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Low oncotype DX score... chemo or no chemo??

Janet T.
Posts: 4
Joined: Mar 2011

This is my first post. I am hoping someone with similar results may be able to offer some advice.

I saw my oncologist today to find out the results of my oncotype DX test. I thought this would be the determining factor in whether or not chemo was needed. My score was an 11 which I was very happy about initially. Within a few minutes, however, the oncologist started talking about chemo. She said she would not recommend the traditional chemo tx for me (taxol, cytoxan & ad...?) but that a combo of taxotere/cytoxin could also reduce my risk of recurrence by about 2%.

I am now completely confused as to what to do. I have been on a few websites and it is so divided. I'm 43, have a 7, 9 & 11 yr old. Cancer was Stage 1, Grade 1, +ER, +PR, -HER2. I had one tumor IDC that was 1.7 but a nest of smaller non-invasive tumors making a lumpectomy very challenging. The Braca 1 & 2 test was neg but the cross check showed a mutation on Braca 2- report said the mutation was of uncertain clinical significance. My surgeon rec. a double mastectomy as a preventative measure to reduce risk of new ca on the other side. I found out after surgery that there were narrow margins (1 - 2 mm) on the cancer + side so radiation therapy was also rec. Tamoxifin was also recommended for 5 years. Ekks! That's a lot of recommendations. Chemo is the main one I am not sure about.

If anyone has any advice they could share, I would really appreciate it. Thanks!

Janet

JuJuBeez's picture
JuJuBeez
Posts: 332
Joined: Apr 2010

Hi Janet!

Our cases are very similar. I was diagnosed with IDC on 3/29/10, when I was 43 (my daughter was 7 at the time). I was Stage 1, Grade 2, ER+ PR+, tumor was 1 cm. I had lumpectomy and sentinel node biopsy, node was clean and margins were good. I had the BRCA test and it showed no mutations. My oncotype score was 12. My onco did not recommend chemo for me because my score was low. He said they typically recommend it when it's in the middle scores (20s-30s), and definitely do it for the higher scores. I had partial-breasat radiation 2x/day for 5 days on the B39 trial study program. I started Tamoxifen in August.

I think the 'nest of smaller non-invasive tumors, and the mutation on BRCA 2' is what makes the big difference in the treatment of our cases.

It's hard to 'decide' when there is a 'choice' for chemo. I decided not to do it this time, but if anything comes back, I would be much more aggressive. After reading some of the posts here, I know I will question my decision if anything does comes back. If I had done chemo last year, would I have another issue. I based my decision on fear, to be honest. I was scared at the thought of going through chemo at that time. My husband's father had surgery for lung cancer a week after I finished radiation, and my husband was out of town at the hospital with FIL for a few days a week. My FIL was in the hospital from July through the end of September. I felt that if I went through chemo treatment, my husband would feel like he had to choose who to be with, and I didn't want that to happen. I didn't feel like I was fighting for my life like my FIL was. He passed at the end of September. Today, I know I would probably choose the chemo to be sure I did everything I could to get rid of it. It's definitely a lot to think about.

Best wishes to you. Please let us know what you decide and how it goes.

Julie

Double Whammy's picture
Double Whammy
Posts: 2264
Joined: Jun 2010

Can you change your mind down the road? I simply never thought about this before. Everyone gets chemo right away, but what if you are undecided? If having or not having chemo is up to you, how long do you have to make up your mind? Can you decide you want chemo say 6 months to a year after diagnosis? I assume it's optimal to do it early on, but what if you're really on the fence and then you're not?

Suzanne

Janet T.
Posts: 4
Joined: Mar 2011

I asked my oncologist this question yesterday and she said no.... there's a window of opportunity that the chemo is most effective. Once you pass that, there's no turning back for a redo. had asked her if I could complete my 6 weeks of radiation therapy first and then decide on the whole chemo thing. She said no- you would need to do chemo first and then radiation.

I actually called my radiation oncologist today instead of my medical oncologist to review the Oncotype DX results again. He told me that my score is based on science and the science and other clinical trials suggest that for pts. with a low recurrence score like mine, chemo is typically not recommended. He said the decision to proceed with chemo for pts. with similar scores is based on emotions rather than science. Feeling like you have left no stone unturned, etc. was how he phrased it. He then said, however, this doesn't mean you will or will not ever have cancer again. It just means you didn't leave anything out. You may get it if you do chemo and you may not if you don't. The science says the chemo will have minimal if any effect on that. Ack!

Now I am feeling like the risks of chemo outweigh the potential benefit. What happened to going into the doctor and them just telling you, listen... this is what is absolutely best for you. Everything seems so subjective and grey.... even with a low score, stage 1, etc.

LoveBabyJesus's picture
LoveBabyJesus
Posts: 1650
Joined: Jan 2011

Suzanne -- You do have a window in which chemo would be the most beneficial. I know because when I was dx, I wanted to harvest my eggs and so my Onco told me that I had 3 months after my dx to have an effective outcome with the chemo and so I followed her orders. I harvested my eggs, and 3 months later had my first chemo.

disneyfan2008
Posts: 5276
Joined: Oct 2010

but by reading yours above I would have been more confused then i was for sure..

I HOPE You can make your decision of what to do...that feels right for you..I really didn't have any choices per say to make..just lumpectomy and 8 wks radiation!

I'll be checking back!

Denise

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Miss Murphy
Posts: 302
Joined: Feb 2010

Janet, welcome to this board altho I'm sorry you had to find us. My dx was very similiar to yours. Stage 1, 1.6 cm and my Onco score was 11. Chemo would lessen my chances by 2% so I decided not to do chemo weighing in risks vs. benefits. Another factor in my decision was my age. I was 57 at the time of my dx and my kids were grown up and married. I had a masectomy and started on several different types of the AI drugs which caused me all kinds of side effects. I've been on tamox for a year and a half and still have side effects but not as severe. I'm three years out from my dx.

I can't advise you as to what is best for you - only you and your doctors can make that decision. You have to feel comfortable with what you decide to do. I wish you all the best as you make your decision.

Hugs, Sally

csr771's picture
csr771
Posts: 112
Joined: Mar 2011

I know that there were times when I wished that someone could tell me what to do or I could somehow see down the road, and the results of making a left turn, right turn or going straight ahead. Unfortuntely, there are no easy answers. My oncotype Dx score was 22, but I am 57 and had a skin sparing mastectomy of the left breast in January. I was told that my score meant that I had a 10% likelihood of a recurrence of cance in 10 years and chemo would that likelihood by 1-2%. I decided not to have chemo. The bottom line is that you have to do what feels right for you. I am a Christian woman and I am trusting God for my 10%. If I have a recurrence, I will deal with it. One thing that I have found out about myself, I am stronger than I thought I was and times when I am, not God carries me! Meditate on what to do..you will know. Blessings.

Rague
Posts: 3272
Joined: Aug 2009

I am also a Christian woman and have complete faith in my Heavenly Father. However, I believe somewhat differently than you apparently. I believe that my time here is to learn and grow and be ready to return to live with my Heavenly family. My Heavenly Father gave me fantastic Drs and all their staffs, he gave them the 'tools' that they needed to help me along my journey - so I have to thank Him for giving me all of that and not - just say - "It's up to You." Who's right? - Don't know - I just know what is 'right' for me and that is to use every option that He has given me - even for 1% better chance.

Perhaps I MIGHT (but I doubt it) feel different IF I had a prognosis of only a 10% CHANCE of reoccurane in 10 years. I don't - IBC has a 25%-45% (depending on the study) CHANCE of MAKING it to 5 years - I'm 1 1/2 yrs out from DX and doing great.

Susan

Katmy
Posts: 93
Joined: Mar 2011

My DX was similar to you except I am grade 3 and my margins were not clear. I had a mastectomy, then radiation, and now Chemo ( Taxotere and Cytoxin). My hematology Onc. recommended Chemo because of my age, 41. I have 3 children 6,9, 11. I do not know my Oncotype Score.

Someone earlier wrote that there is a window of opportunity for Chemo. Yes, I have heard the same: 12 weeks from diagnosis. This number may be based on the fact that the research trails were of women less than 12 weeks from diagnosis. I don't know. But the point is to catch the cells before they make it out of their in situ. There is only one chance for that. now.

So, I opted for the Chemo. It is doable. No fun. But I can tell my children later, if it comes back, that mommy did everything she could to kill it. It is an "emotional" decision for me. Percentages were not heavily in its favor. I can think of lots of reasons I would not have done it, too.

Good luck with your choice. It's tough and ultimately it is your body. God bless.

BioAdoptMom
Posts: 358
Joined: Mar 2011

I had my first onco visit today and he is just now preparing to send off my pathology for an Oncotype. So, I have not reached the point where you are yet, but I can tell you that he told me if I have to have chemo (I have same stats as you except mine is grade 3) it would be taxotere and cytoxan are by no means a picnic, but he described them as one of the less rigorous treatments and very doable. He told me I would probably even just need to be off on a Friday for treatment and probably be back to my teaching job on the following Monday each time. So, just something to consider if she is pushing chemo for you.

Nancy

roseann4
Posts: 994
Joined: Sep 2009

I would definately get a second opinion before making such an important decision. I was told by the people at the OncoTypeDX lab that they have found that chemo doesn't make a difference for women with low scores. I would call your surgeon and ask for a referral to another oncologist for a second opinion.

Roseann

Patti1967
Posts: 186
Joined: Mar 2013

I had those chemo drugs, mine were always on Mondays with a shot of Nulesta on Tuesday.  I was fine, except being tired until Wed eve and then it was no pinic for sure.  I hope he's right and you can return to work on Monday after Friday chemo, there's no way I could have.  We are all different that's for sure:) 

Patti

PinkPearl's picture
PinkPearl
Posts: 280
Joined: Oct 2010

My situation was very similar except that my Onco score was 31. Up until that point my onco and I were not going to do chemo but with a 31 score she reversed her opinion and I did chemo. I am almost finished the Cytoxin Taxotere routine--4 rounds. For me that combo has not been too hard. I also had a double mastectomy amd when I finish the chemo I will be on a pill for 5 years but not the tamoxifin --can't remember the name right now!
I think if my onco score had been lower I would have chosen no chemo and that is what my onco was originally recommending. Good luck with your decision and recovery.

msbono
Posts: 1
Joined: Feb 2012

Janet,

Our stories are very similar. I found your post when I did a google search for "I have a low oncotype score" and I have since registered on this site - I think it will be very helpful. I hope you are doing well after your diagnosis and I'm curious what you ultimately decided to do.

I was diagnosed in November 2010. Long story (not very) short: I was 41 years old, with two young children (now 12 and 10). Calcifications were found on my annual mammogram. Due to a lousy, extensive and rather depressing family history, a biopsy was performed and I was diagnosed with DCIS. I had a lumpectomy but it wasn't "just" DCIS - there was an invasive (1 cm) tumor found, along with two more smaller (just a mm or so) invasive tumors, and more DCIS. Second lumpectomy = no clean margins, again! Thus mastectomy & reconstruction (tissue expander) surgery followed in Jan. 2011, with final reconstruction in April 2011. I had clean lymph nodes, but there were "isolated tumor cell deposits" on two nodes. Apparently this does not mean I was lymph node positive - it still classifies as stage 1, grade 2, lymph node negative, ER/PR+ cancer. I got clean margins (via mastectomy).

After multiple surgeries, I decided to meet with a geneticist and tested BRCA2+. This was especially difficult because my mother, who has battled breast cancer twice and is now stage 4, had tested negative 6 years ago - but that was before the more sophisticated "BART" genetic testing was being utilized. Turns out, not surprisingly, after being re-tested, she has the same mutation. She took hormones for 20+ years, did not have the benefit of the full-range genetic testing, thus did not have a double mastectomy, and had a second occurrence of breast cancer 3 years ago in the other breast which has now spread. She also did NOT have the oncotype DX test, despite having ER+, stage 1, lymph node negative cancer. (I believe the oncotype DX test may only be in use for premenopausal women, but I'm not sure.)

I was not tested for BRCA genetic mutations initially because it was assumed that since my mother tested negative, I was negative too (there is no history of breast/ovarian cancer on my father's side). However, my surgeon recommended that after my treatment I follow up with a geneticist, just to be sure. I'm very glad I did. Since I tested positive, 4 other relatives have tested positive for the same BRCA2 mutation. I hope my diagnosis will spare them from my experience.

After testing BRCA2+, I had more surgery - this time a prophylactic mastectomy (on the other "good" breast) and a full hysterectomy. Since I am now considered post-menopausal, I now take Arimidex instead of Tamoxifen. I hope to God it works!

My oncotype DX score was 13. After consulting with two oncologists, both of them did NOT recommend chemotherapy and I decided not to do it, as my likelihood of recurrence (with hormone therapy) is estimated to be about 8% over 10 years and chemo would not add a significant benefit. Now that my mother's cancer has come back, I am searching the internet hoping to find other breast cancer survivors who also had low oncotype scores, to make me feel better!

Please let me know how you're doing.

cathyp's picture
cathyp
Posts: 366
Joined: Dec 2009

Janet,

My dx was very similiar to yours but my tumor size was .3cm. I was 47 at the time in 2007 with children 14 and 11. My oncotype score was 8 and I had a "mutation of unknown significance" on Brac2" also.
Unlike you, some treatment "choices" were made for me. I had Hodgkins Lymphoma in 1989 and 1994. Radiation treatment for HL caused my BC so I had to have a double mx with no reconstruction. They found DCIS along w/IDC in the lt breast and LCIS in the rt. I could NOT have radiation treatment again for the BC. I all ready have pulmonary and cardiac problems from the Hodgkins chemo and radiation. The 1-2% reduction chemo offered in recurrence made the decision simple, no chemo for me. Also, I could not take Tamoxifin because I had a TIA. After a complete hx for elevated CA125, complex cysts and uterine polyps I sought out 4 opinions on trying arimidex. Four docs said no, as there are no studies to the effectiveness starting 4 yrs after dx. So I asked them what their opinion was if I just was dx and they said they would not recommend tamoxifin or arimidex at that time either.
So, with "just" a double mx, here I am 4+ years later dealing with more long term effects from the Hodgkins Lymphoma but cancer free.
Best of luck with your decision as you gather all the information you can.

MsGebby's picture
MsGebby
Posts: 659
Joined: Oct 2011

Hi ... I did the Oncotype DX because my MO wanted me to start chemo right away. She did the math (before the Oncotype test) and said my recurrence score was 36! She said chemo would cut that risk to 11%. I am/was squeamish about doing chemo so I opted for the Oncotype test. It came back with a low score so I went for the radiation. Everything I've read/learned is that chemo is not for those of us who are Stage I or II, ER+ PR+ and Her2 negative. In fact, it does nothing to help us. I don't know about the BRCA results. I didn't have that test run (at least not that I know of). My cancer was 2 parts invasive and 1 part non invasive. Stage II, no node involvement, 3.2 cm tumor.

Read about the chemo vs hormone therapy. Chemo can do more damage for people who really don't need it.

Good luck with your journey. Please be well informed before jumping into any treatment.

keep in touch

Mary

Kiantae
Posts: 29
Joined: Feb 2010

My score was similar to yours. I was Stage 2 with spread to 2 lymph nodes. My oncologist said there are newer studies that indicate the oncotype results are the same with no lymph node involvement as it is with 1-3 lymph nodes affected. I was undecided as well. My oncologist recommened I not have chemo but only after he consulted some experts at UCLA and had them review my case. My surgeon recommended I have chemo. He had heard of the Oncotype test but was not up to date on current studies. He did mention there is a tumor board at the hospital that will sometime review cases with a panel of doctors and give a recommendation. He agreed to take my case to the board and present it since I was unsure of what to do. Lucky for me there was a Cancer expert from California at the hospital providing training to the members of the tumor board and others. They used my case during the class and the expert agreed with the 'No chemo' recommendation. I felt that I did everything I could to research options and then made my decision. I did have radiation as an added measure and am on Femara. I would recommend you do as much research as you can that will make you feel comfortable with your decision whichever way you decide. Good luck in your journey. It is not an easy decision.

Oma_T's picture
Oma_T
Posts: 4
Joined: Mar 2012

I haven't read all the comments here yet, but I will! I was diagnosed on December 28th and had a lumpectomy/sentinel node biopsy on February 1st. I was told by my surgeon I would only need radiation and tomoxifen. Met my oncologist finally on March 1st. He wanted to start Chemo, and I totally freaked. I wasn't planning on that being it was stage 1 grade 1. I thought I would be starting radiation and then hormone therapy. So we sent off for the oncotype tests and I am still waiting to hear my results. I should find out on the 20th. I will choose not to have Chemo if I come back low risk. I am not sure what I will do if he is pushing it. I don't have alot of support in place, so I feel very fortunate to have found this site.

New Flower
Posts: 3938
Joined: Aug 2009

Rate of Recurrence is based on clinical studies, along with oncotype was created to help doctors and patients to make decisions about treatment options and used data available at the moment. It is relatively new tool, however patient and doctors ultimately responsible for the treatment choice. There is tendency to treat younger patients more aggressively than older ones. Out of all women diagnosed with breast cancer only 0.5% are under age of 50 years old.

gadawn
Posts: 2
Joined: Apr 2013

We have similar situations, but it has been 2 years since you posted your topic. What did you finally do?

I was diagnosed with invasive ductal carcinoma in February 2013, had a single mastectomy on March 11, and am waiting for my Oncotype test results. They will be in on April 10th. Cancer was Stage 2B, Grade 3, +ER, +PR, -HER2. My oncologist immediately recommended Chemo and hormone therapy. I am against both. When I asked her what the statistics/percentages of it recurring with chemo or without chemo, she didn't have any answers. She reluctantly offered the Oncotype DX test and made sure I understood it was NOT Standard procedure AND said her recommendations would not change when the test results came back. I was relieved there is a test and immediately agreed to have it done. I am looking into alternative cancer treatment centers and have found one that I believe I will be going to get a second opinion. Oasis of Hope in CA. I am not convinced that aggressive chemo and hormone therapy is the best option for me or most women with breast cancer. I'm extremely impressed with the treatments that are offered at Oasis of Hope...low-dose chemo using insulin potentiated therapy along with high-dose IV Vitamin C, etc. They also treat the whole person and are a Christian-based clinic. They teach you how to eat to prevent recurrence. Too many women just fall in line with the traditional treament plans and don't realize there are other options out there.

gadawn
Posts: 2
Joined: Apr 2013

We have similar situations, but it has been 2 years since you posted your topic. What did you finally do?

I was diagnosed with invasive ductal carcinoma in February 2013, had a single mastectomy on March 11, and am waiting for my Oncotype test results. They will be in on April 10th. Cancer was Stage 2B, Grade 3, +ER, +PR, -HER2. My oncologist immediately recommended Chemo and hormone therapy. I am against both. When I asked her what the statistics/percentages of it recurring with chemo or without chemo, she didn't have any answers. She reluctantly offered the Oncotype DX test and made sure I understood it was NOT Standard procedure AND said her recommendations would not change when the test results came back. I was relieved there is a test and immediately agreed to have it done. I am looking into alternative cancer treatment centers and have found one that I believe I will be going to get a second opinion. Oasis of Hope in CA. I am not convinced that aggressive chemo and hormone therapy is the best option for me or most women with breast cancer. I'm extremely impressed with the treatments that are offered at Oasis of Hope...low-dose chemo using insulin potentiated therapy along with high-dose IV Vitamin C, etc. They also treat the whole person and are a Christian-based clinic. They teach you how to eat to prevent recurrence. Too many women just fall in line with the traditional treament plans and don't realize there are other options out there.

SherryHJ
Posts: 5
Joined: Aug 2012

I agree with you.  I am not so sure that the treatments are better than removing the cancer and beginning a healthy regimen of good diet and exercise.  I am totally lost as to what to do since I am 49, not even in pre-menopausal and can't take Tamoxifen.

SherryHJ
Posts: 5
Joined: Aug 2012

I agree with you.  I am not so sure that the treatments are better than removing the cancer and beginning a healthy regimen of good diet and exercise.  I am totally lost as to what to do since I am 49, not even in pre-menopausal and can't take Tamoxifen.

McMarty's picture
McMarty
Posts: 191
Joined: Nov 2012

Its Very nice to meet you! 

I had a very similar dx in 2004.  I must say it is sooooo good to talk to people who know what your are going through!

At the end of the day, you have to get quiet.  Your answer is inside of you.  Not in the Dr, the Pink Sisters, or even your family.  Inside of you!  Follow after PEACE.  Decide, may I say with the Lord and NEVER look back.  What happens tomorrow is for tomorrow.  Today has enough trouble of its own. 

WHAT MAKES SENSE TO YOU?  THAT'S the right decision!

(((HUGS))) to you!

 

LoveBabyJesus's picture
LoveBabyJesus
Posts: 1650
Joined: Jan 2011

Janet -- I see how you would be confused. I can share my story, perhaps that can help you. I was told because of my age (32), my grade (3), lympthvascular invasion and family history, I should have the chemo. Although I was stage 2a and nodes were clean (with clear margins after second surgery) I opted to have chemo because personally, I wanted to get it over with. And, I also didn't want regrets or what ifs later. I wanted to throw at the cancer everything i could. But, I had grade 3 which is very agressive. So it was easier for me to make the decision at the time. Perhaps you need to ask your Dr. what he suggests considering your age, but based on your pathology report (and I don't know if your tumor had a crazy personality to build its own path to travel, which is what I had), I would probably skip the chemo. But then again, it is hard to decide unless you're really there. So sorry, but even for me is hard. But I am happy your grade is so low and your tumor was small, and the stage was early and your nodes were clear! This is all good news and probably has the most influence on your outcome (more so than chemo).

Good luck with what you decide. May God guide you to make the right decision for yourself.

 

HUGS

SherryHJ
Posts: 5
Joined: Aug 2012

I thought that it meant I wouldn't have to have radiation or chemo.  I was wrong.  I had a onco dx score of10 with a slow growing tumor, ER+, HER-, but it was 2.5 cm which pushed it to a 2a. 

I had a lumpectomy and 40 radiation treatments.  My nodes were clear, thank God!

Now, I get recommendations to have my breasts removed from my MD, to have my ovaries removed from my oncologist, and my OB says no, in order to cut my risks further. 

I am freaking out.  I thought that not having it in my nodes and having a low OncoDX score meant I had a low rate of recurrence.  BTW:  I can't take Tamoxifen at all!  Life threatening for me.

Josie21
Posts: 338
Joined: Nov 2012

I was stage 1, ER+, HER-, 1.9cm tumor, Oncotype score 13, and BRCA gene with a mutation of unknown significance (whatever that means).  One oncologist said do chemo and the other said no way.  I had a bilateral mastectomy (BM) because I had DCIS in the previous breast 3 years prior.  I chose no chemo because of the oncotype test and because of heart problems in my family.  I did however go on tamoxifen afterwards.  Maybe not being able to take that is why they are suggesting different treatments.  I did not have the radiation because I had the BM done.  Two years after the BM I developed ovarian cysts and my gynecologist wanted me to have a hysterectomy.  She said my ovaries were shot from the tamoxifen anyway and she did not want to take any chances.  Doing that made me have to switch over to Aromasin instead of tamoxifen.

Everyone is different and so are doctors.  One says one thing and another says something different.  Are you negative for the BRCA gene?  If so, it Is really your decision on what to do next.  I would get a second opinion from another oncologist.  

We are very lucky that we had early stage, slow growing tumors, but with that comes a lot of choices on treatment plans that we need to make.  I still hope I made the right choice about not doing chemo.  Whatever you chose, you have to live with your choice and try not to look back.

Feel free to personal message me if you want.  I know what you are going through.  It's not easy to make such big decisions.

Hugs,

Ginny

Pink Rose
Posts: 495
Joined: Nov 2012

That seems too aggressive to me Sherry.  Why remove your breasts and your ovaries?  Your ovaries do a lot of good for your body.  And with your nodes clear and a low Onco number..why chemo? 

KKuziel
Posts: 1
Joined: May 2013

Two months ago I had an oncotype test. I had no lymph node involvement ER/PR+ HER2-, tumor size less than 1 cm. Lumpectomy, Stage 1b, grade 2.  I am 57. I did 33 rads, as was the initial suggestion, to be followed by hormone therapy. Tow weeks ago myoncologist said he would like to send out for a mammo print test, which only gives a high or low determination. I was graded at low intermediate on oncotype test. Now he's suggesting chemo based on the mamma print test and is ignoring the oncotype test. I'm beside myself trying to figure out what to do. Anyone with similar issues. 

jlharris's picture
jlharris
Posts: 47
Joined: Apr 2013

I was diagnosed with stage 2b (one node positive with small amount). I had the Oncotype Score test done and it came back as a 7 with 6% chance of recurrence if I was to not have any treatment. I considered in participating in the clinical trial but backed out. My onco recommends chemo/hormone therapy but I am not going to do chemo just hormone therapy after my radiation treatments, starting next week (33 treatments). With the clinical trial you are randomly choosen for one of the two types of treatment. 1) Chemo/hormone 2) Hormone only. So, my thinking was that if I was choosen for the hormone only then why not just do the hormone only treatment and since my oncotype score was so low this is why I made my decision.

I wish you and everyone else for the best treatment that you can get.

JeniferCool

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