to go for chemo or not?
I am a healthy 61 year old woman diagnosed 11/2017 with Invasive lobular carcinoma; right breast lumpectomy performed 12/2017 tumor size 2.5cm; nodes 0/3 negative; margins clean;LVI not identified; ER+, PR +, Her2-; Ki-67 is over 25. Oncotype DX score 19. BRCA 1 and 2 result shows no gene mutation. this test was performed as my sister was diagnosed with stage 3 invasive ductal carcinoma, and passed away in the mid-90s at age 44 after a two year struggle.
I am seeing the medical oncologist next week. i am confused after going through several sites on the internet - different views are expressed about chemo with intermediate Oncotype score. i would really appreciate your thoughts on whether the benefits of chemotherapy in my particular case out-weigh the risks and side effects? I will also go for a second opinion before the final decision on chemo, but really would welcome your experiences and if any members have a similar case as mine. thank you so much for sharing your views.
Comments
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thanks so much Annie. I willApaugh said:cancer treatment is a bear
It is rough and can be overwhelming at times. It is a personal choice that only you can make. Whatever the choice, we are here to support you.
Hugs,
Annie
thanks so much Annie. I will find out what the oncologists recommend but have been reading that omcotyoe intermediate score is a gray area in terms of outcome. Research study still ongoing,
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Its scary, but I chose NOT to do Chemo Dec 2017
It is a tough choice. IMHO because your sister had it that's the part and the 'invasive" that would make me tend toward chemo. But I get your situation, lumpectomy, clean margins, HER2-, No BRCA gene. Oncagenne score 19.
I refused chemo Dec 2017 and it was a reoccurance--tough decision. I am now 52, had lumpectomy 11mm Sept 2017 Oncogene score 11, HER2 Borderline, ultimately HER2- (in my single mastectomy breast which was done in 2007 along with TRAM flap reconstruction age 42, it was DCIS stage 0 and no BRCA gene. My Drs at that time said no chemo, no radiation, take Tamoxofin 5 yrs. All was good for 10 years.) For me, this second time around with the cancer out, clean margins, Oncogene 11. I wanted the same treatment like 10 years ago just give me a pill. I figure I'm a rare case to get BC in my mastectomy breast which is just fat and an implant-no breast tissue and that cancer will prob come back regardless of chemo and i dont want the side effects or toxins in my body, I'll deal with it IF it returns. But I lost my job just prior diagnoses and I am single so I need to find work also-I do not qualify for medicare bc my unemployment $ was to high to qualify. Plus, my reoccurance in my mastectomy boob did PERPLEX the Drs and they were afraid to "UnderTreat" me. I refused the ChemoPort- I really expressed I am not doing Chemo. Drs did not push it. So I started Tamoxofin Dec 2017. I will be doing more "healthy lifestyle" and pursuing a career change out of stressful sales. I cross my fingers, but I feel confident in my decision. Hope this helps. (FYI: I did have an aunt pass from BC on my Dads side on a reoccurance of bone marrow cancer-i think she did chemo.) I send you a BIG HUG. Hang in there. Be confident in your decision.
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