Stage II HER2-Positive Invasive Ductal Carcinoma: Lanie's Patient Story

This breast cancer diagnosis at a glance

Stage at diagnosis
Stage II
Subtype
Invasive Ductal Carcinoma
Biomarkers
HER2-positive; Li-Fraumeni syndrome / TP53 mutation; BRCA-negative
Sex
Female
Treatment
surgery, chemotherapy, targeted therapy, maintenance therapy and surveillance
Outcome
Care Ongoing

Treatment course, step by step

  1. At age 24, Stage II HER2-positive breast cancer was treated with double mastectomy and tissue expanders
  2. Later implant exchange was done
  3. Chemotherapy/targeted treatment included carboplatin and Herceptin, with another drug name unclear in the source wording
  4. Treatment stopped around July 2009
  5. Later cancers included melanoma, thyroid cancer, and sarcoma
  6. Ongoing maintenance chemotherapy for life was reported, but the drug name was not stated.

What happened, in summary

Lanie Jones had already survived adrenal carcinoma as a toddler when she found a breast lump in July 2008, shortly before starting nursing school. At first, she delayed the ultrasound because she was 24 and could not imagine having cancer again. When the lump seemed larger, her gynecologist ordered a mammogram. The radiologist was concerned immediately and performed a biopsy. Lanie was diagnosed with Stage II breast cancer about 2 weeks before her 25th birthday. Her breast cancer was HER2-positive, and she initially received standard breast cancer care: double mastectomy, tissue expanders, implant exchange, and a chemotherapy/targeted regimen that included carboplatin and Herceptin. Treatment stopped around July 2009. Soon after, a mole removed from her back turned out to be melanoma. At 26, surveillance imaging found thyroid cancer, and specialists eventually confirmed Li-Fraumeni syndrome after earlier testing had missed it. That changed her follow-up from repeated PET/CT scans to more MRI- and ultrasound-based surveillance because of radiation concerns. In 2015, tiny chest-wall sarcoma spots were found. As of January 2023, Lanie had been diagnosed with 5 cancers and was on lifelong maintenance chemotherapy. She described herself as thriving, while emphasizing that patients with multiple cancers may need specialized genetics expertise and whole-person oncology care.

Where this story comes from

This is a lay summary of an account first published by The Patient Story. Read the original in full

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