Journey of Resilience

A 15-Year Journey of Triumph Over Metastatic triple-Negative Breast Cancer

A Courageous Battle Against Triple-Negative Breast Cancer and the Power of Perseverance

In March 2001, a 56-year-old homemaker discovered a nodule in her left breast. With a family history of prostate and uterine cancer, she underwent a biopsy in April 2001, which confirmed high-grade infiltrating ductal carcinoma. The tumor tested positive for estrogen receptor (ER) but negative for progesterone receptor (PR) and HER2 overexpression. She underwent a lumpectomy and lymph node dissection, which confirmed no lymphatic spread. However, she declined chemotherapy and radiation.

Two years later, in 2003, she noticed another mass in her left breast. A biopsy confirmed a recurrence, leading her to undergo bilateral mastectomies. This time, the cancer had evolved into a triple-negative subtype. Again, she declined additional treatment. Unfortunately, by September 2003, the disease had metastasized to her lungs, liver, bones, and lymph nodes.

Realizing the severity, she opted for chemotherapy, receiving multiple regimens alongside bone-protecting medication. Her treatment led to significant tumor shrinkage and normalization of cancer markers. By 2005, scans showed no evidence of disease. In mid-2005, minor skin recurrences were treated with an immune-stimulating cream, resolving by early 2006. Over the following years, her treatment was gradually reduced.

Now 73, she remains cancer-free for over 15 years, defying the odds of metastatic triple-negative breast cancer. Her journey highlights the importance of persistence, evolving treatments, and personalized care.

Diagnosis

High-grade invasive ductal carcinoma (2001), later recurrent triple-negative breast cancer (2003) with metastases

Biomarker profile: Triple-negative

Treatment

Initial surgery without adjuvant therapy; later chemotherapy, immune therapy, and bone-protecting agents led to remission

Outcome

No evidence of disease for over 15 years, living a healthy life at 73

Source: Chue, B. M. F., & La Course, B. D. (2019). Case report of long-term survival with metastatic triple-negative breast carcinoma: Treatment possibilities for metastatic disease. Medicine, 98(16), e15302.





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