Timeline

A visual representation of the journey, showing key events and milestones from diagnosis through treatment.

Diagnosis
Treatment
Scan
Consultation
Milestone

Surgery Done. Pathological Complete Response.

Surgery on 30 May — therapeutic mammoplasty and axillary clearance after months of chemo. Histology confirms a pathological complete response (pCR): no residual invasive cancer in the breast, 0/31 lymph nodes positive. One small finding at an inner margin is being double-checked with extra lab stains; it is not counted as residual disease and sits with clear space from the edge.

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Chemo Finished. Surgery Next.

After months of treatment (EC then weekly Taxol) alongside Phesgo, imaging now shows very little enhancement where the cancer was, and previously abnormal lymph nodes look normal. With a good response and reassuring heart checks, the next step is surgery in May.

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Halfway Check-in: Surgery Planning Starts

A follow-up with the breast surgeon confirmed a mid-chemo response on ultrasound, discussed aiming for breast-conserving surgery if feasible, and made it clear that an axillary clearance will be needed because of the extent of node involvement at diagnosis.

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January Ultrasound: Small Further Response

A mid-treatment ultrasound showed the main breast lesion and the marked axillary lymph node were smaller again, with no other abnormal axillary nodes seen. The radiologist’s conclusion: a small further response to treatment.

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EC Complete: The First Phase Done

Four cycles of dose-dense EC are done. It’s a quiet but huge marker in the middle of treatment — the first phase completed, before moving on to weekly Taxol and continuing HER2 therapy.

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EC Chemotherapy: What It Involves

The first phase of chemo: dose-dense EC (epirubicin + cyclophosphamide) every two weeks. Here’s what a typical EC cycle involves, why it’s given first, and what it’s trying to achieve before moving on to weekly Taxol.

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The Roadmap: Ready to Begin

With cardiac clearance received, the complete treatment roadmap is finalized. Genetics testing initiated. Consent forms ready to sign. After weeks of preparation, assessment, and planning, treatment is ready to commence with a clear path to pCR.

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The Treatment Plan and the Cardiac Pause

PET/CT scan reveals no distant disease - cancer is localized (huge relief!). Meeting the oncologist at Royal Marsden, receiving the treatment plan with pCR as the goal. But an unexpected finding on the PET/CT leads to an urgent cardiac referral and a pause before treatment can begin.

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The Diagnostic Days: Tests, Scans, and Questions

First consultation with the surgeon on Friday afternoon, followed by whirlwind of diagnostic imaging - mammogram, ultrasound, core biopsies. MRI scan the following week completes the picture. From reassuring examination to mounting concerns.

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