Stage IV HER2-Positive Breast Cancer: Jennifer's Patient Story

This breast cancer diagnosis at a glance

Stage at diagnosis
Stage IV
Biomarkers
HER2-positive
Sex
Female
Spread to
brain
Treatment
surgery, chemotherapy, targeted therapy, radiation and clinical trial
Outcome
Living With Cancer

Treatment course, step by step

  1. Underwent double mastectomy with reconstruction in early 2018.
  2. After metastatic recurrence in 2020, received trastuzumab, docetaxel, and pertuzumab, with stable disease for 18 months.
  3. After brain metastases were diagnosed in 2021, joined the HER2CLIMB-04 trial and received tucatinib plus trastuzumab deruxtecan (T-DXd) for about 9 months.
  4. Later treatments included stereotactic radiosurgery, T-DM1 plus neratinib, and trastuzumab plus pertuzumab.
  5. She was receiving trastuzumab as her tenth line of treatment.

What happened, in summary

Jennifer Feinberg was 41 when a mammogram led to an initial diagnosis of ductal carcinoma in situ (DCIS) in 2018. She underwent a double mastectomy with reconstruction, and surgical pathology then identified HER2-positive cancer.

In 2020, persistent cough and shortness of breath signaled metastatic recurrence. Feinberg received trastuzumab, docetaxel, and pertuzumab, and her cancer remained stable for 18 months. In 2021, the disease spread to her brain. She joined the HER2CLIMB-04 clinical trial and received tucatinib with trastuzumab deruxtecan for about nine months. Later treatment included stereotactic radiosurgery, T-DM1 with neratinib, and trastuzumab with pertuzumab.

By September 2026, Feinberg was 49 and back on trastuzumab as her tenth line of treatment. More than eight years after her original diagnosis, she was living with metastatic HER2-positive breast cancer while raising teenagers, participating in a support group, and fundraising for breast-cancer research. Her children had been six and nine when she was first diagnosed, and by the latest update both were teenagers.

Where this story comes from

This is a lay summary of an account first published by Dana-Farber. Read the original in full

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