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@lindaloon

Thank you so much! I messaged my oncologist and this is his reply:
“What I showed you was a website for the National Comprehensive Cancer Network. (http://www.nccn.org) You need to register to be able to use it, but you should be able to bring up the section on breast cancer where there are flow charts. There is a long section at the end which you can read that discusses the recommendations in more detail.”

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Replies to "Thank you so much! I messaged my oncologist and this is his reply: “What I showed..."

Thank you so much for going to that effort @lindaloon. The NCCN site is very useful for all of us (I used it 10 years ago).

I think that the fact that you have DCIS accounts for your doctor saying your endocrine therapy is optional. (Sorry I missed the DCIS in your first post!)

There is an Oncotype test for DCIS that would give you risk of recurrence and a number for benefit from hormonal meds. That info might be helpful.

ps For invasive cancer, the guidelines are clear:
Targeted Therapy
All patients with HR-positive IBC are recommended to receive endocrine
therapy sequentially after completing the planned preoperative systemic
therapy.