group." While some people are skeptical about the benefits of acupuncture, there are enough people who find it helpful that it is hard to dispute its effectiveness. The only downside is the cost, which is not covered for everyone. The other downside would be a situation in which someone declines therapy that has been shown to help and to choose another therapy to treat their cancer. As a supportive measure such as in your case, it's hard to see the down side.
Great videos. i want to know the prognosis For advanced met cancer to the bones. And please do more videos on stage 4 breast cancer. I love your style and how calmly you speak and explain things. Ive learned SO much from you!
@yerbba - My mom (63) has stage 4 with 'mild pleural effusion' in 1 lung & most lymph nodes involved. She's on hormone therapy with Letrozole and Ribocolib since 2.5 months. Coulpe of questions: Does this mean it's Oligometastitic breast cancer? Can this be cured by removal of tumor? Is there any hope of being cancer-free? We're approaching the next scan in 2 weeks, would love to connect with you then 🙏 Please get back with your expert opinion. Your content is a blessing for all of us who're suffering 🙏 God bless you.
Thank you for sharing your mom’s situation. Oligometastatic breast cancer generally refers to a limited number of metastatic sites. Most of the time, the term refers to 5 lesions (spots) although some studies have included up to 8 spots. Treatment plans can vary. Surgery is usually not the first option in metastatic cases. Rather, the main goal is to usually to control the cancer with systemic treatments. Moreover, removing visible areas of disease does not improve outcomes, such as quality of life or survival. There are some cases where surgery might be done to help with symptoms. While being cancer-free can be challenging in stage IV (4), the goal is often long-term management and improved quality of life. You may also find our video on oligometastatic breast cancer to be helpful: ruclips.net/video/uiEfz5xJO9w/видео.html.
Her tone of voice and common knowledge explanation so it can be clearly understood and that early symptoms check and blood screening is the first thing you must do. Your instinct is the biggest supporter of suspicious and feeling. Go have it check!
We're so glad you found the explanation clear and easy to understand! At Yerbba, we believe it's crucial to listen to your body and trust your instincts. Thank you for being part of our community.
I'm just starting down this road and am watching hundreds of RUclips vids to educate myself. I meet with surgeon and oncoligist nect week so will fins out the treatment plas. I want to thank you fir showing your emotions, your tears, your fears. Most other YT'ers put on a happy face. While I've gottrn a lot of good info, those happy faces didn't sit well. I'm also a sensitive, emotional person so was glad to see your channel. Thank You!!
I am HER2+. I don’t think they tested the tumor profile, it was recommended to have double mastectomy, ovaries taken out and started on the highest dose of oral chemo and hormone blockers. Currently taking 100 mg and an Anestrozol and never feel really great. I have been in remission for almost a year and keep asking if I can just take the hormone therapy. Why do I have to keep taking the chemo? Can I take a lower does? Is there integrative therapies we could do?
It's hard to make medical recommendations without knowing the specifics of your cancer. However, if you are not feeling well, your doctors can make changes in your regimen to help you feel better. Your quality of life is important
My mother has 4th stage breast cancer,It has spread to lung,No spread to bone,ER and PR positive,What treatment is required for this? Will it be fine? Please reply
Thanks for writing. In general, we recommend starting with endocrine (hormonal) treatment in someone like your mother. Hormonal treatment can be highly effective for many months or even years in some people. How long someone stays on treatment depends on how well it works and, even more important, how they feel. If the first hormonal therapy does not work, another one has a chance of working. Regardless of this, I imagine this is very hard for you and for her. She is fortunate to have you.
My mother was diagnosed with neo metastatic breast cancer and was given 6 rounds of chemotherapy, now she's feeling a new lump on the same breast, she's about to get screened soon, what are the options now?
The first step is to obtain a piece of tissue through a biopsy before anything else. Lumps can be from many things. She's fortunate to have you helping her through an anxious time.
Hi, my mother was diagnosed with Stage 4 MBC last month. She has metastasis to 3 bones (starnum, C7 vertebrae and iliac bone) along with axilliary lymph node with all other organs appearing normal in PET Scan. Her tumour is Er, Pr + and HER2-. She has started her treatment with Ribociclib + Letrozole and a monthly Denosumab 120 injection. She is 54, doesn’t have any pain in her bones and the tumour was Grade 2 invasive lobular carcinoma with in left breast. I am trying to understand if there is any hope for the cancer to go in remission for years and in those cases can surgery be an option to completely remove the tumour if it shrinks? Also, How long does she need to take the injection or can it be stopped after some months if there is no sign of cancer in the bones. We didn’t do the bone biopsy as multiple bones were involved and Dr said not required, but should we ask the dr. to do this nevertheless? Lastly, does she need to cut off sugar completely? She is not diabetic.
We're sorry to hear about your mom’s diagnosis, but it’s positive that her treatment has started and that she’s not experiencing pain. There is definitely hope for remission, especially with hormone therapy and targeted treatments like Ribociclib. In some cases, surgery can be an option if the tumor shrinks, but this will depend on how well her cancer responds. The injections, like Denosumab, are usually long-term treatments to manage bone health, but it’s important to follow your doctor’s guidance on when or if they can be stopped. If you're in the U.S., we encourage her to visit Yerbba.com for personalized treatment options and to learn more about her diagnosis. Each Yerbba Report provides a comprehensive view of all possible treatments, including those that may not have been mentioned by your doctor, and explains why each treatment option was personalized to your health needs.
Angela, I’m watching this video doing research for a friend who just found out her cancer has spread to her liver. How long has it been for you? Did your doctor tell you it’s treatable after spreading?
@@tiffanym_1155 Hi Tiffany, sorry your friend has to go through this but there´s hope with the new treatments and with good friends like you. My first line of treatment failed (to be precise I had a mixed response, there was some stability in some lesions, some reductions but new ones appeared in my liver). As the liver is the second more important organ in the body, it has to be checked closely, I´m in a trial with Enhertu (I´m Her2 low), I have received 6 infusions and the treatment is working. I still remember what my first oncologist told me in 2006, breast cancer is a traitor, it has to be monitored all the time BUT even if it returns it can be treated (mine returned after 16 years). Since 2015 there are a lot of of new treatments. I wish your friend good luck. Big hug from Madrid.
my wife has stage 4 breast cancer, liver and bone metastases. we live in Canada. I noticed that the doctor prescribes chemotherapy for many, and for some reason we were prescribed medications - Zolodex - Ribocidin - Ietrozol .. I don’t know anyone else who is treated with pills .. and because of this I am very worried. I would like to do chemotherapy, reduce the tumor, cut it out, and so that the metastases also decrease. why is that ? and a question. you know someone who is in remission from stage 4 cancer. ?
Thanks for writing. This sounds so hard. Your wife is fortunate to have you on her side. As hard as it is to believe, the treatment course you describe is the most active treatment combination we have and is the best treatment for people with metastatic breast cancer that is hormone receptor-positive. People can be on treatment such as this for a very long time before having to change to chemotherapy. Surgery may be a reasonable consideration down the road, but the most important thing now is to treat the cells that are throughout the whole body. I hope this is helpful.
Madam my mother suffering my recurrence fourth stage breast cancer spread to local parts and another breast er pr negative and her2neu 3+ madam pls give better options madam
Thanks for writing. Your mother is fortunate to have you. In the case of someone with HER2-positive cancer that is also hormone receptor-negative, the main course of treatment will be therapy directed at HER2. There are currently 16 different options for anti-cancer therapy. We agree that more needs to be done. Remember that the goal of treatment is to help people feel good for as long as possible. If someone is getting treated and feels poorly, a change in treatment is an option. It's important to let the medical team know of any symptoms related to the treatment or the cancer itself. Wishing you and your mother the best.
This was great. Thanks!!! I was diagnosed with MBC three years ago today. This was comprehensive Can you make a video about Ibrance? (That’s what I’m on) please? Thanks!
Thanks for watching, and I'm happy you like the videos. Yes, we can definitely make a video about palbociclib (Ibrance) and other medications in the same group. Thanks for the suggestion.
@@sss-ir5hp hello. I will be on targeted treatment every three weeks as long as it works in keeping my cancer stable. Dealing with brain mets every three months :)
@@rashafaraj8825 i wish you all the best, prayers and good wishes your way, i just lost my mother to breast cancers mestastis a couple days ago, i hope god gives you a long healthy life and youre able to cope up with this illness
It sounds like your mom is undergoing a comprehensive treatment plan, which is a good sign that her medical team is being thorough. Although surgery is usually not done for people with metastatic disease, surgery may be considered after completing chemotherapy if the doctors believe it will benefit her overall outcome.
@@yerbba Mam thanks to reply , I am Indian .... Mam Dr. Ke pass consult hua hai my mom ko surgery hota hai. TAb ecg ka report abnormalities dekhate hai , anesthesia mam surgery pas kor diya. plan -Lt MRM tinplant reconstruction ( pac fit) mam surgery ho gayi hai mam ko ... Surgery ka name hai (left modified radical mastectomy + level 1-2-3 axillary lymph nodes disease + pacooo technically) .mam surgery successful hota hai to . Mam meri mom ko 15-20 years Qure ho jaiga to . Mam please answer me
I’m going through tests had mastectomy, I’m older have arthritis in lower back. Spent a long time in bone scan I’m scared but my back is a mess for 30 years
A new diagnosis can certainly be a scary time. Chronic back pain is unlikely to be related to cancer, but having your back looked at with the scan is a reasonable next step. Wishing you the best.
Hi I had Stage II breast cancer surgery in mid 2020 followed with chemotherapy and radiation. 2 months after radiation Im diagnosed with Stage 4 cancer. Why is it from stage 2 to 4 just 2 months after treatment?
That must have been a shock. When you were first diagnosed, there was no evidence that the cancer had spread to other parts of your body. At some point, areas of cancer in other parts of the body that were originally too tiny to be seen became visible. While this is not common, it does happen. Remember that the cancer had already spread to other parts of the body when you were originally informed you had Stage II disease. I hope you are doing okay.
There are quite a few medications for people with advanced triple-negative cancer. Many of these are chosen based on the results of tumor markers other than ER, PR, and HER2.
@@yerbba what are you talking about their are no treatment that really works for triple negitive cancer only chomo can give her some time and mushrooms
Er PR possitive her2 neu negative...locally advanced Brest cancer.. 4 cycle chemo...mrm surgery done...again start 4 cycle chemo( paclitaxel)...mam when I started harmonal therapy for better outcome
Hormonal therapy is generally started after chemotherapy is over. For people having radiation therapy, hormonal therapy can start along with radiation therapy. Some people prefer to wait until after radiation therapy.
Dr. Griggs, please talk about supplementation during hormone-therapy. It is so confuse. If the supplement do not interfere with the treatment, so, why to cut all of them? How can we get nutrients like, digestive enzymes, Omega 3, Vitamin D3, Vitamin C, all of them to help our immune system be strong. It is a dream to get them only with foods, and some of them our body does not produce itself? Impossible, isn't, it? Por favor fale sobre a proibiçao dos suplementos durante a hormono terapia.
We don't generally recommend supplements except for Vitamin D. People who come from extreme economic deprivation may indeed not get enough vitamins from their food. The trouble with supplements is that they are usually not tested, not manufactured according to standard practices, and are highly processed compared to naturally occurring foods. They are also really expensive! You may find our video on Vitamin D helpful: ruclips.net/video/5FOQxyrksiI/видео.html.
I cannot thank you enough for your assistance..I have Stage 4 Metastatic that has raised its ugly head in my lungs.. I was so shocked I had no idea what to ask Oncologist..I have started on Immunotherapy injections but had no idea of the knowledge you have given.. Thank you from the bottom of my heart ❤❤
My mother had breast cancer in 2016. In 2022 it reoccur again but we came to know last month it has spread to bones, lung and liver and doctor started palliative chemotherapy one is done is there any suggestions from you mam
Your mother is fortunate to have you. Emotional support for both your mother and your family is crucial during this challenging time. Palliative chemotherapy can be very effective. If available, a palliative care consultation will help her existing medical team manage symptoms and feelings that come up when someone develops metastatic disease. Thank you for watching, and let us know if you have suggestions for other videos.
I have stage 4 metastatic breast cancer to the bone. I developed an infection in my breast (cancer side) - I had an odd drainage discovered a small hole - woke up days later in terrible pain, purple breast, much larger in size, orange like texture & bloody discharge. Called Dr & was told to go straight to ER - I ended up in the hospital for 4 days on IV antibiotics round the clock a number of blood tests later they couldn't find a diagnosis other than cellulitis. This has been going on since January I have since had xray, Ultrasound and a punch biopsy which they say showed no cancer they put a stitch in - I was hoping the stitch would also help the hole heal. No such luck I now have a pencil size eraser hole and a slight discharge (cannot go without wrapped) & it bleeds. Just seems like after all the iv antibiotics and 4 weeks on an oral antibiotic that it would show some improvement (at least the color is back to normal & the pain is so much better). I know & understands you can't give exact medical advice but do you feel like I'm on the right path & doing all I can? Thank you for your time Dr. Jennifer Griggs. Sincerely, Juanita G
From what you've described in terms of the improvement, it does sound like you are on the right path. How frustrating. Please note that I can't give direct medical advice on Yerbba, but this may be a chronic issue for you. Wishing you all the best, and thank you for watching.
We are on the same page. I am on hormonal therapy and undergoing monthly bone therapy with zoledronic acid. God is good He hears prayers. God bless you with healing & provisions in Jesus name! Amen.
I am diagnosed of breast cancer with early bone metassis i am taking hormonal theraphy every month i have a blood test CA15-3 evry month my result is changes sometimes 22.28 then 28.68 and this month 22.68 please explaine it make it video thank you so much hope you noticed me..
Thanks for sharing your story. These changes in your tumor marker are generally not the changes we consider meaningful. In general, we need to see a continuous rise in the tumor marker level month after month before we would pursue additional tests. Having the tumor marker done every 3 months might be something to bring up to your medical team if they would be willing to decrease how often it's done.
Great question. This report means that the HER2 is negative. The treatment implication is that anti-HER2 therapy (such as with trastuzumab, Herceptin) will not be part of the treatment plan.
Stage 4 breast cancer mets to spine. Her 2+ here. Total hysterectomy Done with AC plus zoludronic acid ( 4 session) Now started targetred cheno( herceptin).with docetaxel. Just want to know more about her2+
HER2 is expressed in all normal cells. In breast and other cancers, it can be overexpressed. We have many treatment options for people living with HER2-positive breast cancer, and there are new treatments being developed, tested, and published all the time.
Hi can you explaine about the tumor marker the abnormal level and normal level.. about what happen when the tumor marker result is higher level than normal level thanks and advance..
Great question. In about half of people with metastatic (advanced) cancer, we see an elevated tumor marker. This can help us monitor the status of the cancer if we see the marker come down with treatment. If the tumor marker goes down and then goes up again, we will usually use that as a prompt to get scans of the body to see if the scans show growth of the cancer. Tumor markers are not helpful if someone has early stage (stages I, II, or III) breast cancer or DCIS (non-invasive breast cancer).
Thanks for the question. There are many treatment options for metastatic breast cancer--almost too many to list. Make sure that she has a good relationship with her medical team and feels comfortable asking about what all of the options are.
@yerbba... Kindly let us know is there any proper treatment for tnbc in Chennai (india). Let me know is there any possibilities to get treatment outside india.
Thanks for writing. I'm not sure how to help navigate you to another place for treatment. Chemotherapy, which is recommended for most people with TNBC, is available in India. I would image that traveling to a major city would be necessary for many people.
Your mother is fortunate to have you helping her find out information. Stem cell transplants are not effective in the treatment of breast cancer as much as we had hoped they would be.
My mom diagnosed with metastatic left breast cancer to bones..and she has a lot of pain...oral medication are given but pain is not going to less..what should be do to her
Your mom is lucky to have you advocating for her. There are a lot of options for treating bone pain from cancer. If she has breast cancer, being on a treatment specifically for bones, such as an intravenous bisphosphonate, is important. Two bisphosphonates are pamidronate and zolendronate. Sometimes bone pain can "flare" when starting on a new anticancer treatment. This should improve soon if this is her situation. Other things that help include non-steroidal antiinflammatory drugs (NSAIDS), but I would encourage her to talk with her medical team and let them know that she trusts them to help her find pain medicine that will help her deal with the pain. I can't make specific recommendations as you know. Wishing you and her all the best.
If you are asking about ER-negative tumors, hormonal (endocrine) therapy doesn't work because there is no receptor on the tumor cells to "receive" the estrogen. Hormonal therapy works by either lowering estrogen levels (AIs) or blocking the estrogen receptor on the cells. If there is no receptor, neither approach is beneficial.
My mother has been diagnosed with Her2-, bone mets she has been given Radiation therapy to ease the pain and Ribocicilib and letrozole along with that. How long is she gonna be on these meds?
Thanks for writing. Your mother is on the right form of treatment from what you've written. In general, as long as the treatment is working and she's tolerating treatment well, we would continue this treatment. It is possible that she will need a break from the Ribociclib at some point due to fatigue or low white blood cell counts, and the other medication may well control the disease on its own in the case.
Thank you so much ! My mom recently diagnosed with stage 4 and I have been in severe depression over this . Hormone therapy started and hoping it works and we have her around for many more years God willing . But great explanation !
Thank u so much for this video, my mother has been diagnosed for stage 4 breast cancer ( bone mestasis in spine) her liver lungs kidneys pancreases and all other organs are fine and no sign of cancer, my question is since the cancer hasn’t spread to anywhere else besides the spine shouldn’t the surgeon remove her breast and then treat the cancer that’s in her spine before it starts to spread again? Thank u
Your mother is fortunate to have you advocating for her. And such a good question. The impulse to remove the cancer is a strong one. Because the cancer has spread, however, treating the whole body is the most effective approach. It's more than likely that the breast tumor will shrink quite quickly and that the disease will response in the spine as well. Decisions about breast surgery could be made in the future. We do not do surgery on spine metastases except in rare cases because it is not possible to remove all the disease. Radiation therapy to the spine may be part of your mother's treatment plan if she develops pain in the spine because radiation therapy is extremely effective in killing breast cancer cells in bone.
@@yerbba thank you for ur response, the biopsy showed she has Er+,Pr+, Her2-, no clue what it means weather if it’s the lesser of the evil breast cancer or worst breast cancer, we’re starting on hormone therapy now with letrozole and ibrance, we’re just gonna have to wait and see
Dear Doctor, Thank you for this very helpful video. I was diagnosed with grade 2 evasive ductal carcinoma in 2016. Last week my CT scan show cancer cell came back in my liver, bone and lung. I am broken devastated! I will start hormones drug next week. Anything I need to be aware please doctor?
Thank you for writing and for sharing your story. We can only imagine what you must be feeling. Hormonal (also called endocrine) therapy is a great option for many people. You may also want to ask your medical team if medication to strengthen your bones would be a good idea in your case. As hard as it is to believe, you will get through this. Please take the absolute best care of yourself, reaching out for support and making sure you keep good communication with your medical team.
It's possibale to surgery 4 stage breast cancer ?? My mom's target therapy is still 14 ...Is it possible to cure the whole mother now? I am coming from India
I have a friend who has breast cancer. She had a double mastectomy then they performed two scans. Showing a 2cm mass in her liver and smaller one in the lungs. They told her even before the scans because they didn’t get clear margins from her surgery she will have chemo, radiation and hormone therapy. Is it possible that she can be cured at this point?
Thanks for writing. Your friend is fortunate to have you. Without knowing more, it is not possible to know if the goal of treatment is cure. The general guidance is to attempt to biopsy anything that is being labeled as "metastatic disease." There may be other results that indicate this is not metastatic disease. The treatment plan sounds like one that we use when the goal of treatment is cure, so I would be optimistic for that endpoint.
Mam please help me...my mom had surgery 12 days back Er+ Pr- Her2- Mastectomy done ,,,now dr suggested for chemo...she is diabetic patient,,she can't control chemo effects can you suggest me other treatments rather than chemo...
This sounds really hard for both you and your mother. It can indeed be harder to manage chemotherapy and its side effects in someone with severe diabetes. It can be done, however, with close monitoring. We would recommend that you and your mother stay in close contact with your medical team. It is also possible that a pharmacist could be extremely helpful in this situation if you can ask to speak with a pharmacist. Wishing you and your mother the best...she is fortunate to have you.
Thanks for writing, and we're sorry to hear about your mother's suffering. She is fortunate to have you. Breast cancer in the spine causing a lot of pain is treated usually first with radiation therapy along with treatment that goes through the whole body (such as chemotherapy or endocrine therapy). Surgery is sometimes needed if someone has already had radiation therapy or if someone has problems with control of their bowel or bladder (a serious complication that happens on occasion).
Thank you so much, diagnosed a few weeks ago and this has helped me to understand everything a bit better.
You are very welcome. Thank you for watching.
Thanks so much for these fact based videos . Please share info about use of medical acupuncture for treatment of radiating bone and muscle pain from hormone therapy treatment ie letrozole and Cdk4/6 inhibitor - fatigue, pain
I have benefited from treatment at Olivia Newton John wellness centre in Australia
Thanks for watching and for your question. Acupuncture is, as you know, an ancient healing art. There have been many studies of acupuncture with mixed results. It is extremely challenging to do placebo-controlled trials with acupuncture. This is because even "pretend" acupuncture, people benefit from this treatment. So there's no real "control group." While some people are skeptical about the benefits of acupuncture, there are enough people who find it helpful that it is hard to dispute its effectiveness. The only downside is the cost, which is not covered for everyone. The other downside would be a situation in which someone declines therapy that has been shown to help and to choose another therapy to treat their cancer. As a supportive measure such as in your case, it's hard to see the down side.
Great videos. i want to know the prognosis For advanced met cancer to the bones. And please do more videos on stage 4 breast cancer. I love your style and how calmly you speak and explain things. Ive learned SO much from you!
Thank you for your feedback and comment, look forward for more videos regarding stage 4 breast cancer. We are rooting for you.
You can have a good life when i go to mount sinie i meet a lady 20 years
Thankyou so much! Tons of info I needed to hear 4 yrs in stage 4 Mets I’ll be asking my doc many more questions next visit! ❤️
Glad you enjoyed watching.
@yerbba - My mom (63) has stage 4 with 'mild pleural effusion' in 1 lung & most lymph nodes involved. She's on hormone therapy with Letrozole and Ribocolib since 2.5 months.
Coulpe of questions:
Does this mean it's Oligometastitic breast cancer?
Can this be cured by removal of tumor?
Is there any hope of being cancer-free?
We're approaching the next scan in 2 weeks, would love to connect with you then 🙏 Please get back with your expert opinion.
Your content is a blessing for all of us who're suffering 🙏
God bless you.
@yerbba - Could you pls get back?
Thank you for sharing your mom’s situation. Oligometastatic breast cancer generally refers to a limited number of metastatic sites. Most of the time, the term refers to 5 lesions (spots) although some studies have included up to 8 spots. Treatment plans can vary. Surgery is usually not the first option in metastatic cases. Rather, the main goal is to usually to control the cancer with systemic treatments. Moreover, removing visible areas of disease does not improve outcomes, such as quality of life or survival. There are some cases where surgery might be done to help with symptoms. While being cancer-free can be challenging in stage IV (4), the goal is often long-term management and improved quality of life. You may also find our video on oligometastatic breast cancer to be helpful: ruclips.net/video/uiEfz5xJO9w/видео.html.
Her tone of voice and common knowledge explanation so it can be clearly understood and that early symptoms check and blood screening is the first thing you must do. Your instinct is the biggest supporter of suspicious and feeling. Go have it check!
We're so glad you found the explanation clear and easy to understand! At Yerbba, we believe it's crucial to listen to your body and trust your instincts. Thank you for being part of our community.
Presentation was very clear. I found it really helpful. Thank you !
Glad it was helpful!
I'm just starting down this road and am watching hundreds of RUclips vids to educate myself. I meet with surgeon and oncoligist nect week so will fins out the treatment plas. I want to thank you fir showing your emotions, your tears, your fears. Most other YT'ers put on a happy face. While I've gottrn a lot of good info, those happy faces didn't sit well. I'm also a sensitive, emotional person so was glad to see your channel. Thank You!!
Thank you so much for watching and your positive feedback. We are wishing you all the best.
I am HER2+. I don’t think they tested the tumor profile, it was recommended to have double mastectomy, ovaries taken out and started on the highest dose of oral chemo and hormone blockers. Currently taking 100 mg and an Anestrozol and never feel really great. I have been in remission for almost a year and keep asking if I can just take the hormone therapy. Why do I have to keep taking the chemo? Can I take a lower does? Is there integrative therapies we could do?
It's hard to make medical recommendations without knowing the specifics of your cancer. However, if you are not feeling well, your doctors can make changes in your regimen to help you feel better. Your quality of life is important
My mother has 4th stage breast cancer,It has spread to lung,No spread to bone,ER and PR positive,What treatment is required for this? Will it be fine? Please reply
Thanks for writing. In general, we recommend starting with endocrine (hormonal) treatment in someone like your mother. Hormonal treatment can be highly effective for many months or even years in some people. How long someone stays on treatment depends on how well it works and, even more important, how they feel. If the first hormonal therapy does not work, another one has a chance of working. Regardless of this, I imagine this is very hard for you and for her. She is fortunate to have you.
Many thanks, wonderful information.
Glad it was helpful!
Dr called me she found something in liver from CT it might be metastasis breast cancer to liver! I’m so scared…
I’m so sorry to hear. How is it now? Hope you’re going well.
Thank you for writing. I hope that you're doing okay and are happy with your medical team.
My mother was diagnosed with neo metastatic breast cancer and was given 6 rounds of chemotherapy, now she's feeling a new lump on the same breast, she's about to get screened soon, what are the options now?
The first step is to obtain a piece of tissue through a biopsy before anything else. Lumps can be from many things. She's fortunate to have you helping her through an anxious time.
Hi, my mother was diagnosed with Stage 4 MBC last month. She has metastasis to 3 bones (starnum, C7 vertebrae and iliac bone) along with axilliary lymph node with all other organs appearing normal in PET Scan. Her tumour is Er, Pr + and HER2-. She has started her treatment with Ribociclib + Letrozole and a monthly Denosumab 120 injection. She is 54, doesn’t have any pain in her bones and the tumour was Grade 2 invasive lobular carcinoma with in left breast.
I am trying to understand if there is any hope for the cancer to go in remission for years and in those cases can surgery be an option to completely remove the tumour if it shrinks? Also, How long does she need to take the injection or can it be stopped after some months if there is no sign of cancer in the bones. We didn’t do the bone biopsy as multiple bones were involved and Dr said not required, but should we ask the dr. to do this nevertheless? Lastly, does she need to cut off sugar completely? She is not diabetic.
We're sorry to hear about your mom’s diagnosis, but it’s positive that her treatment has started and that she’s not experiencing pain. There is definitely hope for remission, especially with hormone therapy and targeted treatments like Ribociclib. In some cases, surgery can be an option if the tumor shrinks, but this will depend on how well her cancer responds. The injections, like Denosumab, are usually long-term treatments to manage bone health, but it’s important to follow your doctor’s guidance on when or if they can be stopped.
If you're in the U.S., we encourage her to visit Yerbba.com for personalized treatment options and to learn more about her diagnosis. Each Yerbba Report provides a comprehensive view of all possible treatments, including those that may not have been mentioned by your doctor, and explains why each treatment option was personalized to your health needs.
This is so helpful. Many thanks.! Please continue with these wonderful
Thank you so much!
Thanks for your video, excellent explanation. I’ ve just had a recurrence after 15 years (liver), ER, awaiting Her2 status. I am at peace and hopeful.
Thanks for watching and for the feedback. I know that a late recurrence like this can be hard, but I agree that there is reason to be hopeful.
Angela, I’m watching this video doing research for a friend who just found out her cancer has spread to her liver. How long has it been for you? Did your doctor tell you it’s treatable after spreading?
@@tiffanym_1155 Hi Tiffany, sorry your friend has to go through this but there´s hope with the new treatments and with good friends like you. My first line of treatment failed (to be precise I had a mixed response, there was some stability in some lesions, some reductions but new ones appeared in my liver). As the liver is the second more important organ in the body, it has to be checked closely, I´m in a trial with Enhertu (I´m Her2 low), I have received 6 infusions and the treatment is working. I still remember what my first oncologist told me in 2006, breast cancer is a traitor, it has to be monitored all the time BUT even if it returns it can be treated (mine returned after 16 years). Since 2015 there are a lot of of new treatments. I wish your friend good luck. Big hug from Madrid.
Her2 have very good treatment i meet people at my hospital her2 25 years still going strong
my wife has stage 4 breast cancer, liver and bone metastases. we live in Canada. I noticed that the doctor prescribes chemotherapy for many, and for some reason we were prescribed medications - Zolodex - Ribocidin - Ietrozol .. I don’t know anyone else who is treated with pills .. and because of this I am very worried. I would like to do chemotherapy, reduce the tumor, cut it out, and so that the metastases also decrease. why is that ? and a question. you know someone who is in remission from stage 4 cancer. ?
Thanks for writing. This sounds so hard. Your wife is fortunate to have you on her side. As hard as it is to believe, the treatment course you describe is the most active treatment combination we have and is the best treatment for people with metastatic breast cancer that is hormone receptor-positive. People can be on treatment such as this for a very long time before having to change to chemotherapy. Surgery may be a reasonable consideration down the road, but the most important thing now is to treat the cells that are throughout the whole body. I hope this is helpful.
Madam my mother suffering my recurrence fourth stage breast cancer spread to local parts and another breast er pr negative and her2neu 3+ madam pls give better options madam
Thanks for writing. Your mother is fortunate to have you. In the case of someone with HER2-positive cancer that is also hormone receptor-negative, the main course of treatment will be therapy directed at HER2. There are currently 16 different options for anti-cancer therapy. We agree that more needs to be done. Remember that the goal of treatment is to help people feel good for as long as possible. If someone is getting treated and feels poorly, a change in treatment is an option. It's important to let the medical team know of any symptoms related to the treatment or the cancer itself. Wishing you and your mother the best.
This was great. Thanks!!! I was diagnosed with MBC three years ago today. This was comprehensive
Can you make a video about Ibrance? (That’s what I’m on) please? Thanks!
Thanks for watching, and I'm happy you like the videos. Yes, we can definitely make a video about palbociclib (Ibrance) and other medications in the same group. Thanks for the suggestion.
Hello Diana, how are you doing today? My sister was just diagnosed stage iv this last month. :(
@@yerbba Hi, my mother is also diagnosed with stage 4 MBC. She is also on palbociclib. Did you make a video on the med too?
Hi wass ur present condition..kindly respond
Very informative video for me. Being treated for stage 4 inflammatory breast cancer. Thank you!
Thanks for watching.
i hope all is well at your end
@@sss-ir5hp hello. I will be on targeted treatment every three weeks as long as it works in keeping my cancer stable. Dealing with brain mets every three months :)
@@rashafaraj8825 i wish you all the best, prayers and good wishes your way, i just lost my mother to breast cancers mestastis a couple days ago, i hope god gives you a long healthy life and youre able to cope up with this illness
Positive things and hope for the best to hear from your coming out of it. ❤
thank you very much your medical good tips.Amen.
Thank you for watching. We appreciate you!
Excellent video.
Greatly appreciated!
Glad it was helpful
Mam my mom left brest invasive ductal carcinoma situ Er + pr +her2 negative hormone +... C4 vetebra Metastatic. 4 cycle cemo complete petct report 1 lymph nodes, small tumor .... treatment Surgery/ please mam anwser me
It sounds like your mom is undergoing a comprehensive treatment plan, which is a good sign that her medical team is being thorough. Although surgery is usually not done for people with metastatic disease, surgery may be considered after completing chemotherapy if the doctors believe it will benefit her overall outcome.
@@yerbba Mam thanks to reply , I am Indian ....
Mam Dr. Ke pass consult hua hai my mom ko surgery hota hai. TAb ecg ka report abnormalities dekhate hai , anesthesia mam surgery pas kor diya. plan -Lt MRM tinplant reconstruction ( pac fit) mam surgery ho gayi hai mam ko ... Surgery ka name hai (left modified radical mastectomy + level 1-2-3 axillary lymph nodes disease + pacooo technically) .mam surgery successful hota hai to . Mam meri mom ko 15-20 years Qure ho jaiga to . Mam please answer me
I’m going through tests had mastectomy, I’m older have arthritis in lower back. Spent a long time in bone scan I’m scared but my back is a mess for 30 years
A new diagnosis can certainly be a scary time. Chronic back pain is unlikely to be related to cancer, but having your back looked at with the scan is a reasonable next step. Wishing you the best.
I am trying to reach out to older persons to share experiences mastectomy possible on the cards for me also have hip arthritis if you don’t mind?
Hi I had Stage II breast cancer surgery in mid 2020 followed with chemotherapy and radiation. 2 months after radiation Im diagnosed with Stage 4 cancer. Why is it from stage 2 to 4 just 2 months after treatment?
I m so sorry to hear. I hope you start treatment!
That must have been a shock. When you were first diagnosed, there was no evidence that the cancer had spread to other parts of your body. At some point, areas of cancer in other parts of the body that were originally too tiny to be seen became visible. While this is not common, it does happen. Remember that the cancer had already spread to other parts of the body when you were originally informed you had Stage II disease. I hope you are doing okay.
Hey how r u ryt now? Bcoz my mother also diagnosed with the stage 4 cancer
@@luckygoswami994
Hi my primary Dr changed my oncologist. He changed my treatment regime and now I'm disease free
@@kymlee2203 wow..so good to hear that.. Hoping my mother will also be like that some day❤️😥
Please suggest for advanced treatment of TNBC 😭😭🙏🙏🙏 IN Foreign I want to treat my wife's negetive cancer
There are quite a few medications for people with advanced triple-negative cancer. Many of these are chosen based on the results of tumor markers other than ER, PR, and HER2.
@@yerbba what are you talking about their are no treatment that really works for triple negitive cancer only chomo can give her some time and mushrooms
Thank you. This is a great help.
You're welcome!
Er PR possitive her2 neu negative...locally advanced Brest cancer.. 4 cycle chemo...mrm surgery done...again start 4 cycle chemo( paclitaxel)...mam when I started harmonal therapy for better outcome
Hormonal therapy is generally started after chemotherapy is over. For people having radiation therapy, hormonal therapy can start along with radiation therapy. Some people prefer to wait until after radiation therapy.
Dr. Griggs, please talk about supplementation during hormone-therapy. It is so confuse. If the supplement do not interfere with the treatment, so, why to cut all of them? How can we get nutrients like, digestive enzymes, Omega 3, Vitamin D3, Vitamin C, all of them to help our immune system be strong. It is a dream to get them only with foods, and some of them our body does not produce itself? Impossible, isn't, it? Por favor fale sobre a proibiçao dos suplementos durante a hormono terapia.
We don't generally recommend supplements except for Vitamin D. People who come from extreme economic deprivation may indeed not get enough vitamins from their food. The trouble with supplements is that they are usually not tested, not manufactured according to standard practices, and are highly processed compared to naturally occurring foods. They are also really expensive! You may find our video on Vitamin D helpful: ruclips.net/video/5FOQxyrksiI/видео.html.
I cannot thank you enough for your assistance..I have Stage 4 Metastatic that has raised its ugly head in my lungs.. I was so shocked I had no idea what to ask Oncologist..I have started on Immunotherapy injections but had no idea of the knowledge you have given.. Thank you from the bottom of my heart ❤❤
Thank you so very much for your kind words. We're truly glad to hear that the information was helpful to you.
Thank you!💐💗
My mother had breast cancer in 2016. In 2022 it reoccur again but we came to know last month it has spread to bones, lung and liver and doctor started palliative chemotherapy one is done is there any suggestions from you mam
Your mother is fortunate to have you. Emotional support for both your mother and your family is crucial during this challenging time. Palliative chemotherapy can be very effective. If available, a palliative care consultation will help her existing medical team manage symptoms and feelings that come up when someone develops metastatic disease. Thank you for watching, and let us know if you have suggestions for other videos.
Thank you Doctor.
Thank you for watching.
I have stage 4 metastatic breast cancer to the bone. I developed an infection in my breast (cancer side) - I had an odd drainage discovered a small hole - woke up days later in terrible pain, purple breast, much larger in size, orange like texture & bloody discharge. Called Dr & was told to go straight to ER - I ended up in the hospital for 4 days on IV antibiotics round the clock a number of blood tests later they couldn't find a diagnosis other than cellulitis. This has been going on since January I have since had xray, Ultrasound and a punch biopsy which they say showed no cancer they put a stitch in - I was hoping the stitch would also help the hole heal. No such luck I now have a pencil size eraser hole and a slight discharge (cannot go without wrapped) & it bleeds. Just seems like after all the iv antibiotics and 4 weeks on an oral antibiotic that it would show some improvement (at least the color is back to normal & the pain is so much better). I know & understands you can't give exact medical advice but do you feel like I'm on the right path & doing all I can?
Thank you for your time Dr. Jennifer Griggs.
Sincerely,
Juanita G
From what you've described in terms of the improvement, it does sound like you are on the right path. How frustrating. Please note that I can't give direct medical advice on Yerbba, but this may be a chronic issue for you. Wishing you all the best, and thank you for watching.
We are on the same page. I am on hormonal therapy and undergoing monthly bone therapy with zoledronic acid. God is good He hears prayers. God bless you with healing & provisions in Jesus name! Amen.
I am diagnosed of breast cancer with early bone metassis i am taking hormonal theraphy every month i have a blood test CA15-3 evry month my result is changes sometimes 22.28 then 28.68 and this month 22.68 please explaine it make it video thank you so much hope you noticed me..
Thanks for sharing your story. These changes in your tumor marker are generally not the changes we consider meaningful. In general, we need to see a continuous rise in the tumor marker level month after month before we would pursue additional tests. Having the tumor marker done every 3 months might be something to bring up to your medical team if they would be willing to decrease how often it's done.
Her 2 neu-1+(negative ) this reports means pls replay doctor 🙏🙏my mother test report, age 72
Great question. This report means that the HER2 is negative. The treatment implication is that anti-HER2 therapy (such as with trastuzumab, Herceptin) will not be part of the treatment plan.
Stage 4 breast cancer mets to spine. Her 2+ here. Total hysterectomy
Done with AC plus zoludronic acid ( 4 session)
Now started targetred cheno( herceptin).with docetaxel.
Just want to know more about her2+
HER2 is expressed in all normal cells. In breast and other cancers, it can be overexpressed. We have many treatment options for people living with HER2-positive breast cancer, and there are new treatments being developed, tested, and published all the time.
Hi can you explaine about the tumor marker the abnormal level and normal level.. about what happen when the tumor marker result is higher level than normal level thanks and advance..
Great question. In about half of people with metastatic (advanced) cancer, we see an elevated tumor marker. This can help us monitor the status of the cancer if we see the marker come down with treatment. If the tumor marker goes down and then goes up again, we will usually use that as a prompt to get scans of the body to see if the scans show growth of the cancer. Tumor markers are not helpful if someone has early stage (stages I, II, or III) breast cancer or DCIS (non-invasive breast cancer).
My mother has Breast cancer with lung metastasis. Er/pr+ with her2 +. She is on chemotherapy. What should be the recommend line of treatment.
Thanks for the question. There are many treatment options for metastatic breast cancer--almost too many to list. Make sure that she has a good relationship with her medical team and feels comfortable asking about what all of the options are.
What does respond mean?
Does this mean the patient can cope with the side effects?
Great question. Thank you for asking it. "Respond" means that the cancer either stops growing or shrinks.
A side effect I had with Xgeva and Zometa was low calcium. I now have to take Calcitriol daily.
Thanks for sharing your experience.
It was really wonderful information
We're glad you found this video helpful!
@yerbba... Kindly let us know is there any proper treatment for tnbc in Chennai (india). Let me know is there any possibilities to get treatment outside india.
Thanks for writing. I'm not sure how to help navigate you to another place for treatment. Chemotherapy, which is recommended for most people with TNBC, is available in India. I would image that traveling to a major city would be necessary for many people.
Thank you so much Dr Jennifer for sharing .i was diagnosed stage 4 bones lungs metastases and just starting chemotherapy..❤❤❤
Thanks for writing. We are wishing you the best.
My mother has same condition...Is er..pr positive and her 2 negative in your case.....kindly respond
I wish these info videos came without music.. it's just too distracting
Thank you for watching and your feedback. Based on the same feedback from others, we have removed the music from our newer videos.
I can't hear any music lol
My mother is diagnosed with Breast cancer Her-2 Positive with metastatic to bone and lung. So can stem cell transplant with chemo save my moms life?
Your mother is fortunate to have you helping her
find out information. Stem cell transplants are not
effective in the treatment of breast cancer as
much as we had hoped they would be.
Hows your mother now...bcoz my mother is also diagnosed with the same
Thank you ❤
Thank you for supporting our channel!
How are you mam
We are doing well, thank you!
so informative and this video helped a lot; it ease some doubts
Thank you for your feedback and comment. We are happy that our video was helpful.
Thank you … very helpful and easy to understand!
Glad it was helpful!
Please how can you help me my mum needs help
Your mother is happy to have you as her advocate. I hope that she has found a physician to help her with her care.
My mom diagnosed with metastatic left breast cancer to bones..and she has a lot of pain...oral medication are given but pain is not going to less..what should be do to her
Your mom is lucky to have you advocating for her. There are a lot of options for treating bone pain from cancer. If she has breast cancer, being on a treatment specifically for bones, such as an intravenous bisphosphonate, is important. Two bisphosphonates are pamidronate and zolendronate. Sometimes bone pain can "flare" when starting on a new anticancer treatment. This should improve soon if this is her situation. Other things that help include non-steroidal antiinflammatory drugs (NSAIDS), but I would encourage her to talk with her medical team and let them know that she trusts them to help her find pain medicine that will help her deal with the pain. I can't make specific recommendations as you know. Wishing you and her all the best.
How is homon therapy doesn’t work
If you are asking about ER-negative tumors, hormonal (endocrine) therapy doesn't work because there is no receptor on the tumor cells to "receive" the estrogen. Hormonal therapy works by either lowering estrogen levels (AIs) or blocking the estrogen receptor on the cells. If there is no receptor, neither approach is beneficial.
@@yerbba thank you so much for the excellent explanation 🙏🙏🙏
Excellent vedio
Thank you for watching. We appreciate your support!
This is so helpful!
I'm so glad!
My mother has been diagnosed with Her2-, bone mets she has been given Radiation therapy to ease the pain and Ribocicilib and letrozole along with that. How long is she gonna be on these meds?
Thanks for writing. Your mother is on the right form of treatment from what you've written. In general, as long as the treatment is working and she's tolerating treatment well, we would continue this treatment. It is possible that she will need a break from the Ribociclib at some point due to fatigue or low white blood cell counts, and the other medication may well control the disease on its own in the case.
@@yerbba Thank you so much for the response! She's really hopeful and happy after reading your comment :) Om Shanti!
@@awakening941 how is she now?
@@Happyfa379 She's doing really good. She's energetic. We do Brahma kumaris meditation and it's helping her along with the meds.
@@awakening941 how is she? Is she taking a break from meds? If yes is that alright?
❤excellent presentation 🙏🏾❤️thank you so much.
Thanks for watching! We appreciate your support.
Thank you so much ! My mom recently diagnosed with stage 4 and I have been in severe depression over this . Hormone therapy started and hoping it works and we have her around for many more years God willing . But great explanation !
We are so glad the video could provide you with some helpful information. Sending best wishes to you and your mother.
Thank u so much for this video, my mother has been diagnosed for stage 4 breast cancer ( bone mestasis in spine) her liver lungs kidneys pancreases and all other organs are fine and no sign of cancer, my question is since the cancer hasn’t spread to anywhere else besides the spine shouldn’t the surgeon remove her breast and then treat the cancer that’s in her spine before it starts to spread again? Thank u
Your mother is fortunate to have you advocating for her. And such a good question. The impulse to remove the cancer is a strong one. Because the cancer has spread, however, treating the whole body is the most effective approach. It's more than likely that the breast tumor will shrink quite quickly and that the disease will response in the spine as well. Decisions about breast surgery could be made in the future. We do not do surgery on spine metastases except in rare cases because it is not possible to remove all the disease. Radiation therapy to the spine may be part of your mother's treatment plan if she develops pain in the spine because radiation therapy is extremely effective in killing breast cancer cells in bone.
@@yerbba thank you for ur response, the biopsy showed she has Er+,Pr+, Her2-, no clue what it means weather if it’s the lesser of the evil breast cancer or worst breast cancer, we’re starting on hormone therapy now with letrozole and ibrance, we’re just gonna have to wait and see
@@joro9960 hi did you mon had back pain? Thank you
@@joro9960 how is she?? Pls replay
@@Happyfa379 she’s fine, she’s currently on Letrozole and Ibrance, the treatment has actually reduced her tumors that were in her spine significantly.
Dear Doctor, Thank you for this very helpful video. I was diagnosed with grade 2 evasive ductal carcinoma in 2016. Last week my CT scan show cancer cell came back in my liver, bone and lung. I am broken devastated! I will start hormones drug next week. Anything I need to be aware please doctor?
Thank you for writing and for sharing your story. We can only imagine what you must be feeling. Hormonal (also called endocrine) therapy is a great option for many people. You may also want to ask your medical team if medication to strengthen your bones would be a good idea in your case. As hard as it is to believe, you will get through this. Please take the absolute best care of yourself, reaching out for support and making sure you keep good communication with your medical team.
It's possibale to surgery 4 stage breast cancer ??
My mom's target therapy is still 14 ...Is it possible to cure the whole mother now?
I am coming from India
Some patients with Stage IV cancer may be offered surgery if the cancer is under control in the rest of the body.
@@yerbba Is there better chemo therapy than Tdm 1 UJVIRA ??? her 2 positive er, pr negative stage 4
@@swarupgoswami6245 hey how is your mother now? Bcoz my mother also have the same ..plz reply how is ur mother nd what could we do for save them
@@luckygoswami994 call me
@@swarupgoswami6245 no.?
I have a friend who has breast cancer. She had a double mastectomy then they performed two scans. Showing a 2cm mass in her liver and smaller one in the lungs. They told her even before the scans because they didn’t get clear margins from her surgery she will have chemo, radiation and hormone therapy. Is it possible that she can be cured at this point?
Thanks for writing. Your friend is fortunate to have you. Without knowing more, it is not possible to know if the goal of treatment is cure. The general guidance is to attempt to biopsy anything that is being labeled as "metastatic disease." There may be other results that indicate this is not metastatic disease. The treatment plan sounds like one that we use when the goal of treatment is cure, so I would be optimistic for that endpoint.
My cancer come back
We hope that you are doing okay during this difficult time.
How are you doing now? Improving?
Mam please help me...my mom had surgery 12 days back
Er+
Pr-
Her2-
Mastectomy done ,,,now dr suggested for chemo...she is diabetic patient,,she can't control chemo effects can you suggest me other treatments rather than chemo...
Dr was telling it's stage 3 one lymp node involvement and it's not spreaded to other parts
This sounds really hard for both you and your mother. It can indeed be harder to manage chemotherapy and its side effects in someone with severe diabetes. It can be done, however, with close monitoring. We would recommend that you and your mother stay in close contact with your medical team. It is also possible that a pharmacist could be extremely helpful in this situation if you can ask to speak with a pharmacist. Wishing you and your mother the best...she is fortunate to have you.
Don't worry chemo with diabetes is possible.adjust the dose of insulin with chemo.
Plz tell me of breast cancer hss spread to spinal cord because my mom is suffering to it🥺😭😭
Thanks for writing, and we're sorry to hear about your mother's suffering. She is fortunate to have you. Breast cancer in the spine causing a lot of pain is treated usually first with radiation therapy along with treatment that goes through the whole body (such as chemotherapy or endocrine therapy). Surgery is sometimes needed if someone has already had radiation therapy or if someone has problems with control of their bowel or bladder (a serious complication that happens on occasion).
@@Eleven_edits how is she
@@Eleven_edits Can you please tell the name and place of that Ayurvedic doctor.
Hi i am from india...kindly guide me .