@kbradtke:

I am so sorry for this unfortunate BC recurrence:(! It must have been such a devastating, shocking blow after 23 years of healthy life. My heart and prayers went to you upon reading this...

Did they prescribe Tamoxifen for you back then? Based on the fact that your cases of BC in both times seems to be ER+, I know you had completed lumpectomy surgery, chemo, and radiation treatments back then, but did you take Tamoxifen 23 years ago? Just a bit curious because Tamoxifen was first synthesized in 1962, and it had been used for decades to treat breast cancer and reduce the risk of its recurrency...

Pray for you on your journey ahead with successful treatments, full and speedy recovery!