We’ve had a lot of people ask about the specifics of Michelle’s diagnosis and treatment, and we totally get it. Some of you are medically-minded, some just caring and curious, and some are following along because someone in your life is going through something similar.
So, here’s the breakdown, in plain English. No med school required.
Michelle has invasive ductal carcinoma, which basically means the cancer started in the milk ducts and decided to wander where it doesn’t belong. It’s Stage 1B, which is early — not nothing, but definitely on the more treatable end of the spectrum.
The tumors (yes, plural) are on the same side — one is 2.3 cm, and the other is 0.4 cm. No lymph node involvement has been seen so far, which is great news.
Now for the acronym salad: the cancer is ER+, PR+, and HER2+.
That means it tests positive for estrogen receptors (ER), progesterone receptors (PR), and HER2, a protein that can make cancer cells grow faster. This combo is called triple positive. It’s aggressive, but it also responds well to targeted treatments — so in the weird world of cancer, it’s kind of the overachiever you actually want.
Michelle is doing neoadjuvant chemotherapy — which means chemo before surgery. The goal is to shrink the tumors and kill any microscopic cancer cells that might be lurking around. Her protocol is called TCHP, which stands for:
- T: Taxotere (docetaxel)
- C: Carboplatin
- H: Herceptin (trastuzumab)
- P: Perjeta (pertuzumab)
She’ll get six treatments; each spaced three weeks apart. As of now, she’s finished Round 2 — so we’re one-third through chemo and keeping our eyes on the prize. After chemo, she’ll have surgery (the extend still to be determined), and then continue targeted HER2 therapy for up to a year.
Also worth noting: Michelle tested negative for all the major genetic mutations like BRCA1/2. So, this wasn’t inherited. It’s just a case of cancer doing what cancer does, which is show up uninvited.
We’ll keep sharing updates as treatment continues, and if you ever want more info — just ask. We’re learning a lot and happy to share what we’re finding along the way. Just don’t be surprised if I come back at you with a joke about receptor pathways or something.
Thanks for walking this with us — science, spirit, and all.
With love,
Stephen (& Michelle)
Tumor Humor:
Shoutout to the medical team for explaining everything in Latin and assuming we’re all chill about that.
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