Is Oncotype usually done on grade 3 tumors?

BioAdoptMom
BioAdoptMom Member Posts: 358
in Breast Cancer #1
I have all the other characteristics of someone with IDC who gets an Oncotype done, hormone receptor+, HER2-, stage 1, no nodes (margins weren't clean the first time but were the second). I am 52 and pre-menopausal. I had a lumpectomy and re-excision and will have radiation after chemo, IF chemo is recommended. I also am counting on the liklihood of Tamoxifen. I am just wondering though if because of my grade 3 they won't even want to do the oncotype? Of course a lot for me will also depend upon whether or not the test is covered by my insurance.

Thanks for any thoughts of advice you have!

Nancy

Comments

  • carkris
    carkris Member Posts: 4,553 Member
    #2
    I dont know this but hope
    I dont know this but hope someone answers soon
  • csr771
    csr771 Member Posts: 117
    #3
    Stage of Cancer not Grade
    From what I have read, you are a candidate for the Onctotype DX based on the fact that your IDC in stage 1 or 2, the cancer is hormone receptive and there is no node involvement. You may wish to google Onocotype DX. There is a lot of information availble on the internet.
  • Rague
    Rague Member Posts: 3,653 Member
    #4
    csr771 said:

    Stage of Cancer not Grade
    From what I have read, you are a candidate for the Onctotype DX based on the fact that your IDC in stage 1 or 2, the cancer is hormone receptive and there is no node involvement. You may wish to google Onocotype DX. There is a lot of information availble on the internet.

    Don't know
    Don't know - I'm IBC so big difference. My Dr. (my PA agreed) that there is no reason to do the test with IBC. My care is through VA and she is my VA Dr - so all non-VA care requests go through her (she has never refused anything) and if she wants something more than the other Drs want - I get it.
  • BioAdoptMom
    BioAdoptMom Member Posts: 358
    #5
    Thank you very much! I know
    Thank you very much! I know I fit the profile, but a lot I have read on the internet says that chemo is often recommended just because grade 3 tumors respond positively to it. I guess I will find out tomorrow when we see the medical onco for the first time.

    Nancy
  • BunnyJane
    BunnyJane Member Posts: 213
    #6
    BioAdoptMom said:

    Thank you very much! I know
    Thank you very much! I know I fit the profile, but a lot I have read on the internet says that chemo is often recommended just because grade 3 tumors respond positively to it. I guess I will find out tomorrow when we see the medical onco for the first time.

    Nancy

    Grade 3 tumors
    Hi Nancy:

    I was also ER+ Stage 1 and Grade 3 with no node involvement. I had the Oncotype test done on my tumor and scored in the moderate to high range (Recurrence Score 28), so my onc. and I decided that I could benefit from chemo. I had Cytoxan and Taxotere x 4 every 3 weeks and it was doable.

    Good luck with your treatment decision. Jane
  • Miss Murphy
    Miss Murphy Member Posts: 302
    #7
    Hi!
    Nancy, I was 57 when I was dx three years ago. I was also Stage 1, Grade 3 and ER+. I had the Onco test done and my score was an 11. I opted not to do the chemo as I felt that the risks of chemo out weighted the benefits. So far, so good after three years and I feel comfortable with the decision I made at the time. I think that's the most improtant thing - that you feel good about whatever decision you make. I also had a masectomy and am on tamofifen as I couldn't tolerate the AI drugs for post menopausal women.

    Good luck to you. Hugs, Sally
  • BioAdoptMom
    BioAdoptMom Member Posts: 358
    #8
    Thanks for your additional,
    Thanks for your additional, helpful replies. My question was answered today when my new onco told me he was sending off my pathology for an Oncotype. I was told that my treatment plan will also be Taxotere and Cytoxan should I need chemo.

    Nancy

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