Dr Bex Lewis
ER+ PR+ HER2 – PBC Aug 2017 (aged 42) Mastectomy, full lymph node removal, chemo, RT tamoxifen exemestane, zoladex, cold capped. No symptoms but lump – initially thought haemangioma on spine dxd 2018 monitored & shrunk in response to exemestane.
ER+ PR+ HER2 + (triple positive) Bone Mets January 2019 SBRT RT (Christie trial), then Docetaxel (x 3) Herceptin and Perjeta, cold capped, NEAD July 2019. Late-effects lymphedema (in remission). Denosumab & exemestane with zoladex; oophorectomy Dec 2019.
ER- PR- HER2 – (triple negative) new mass behind sternum/chest lymph nodes May 2020, identified via chest pain, hospitalised with jugular blood clots/major vein blockage, emergency radiotherapy. Weekly paclitaxel, not cold capping, 4-weekly denosumab, review scan December 2020 to determine effectiveness.