Bad news Tuesday.
My WBC is lower than it was last week. The ANC level is .7. (.9 is the cutoff for chemo.) Overall WBC is 1.3.
So....
NO CHEMO: I will not get chemo this week again. Because this last cycle is just a carbo "boost", they may scrap it and just start radiation.
The further out I am from last treatment, the less efficacious the last cycle of carbo will be anyway. ...Meaning that I would be facing increased toxicity with lower expectation of results.
Extra Neupogen not recommended at this time....They think my body is just shot after 6.5 months of chemo.
--
NEW BIOPSY: I have another supraclavicular biopsy scheduled for Friday. They will use these results as a proxy for pCR (pathological complete response, meaning chemo killed all the cancer). Between 30-50% of TNBCrs have a pCR.
The results of that will help determine whether I will push for the last carbo or not.
--
RADIATION PLAN: I will meet with radiation oncologist tomorrow to plan with her either way. We will execute against plan next week if no carbo can be given. Will execute in two weeks if carbo can be administered.
I can expect about 7 weeks of radiation.
--
ORAL CHEMO: Xeloda starts one week after rads - with or without the last carbo. I will do eight 21-day cycles. Two weeks on, one week off x 8.
--
SURGEON VISIT: Saw my surgeon today. He says hi (kidding). He said I am physically normal. No new suspicious lumps or bumps. Small yayyyyyyy!!
