CharlottePXP

breast cancer survivor – activist – keynote speaker – patient advocate

Pathology From 1A to 2A

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October 7 2022

Update after my pathology report. For anyone following me for that information, I had a positive lymph node. This moved me to Stage 2A and decreases my prognosis by about 10 percent. Luckily, with Chemo and endocrine therapy, I can push it back into the 90s. The other issue being debated is my Her 2 status. St Lukeโ€™s and LVHN who looked at the original biopsy tissue defined me as Her2 +, while Penn Medicine defined me as Her2 -. The final surgical pathology on the entire mass and lymph node at Penn Medicine agreed I was indeed Her2-. I decided to receive my chemo at LVHN and the pathologist reevaluated all the various studies and believes I am heterozygous. This means a bit of both. It also means I may receive additional chemo and Herceptin after the AC (red devil) treatments. Both Herceptin and AC can damage your heart so they donโ€™t like to over treat. My oncologist and I are seeking a third opinion and perhaps a fourth if we still have questions. Right now we are planning for the Herceptin because the chances for heart damage are low and if it is Her2+ that means the chances of it coming back are high without Herceptin. I have been sending my oncologist question lists and studies to discuss. Also fun coincidence he is actually my Plastic Surgeon, Dr Kanchwallaโ€™s friend and neighbor.

Speaking of Dr. Kanchwalla, he found my youtube and called to thank me for sharing my honest account of his procedure. He nominated me to be in a survivor runway show for a fundraiser at Penn Medicine called BRA day. It will be on my birthday Oct 19th. Now I just need to find a wig and hope Iโ€™m feeling better by then.

I had a busy week with the port install Monday. On Tuesday echo cardiogram, my nurse teaching appointment and Wednesday was my first Red Devil infusion. Today, I get an injection to help my immune system. Tomorrow, I plan to shave my hair into a fun cool style (It should be gone in about two weeks). So far nausea has been my biggest issue. If I am not responding as often to texts or reaching out, know I still love you but I am trying my best to rest. Iโ€™m thankful and appreciate all the love and care I receive.

I didnโ€™t get a picture of the chemo but below is what a port looks like if you ever spot one in the wild. Who knew welcoming something called the red devil into my veins could be a life saving thing?