I am a male breast cancer patient; double mastectomy and nodes. Surgery went well (9 months ago), es+ her2-, anastrozole and kisqali; no radiation or chemo even though cancer is metastatic. I've had 2 signatera tests, both negative.For me, that result is comforting. I get signaterra every 6 months and the usual blood panels monthly. Medicare pays, no problem.
From reading more than a year of posts, it appears that different onco docs have very different takes on how to treat. My onco is fairly young and I think quite current on trial results and newer approaches to treatment. I think, that in general, medical standard of care changes very slowly, and it's important for patients to do their research and consider changing onco if there's a concern about whether their doc is "current" on treatment options. I'm very fortunate to have managable side effects from my meds and I am also older and have had a good life, and my cancer anxiety is low. I think that patients on Kisqali need to be followed closely for recurrence, especially younger patients, because if Kisqali isn't working to suppress any spread, another approach will be needed. My heart goes out to all who are navigating this very complex landscape.