@Acinonyx2 Hello twin! I'm younger than you but other than that we share a lot of the same things don't we.
I read that our subtype of breast cancer is hugely over-represented in the number of patients diagnosed stage IV at first diagnosis of cancer. That despite only about 4% of breast cancers being our subtype. (I realise more than that are Her2+ but I mean HER2+ Hormone Negative).
Mine grew to enormous proportions between mammograms. I detected it myself and struggled to get an appointment. I was on a 2WW referral but was made to wait for weeks.
Breast cancer is so incredibly heterogenous and it's extremely frustrating how everything always focusses on oestrogen positive cancer.
Anyway, thank goodness we were stage 3 and not 4 so at least we were given the full treatment.
Sorry to hear you suffered so badly on Kadcyla. I suffered terribly on chemo too, and stopped it pretty early, so I do sympathise with the horrors of chemo and of having to make a decision like stopping it early bearing in mind it's possibly potentially a life / death decision. I was advised by a medical professional that the number of cycles prescribed isn't personalised but is still guesswork based on studies, but sort of arbitrary.
I haven't been given the all clear either or in fact been told anything. My oncologist said I'd had a pathological complete response to neoadjuvant chemo and MABs, but the Open Access nurse said I'd had a good partial response. I asked if I was therefore in remission, cancer free or what. They all just said "no". But I'm not on any treatment now because there is none available for our subtype ongoing, so what is my cancer status? I suppose it's "wait and see; keep your fingers crossed".
Where overseas would you like to spend some of each year? I used to think I'd like to live somewhere warm and sunny for 3-4 months each winter. Pity the Canaries are now so overwhelmed with tourists, that could have been a good location; easy with it being in the EU. I also really love the sea. But we are at least near a beautiful river.